What does it mean if urinary microalbumin is 100 mg/L, and what should be done?

Under normal circumstances, a urinary microalbumin level of 100 mg/L may be caused by conditions such as preeclampsia during pregnancy, nephrotic syndrome, hypertensive kidney disease, diabetic nephropathy, or chronic glomerulonephritis. Patients are advised to follow medical guidance for symptomatic treatment. Specific analyses are as follows:

1. Preeclampsia during pregnancy

Preeclampsia refers to the development of elevated blood pressure and proteinuria after 20 weeks of gestation, which can also lead to increased urinary microalbumin levels. Patients may take medications such as enalapril maleate tablets or lisinopril capsules under medical supervision.

2. Nephrotic syndrome

The clinical features include massive proteinuria, hyperlipidemia, hypoalbuminemia, and severe edema. Massive proteinuria is one of the essential diagnostic criteria. Under medical guidance, patients may use medications such as tripterygium glycosides tablets or losartan potassium and hydrochlorothiazide tablets for treatment.

3. Hypertensive kidney disease

Urinary microalbumin is an early indicator of kidney damage due to hypertension. In patients with primary hypertension, urinary microalbumin levels are significantly elevated, primarily correlated with systolic blood pressure. Patients may use medications such as ramipril tablets or fosinopril sodium tablets under medical supervision.

4. Diabetic nephropathy

Poor glycemic control may lead to diabetic nephropathy, presenting symptoms such as positive urine protein, edema, and fatigue. Besides diet and exercise, underlying causes of elevated urinary microalbumin may include glomerular diseases. Timely re-evaluation and treatment are essential. Patients may follow medical advice to take medications such as gliquidone tablets or glyburide tablets to alleviate symptoms.

5. Chronic glomerulonephritis

Damage to the basement membrane leads to reduced glomerular filtration rate and significant protein loss, resulting in positive urine protein tests and markedly elevated urinary microalbumin levels. Patients may take medications such as Bailing capsules or prednisone acetate tablets as directed by their physicians.

In addition, elevated urinary microalbumin may also be caused by renal cell carcinoma. If patients experience any discomfort, they should seek timely medical evaluation and receive targeted treatment to avoid disease progression.