Does protein in urine mean kidney damage? Are bubbles in urine normal?

How to manage proteinuria if you have Chronic Kidney Disease. Medical and dietary interventions.
Watch our more recent episode on proteinuria here! • Protein in Urine: What...
⏰ Timestamps ⏰
0:00 Introduction
1:10 What is proteinuria and what causes it?
16:37 What do bubbles in the urine mean?
18:12 How do we measure proteinuria? What are the pros and cons of different tests (urinalysis, protein/creatinine, albumin/creatinine)?
28:59 How does the amount of protein in the urine relate to prognosis?
⚡️Connect with us on Social Media:
Sean Hashmi, MD, MS, FASN
www.SELFPrinciple.org
www.instragram.com/seanhashmimd
Michele Crosmer, RD CSR
plantbasedkidneys.com/
/ plantbased.kidneys
Disclaimer
The information provided on this channel is for educational purposes only, and does not substitute for professional medical advice. Please consult a medical professional or healthcare provider for medical advice, diagnoses, or treatment.

[@PlantBasedKidneyHealth]

Thanks so much for watching. This was such an important topic that we had to split it in 2 parts. Part 2 is here: kzbin.info/www/bejne/f57alZR3iLBmmbc

[@rafiquesuleman7406]

Time stamping may be a viewer-friendly solution for having all parts in one place. One window is the preferred method.

[@brucewilliamsstudio4932]

Thanks so very much.... extremely informative and life altering.

[@lesliewhyte373]

@@rafiquesuleman7406 a

[@leonidestorre2937]

​@@brucewilliamsstudio4932

[@osirian8025]

Can you make a video about Hematuria especially when it is not associated with any pathological symptoms ?

[@jamesmuldowney5500]

This guy is a phenomenal educator. A rare gift! His ability to distill a complex subject to a pellucid essence is remarkable . Thank you very much!

[@medina6780]

Geez this doctor is soooo good at making these complicated and scary terms so much more understandable. Super jealous that he isn't my doctor

[@dy7023]

This doctor is so good. Love his easy to understand explanations of this topic.

[@richardhowe5583]

A tablespoon of cranberry sauce with whole cranberries in it everyday does wonders for helping to keep the kidneys healthy.. fresh cranberries are better if you can get them.. also eat plenty of cabbage either cooked or uncooked and add garlic to it.. i simmer my head of cabbage on a low fire and then I poor up the juice and drink it also..

[@etsukosmith4219]

I had to watch and understand 5 ,6 times to understand this explanation almost %98. This morning I understand almost everything. Thank you. I am a retired registered nurse.

[@maltisingh5535]

Thank you so much for the very knowledgeable advice. Hope all the doctors tell their patients the right way to have the lab done.

[@fairworld2522]

Thank you for the explanations. It’s much clearer now

[@frankcrozier2592]

Excellently executed thanks to both of you.

[@leandrobaluyotjr5181]

Excellent video on the subject matter ( proteinuria)! Very informative ,clear and precise .Thank you and more success to your professional & personal endeavors.

[@phil2bfree]

Wow, these two professionals have such enormous dedication & knowledge for those of us who have any level of CKD. I take notes of many of your videos, but with this video I had to play sections of your talk over & over to get all the details. I still can't say I got all the details, but I am much closer to understanding the basics of protein in the urine.

[@PlantBasedKidneyHealth]

So happy to hear you're taking notes and finding our videos so helpful! Definitely a lot of complex topics!

[@00dfm00]

I think there's a difference between bubbles created from the force of urine hitting the water and bubbles created from protein. One doesn't stick to the side of the toilet while flushing and the other kind (protein) takes more effort to flush - much like how beer foam sticks to the glass and takes more effort to remove. Am I wrong? It would have been great to provide a visual example here since the vast majority of people will jump to the wrong (worse) conclusion as is human nature.

[@joshua50101]

Just pee on one side of the toilet and if it still forms bubbles or foam that means it contains protein. (if you pee on the water it is very obvious you are gonna form bubbles due to air force)

[@DASO_MILITIA]

@@joshua50101 true but those bubbles will start to pop. The protein bubbles dont pop.

[@itsalltakenup]

Thanks so much Sean and Michele. Great content as always. Just wondering if this was meant to pop up as a podcast as well? Couldn't see it come up in my feed.

[@PlantBasedKidneyHealth]

You can listen to the episodes as a podcast on Apple Podcast, Spotify, or most places you typically can listen to podcasts :)

[@michaelmagill5466]

Amazing. I could not have found this information anywhere else.

[@ulyssesparado2743]

thank you Doc, it is a very comprehensive and systematic explanantion...much thanks from the Philippines!

[@user-gy3lr9mz7h]

Thank you Doctor and Michele! I love your videos, and you both make a great team!

[@minervagonzales3787]

Loved your video & thank you for sharing this informative interview. GOD BLESS!

[@patsymoore5507]

Excellent video! Wish I could have seen this several years ago. I will still follow your advice. Thank you!

[@abdelilahbenahmed4350]

Thx Dr Hashmi for all these clear, comprehensive and lifesaving Infos on a crucial topic.

[@johnseeker9520]

Good video on a topic I personally feel is very complex and complicated for a patient to understand. Looking forward to part 2

[@cowgirljones35]

We are SO glad 😊 both of you ❤ learned a ton.

[@antoinettebrown3834]

Thank you soo much! This has given me new hope ! I am learning I am getting new tools to help me with my illness!

[@PlantBasedKidneyHealth]

We are so happy to hear this! :)

[@jocelynberces7237]

Wow the best explanation I ever got about Protenuria...thanks a lot..

[@user-nl2jp5td9i]

Thank you Dr. Hashmi and Michele Crosmer for this excellent commentary on kidney health.

[@localknight07]

I like the doctor's detailed explanation of what bubbles in the urine means, thumbs up!

[@fatimadawood-zn7vc]

Thanks DR Hashmi I am really happy to hear about kidney diseases thanks again for spreading your knowledge about kidney to all

[@repentantsoul4213]

I read about foamy urine & noticed a small amount of bubbles in my own urine. This video was so valuable, now I know it does not scream ‘kidney damage’ . I’m watching & it looks like it’s quite normal. Thanks team!

[@abhijeetsharma5715]

Dude, I don't want to get your heartbeats high but didn't you listen to what doctor said at 29:30?

[@pullingthestrings5233]

Bruh I'd be careful with that because you're in some serious mess

[@JohnNwawene-fv1cx]

Holistic, Natural supplements and diet protocol from DR.UWENBOHERBALHOME youtube channel cured my CKD and High blood pressure completely alongside my symptoms including pains, inflammation, kidney stones, frequent urination, paled skin e.t.c.. permanently..🥰

[@dongdongki7691]

Check your diet n medicines your are taking. All medicines hv side effects bad or very bad depends on yr genes. No worries about cholesterols...yu need them. It is inflammations of your arteries that cause stroke. Not cholesterol.

[@iligagregory3933]

Are cranberries and cranberry juice good for the kidneys?

[@etsukosmith4219]

I have to listen this 2 to 3 more times to totally understand what he is talking about. I will.

[@balebierwirth]

This is super helpful for my current patient Thank You !Thank You ! Thank You So Much

[@zahoormalik9521]

Doctor. Excellent way to describe for health professionals. Allah may keep you blessed. Amen

[@brasschy58]

Thank u so much for this info …. It is very well explained n a very informative topic

[@diannaperrybeesinger6095]

Great episode! Lots of good information! Thank you!

[@PlantBasedKidneyHealth]

Glad you enjoyed it! :)

[@zamzammahamud8502]

I want to thank you both off you clean and clear information.

[@anitagupta4944]

Thanks , you took all my tensions away. You are the BEST

[@yacubm0310]

An excellent explanation and analysis. Thank you very much Dr. Hashmi.

[@lxmzhg]

FYI, It's Hashimoto. Please have respect.

[@badplayer5880]

Wow this is very informative, it explains a wide cause of foamy urine which might not even be caused by kidney damage but from other things such as UTI, or cancer and that’s where protein is spilling from.

[@SvcGlobal]

Wow! What a lecture, thank you so much to both of you. Amazing KZbin channel!

[@PlantBasedKidneyHealth]

We're so happy you're finding our episodes helpful!

[@robertodionisio6798]

@@PlantBasedKidneyHealth i have a question doc may have a hope to cure a nephrotic syndrome patient?

[@coronadaking]

Thank you for sharing this vital information. 👍❤

[@Leah-ul1lc]

A lot of great information. Thank you. I will be watching more of your videos

[@margaretsison8256]

Dr has a very good incredible way of explaining the topic of proteinuria to a simple layman like me. Thank you Dr.

[@zuluetamauhay4861]

Sir... your such a far excellent..thank you so much i did learned a lot...my son is a especial 35 yrs old. ckd 4 ..what the doctor said..from the Philippines

[@debfowler1344]

Amazing series and team! I’m learning a lot from the both of you. Thank you for doing this series because it’s a lifesaver for a lot of people.

[@shaniezhildabensons6988]

1

[@simphiwenkutha9224]

Thank you so much..! Very valuable information.! His last words were... it matters how you Eat, Move and Sleep..! ❤️

[@junebrooks665]

Your information on this subject is extremely interesting. Thank you

[@DihelsonMendonca]

⚠️ This is the greatest kidney specialist and knowledge man I already have seen. And he knows perfectly how to explain things so that everyone can understand. It's incredible. Looks like he already has a script in his head. I'm baffled. 😮😮. Thank you so much.

[@PlantBasedKidneyHealth]

So glad you are finding it so helpful!

[@beatricemarrett2153]

I love listening to this doc he explained in a very professional way❤ doc

[@leticiacabbigat1101]

THIS VIDEO FOR KIDNEY DISEASE IS PERFECT. THANK YOU DOC HASHIMI AND RD MICHELLE NEW SUBSCRIBER HERE

[@PlantBasedKidneyHealth]

So happy you're finding our channel helpful!

[@elsakopp7457]

Add another UTI sufferer here , my urine was almost milky in appearance and I’m now in IV antibiotics. Thank you for your clear explanation! Great lesson 🎉

[@johnbogdan5119]

Very informative and expressed in language that the average person could understand. Thanks.👍👏

[@onuohapaschal4058]

I see a lot of bubbles too.. And he mentioned stress and not having enough sleep, this is educative. I love this. Thanks

[@georgemotion9967]

Me too

[@bobaldo2339]

I have bubbles intermittently.

[@picilocarnal]

@@bobaldo2339me too.

[@YouShookItThreeTimes]

stress, inadequate sleep, and dehydration he also mentioned. I agree this video is very educative!

[@startyappy8467]

I have bubbly urine first thing in the morning then slowly fade away throughout the day

[@foxtrot111100]

This is fantastic... So well explained and with no interruption from either party. Thank you so much!!👍

[@PlantBasedKidneyHealth]

Glad it was helpful!

[@hollyrahaman2534]

Thank you Dr for all this information, I am sure most of us learn a lot from this.

[@roselynho7038]

I will definitely spread the word Dr. Thank you for taking time to explain in great detail and with clear eloquence.🥰 God bless.🙏

[@AnzalnaSatar]

Thank you very much for all the explanations.

[@EFU127]

One of the best episodes! Thank you sooo much! I think a lot of patiënts do the 24hr test wrong because they also get the wrong instructions from the nurses.. it can be very confusing to explain it correctly to someone and like you mentioned.. "what if I don't wake up at the same time / feel like peeing at the same time the next day?" I think I have been doing it wrong all this time after hearing this because the nurses who explained it to me said "start counting your time from the first pee AFTER your morning pee...." so this could be 11am and naturally I would measure 24hrs: so until the next day 11am. But the next day 11am my last pee is not ONLY the morning pee but after that I might have to go again (until 11am) 🤷‍♀️🤷‍♀️🤷‍♀️ What you said makes more sense.. start counting the time from your first pee (eventhough you're not collecting it) until the next morning same time. I would totally set an alarm for this to wake up in time and not mess it up haha Thanks again!!!

[@josephwong-wh8uy]

Thank you. This has been the most helpful video on proteinuria I have heard, concise and comprehensive.

[@LXSeaV]

This is a really helpful, clear video. Thank you!

[@PlantBasedKidneyHealth]

So glad you found it helpful!

[@lynnshute9914]

Dr. Hashmi, You are an excellent teacher!!!

[@user-jx7yz5ek6q]

Vital life saving information I'll definatly follow his other videos information is vital to good health and mortality he has my gratitude

[@jaycarlton2010]

Thank you both for sharing this extremely helpful video. Dr Hashmi, in my humble opinion, is a top-notch nephrologist whom I would take advice. And Michelle also is so helpful with nutrition. The synergistic pair is helping many people by offering sound advice and identifying the habits we can avoid to prolong the health and life of our kidneys.

[@imanmahyup7173]

So informative and clear to understand. Thank you so much! 😊

[@PlantBasedKidneyHealth]

Glad it was helpful!

[@leonmaliniak]

What a phenomenal and detailed explanation of the entire kidney dys😮function syndrome and which clarifies that none of the conventional symptoms necessarily indicate kidney DISEASE but can be from other dysfunction...very comforting. This expert doctor's explanation tells those of us who are dealing with CREATININE or protein in the urine issue that the causes and significance are very complex and that we must be on guard against our doctors jumping to conclusions and putting us on treatment protocols which are misguided. My investigation of this whole issue suggests to me that many times the most common cause of proteinuria is severe DEHYDRATION which seems to be a logical conclusion for my personal case...so severe it almost caused my kidneys to fail.

[@juiletcoote673]

Thanks very much doctor for explaining everything to us u are one in a million thanks.

[@devinhunter9932]

Thank you! I have learn more from here, than my own Doctor!!!

[@PlantBasedKidneyHealth]

We're glad you are finding the episodes helpful!

[@andriabitara1731]

Thanks Dr. Hashmi n Michelle for this incredible episode. I'm sad bcoz my sister has 2+ protein in the urine just now. I'm praying that she can control the protein in her urine. I wish you could be her doctor. Your a great doctor.

[@mikeevillacruztremor5706]

Remember that God is good all the time. Just keep on praying. God is merciful.

[@honeybee2587]

This is extremely helpful. I just had my doctor tell me I have a very low level of protein in my urine. Just diagnosed as diabetic last year. But a1c has gone from 6.1 to 5.4. All through diet and exercise and no medication nedded. Now I know it doesn't say something is seriously wrong. I just need to be aware of this. Thank you doctor this really helps.

[@PlantBasedKidneyHealth]

Amazing! Great job and great improvement. Thank you for sharing, keep it up!

[@salhajaffer5883]

Very informative…. Detailed and well explained… Thank you very much…

[@PlantBasedKidneyHealth]

Glad it was helpful!

[@salvo9718]

@@PlantBasedKidneyHealth Thank you for big but confusing explanation. Knowing that not many doctor know what you explained, I hope after 9 months of you podcast, you could answer to a question I have. You explained that in a 24 hr urine collection, fist thing in the morning, we need to dump al the urine we had produced overnight and the collect the new urine sample, don't remember 2 or so for the test. What happen if someone has an issue with frequent small urination over the sleeping cycle and is unable to dump all the urine? Of the previous day?

[@a.h.kfoury6909]

Super video! I learn so much when I watch your videos. You explain so well. Thank you so much.

[@janetwhyte5652]

Good information, would listen all day.

[@tseringlhamo2429]

Thank you 🙏🙏🙏DrHashmi ,you explained in very professional way.this is very helpful.u r the best.I ❤️watching u 👍😍

[@katherinebarnespawson3616]

Fabulous information! Thank you so very much.

[@Angel-ms7sf]

i was juicing almost everyday until i discovered your podcasts and i heard Michelle talk about it. My acne has calmed down so much ever since. Now i just make smoothies, which calls for way less vegetables and fruits while i get more of everything. i love it. PS. you guys are such beautiful people, you look so healthy and happy. Thanks again

[@PlantBasedKidneyHealth]

So happy to hear that you have already seen improvements and are doing smoothies instead of juicing :) Thank you for the kind words and for supporting out channel!

[@cmac3764]

Congrats on your success. What do you put in your smoothies?

[@Angel-ms7sf]

@@cmac3764 basically anything i used to juice before (like celery, apple,ginger,carrots etc) but now i also add coconut milk/oat, sometimes bananas, MCT oil, frozen berries, chia/flax seeds, makuna honey. My BF adds protein / collagen powder in his, i personally don’t like it lol

[@florancetanivill7385]

This is so well explained. Thank you.

[@PlantBasedKidneyHealth]

Glad it was helpful!

[@nikonrulz]

Excellent video, thank you both.

[@sabitharaman3851]

Appreciate this topic in fact I am diabetic also having protein in urine I was so much worried thanks for explain so clearly everything, thank u

[@manoappapillai]

Serrapeptase is a proteolytic enzyme in the trypsin family. Another name for serrapeptase is serratiopeptidase. Like other proteolytic enzymes, serrapeptase helps break down proteins into smaller molecules. It can promote healing by reducing fluid and debris accumulation that can occur around tissue when an injury takes place. Today, serrapeptase is mostly isolated from the non-pathogenic bacteria called Serratia E15, which found in silkworms.

[@hulkdc5499]

Knowledgeable guy and very good information.

[@jinusrafezadeh2494]

Appel cider 2_3 spoon _ one spoon of honey_ pinch of clove or your favourite spice in a cup of hot water every morning . Keeps the entire digestive system clean and healthy .

[@nirmaladangi812]

So helpful for you great information about the kidney disease thanks doctor 🙏🙏🙏

[@ChristinaMagma]

Thanks for explaining doctor!

[@valerieperry183]

This is Very....Very Informative Actually Life-saving !!!!

[@clairemontgomery6078]

Wow !!! Excellent explanation,thank you it really help me understand my situation.

[@ghjhhh5552]

WoW it's worth alot,, thanks God giving people like you 2 to make people feel better,,God bless you

[@PlantBasedKidneyHealth]

Thanks so much

[@stevenlim4777]

Kudos 2 both of u 4 enlightened me greatly . appreciate greatly

[@PlantBasedKidneyHealth]

So happy you found it helpful!

[@pitchiahraja8449]

So nicely explained. Thanks.

[@PlantBasedKidneyHealth]

Most welcome!

[@audreyspence5773]

I love listening to this doc.I understand everything that he says.thanks

[@PlantBasedKidneyHealth]

So glad you are finding our videos helpful!

[@susanespino2987]

Very informative..thank you to both of you

[@TheAnnie1166]

Very informative, thanks

[@rollinglight1]

Thank you both!

[@sandranair9471]

Thank you Doctor for this wonderful message about Kidney. I was worried that I saw some Bubbles in my Urine . God Bless you all.

[@yaredasmare4589]

Thanks, is a very important lecture!!!

[@esthernite8300]

Thank you doctor for your important information,I really learn a lot from this and I know many of other friends too.

[@rhinestonesandwrinkles]

Can’t wait to see the video on Monday of my tiny home tour. Safe travels.

[@maryannaddai6267]

In fact you are good teacher, God bless you

[@pattieaguilar]

i know this is at least a year old video but i JUST discovered you two, i learn so much, I love your video's. I would like to say THANK YOU for taking the time to get information to people that would not other wise not have a clue about this stuff. You explain things so its so much easier to understand and it all makes sense. my own kidney DR has not told me anything except my kidneys arexmoderate to severe and my potassium is high. also that i need to stay away from high potassium foods like bananas and potatoes. if i dont my next step is dialisis, THATS IT! not helpful at all so I especially value these videos, THANK YOU

[@PlantBasedKidneyHealth]

We're glad our videos have been so helpful for you!

[@berniegore-yy6yb]

Well explained. Doctor you are well professional keep up the good work.

[@PlantBasedKidneyHealth]

Many thanks

[@kalkeikuu]

Great video and explanation. Thank you.

[@PlantBasedKidneyHealth]

Glad it was helpful!

[@jacquelinereed3528]

Very informative. Thank you!

[@paulabrown5243]

Just watched this informative video for the second time. Actually part 1 and 2. This video answered questions I had. It gave me the info I needed when I see a nephrologist next week. I need a 24 hour urine collection done and will follow the instructions explicitly. I had a kidney removed in 2003 due to stage 1 cancer. Non-smoker here, not sure what caused it. Now in stage 2 CKD. I have been eating healthier and have lost ten pounds in a month. Feel better and less bubbles upon urination. Thank you both so much, I have faith and strength to improve this.

[@JohnNwawene-fv1cx]

Holistic, Natural supplements and diet protocol from DR.UWENBOHERBALHOME youtube channel cured my CKD and High blood pressure completely alongside my symptoms including pains, inflammation, kidney stones, frequent urination, paled skin e.t.c.. permanently.❣️🥰🥰

[@JohnNwawene-fv1cx]

Holistic, Natural supplements and diet protocol from DR.UWENBOHERBALHOME youtube channel cured my CKD and High blood pressure completely alongside my symptoms including pains, inflammation, kidney stones, frequent urination, paled skin e.t.c.. permanently.❣️❣️🥰🥰

[@noelcamara2632]

I really love watching your channel guys , I have ckd stage 2 and I started watching you YT since then it helped me a lot.

[@PlantBasedKidneyHealth]

That is awesome! So happy to hear :)

[@noelcamara2632]

@@PlantBasedKidneyHealth Doc I had a question and I do not have time yet to visit my nep, I just got my urine test and it came out as "micral positive"" 20 mg/l what does it mean? I did urine test after 10 hrs fasting. I'll really appreciate if you could answer it.

[@JohnNwawene-fv1cx]

Holistic, Natural supplements and diet protocol from DR.UWENBOHERBALHOME youtube channel cured my CKD and High blood pressure completely alongside my symptoms including pains, inflammation, kidney stones, frequent urination, paled skin e.t.c.. permanently.❣️❣️🥰🥰

[@randycalixtro3382]

Very Helpful GOD BLESS

[@madhavidasari8302]

Thank you so much Sir for this informative video. Sir, why do S.Creatinine and serum uric acid increase? What precautions to take ? Can we reverse kidney damage ? Can we avoid medicine (ubexa 40 mg) ? And please tell us the natural treatment.