Concerned about kidneys

[sinjin]

I am a 47-year-old male that is 6'1" and weighs 259 lbs. Two conditions I have that may be pertinent to this are high blood pressure and obstructive sleep apnea. I take 50mg of Atenolol twice per day, one 20mg tablet of Prozac, and 4,000 units of Vitamin D.

I've taken notice the last week or so that, when urinating, there are a lot of bubbles and it looks foamy at times. Referring to Dr. Google, I am getting concerned about this. I had some blood work done at the end of November and here are some results that I think may be helpful:

Albumin: 4.4 g/DL

Glucose: 100 mg/DL

Creatinine: 1.27 mg/DL (The doctor did not feel this was something to be concerned about).

eGFR: >60 (That is all the information for this item. No specific number given.)

Protein, Total: 7.2 g/DL

PSA Screening: .69 ng/DL

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The following are the results of a urine test done on the same day. This a single sample and NOT a 24-hour draw:

Creatinine, Ur Random (UCRR): 206.1 mg/DL

Albumin, Urine Random: 16.0 mg/DL

Albumin/Creat Ratio: 8 mg/g

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The results of the urine test are in the 'normal' range. The creatinine level from the blood test did flag as 'high.'

I am also having an intermittent issue where, at times, I will pee and shortly thereafter feel that I have to go again. This has been coming and going as of late. Doctor has recommended seeking a urologist.

My concern right now is with the foamy, bubbly urine. I hope the information I've given is somewhat helpful and would appreciate ANY feedback that is given. Thank you.

[Bassetmommer NKF Ambassador]

Hi Sinjin, Foamy urine is not always a crisis. The thing to be aware of is you levels on your blood test. Everything seems good. Greater than 60 is basically saying your GFR is good. The Creatinine is something that is a snap shot of the day and may be reflecting an elevation that is not something to worry about. The true test is time are changes in future. So if you are concerned, request another test in a few months to see if there are changes.

[Hidden]

Seeing a urologist at this time seems like a prudent step. Either doctor could also ask for a 24-hour urine collection that may reveal further results.Understand that numbers like your GFR are just a snapshot of the time your blood was drawn. They can change with each draw. You might ask for another blood test for your renal panel. Your specific results for potassium, phosphorus, protein, sodium, and calcium may provide clues as to what is going on.

Best of luck.

[sinjin]

Thanks for the responses.

To Mr. Kidney,

The blood tests done at the end of November did including the following:

Calcium: 9.3 mg/DL

Potassium: 4.5 mmol/L

Sodium: 140 mmol/L

Protein, Total: 7.2 g/DL

I was not tested for phosphorous.

[Hidden in reply to sinjin]

Continue to monitor to look for trends in anything outside of the reference range from your specific labs. I'd still secure an appointment with a Urologist.Best of luck.