AboutDr. Shamik Shah, MBBS, MD, DNB (Nephrology), ISN Fellow Expertise I can answer all questions related to kidney diseases, hypertension, plasmapheresis and kidney transplantation. I am a Board certified Nephrologist in India. I was a post-Doctoral Scholar at the Division of Nephrology & Hypertension,Department of Medicine, University of California, San Diego. My area of interest is Critical care Nephrology and Acute Kidney Injury.
Experience 8 years
Publications Shah SH, Mehta RL. Acute kidney injury in critical care: time for a paradigm shift? Curr Opin Nephrol Hypertens. 2006 Nov;15(6):561-5.
Shah, SH, Soroko S, Lischer E, Mehta RL. Delivered vs. Prescribed dose of Dialysis in Hospitalized Patients: Results of an Audit. J Am Soc Nephrol 17(Abstracts Issue): 2006, 107A.
Abdeen O, Shah SH, Mehta RL; “Dialysis therapies in the surgical intensive care unit”; William Wilson, Christopher Grande, David Hoyt Eds. Trauma: Resuscitation, Anesthesia, and Critical Care, Informa Healthcare 2007. ISBN 08247-2920-X
Shah SH, Mehta RL. “Non-dialytic management of acute kidney disease”; Evidence based Nephrology, BMJ, (In press)
Education/Credentials MBBS, MD (Internal Medicine), Diplomate of National board (Nephrology)
Awards and Honors Fellowship of the International Society of Nephrology 2005.
Young Investigator Award by the International Society of Peritoneal Dialysis, June 2001
Question QUESTION: Dear Doctor,
After my wife commented that my urine is a little foamy, I got some test done, blood and urinalysis. My renal functions are normal; urea - 5.3mmol/L,Creatine - 78 umol/L, eGFR - >60 mL/min/1.73m2, uric acid - 0.49mmol/L, calcium - 2.41 mmol/L, corrected calcium - 2.25 mmol/L and phosphate 1.30 mmol/L. My urine feme is Protein-nil, glucose-nil, Specify Gravity-1.005, pH - 5.0, Ketones-nil, blood-nil, Leucocytes-0, Erythrocytes-0, Epithelial cells-nil.
However, I am still concerned, therefor I took a 24 hour urine protein test. Urine Volume - 2600mL, Urine protein - 6.3mg/dL, 24H UrineProtein - 0.16g/24 hrs. My doctor said not to worry as it is only slighty elevated. He would be more concerned if my 24H UrineProtein is over 0.5g/24hrs.
Should I put this all behind me? I am trying to get a second opinion to make sure I am not in some kind of kidney problem. Thank you sir.
ANSWER: Hi Justin,
Thanks for asking my help on "Allexperts".
I agree with your doctor. There is nothing wrong with your kidneys.
Sincerely,
Dr. Shah
---------- FOLLOW-UP ----------
QUESTION: Dear Doctor,
I read some of your other answers to other questions. It seems that I have what you call microalbuminuria; due to my high amount of protein found in the 24 hr urine test. I am still worried, is it going to get worse? what is causing protein presence in my urine?
Answer Hi Justin,
I would repeat a 24 hour urinary protein estimation after about two weeks and see. If microalbuminuria persists, it is a cause for concern. In that case, you should get yourself evaluated for the presence of diabetes or hypertension.
