proteinuria in hypertension

Hypertension can lead to proteinuria, often signaling kidney dysfunction. The severity of proteinuria can vary widely, and there are numerous potential causes.

Initially, mild proteinuria might stem from hypertensive nephrosclerosis, which impacts the glomerular filtration rate. In such cases, proteinuria is typically not severe, and controlling blood pressure could mitigate its severity. In more severe instances, proteinuria could indicate more profound kidney damage, such as diabetic nephropathy or chronic nephritis. Here, daily proteinuria might reach several grams, necessitating more aggressive interventions to safeguard kidney function. Additionally, rarer causes like malignant hypertension or acute kidney injury can lead to severe proteinuria that demands immediate medical attention.

Regular monitoring of urinary protein is crucial for individuals with hypertension to detect kidney damage early and initiate appropriate treatment. Patients should adhere to their physician's advice to adjust their lifestyle and dietary habits to minimize the risk of proteinuria. Regarding pharmacological treatment, patients must follow their doctor's guidance on the use of antihypertensive medications and other necessary drugs, avoiding self-medication without professional oversight.