Is there a problem with the kidney in the urine?Listen to the doctor what to say

I don't know if everyone goes to the toilet (regardless of the size), is it used to looking at it?

Friends who have such a habit, I want to give you a praise,

This is indeed a good habit. Through daily observation of the colors and shapes of urination, you can find possible problems with the body.

But one day, a friend in Pixi was looking at the toilet for a while,

I was surprised to call Pixisi.

""

GAI found a lot of bubbles when I saw the urine. It said on the Internet that there are bubbles in the urine that have high urine protein, and most of the kidneys have turned around. ... "

Indeed, the disease of the kidneys will indeed cause the protein content in the urine to rise, showing a slight look of bubbles; but then again, there are many causes of bubble urine, and it cannot be said that bubble urine = high urine protein = kidney out of the kidney out of the kidneys. The problem.

Below, I would like to ask Associate Professor Tang Yi at the Department of Nephrology of Huaxi Hospital of Sichuan University to bring you the students from the 2019 level of Huaxi Clinical Medical College to tell you why there will be foam urine, what is the relationship between foam urine and proteinuria, and where does it appear? Poin foam urine should go to the hospital for treatment.

one

The real qualified foam urine is probably the same as the picture below--

Such urine is really not normal, because normal urine is transparent, amber, and the color is deep and shallow with the changes in drinking water and urine volume, almost no bubbles, or even a little bubbles, it will take a few minutes for a few minutes. No.

Therefore, when I finished the toilet, I found that the urine had a lot of bubbles, and it was difficult to think about it for a long time. Where did my body turn around?

two

As long as you search for foam urine online, most of the results retrieved as if they were telling you- "Oh, your baby is suffering, foam urine is proteinuria, your baby has kidney disease!"

Nephrine disease may cause foam urine, but it cannot be said that foam urine must be proteinuria, let alone have kidney disease.

1. About

Urine

Egg

White

Normal adults' total urine protein excretion should be <150 mg/d, and the phenomenon of abnormal protein content in urine is called proteinuria.

When the renal glomerular permeability increases or the renal tubular renovation absorption function has caused obstacles, then some kind of protein that will not appear in urine, such as albumin, will be found in the examination of urine.

If the doctor gets a urine and reports that you have proteinuria, then your kidneys may be a problem, but note that it is possible that the kidney is really turning, and a series of examinations can be diagnosed.

2. Urine protein can make urine rise

Bubble

One of the obvious clinical manifestations of proteinuria is that there will be many bubbles in the urine. The reason is that many proteinuria are surfactants. Surface active agents are organic compounds of some two lips. The meaning of the two lips means that there is a hydrophilic end (like to be with water) and a hydrophobic end (hate it with water). When the hydrophilic end is contacted with water, the hydrophobic end is gathered together, and the head is buried inside, and the outer layer is the outer layer of the hydrophilic end and the inner layer is a water bubble.

Surface active agents are not tall things. Everyone can be seen everywhere in life. For example, laundry liquid is the most common surface active agent, so you can rub out many small bubbles when washing clothes. In the same way, many proteins are also surfactants. If the urine contains enough protein, it can produce bubbles one by one during urination, and it becomes foam urine.

3. Bubble urine 泡

Urine

Although proteinuria can cause urine to be bubble, foam urine cannot be equated with proteinuria.

In our doctors' clinics, many patients are visited every day because of the urine. In fact, only one -third of the talents will be diagnosed with proteinuria.

So, here is the relationship between them. If kidney disease may cause protein urine in urine, there are many bubbles in the urine; Urine is also kidney disease. The old irons of the West China Rumor Team, I believe you all know Karma!

three

Therefore, Huaxi experts repeatedly emphasized that there are still many reasons for the cause of foam urine as soon as they discover the urine of the foam.

1

The urination is too urgent or too high, and the urine has a strong impact on the liquid surface, which makes the air and urine mix full, thereby foam urine.

2

Drinking less water, sweating too much, diarrhea and other reasons have caused severe dehydration, insufficient blood capacity, which causes obvious concentration of urine. The content of protein and other substances is relatively elevated, and foam urine may also occur.

3

Some drugs can cause increased content in some gall salt in urine, causing foam urine to appear.

4

Heat, strenuous exercise, emotional tension, etc. also easily lead to a brief increase in protein in urine, thus urine, and urine tests are often positive for proteinuria, which is "functional proteinuria".

5

For other pathological causes: In addition to kidney disease, there are many diseases that can cause foam urine, such as:

In the case of hemolytic and urinary system infection, the content of protein and cell membrane in urine increases, leading to foam urine.

There are also some diseases that can cause some specific amino acid content in urine, which is also related to foam urine.

The accumulation of bile stasis can easily cause the increase in gallbladder salt and fatty acid ester in urine, and can also cause foam urine.

Four

ask

"Doctor, then I know whether my bubble urine is pathological or other circumstances? Forget it, or if I find that bubble urine is tightly, I can get a number to find a doctor for diagnosis!" To be honest, there is no, there is no no. Need, find that there is a bubble in your urine, you need to do this--

01

First observe

First, after finding that the urine has bubbles, do not panic first, and at a glance at a minute after 10 minutes. If the bubbles disappear, it is estimated that it is caused by urgency and standing high. With less bubbles, then you need to do the second point;

Second, in recent days, you need to observe the condition of urine after urination. If you only have bubbles that take the urine times, it is estimated that it has something to do with lifestyle, drinking water less, and exercise. A good lifestyle recovered after a while.

The top priority: If most of the urine in this time has bubbles, and the bubbles are not scattered for 10 minutes or even half an hour, then you need to go to the hospital for treatment!

02

Come to the hospital

When foam urine comes to the hospital for treatment, the number of kidney medicine should be hung. Doctors will start some examinations according to your situation. The most commonly done is [urine routine]. This examination operation is simple. Generally, the results can be produced in about 1 hour after the specimen is delivered. Not only can you find early renal lesions, you can also screen urinary system diseases and diabetes. Sometimes for the sake of stability, doctors may also ask for examination of urine protein creatinine ratio, that is, the amount of urine protein is estimated to be estimated by random urine for 24 hours.

five

Don't think that if you have no bubbles in the urine of Qio, you feel that everything is good. There are three indicators that are actually closely related to health.

1. Color

The color of urine is related to drinking water, as well as foods and diseases. Under normal circumstances, urine is pale yellow, clear and transparent. If the color of the urine becomes light red or meat washing water, it is recommended to go to the hospital to see it!

2. Smell

The smell of urine is also related to what is eaten. Fresh normal urine will have a little taste, but it is not unpleasant. After a long time, because the bacteria decompose urea, the ammonia odor will be emitted, that is, urine, that is, urine, that is, urine. taste. If coffee drinks a lot and eat more garlic, then the urine may have a corresponding taste, but if the bloody smell, apple flavor, rotten smell, etc., it may be a sign of the disease. Essence

3. Number of times

Adults usually have 3 to 7 times a day, but they are not absolute. The number of urination is basically based on how much water you drink and what water you drink. For example, drinking a 250ml liquid in the same way, drinking boiled water may not respond without response, but replace it with the same amount of coffee (diuretic effect), then you may go to the toilet after drinking. If the frequency of urine (ordinary drinking water exceeds six or seven times during the day, or more at night or the frequency of urination is significantly increased compared to before), urgency, urinary pain, and nighturia are large, you need to go to the doctor.

Of course, those friends who do not go to the toilet for a long time, be careful not to drink a few more sips of water!

six

Since the urine is so closely related to the kidneys, in order to let us go to the toilet QIO, we are not frightened and pale, then we must pay attention from these aspects to protect the kidneys and prevent kidney disease:

1

Maintain a good lifestyle and exercise properly, promote the metabolism of the body, and enhance physical fitness.

2

Long -term or overworked will cause the body's resistance to decrease and prone to infection (upper respiratory tract, digestive tract infection, etc.). If the body is infected repeatedly, kidney disease can be induced.

3

On the one hand, drink more water, on the other hand, do not develop the habit of "urination", and then go to the toilet on time.

4

In terms of diet, ordinary people should avoid ingesting some renal foods and drugs: such as some toxic bacteria and some Chinese medicine; if you have kidney disease, you must not be hungry. Lord, low salt and low fat. The most important thing is to avoid too much protein in intake, and mainly based on white meat (chicken, duck meat, fish and other white meat), supplemented by an appropriate amount of soybean products, and "red meat" (beef, lamb, dog meat and other red The meat), animal offal, and seafood should be eaten less.

5

Regular physical examination is really important.

The corner does not necessarily meet love, and may encounter poisonous mushrooms;

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Toothpaste is not white, and everything is white;

The income is so small, the payment method is a lot;

look,

Where does life only have bubbles in the urine?

This is the bubble life ...

Tips for the treatment:

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When you come to Huaxi Hospital to see the clinic, you can pass your ID card or health code

In order to further strengthen the prevention and control of the epidemic and effectively ensure the safety and health of patients and family members, recently, the entrance channel of the West China Hospital of Sichuan University has been upgraded —

The smart gate system is enabled at the entrance of the outpatient building of Huaxi Hospital, which integrates ID cards, health codes, and body temperature functions. The staff of the hospital do not need to remove the mask, and the ID card or Tianfu health code can be passed.

For children such as children, those who are inconvenient to move, and elderly people who do not use smartphones, bring valid documents and fill in the paper epidemic survey form with the help of volunteers. After artificial screening, they can enter the outpatient building.

references

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[1] C.-T. Chao, Foamy Urine and Stiffned Blood Vessels, Internet and Emergency Medicine (2012) 1-2. [2] M. Dantas, G. Barros Silva , Clin Kidney J 6 (3) (2013) 341.

[3] C.E. DENT, The Amino-ACIDURIA in Fanconi Syndrome. A Study Making Extensive Use of Techniques Based on Paper PAPER PAROMATOHY, BIOCHEM J 41 (2) 240-53.53.

[4] C.J. Diskin, de Ketham Revisite: A Modern-Day Urine Wheel, Medical Journal of Australia 189 (11-12) (2008) 658-659.

[5] D.S. Hong, I.H. Oh, J.S. Park, C.H. Lee, C.M. Kang, G.H. Kim, Evaluation of Urinary Indices for Albuminuria and Proteinuria in Patients with Chronic Kidney Disease, Kidney Blood Press Res 41(3) (2016) 258-66 Then, then, then

[6] K.K. Kang, J.R. Choi, J.Y. Song, S.W. Han, S.H. Park, W.S. YOO, H.W. KIM, D. Lee, K.H. MOON, M.H. Lee, B. Kim, Clinical Subjective FOAMY MINEMYHONE8 3) (2012) 164-8.

[7] Z.J. KHITAN, R.J. Glassock, Foamy Urine: Is this a Sign of Kidney Disease?, Clin J AM SOC Nephrol 14 (11) (2019) 1664-1666.

[8] S. Lee, D. Kwak, Clinical Significance of Foamy URINE, J PUSAN National University Hospital 26 (2009) 357-363.

[9] A.S. Levey, J. Coresh, E. Balk, A.T. Kausz, A. Levin, M.W. Steffes, R.J. Hogg, R.D. Perrone, J. Lau, G. Eknoyan, National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, Classification, and Stratification, Annals of InternaL Medicine 139 (2) (2003) 137-147.

[10] R. Moeini, N. Gorji, F. Kolangi, Relationship Between Foamy Urine and renal failure: From the viewpoint of avicenna, nephron 136 (2) 136.

A RISK Score for Earlier Diagnosis of Chronic Kidney Disease in Children, Plos One 14 (4) (2019) E0215100.

Sichuan University Huaxi Clinical Medical College 2019 Jiao Xuncheng, Kang Yuhang, Wu Wenqi, Xie Hangjiang, Liao Chengzhi, He Fangfei, Li Renjie, Cao Yuan, Huo Chenyu, Li Zeshi, Ren Yujie, Shang Jianmin, Wang Haozhen, Xu Jisen, Xu Jisen, Xu Jisen

instructor

Source: Huaxi Hospital of Sichuan University

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