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severe problems regarding acid reflux and blood and urine report
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General Health
Question #23351
14 days ago
78

severe problems regarding acid reflux and blood and urine report - #23351

mishal

urine report shows protein+++ wheezing severe throat chest pain nausea tired runny nose previous patient of acid reflux due to some issues w the oesophagus endoscopy report showed currency undergoing homeo treatment forcefully

Age: 18
Chronic illnesses: previously had nephrotic syndrome not really sure if it's fully gone or nah
Pain
300 INR (~3.53 USD)
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
14 days ago
5

Hello dear See nephrotic syndrome is associated with excessive proteinuria,haemutria and extreme weakness with diarrhoea. I suggest you to please get following tests done for confirmation of exact diagnosis and for safety please donot take any medication without consulting the concerned physician CBC Rft Lft Urine analysis Kidney USG Serum RBS PCR if recover by urologist Hopefully you recover soon Regards

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
13 days ago
5

Hello

Protein +++ in urine = possible kidney relapse (especially with past nephrotic syndrome) 🚩 Severe acid reflux + chest/throat pain + wheezing = needs proper medical treatment Homeopathy is NOT enough for this

See a physician / nephrologist urgently

Tests needed: urine protein, blood creatinine, serum albumin

Start proper acid-reflux medicine (PPI) as advised by doctor

🛑Go to ER if chest pain, breathlessness, swelling, or low urine output.

I trust this helps Thank you!

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
10 days ago
5

Hello Mishal, thank you for sharing your concern. Protein +++ in urine is not normal, and you previously had nephrotic syndrome. It may suggest a possible relapse or active kidney problem and should be evaluated urgently by a physician or nephrologist.

Your symptoms of chest/throat pain, wheezing, nausea, tiredness, and runny nose may be due to severe acid reflux, respiratory infection, or allergy, but they need proper clinical examination to rule out complications, and that too will be done by the Physician/Nephrologist.

What you should do immediately: Consult a physician/nephrologist as soon as possible. Repeat urine routine and urine protein (24-hour protein or spot protein/creatinine ratio). Blood tests: serum creatinine, urea, albumin, lipid profile. Check blood pressure and body swelling (face/legs).

If you notice swelling of face or legs, reduced urine output, severe chest pain, or breathing difficulty, seek urgent medical care.

Homeopathic treatment alone is not sufficient when there is heavy protein in urine; proper medical evaluation is necessary to prevent kidney damage.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
14 days ago
5

Hello Mishal Thank you for sharing these details. You’re describing several important symptoms: protein+++ in urine, severe wheezing, throat and chest pain, nausea, tiredness, and a runny nose, along with a history of acid reflux and esophageal issues. You’re also currently on homeopathic treatment.

Here’s what stands out and why it’s important: 1. Protein+++ in urine: This is a significant finding. High levels of protein in urine can indicate kidney involvement, which can be serious—especially if you’re also feeling tired, nauseous, and unwell. 2. Severe wheezing and chest/throat pain: These symptoms could point to a respiratory infection, asthma flare, or even something more serious, especially with your history of acid reflux (which can sometimes worsen breathing issues). 3. Combination of symptoms: When you have kidney findings (proteinuria), respiratory symptoms, and systemic symptoms (tiredness, nausea), it’s important to get a thorough evaluation quickly.

What you should do next: - See a doctor urgently (preferably a physician or internal medicine specialist): You need a proper assessment, including blood tests (kidney function, infection markers), urine tests, and possibly a chest X-ray or other investigations. - Don’t rely only on homeopathic treatment right now: Your symptoms and urine findings need medical attention to rule out serious conditions like kidney disease, infections, or complications from acid reflux. - If you develop shortness of breath, swelling, decreased urine output, or worsening chest pain, seek emergency care immediately.

Thank you and get well soon

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
14 days ago
5

Your symptoms are concerning and need urgent medical evaluation, especially because you have a history of nephrotic syndrome and now your urine report shows protein +++ (heavy proteinuria).

This level of protein in urine is not normal and may indicate:

Relapse of nephrotic syndrome

Kidney inflammation or kidney damage

Infection affecting kidneys

Or another kidney disorder

Your other symptoms — chest pain, wheezing, throat discomfort, nausea, tiredness, runny nose — may be due to:

Respiratory infection

Acid reflux/oesophageal irritation

Or fluid overload from kidney problems (can cause breathing issues)

But protein +++ with kidney history is the most serious red flag here.

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A urine report showing protein+++ indicates a significant amount of protein in the urine, which can result from several underlying issues including kidney damage, high blood pressure, or other systemic conditions. Coupled with your symptoms—wheezing, severe throat pain, chest pain, nausea, tiredness, and runny nose—this represents a matter that should be evaluated thoroughly and promptly. The history of acid reflux and esophageal issues, especially if they are still managed with homeopathic treatments rather than conventional medical approaches, may complicate the case and potentially miss critical insights or treatments. First, it is important to address the specific symptoms you’ve mentioned. For the wheezing, and chest pain, these could be related to your acid reflux, as reflux can sometimes lead to respiratory issues like asthma or mimic heart conditions; however, they could also signify other concerns such as infections or cardiovascular problems. Given the range of symptoms and the urine protein level, it would be prudent to have a comprehensive clinical evaluation. This should include blood tests to assess kidney function, liver enzymes, complete blood count, and possibly a chest X-ray or CT scan to address respiratory concerns. Depending on these findings, a referral to specialists such as a nephrologist for the kidney issues or a gastroenterologist for persistent esophageal problems may be warranted. In the meantime, continue with recommended dietary changes for acid reflux, like avoiding spicy foods, large meals late at night, and positioning the head of your bed higher. Lifestyle modifications can also support better overall health outcomes, aiding in symptom management while awaiting further diagnoses. If you experience severe chest pain, difficulty breathing, or any other acute symptoms, seek medical attention immediately, as these could be signs of a serious condition. Regular follow-up with your health provider is critical to managing and reassessing your treatment plan.

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