get rid

Is the protein in my urine due to kidney disease? [Viewer Question]

is the protein in my urine due to the

proteins that I eat or due to chronic

kidney disease in this video I will

answer that question stay tuned

hi my name is Magda Casa nada and I'm a

certified nephrology nurse and an

integrative nutrition health coach and

I'm also the director of Utopia health

Career Center where we specialize in

training and education around kidney

failure so I am starting a series of

videos where I am going to be answering

questions that have been sent to me from

people that have questions about kidney

failure and their results and their

kidneys and in a daily basis I receive

many many emails it's difficult for me

to answer all of the emails one by one

but in an effort to try to go through

all of these questions I am going to

create videos and I am going to post

them so that anyone that is having the

same question can benefit from the

answer now one thing that I do want to

make clear and this is my disclaimer I

am NOT a doctor so my cancel counsel

will not replace your doctor's counsel

okay this is basically more I'm focusing

more on the person that has been told

that have kidney failure but still you

feel like your answers have your

questions have not been answered you

feel lost and you're you're trying to

find some direction so that is what I'm

here for trying to give you some

direction for you to basically take

decisions on what is it that you're

supposed to do and and what is your best

course of action okay so I am going to

start with a question that I have I'm

not going to say the names just because

of confidentiality but I am going to say

the initials so this is so that the

person that is listening hopefully they

know I'm talking about that

so d-p this question comes from DP and

this person he's a male and the person

starts writing I am having a I am having

a GFR of 72% now so this this means that

this person is telling me that he has

chronic kidney disease he already knows

that he has chronic kidney disease

because he has a GFR of 72% from a

hundred percent okay so that means based

on this number that he is giving me we

identified this number with a chronic

kidney disease stage - ok stage - so the

person has undergone a couple of

different tests and also he gets an

ultrasound of his kidneys twice a year

so that confirms that that confirms to

me that he is a person that that has

chronic kidney disease ok now he says

that he does heavy weight lifting and

cardio at the gym for an hour and a half

almost every day and he drinks three

liters of water and he takes his total

protein intake in a day is around 75 to

100 milligrams in its higher because he

he does weightlifting and then he says

that apparently the urine that he is

making his urine collection in 24 hours

is about 3 liters so that that seems

normal and he says that his urine looks

foamy occasionally and maybe especially

when I am taking eggs so when he eats

eggs he noticed that his that his urine

looks foamy and and then his question

and the question is is the protein

content

of urine due to my protein intake or to

CK T so in this case the answer is for

this particular person because he

already knows that he has chronic kidney

disease and he has given me some results

the answer is that is very possible that

the protein is due to chronic kidney

disease okay because you already know

that you have chronic kidney disease so

when you have urine in your I'm sorry

protein in your urine due to chronic

kidney disease usually the problem is at

the glomerular Grum glomerulus level so

inside of the kidney cell which is the

nephron there are two parts to that cell

there is a glomerular glomerulus which

is a sac right and if there are some

tubes

now that glomerulus has a wall and that

wall is a semi permeable wall okay that

wall will let fluid water and small

solutes small cells pass through and

then bigger cells should not pass

through so protein is the big cell

protein should not pass through that

wall so knowing that you have protein in

your urine tells me that there is some

issue there at that level at the

glomerulus level so based on that and

because you already know that because

you already know that you have chronic

kidney disease what I would do because

most people ask me should I control or

limit my protein intake and that is one

of the suggestions basically when you

have chronic kidney disease or when you

have been diagnosed with chronic kidney

disease especially if you have a lot of

protein in your urine is to control your

or to limit your protein

now this always has to go with the

doctor because it also depends on your

protein levels and blood albumin levels

in blood and I don't have that

information because he did not he did

not write this information but if you

are running low in protein in your blood

and the doctor can tell you that then

probably he will tell you to increase

your protein intake now in this case and

in the majority of the case the cases

you are told to limit or control your

protein intake because the kidneys are

gonna work harder when they're trying to

clean up the protein or trying to clean

up the waste that is created by the

protein okay so that's why you are told

that you got to take it easy with the

protein now in your case your lifestyle

is of a bodybuilder okay or a

weightlifter so it comes to a point

where maybe a decision passed it has to

be taken and that decision will be i

want to label or name that this decision

saving my kidneys okay so in this case

what I'm trying to say is that you

you're probably going to have to decide

if you will continue to build you know

bulk your body or save your kidneys okay

and that is up to you and that is up to

each one individually I cannot exactly

tell you what to do but if it was me I

would probably take care of my kidneys

that would be my answer

I would limit lower the amount of my

protein intake and then maybe

lower the amount of the the weight that

I'm lifting just so that I don't need

the amount of protein that you need to

maintain those muscles okay so this is a

very individual decision so with that

said another thing that I wanted to talk

about is that you should be working on

any other risk factor be it for example

if you are diabetic I don't have that

information you may not be diabetic but

if there's a person here that is

watching this video and it's diabetic

and and you have this a similar problem

if you are diabetic you need to make

sure that you're keeping your blood

sugar in range okay so you would benefit

from dropping the granular granular

sugars dropping sugars and maybe trying

to eat a better better diet which is

maybe lower in carbohydrates or you

choose better healthier slower

carbohydrates okay so keep your keep

your blood sugar in check if you have a

diagnosis of high blood pressure which

you don't have because you alright at

least you didn't write it but if

somebody else does you need to make sure

that your your blood pressure is in

range because these things are going to

stress the kid kidney even more okay so

blood sugar blood pressure if you smoke

you I don't think you're a smoker you

didn't write you're a smoker but again

if somebody else is listening to this or

watching it and you're a smoker I'm

gonna recommend that you stop smoking

okay if you have any type of pain and

you tend to take the over-the-counter

non-steroidal anti and

matauri drugs like the NSAIDs and these

will be the naproxen ibuprofen I would

stop those those I would stop that okay

those medications are toxic to your

kidney so I would talk with my doctor

and ask him to recommend something for

pain that is not that type of drugs okay

another thing is that I would be careful

with the dye the dye that is added to

x-rays some aches you know when when

you're having some studies done like

x-rays or CT scans with contrast those

type of things I would always be aware

and I would always tell the person

listen I have kidney failure and I know

that the dies or the contrast are are

toxic to my kidneys can we do this test

without the contrast without the guys

maybe you can explain that to the doctor

to the specialist that you're seeing

sometimes the dot the specialist that

you are that you see is not the

nephrologist so sometimes that

information is not coming it's not going

across so maybe the specialist and the

other doctor does not know that you're

having some issues with your kidneys

okay so that's important and another

thing now I'm going to switch a little

bit because I'm talking a lot about

physical but we have to understand that

we're not only we're not physical beings

only okay so we have we are mind body

and spirit okay so now on the other hand

anything that is causing you any type of

stress you need to work with that okay

so if you have an emotional issue that

is you know like is is giving you a lot

of stress you got to work with that if

you are in an environment that is very

stressful for you you have to work with

that try to try to look into your

options but you have to eliminate the

stress because again

stress on your kidneys there is a gland

and those are called the adrenal glands

and those are the ones that are

associated with the hormone that is thus

the secreted when you are under stress

right so you do not want to stress out

your kidneys you don't want you do not

want to stimulate that hormone more than

you need to okay so you really need to

work without with the stress anything

emotional that is very heavy you got to

work with that so one of the things that

is recommended in that area will be

creativity you have to engage in an

activity that will let your creativity

flow so it could be whatever makes you

feel creative okay whatever it could be

as simple as coloring books for adults

it could be as simple as engaging in a

class where you dance where you sing

those type of things okay so it's you

got a look at everything so you looked

we looked at the physical part of it

with the diet you're gonna help it with

the diet we look and we looked at the

mental and spiritual part of it which is

trying to avoid a little bit of stress

and working with the stress how you're

going to work with that meditation is

something that helps with that um

talking with a counselor yoga those type

of things will help you liberate a

little bit of that tension and so I'm

gonna try to cover all of the areas and

you take what you like and you take what

you believe in and the rest you can

leave it there but truly and honestly

what I've seen and where I've seen

people heal is when everything is

incorporated not just one thing is

everything is incorporated so try to

work with that go back you can go back

and watch this

video again and take notes and start to

implement a couple of things that we

discussed here and again if you have any

questions just send them to me I'm going

to be trying to answer I already have a

lot of questions so it may take me

longer to get to your particular

question so this is it for this video I

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okay so see you soon