CONSULT A SPECIALIST FOR PROPER TREATMENT

am 44- years- old and I have been diagnosed with protein in urine — 390 unit in 24 hours. I have lost five kgs in the last two years. I consulted a nephrologist, and he advised me to take Ramistar 2.5 at night and I am taking it for the past one week. What does increased leakages of protein in the urine indicate? What are the diet recommendations? Ravi Kiran

Evidence of persistently increased leakage of protein in the urine would signify an early stage chronic kidney injury or chronic kidney disease ( CKD). This could be a fallout of hypertension as might be in your case. Focus should remain on strict blood pressure control ( target 130/ 80mmHg). Go for low salt diet, plenty of green leafy vegetables and fruits. Make sure you exercise. There is no role of dietary protein restriction. The eventual goal is that your kidney’s filtering function remains stable and well preserved. — Dr Vikranth Reddy, senior consultant nephrologist

have been feeling dizzy for the last one month. I also face breathing issues at times. I took a few tests i. e. blood sugar, KFT, lipid profile and TMT, but all the reports are normal. I am 38 years old, male. Please suggest why am I facing these issues? Santosh S. P.

It is very common to feel dizzy: meaning a feeling of blackout or a sensation that “I may become unconscious.” Some may also mean vertigo. At your age, it is uncommon to have dizziness for a month continuously without any other problems/ symptoms. It could be stress. Screen exposure for more than few hours without adequate rest for eyes, excessive coffee, inadequate sleep, excess driving, continuous air- conditioning etc, are common reasons that may cause dizziness in some people. Many times there may be abnormal neurological findings upon a physical examination done by a neurologist. Hence it is best to get examined by one. — Dr P. Muralidhar Reddy, senior consultant neurologist