Hi,

Thanks for your query at DoctorSpring.com.

Any amount of proteinuria above 200 mg per day is abnormal. It should be evaluated. As the report, you have a proetienuria of approx 700 mg per day. It needs renal biopsy.

Leucocytoclastic vasculitis can involve kidney and mostly A nephropathy like situation can be seen in the kidney. You don't require to take Goutnil or Zyoric as it not appearing like gout.

Hope it helps, please feel free to discuss further.

best,
Dr. Sree Bhushan Raju
MD, DM (AIIMS), DNB, FISN, FICP, FIACM

The protein as per routine urine examination is nil and spot is high. It can vary from time to time and lab to lab. In fact, There is no hurry in renal biopsy and you cans till wait for few more weeks and months for renal biopsy.

The other parts of urine report only are suggestive of absence of infection in the urine.

To clarify about your doubt renal biopsy, which is a simple and safe procedure. There is no harm attributed to kidney due to renal biopsy. Its a simple 5-10 min procedure and absolutely safe. There are hardly any major complications seen out of several thousands of biopsy procedures.

It is essential to know the underlying renal condition so that the treatment can be given as per the diseases and severity. It can also give an impression over the kidney disease how it progresses during the life time.

You don't have to worry about the kidney biopsy rather the indication and timing are very important. I feel that there is no urgency in renal biopsy and you can wait and see. Meanwhile you can watch creatinine and proteinuria. If there is an increase in creatinine and worsening of proteinuria by more than 1 gm pr day, You can plan for renal biopsy as any thing less that may not support or guide you in the treatment.

Hope it helps.

Best
Dr. Sree Bhushan Raju
MD, DM (AIIMS), DNB, FISN, FICP, FIACM

Hi,

Urinary red blood cells should be checked in urine microscopy rather than blood through dip stics. So, you don't have to worry and you can check 24 hrs protein later . There is nothing like normal urinary creatinine.

It depends on protein intake , muscle mass of the body etc. what is important is its relation with the protein and to show that the urinary collection is adequate and appropriate sample for the test . Blood in the urine can be detected in urine microscopy.

Hope i have answered your question. Please feel free to discuss further.

Regards

Hi,

Goutnil has colchicine which has anti gout property and decreases the joint pains. Where as genitive is febuxostat which decreases uric acid which is the culprit in gout. Gout nil should be used only when there is a severe joint pain for immediate relief but not for decreasing gout. Zyloric has Allopurinol which was used earlier to decrease uric acid has few side effects and febuxostat has decreased such incidences

You can safely use feburic and use goutnil only when severe joint pains are there.

Regards.