by firstname.lastname@example.org (322 Posts), Mon Sep 15, 2008 03:10 pm
First of all, thank you so much for providing this "Ask the Expert Forum"! I appreciate the opportunity to ask you a question.
Four lovely children in six years with preeclampsia in three and still have mild proteinuria 9 mo postpartum
My basic question is: do I have kidney damage from getting preeclampsia 3 times or do I have a disease of the kidney?
I am 36 years old.
Baby #1 2001 girl 40 weeks 6 lb 14 oz term mild PE, no inducing needed, proteinuria was 1440 and bp 140/90 at worst, no complications
Baby #2 2003 boy, 40 weeks, 9 lb 3 oz, no PE at all.
Baby #3 2005 girl 36 weeks induced, 5 lb 4 oz but healthy, PE, urine protein at 3600, blood pressure worst read 160/100, labatolol postpartum for 5 mo.
07/2006 (9 mo postpartum) urine protein/creatinine ratio 0.19 and zero protein found in UA
Baby #4 2007 girl born 37 weeks induced, healthy, protein count 1460, labatolol postpartum 5 mo.
12/2007 24 hour protein 390, on 200 labatolol. Labatolol d/ced 3/08
08/2008 24 hour protein 253, bp 120/78 on no medications
Was blood-tested to rule out Lupus, etc in 2005 and 2007 and came out neg. I have microscopic hematuria too, but my mother and maternal grandmother also have/had it and neither have/had kidney problems (grandma died at almost 90). I think I've had the hematuria since before the babies came!! : )
How likely is it that I have IgA nephropathy? I am quite worried and scared about it. Is it possible that my kidneys were damaged after the pregnancies and are still in recovery?
Also, I am still nursing and have breastfeeding amenorrhea at 10 mo, how can breastfeeding/amenorrhea affect the proteinuria (if known)?
Overall I'm feeling pretty good, can run a 5k in under 30 minutes, I am 5'4" and weigh around 125. No swelling. I'm very health-conscious. Just awfully worried about this!
Please tell me what you think of my above case and my prognosis!!!! Thank you so so much!!!!!! If I was unclear anywhere please email! : ) God bless.