A patient with renal glycosuria
Today, during the evening shift duty, one Bangladeshi patient came to my chamber. He was suffering from lower abdominal pain and pain in his right flank. He had previous history of renal stone, and considering his current symptoms, I was thinking about the recurrence of renal stone. So that I advised for routine urine test and the result was consistent with renal stones. But in addition, there was another finding in the report. There was 4+ sugar in the urine. It means a good amount of sugar is passing out through the urine. It is normally seen in an uncontrolled or poorly controlled diabetes patient. As a logical next step, I checked his blood sugar which was within the normal range. At that point, my additional (besides renal stone) diagnosis was renal glycosuria.
What is renal glycosuria?
In simple words, glycosuria or glucosuria means passage of sugar in urine. In normal condition, sugar shouldn't pass in urine at all. The most common abnormality where glycosuria commonly found is uncontrolled DM.
Renal glycosuria is a rare condition where sugar is found in the urine despite normal or low blood sugar. Normally in kidneys, all the filtered sugar are reabsorbed back to the blood via the kidney tubules. But in renal glycosuria, kidneys fail to hold back the filtered sugar, hence sugar appears in the urine.
Is renal glycosuria a serious disease?
No. It is a benign condition i.e. no serious health issue with renal glycosuria. Usually patients do not have any symptoms at all. Most of the time, renal glycosuria is found incidentally while doing routine urine test.
Do you need to take any medications?
No.
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