I'm really puzzled about my situation. I've been getting a stress positive result on my TMT test for the last five years, even though my angiogram came back normal and I don't have any heart issues. I'm just wondering what steps I can take or medicines I might need to help me eventually get a stress normal result. Could you give me some advice on this?

Dr Ibrahim Salah

General Practitioner

• MBBS
• 2+ Yrs

Consult Now

Albumin++ in your urine routine test indicates proteinuria, a sign of kidney damage or disease.

Causes

1. Kidney damage (nephropathy)
2. Diabetic nephropathy
3. Hypertension
4. Kidney stones
5. Urinary tract infection

Treatment

1. Consult a nephrologist: Schedule an appointment with a kidney specialist.
2. Underlying cause treatment: Address the underlying condition causing proteinuria.
3. Medications:
   • ACE inhibitors or ARBs to reduce proteinuria and blood pressure.
   • Diuretics to manage edema and blood pressure.
4. Lifestyle modifications:
   • Monitor and control blood pressure.
   • Manage blood sugar levels (if diabetic).
   • Reduce protein intake.
   • Increase fluid intake.
   • Exercise regularly.
   • Quit smoking.

Follow-up tests

1. Repeat urine tests to monitor proteinuria.
2. Blood tests to evaluate kidney function (eGFR, creatinine).
3. Imaging tests (ultrasound, CT scan) to assess kidney damage.

Answered 04/07/2025