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protein

Postby leelee316 » Tue Jan 13, 2004 10:43 am

by leelee316 (4 Posts), Tue Jan 13, 2004 10:43 am

Hello I'm knew here and had a couple of questions. I'm 27 weeks right know and my blood pressure at the dr is 140/90 but at home all the time it is normal, so anyways at 25 weeks they did blood work and 24 hour urine on me. My blood work came back great but my urine was high, the number was 606. So the dr said that she would retest me next month on my urine and see where it is at. I was wondering if there is anything that I could do now to help lower the protein before my next test. I already do alot of resting so i'm not on my feet that often, so I really have no idea why it was so high. I watch what I eat and drink up to a gallon or more of water a day. Thanks so much for listen to me and any answers you have for me.

p.s. I developed pe with my dh 2years ago at 39 weeks and my blood work was fine but urine was also 600 and blood pressure the same at dr but do not know what it was at home.

Lea Ann
04/10/04
leelee316
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Re : protein

Postby deerhart » Tue Jan 13, 2004 11:01 am

by deerhart (3282 Posts), Tue Jan 13, 2004 11:01 am

protien can be caused by a number of things, not just PE.

Did your doctor run a UTI culture? It is very possible to have a UTI with no symptons, but it will cause you to spill protien.

Because the numbers were so high (PE is diagnosed at 500) your doctor should be looking for what is causing the protin. While there are some conditions out there that cause people to harmlessly spill protin there are way more that cause protin and are harmful (Infections, liver problems etc..) It could be a sign of nothing or it could be a sign of an infection somewhere in that region, or of an unknown liver/kidney problem. its worth investigating more.

Even if its something as simple as a UTI which you could fight completely on your own, there are studies out there that show the damage that UTI's can do and they should be treated promptly.

My OB when I showed a rise in protien (from none to trace maybe +1) figured it was PE (since my BP was 140/90 something with a large amount of weight gain and seeing stars) ruled out the protin being from a UTI through a urine culture.

Erin

Mommy to Alex and Mason
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Re : protein

Postby laura » Tue Jan 13, 2004 12:50 am

by laura (5139 Posts), Tue Jan 13, 2004 12:50 am

Hi Lea Ann, Welcome to the Forum! When you say your urine was 606, did you mean that your 24 hour urine for protein came back as 606 mg/dcL?

As far as I know, there isn't any way to significantly reduce protein, once it's begun. (Am I wrong on this? I hope so, somebody please correct me!)

Did they test your urine before your pregnancy or early in your pregnancy to see what your baseline was? Do you have any problems with your kidneys or blood pressure when you're not pregnant? My goodness. take care of yourself, and please let us know how you're doing!


Laura-28
DH Jack-31
Allicia 5-13-98 (35 weeks-pre-e)
Camille 4-17-03 (36 weeks- htn and oligo)
http://www.babiesonline.com/babies/c/camilleandallie/
laura
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Location: Anchorage, AK

Re : protein

Postby leelee316 » Tue Jan 13, 2004 01:14 pm

by leelee316 (4 Posts), Tue Jan 13, 2004 01:14 pm

Hello it is me again. That 606 is going to be my baseline as to what she is going to go by. I believe that is 606mg. I dont know if I have any real problems with blood pressure when im not pregnant.I have not had any headaches, swelling, sudden weight again, nothing besides the protein and elevated blood pressure.Thanks for anymore answers and the welcome.



Lea Ann
04/10/04
leelee316
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Re : protein

Postby laura » Tue Jan 13, 2004 01:37 pm

by laura (5139 Posts), Tue Jan 13, 2004 01:37 pm

Hi again! Are you seeing a perinatologist (also known as a high risk specialist)?

You're pretty early for having that much protein, I think. Has your doc mentioned how far along he or she thinks you'll get before you're going to have to deliver?

I'm a little surprised that your doc is going to wait until next month to test you again. Once you have preeclampsia, it is possible that you will stay mild for a while, but it is also possible that it can get severe really quickly, too. When's your next appointment?

Laura-28
DH Jack-31
Allicia 5-13-98 (35 weeks-pre-e)
Camille 4-17-03 (36 weeks- htn and oligo)
http://www.babiesonline.com/babies/c/camilleandallie/
laura
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Location: Anchorage, AK

Re : protein

Postby akemt » Tue Jan 13, 2004 02:32 pm

by akemt (4961 Posts), Tue Jan 13, 2004 02:32 pm

I too am shocked! It sounds like they're only seeing you every month? Or is it a 24 hr urine each month? Either way I'd think they would test & see you atleast once a week if not twice.

This is a link to the preeclampsia foundations signs and symptoms page: www.preeclampsia.org/symptoms.asp

Please pay close attention and if you get any new or worsened symptoms, go in asap. Do not wait for your next appointment. Notice on there that it also says you can have no symptoms and many are mistaken for common pregnancy symptoms. Also, I would take your BP monitor in and have it checked agains the doctor's office's. It is possible that it is off and that is why you are getting differing readings at home/dr's. Sometimes cuff size also plays a role in mismatching readings. We had that problem for a week or two thanks to bedrest weight gain and swelling! lol

Let us know how you are doing.

Catherine (22)
DH Britton (27)
Emma Margaret (03/02/03) 37 weeks from PIH & oligo
Baby #2 due August 11, 2004
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Re : protein

Postby leelee316 » Tue Jan 13, 2004 03:55 pm

by leelee316 (4 Posts), Tue Jan 13, 2004 03:55 pm

No I go to the dr every two weeks now. How is it that i never showed anything in the pee cups you have to do at the dr but have it in the 24hr test. thanks and no im not seeing a par- a high risk dr.I went to the dr yesterday and my blood pressure was better there. It is always good at home or at the stores when i use theres. so i have no idea.



Lea Ann
04/10/04
leelee316
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Re : protein

Postby laura » Tue Jan 13, 2004 06:06 pm

by laura (5139 Posts), Tue Jan 13, 2004 06:06 pm

Well, you did mention that you drank LOTS of water every day. The dips they do in the doctor's office are influenced by how much you drink.

If you drink a lot of fluid, it could say you don't have any, when, obviously, you do. That's why they do the 24 hour urines, because they measure ALL the protein you spill during the course of a whole day.

For most women (though not all...) they only have two weeks from the time they are diagnosed with preeclampsia until their preeclampsia gets so bad that they have to deliver. That's why I'm a bit surprised you don't have another 24 hr urine scheduled until next month, unless there is another reason why you're spilling protein.

I think that if your protein really was 606 mg protein (I mean if we're not making a mistake in converting the numbers somehow), that you should probably get in to see a perinatologist pretty quickly to see what they think about prolonging your pregnancy as long as possible.

At the high risk doctor website http://www.smfm.org they listed high risk specialists in your area (I checked your profile to see where you were geographically [:I]:

FRED COLEMAN M.D.
REGULAR (MFM) MEMBER
1900 PRESTON PLACE
OKLAHOMA CITY, OK 73190

fred-coleman@ouhsc.edu

ERIC KNUDTSON MD
ASSOCIATE MEMBER
UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER
OB/GYN
274 EAST DESHLER AVE.
OKLAHOMA CITY, OK 73190

eknudtso@ouhsc.edu

ASAD SHEIKH M.D.
REGULAR (MFM) MEMBER
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
P.O. BOX 26901
OKLAHOMA CITY, OK 73190

asad-sheikh@ouhsc.edu

JOHN STANLEY M.D.
REGULAR (MFM) MEMBER
P.O. BOX 26901
OKLAHOMA CITY, OK



Take care of yourself, and let us know how you're doing!!!!

Laura-28
DH Jack-31
Allicia 5-13-98 (35 weeks-pre-e)
Camille 4-17-03 (36 weeks- htn and oligo)
http://www.babiesonline.com/babies/c/camilleandallie/
laura
Registered User
 
Posts: 5139
Joined: Tue Jan 28, 2003 12:17 pm
Location: Anchorage, AK

Re : protein

Postby maxs mom » Tue Jan 13, 2004 07:41 pm

by maxs mom (594 Posts), Tue Jan 13, 2004 07:41 pm

I too am surprised that your doctor isn't being more agressive about your follow-up. A BP reading of 140/90 and protein in my urine earned me a trip to the hospital.

Be sure to stay on top of getting your blood pressure taken regularly, you might want to but a machine at the drug store. And if you notice any changes (e.g. excess swelling, headache, vision changes, etc. ) get to your doctor immediately.

Good luck!


Kara (33)
DH, John (35)
Max, 1/20/03, 25 wks, 534g. (IUGR), severe PE
http://www.babiesonline.com/babies/m/mightymax/
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