Suspected kidney issues?
Hello, doctor.
I would like to ask you something.
Previously, when I drank alcohol, my hands would shake and I would experience acid reflux.
Recently, I have developed many small red spots on my lower back.
When pressed, nothing comes out.
I also feel like I have been going to the bathroom less often, and my urine is yellow.
The urethral opening is also red, and there are small white pinhead-sized spots on my foreskin.
I have been tested before and it was not a sexually transmitted infection, so I would like to know if there is an issue with a certain part of my body.
Hao, 20~29 year old female. Ask Date: 2015/10/10
Dr. Lin Peifeng reply Internal Medicine
Hello, it is recommended that you visit a hospital for a physician to make a personal assessment in order to provide you with a clear diagnosis and advice.
Thank you.
Reply Date: 2015/10/10
More Info
It sounds like you are experiencing a range of concerning symptoms that may be related to kidney function or other underlying health issues. Let's break down your symptoms and explore potential causes and recommendations.
Symptoms Overview
1. Tremors and Gastric Issues: The shaking of your hands and the presence of gastric acid could indicate a variety of conditions, including anxiety, alcohol withdrawal, or even liver issues, especially if you have a history of alcohol consumption. Alcohol can affect both liver and kidney function, leading to a range of symptoms.
2. Red Bumps on the Waist: The appearance of small red bumps could be related to a skin condition, allergic reaction, or even a systemic issue. If these bumps are itchy or painful, it would be wise to consult a dermatologist.
3. Decreased Urination and Yellow Urine: A decrease in urination can be a sign of dehydration or kidney issues. Yellow urine can indicate concentration due to dehydration or other factors, including dietary influences or medications.
4. Redness at the Urethral Opening and White Bumps on the Foreskin: Redness at the urethral opening could suggest inflammation or infection, while the white bumps may be a benign condition such as pearly penile papules or could indicate a more serious issue if they are painful or changing in appearance.
Potential Causes
Given your symptoms, several conditions could be at play:
- Kidney Dysfunction: Symptoms like decreased urination and changes in urine color can indicate kidney issues. Conditions such as acute kidney injury or chronic kidney disease can manifest in these ways. It’s essential to monitor kidney function through blood tests (like creatinine and BUN) and urine tests.
- Infection: The redness and bumps could suggest a urinary tract infection (UTI) or sexually transmitted infection (STI), even if previous tests were negative. Sometimes, infections can be missed, or new infections can arise.
- Skin Conditions: The red bumps could be unrelated to your urinary symptoms and might be a dermatological issue, such as folliculitis, eczema, or an allergic reaction.
- Liver Issues: Given your history of alcohol consumption, liver health is crucial. Liver dysfunction can lead to systemic symptoms, including tremors and gastrointestinal issues.
Recommendations
1. Consult a Healthcare Provider: It’s crucial to see a healthcare professional who can perform a comprehensive evaluation. This should include a physical examination, a review of your medical history, and possibly further testing, such as blood tests for kidney and liver function, urinalysis, and imaging studies if necessary.
2. Stay Hydrated: Ensure you are drinking enough fluids, as dehydration can exacerbate kidney issues and affect urine output.
3. Monitor Symptoms: Keep track of any changes in your symptoms, including the appearance of urine, the frequency of urination, and any new skin changes. This information will be valuable for your healthcare provider.
4. Avoid Alcohol: If you suspect that alcohol may be contributing to your symptoms, consider reducing or eliminating your intake. Alcohol can have significant effects on both liver and kidney health.
5. Follow-Up on Skin Issues: If the red bumps persist or worsen, consider seeing a dermatologist for a specialized evaluation.
Conclusion
Your symptoms warrant a thorough investigation to rule out any serious underlying conditions, particularly concerning kidney and liver health. Early intervention can often lead to better outcomes, so seeking medical advice promptly is essential. Remember, your health is paramount, and addressing these symptoms with a healthcare professional will provide you with the best path forward.
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