OpenHealth Q&A

Get answered by medical professionals

Concern Over Prolonged Foamy Urine and Associated Symptoms

3/23/2025, 12:40:22 PMMale25-34

Hello everyone, I am a 31-year-old male experiencing foamy urine for nearly a year now. Additionally, I have been dealing with gastrointestinal troubles, including diarrhea and bloating, which have persisted for the past two years. Recently, over the last month, I have begun to notice pain on the left side of my ribcage, especially noticeable after eating a full meal. The discomfort is primarily felt at the front and side of my abdomen, just beneath the rib area. I also suffer from a persistent dry mouth, but I’ve ruled out diabetes, as my HA1C levels are normal and my fasting glucose tests remain consistently within the typical range. Tests for Sjögren's syndrome also returned negative results for SSA and SS-B antibodies. Recent liver function tests, including ALP and bilirubin levels, have returned normal results, alongside a clear abdominal ultrasound. It’s worth noting that my immunoglobulin levels, IGG, IGA, and IGM are also within the normal parameters. Moreover, my kidney function appears to be normal, with creatinine levels recorded at 75.9 umol/L (with a normal range of 60-120) and an eGFR greater than 90. I plan to return to my healthcare provider shortly to request a urine analysis focusing on protein leakage, but I wanted to discuss and explore other potential issues beforehand. Could this be indicative of possible kidney disease, and what additional tests or inquiries should I make with my doctor? Thank you for your assistance!

Thyroid DisordersInternal MedicineRheumatology

Answers (1)

Cony

3/23/2025, 12:40:38 PM

OpenHealth AI

You're experiencing a combination of symptoms, including foamy urine, gastrointestinal issues, abdominal pain, and dry mouth, which understandably raises concerns about your health. While you've conducted some tests that show normal results, persistent foamy urine and associated symptoms warrant further exploration to rule out various conditions, including kidney issues.

Explanation

Foamy urine can indicate the presence of protein in the urine, which may suggest kidney problems. However, given your normal kidney function tests, this could also be a benign condition or related to other factors (like hydration levels). The gastrointestinal troubles you're experiencing might also have a connection, potentially related to food intolerances or conditions affecting your digestive system.

The left-sided abdominal discomfort after eating may suggest issues like gastritis, or other gastrointestinal conditions, which could also tie back to your overall symptoms.

Next Steps

  1. Request Urine Analysis: Since you're already planning to ask for a urine analysis focused on protein leakage, make this your priority. This test can help determine if your kidneys are filtering properly.

  2. Document Symptoms: Keep a diary of your symptoms, including when they occur and any patterns you notice (e.g., certain foods triggering nausea or discomfort). This can provide valuable information for your healthcare provider.

  3. Dietary Review: Consider tracking your diet and identifying any foods that may exacerbate your gastrointestinal symptoms. This can help determine if you have food sensitivities or intolerances.

  4. Discuss Abdominal Pain: Make sure to mention the specific characteristics of your pain during your healthcare visit: when it occurs, what makes it worse or better, and any other related symptoms (like changes in bowel habits).

  5. Follow up on Dry Mouth: Since you have ruled out common conditions affecting saliva production, consider discussing potential causes like dehydration, medications, or other underlying conditions.

  6. Additional Testing: Depending on the outcomes of the urine analysis and your doctor's recommendations, you might explore further imaging studies or tests, such as specific enzyme tests or stool tests for gastrointestinal conditions.

By taking these steps, you can better arm yourself with information for your upcoming appointment and help your healthcare provider address your concerns more effectively. Always ensure to communicate openly about all the symptoms and how they impact your daily life.

Related Questions

Assessing My Health Concerns: How Anxious Should I Be?

I’m a 32-year-old woman, weighing 124 pounds and standing at 5 feet 6 inches tall. For over a year, I have been experiencing bright red rectal bleeding. Initially, I attributed this issue to hemorrhoids that developed during my pregnancy two years ago. The bleeding occurs with most of my bowel movements, sometimes happens without one, and on a few occasions, has been enough to stain the toilet bowl significantly. The color of the blood is typically darker than what I observe during a hemorrhoid flare-up. There is a notable family history of bowel cancer on both sides; one family member was diagnosed at age 45, and another at 60. In the past six months, I have encountered several episodes of severe abdominal pain—3 to 4 instances—intense enough to consider a trip to the emergency room. However, the pain usually subsides within about an hour. It’s unusual for me to experience such acute pain, given my high tolerance for discomfort; for example, I once played rugby shortly after dislocating and fracturing my finger. Recently, I mustered the courage to consult with my doctor, who recommended a FIT test, which returned a positive result (30.1). Additionally, I underwent a complete blood test, and aside from having low ferritin levels (7 µg/L), all other results were normal. I have since been referred for a colonoscopy on a two-week waiting list to rule out any possible bowel cancer. Given these circumstances, how concerned should I be? Thank you for your input.

Crohn's DiseaseThyroid DisordersInternal Medicine
Male25-34
58 minutes ago

Understanding Possible Seizure Triggers and Recurrence Risks

Health Background: I am a 21-year-old female, standing at 169 cm and weighing 65 kg. Over the past three years, I have been using oral contraceptives. As of this morning, I started taking 25 mcg of levothyroxine along with a weekly vitamin D supplement of 0.266 mg. Recently, I was diagnosed with hypothyroidism and found to have a vitamin D deficiency that I suspect has existed for the last three years. I do not consume alcohol or smoke, and I can confirm I am not pregnant. Two years ago, I experienced a mild concussion. I currently reside in Spain. A couple of months back, in mid-December, I blacked out twice. The second occurrence took place while I was at the doctor’s office after seeking urgent medical care for the initial incident. Following the second episode, I underwent a CT scan and an EKG, both of which returned normal results. Further tests, as directed by my physician, revealed a critical vitamin D deficiency and hypothyroidism; however, he expressed doubt that either of these conditions led to my loss of consciousness. I was then referred to a neurologist, and I am presently awaiting an appointment. Although the waiting period is lengthy, my doctor indicated that I should receive priority for scheduling, although the exact timeframe remains uncertain. The referral document summarized my events, labeling the second episode (which the physician witnessed) as a potential seizure devoid of tonic-clonic movements—a revelation that took me by surprise. After regaining consciousness, I felt extremely disoriented and terrified, struggling to process what was happening. I have no prior history of seizures, epilepsy, or any related conditions, and there is no known family history of these issues. If this indeed was a seizure, what might have triggered it? Additionally, what is the likelihood of experiencing another one? Since that time, I have not had any further incidents, but I have experienced moments where I felt a sense of impending doom, which I managed to overcome. I intend to wait for the neurologist's evaluation, but the uncertainty surrounding a possible neurological condition is quite distressing. Thank you for any insight you can provide!

LupusThyroid DisordersEndocrinology
Male25-34
1 hour ago

Persistent Pain in Right Shoulder and Arm After Lifting

Hello, everyone! I’m a 23-year-old male and have been engaged in weightlifting for several years now. Recently, I’ve been struggling with ongoing discomfort in my right shoulder and arm, which I haven’t been able to accurately identify. The pain manifests during particular movements, especially with lateral raises or when my arm is raised to shoulder level while rotating my wrist. Certain pressing and pulling activities can also provoke this discomfort. Rather than feeling sharp, it’s a deep, nagging sensation that sometimes seems localized in the front area of the shoulder or at the biceps tendon, and at other times it feels more like it’s situated between the shoulder and upper arm. Fortunately, there’s no numbness or tingling involved. This issue began while I was working out. I decided to take a break for around two months, but when I returned, the pain persisted. After consulting a physician, I was diagnosed with bicipital tendinitis. Since then, I’ve reduced my upper-body workouts, completely steering clear of shoulder exercises and heavy lifting, and have begun a gentle rehabilitation regimen focusing on external rotations, pendulum movements, and scapular exercises. Despite adhering to this routine for about a week, I haven’t experienced any noticeable improvement. Is it typical for this type of tendon injury to require an extended period for recovery? At what point should I consider diagnostic imaging, such as an ultrasound or MRI? Additionally, are there frequent rehabilitation errors that might impede the healing process? I appreciate your insights in advance!

ArthritisFibromyalgiaInternal Medicine
Male25-34
1 hour ago

INTENSE Spine Discomfort, Breathing Difficulties, Muscle Twitches, and Sweating

To elaborate on the situation mentioned in the title, I’ve been experiencing unusual muscle twitches and spasms for the past few days, along with some discomfort in my back. However, today, I felt an unexpected sharp pain shoot through my spine, which has left my legs feeling numb and made it impossible for me to sit up straight. Additionally, I’ve been dealing with cold sweats for the last hour and struggling to breathe properly. Perhaps I’m just overanalyzing things and it’s a common occurrence, but the intensity of the pain is overwhelming—it's truly unbearable. I’m shaking quite a bit, and unfortunately, my parents aren’t responding to my attempts to reach them for help. I have a history of a chronic heart condition and arthritis, yet I’ve never experienced pain this severe, especially in my spine. For context, I am nearly 15 years old and female. My current medications include pain relievers, anxiety medication, beta blockers, and some vitamins, though those specifics may not be particularly relevant. I don’t smoke; however, I have tried vaping a few times, which might not matter much, but I thought it was worth mentioning as it was requested.

ArthritisCOPDRheumatology
Male25-34
2 hours ago

Understanding Atrial Fibrillation and Thyroid Issues: Variability in Cardioversion Decisions

Hello everyone, I’m reaching out for guidance regarding my mother’s current health situation, and I’d greatly appreciate any shared experiences or thoughts. **My mother's background:** - **Age**: 55 years - **Weight**: Recently dropped to 116 kg from 118 kg in just two days, likely due to diuretics. - **Health history**: Previously an underactive thyroid, undiagnosed and untreated, now presenting as overactive. - **Medications**: Currently taking thyroid medication and a beta-blocker (Rapiblock). **Current health status:** My mother has been hospitalized since Tuesday, experiencing **atrial fibrillation with heart rates exceeding 200** beats per minute due to her thyroid's hyperactivity. - The plan for cardioversion was initially settled on Tuesday. However, the following day, the medical team advised postponing it until her thyroid levels could be stabilized, believing that her heart rate would return to normal once her thyroid condition was managed. - Her **obesity** precludes her from undergoing a transthoracic echocardiogram, and due to her thyroid concerns, she cannot handle contrast dye (this has been a consistent issue for over four years). Therefore, the only feasible option was a **transesophageal echocardiogram (TEE)**, which has yet to be performed. - She has been prescribed various medications including beta-blockers and thyroid treatments in the past. - On Friday, a doctor proposed proceeding with cardioversion; however, the attending senior physician objected. - Today (Saturday), another clinician has expressed a desire to move forward with cardioversion, having initiated a new medication, as the senior physician is unavailable. - **Communication has been unclear**, as we were notified of developments by a nurse rather than the physician in charge, causing confusion and anxiety. - Currently, only a **chest X-ray** is scheduled, and the TEE remains unaddressed. **My inquiries are as follows:** 1. Is it common for medical professionals to have varying opinions and frequently revise medication or treatment plans like cardioversion? 2. Is it safe to conduct cardioversion in the absence of a TEE? I presumed that this was a standard procedure to exclude the presence of blood clots. 3. Is it usual practice to have only a chest X-ray prior to moving ahead with cardioversion? 4. How typical is it for patients or their families to not be directly informed about treatment changes and learn about them through nursing staff instead? I recognize that this cannot substitute for professional medical advice. I’m simply trying to discern whether these circumstances are typical or if we should express our concerns more assertively with the healthcare facility. Thank you for your insights!

Thyroid DisordersEndocrinologyRheumatology
Male25-34
3 hours ago