Understanding Sweat with Urine Odor: Is It a Kidney Issue?
Sweating with a urine-like odor? Hello, doctor. My mother is 63 years old. During her health check-up at the end of April, her cholesterol level was found to be 228, and her fasting blood sugar was 128. She has noticed a urine-like odor when she sweats, and recently, when she clo...
Dr. Chen Junji reply Urology
Concerned Individual: Hello! In many cases, body odor can occur. Various diseases (such as gastrointestinal, liver, kidney diseases, diabetes, and rare metabolic disorders), food, medications, and even age and gender differences can cause the body to produce unusual odors. Most o...[Read More] Understanding Sweat with Urine Odor: Is It a Kidney Issue?
Understanding Dialysis Concentrates and Skin Changes in Kidney Patients
Dialysate for hemodialysis Hello Dr. Chen: Thank you for your previous response. I have some further questions. 1. My father has been on dialysis for a year and a half. Initially, there was no change in his skin color, but in the past two months, we have noticed a rapid darkeni...
Dr. Chen Junji reply Urology
Hello! It is quite common for patients with uremia to experience skin abnormalities such as hyperpigmentation, pruritus, and xerosis. Generally, these conditions are related to "uremic toxins" and individual constitution; the phenomenon of pigmentation tends to become m...[Read More] Understanding Dialysis Concentrates and Skin Changes in Kidney Patients
Rapid Urine Test for Protein and Creatinine: Benefits for Kidney Diagnosis
A rapid urine test indicates the presence of urinary protein? Dear Dr. Chen, Hello! I learned last year at Tri-Service General Hospital that your institution has a new urine test strip that can quickly determine creatinine and protein/creatinine ratio. May I ask if this is help...
Dr. Chen Junji reply Urology
Dear roytsai, hello! Your question is very insightful, and it is clear that you have a rich knowledge of medicine and a strong concern for your health. "Urinalysis" is a fundamental, convenient, rapid, and important examination for diagnosing kidney diseases. There are ...[Read More] Rapid Urine Test for Protein and Creatinine: Benefits for Kidney Diagnosis
Understanding Chronic Kidney Disease: Symptoms and Concerns Explained
Chronic Kidney Disease (CKD) Hello Dr. Chen, Thank you very much for your detailed response regarding my kidney and hypertension issues during our last conversation. Recently, I have been experiencing symptoms such as palpitations and tinnitus. After a blood test, my creatinine...
Dr. Chen Junji reply Urology
Dear Mr. Nanping, Hello! Based on your previous description, your left kidney is smaller than your right kidney, and the TC99 renal nuclear medicine scan shows that the function of your left kidney is significantly poorer than that of your right kidney. Therefore, according to t...[Read More] Understanding Chronic Kidney Disease: Symptoms and Concerns Explained
Understanding Dialysis Machine Readings: How Toxins Are Cleared in Four Hours
Values (toxins) on the dialysis machine? Regarding the values on the dialysis machine, can we determine how much uremic toxins are being removed from the blood, and whether toxins are being cleared during the four-hour session?
Dr. Chen Junji reply Urology
Hello! The "values" displayed on dialysis machines vary by manufacturer and have different functions and meanings. Generally, they only show technical monitoring values such as blood flow rate, line pressure, and dialysate concentration. The levels of "uremic toxin...[Read More] Understanding Dialysis Machine Readings: How Toxins Are Cleared in Four Hours
Managing Vomiting Due to Kidney Issues: A Guide for Families
Vomiting caused by renal dysfunction? My mother has been experiencing vomiting and poor appetite recently, and after a hospital examination, it was found that her condition is related to her kidneys, with levels reaching as high as 9.9. The doctor has recommended dialysis, but my...
Dr. Chen Junji reply Urology
Hello! Based on your description, your aunt appears to be suffering from chronic kidney failure due to long-term diabetes and hypertension, and she is now exhibiting symptoms of uremia (such as vomiting and poor appetite). Given her estimated age (approximately 65 years) and a se...[Read More] Managing Vomiting Due to Kidney Issues: A Guide for Families
Understanding Lower Back Pain: When to See a Urologist or Nephrologist
Lower back pain and discomfort? Hello, I have been experiencing frequent lower back pain (sometimes on one side, sometimes on both sides), and occasionally I feel a sharp pain. I also have pain in my heels, and sometimes I experience itching in my back. Could this be related to k...
Dr. Chen Junji reply Urology
Hello: Although low back pain is one of the symptoms of certain kidney and other urinary system diseases, such as infections, stones, tumors, and trauma, its nature is mostly dull or tenderness upon percussion, with acute pain being the most common. It is often accompanied by sym...[Read More] Understanding Lower Back Pain: When to See a Urologist or Nephrologist
Understanding Kidney Issues and Hypertension: Causes and Symptoms Explained
Kidney and Hypertension Hello Dr. Chen, last year I inquired about renal artery stenosis. After a cardiac catheterization, it was found that there is no stenosis in the left renal artery, but the left kidney is smaller, which seems more like a congenital issue rather than atrophy...
Dr. Chen Junji reply Urology
Dear Mr. Nanping, Hello! If your smaller kidney size is due to congenital renal hypoplasia and kidney function is normal, there is no need for excessive concern; regular monitoring is sufficient. Regarding hypertension, it is important to emphasize the need for consistent medica...[Read More] Understanding Kidney Issues and Hypertension: Causes and Symptoms Explained
Concerns About Urine Color Changes: When to Seek Medical Advice
Worry Hello, doctor. My urine used to be brown, similar to the color of oolong tea. However, one morning I noticed that my urine was cloudy white with some slight bubbles, but I didn't feel any discomfort. Since then, my urine has been close to clear, like water, without bub...
Dr. Chen Junji reply Urology
GIGI: Hello! Generally speaking, the color of urine is influenced by various factors, including the foods, beverages, or medications consumed (either directly or through their metabolites containing pigments), endogenous pigments (such as hemoglobin in red blood cells and myoglob...[Read More] Concerns About Urine Color Changes: When to Seek Medical Advice
Nutritional Guidelines for Chemotherapy in Bladder Cancer Patients
Dietary Issues During Chemotherapy My father needs chemotherapy and radiation therapy for bladder cancer. What vitamins should he supplement in terms of nutrition? Additionally, what dietary considerations should be taken to minimize discomfort? Thank you for your help!
Dr. Chen Junji reply Urology
Dear Mr. A-Tian, Hello! I apologize for my personal oversight in not responding to your question in a timely manner. Regarding your father's complications and nutritional issues following his chemotherapy and radiation therapy for bladder cancer, as this is not my area of e...[Read More] Nutritional Guidelines for Chemotherapy in Bladder Cancer Patients
Dietary Guidelines and Fish Restrictions for Chronic Kidney Disease
Chronic Kidney Failure Hello Dr. Chen: My grandmother is 74 years old and has diabetes and hypertension. Last month, she was diagnosed with chronic kidney failure (currently not on dialysis). 1. What dietary considerations should we be aware of? 2. Are there any types of fish she...
Dr. Chen Junji reply Urology
Ms. Chen: Hello! Based on your grandmother's medical history, her "chronic kidney failure" is likely a complication caused by long-term "diabetes" and/or "hypertension." How long has she been suffering from "diabetes" and "hyperte...[Read More] Dietary Guidelines and Fish Restrictions for Chronic Kidney Disease
Understanding Renal Artery Stenosis: Causes, Treatments, and Outcomes
Renal artery stenosis Hello Dr. Chen, I have been experiencing frequent urination and my blood pressure is 130/90. After going to the hospital for an ultrasound, it was found that my kidneys are of different sizes (left kidney 9 cm, right kidney 12 cm). I have been under follow-...
Dr. Chen Junji reply Urology
Hello: Based on your description, the diagnosis should be left-sided "renal artery stenosis," which refers to the narrowing or blockage of the artery supplying blood to the kidney. If the condition is significant, it typically leads to elevated blood pressure and, over ...[Read More] Understanding Renal Artery Stenosis: Causes, Treatments, and Outcomes
Understanding Left Side Back Pain: Kidney Stones and Urology Insights
Pain in the left side of the lower back? I previously experienced pain in the left side of my lower back, near the kidney area, which often led me to visit the emergency room at night. I also consulted a nephrologist in an outpatient setting and underwent several tests. I found o...
Dr. Chen Junji reply Urology
Hello: There are many causes of lower back pain, and kidney-related diseases account for only a small portion, such as kidney stones, ureteral stones, and pyelonephritis, among others. Aside from the relevant anatomical locations (as shown in Figures 1 and 2), if there are accomp...[Read More] Understanding Left Side Back Pain: Kidney Stones and Urology Insights
Understanding Abnormal Semen: Blood and Unusual Discharge Concerns
The presence of a significant amount of blood in semen, known as hematospermia, can be caused by various functional abnormalities? 1. I once masturbated while taking cold medication and later noticed that most of the tissue was soaked with blood rather than semen. What could be t...
Dr. Chen Junji reply Urology
Mr. Yang: Based on the symptoms you described, it may be related to lower urinary tract issues (including the prostate, among others). I recommend that you seek evaluation and treatment from a nearby urologist.[Read More] Understanding Abnormal Semen: Blood and Unusual Discharge Concerns
Understanding Proteinuria: Causes, Management, and Dietary Tips
What is urinary protein? High levels of urinary protein can be caused by various factors, including kidney disease, hypertension, diabetes, and infections. Proteinuria, or the loss of protein in the urine, can indicate that the kidneys are not functioning properly. In daily life...
Dr. Chen Junji reply Urology
Nini: Patients often come to the clinic for consultation with their health check-up reports, worried about their kidney function after being diagnosed with "positive urine protein." A normal healthy individual excretes about 100-150 mg of protein in urine daily; levels ...[Read More] Understanding Proteinuria: Causes, Management, and Dietary Tips
Traveling Abroad for Dialysis Patients: Tips for a Safe Trip
How can dialysis patients travel abroad? Dear Dr. Chen, My father is currently 63 years old and has been undergoing dialysis since December 2004, three times a week. I hope that my father can travel to Sydney, Australia, to attend my graduation ceremony in June, but he is unable...
Dr. Chen Junji reply Urology
Bilin: For long-term dialysis patients, if their health condition allows and with proper planning and preparation, traveling abroad is not difficult! It is recommended that you first discuss with your father's nephrologist and prepare relevant medical information and referra...[Read More] Traveling Abroad for Dialysis Patients: Tips for a Safe Trip
Managing Congenital Kidney Cysts: Follow-Up and Treatment Insights
Question Hello Doctor: My brother, my father, and I all have congenital renal cysts. The previous doctor prescribed medications to promote surrounding blood circulation and antihistamines. Should we continue to have regular follow-ups? If we take the medication as prescribed, wil...
Dr. Chen Junji reply Urology
Hello, based on your description in the letter, you and your family members (father, younger brother) may have "autosomal dominant polycystic kidney disease" (ADPKD). I would like to know if your uncle, paternal uncle, or grandfather also have a history of "renal c...[Read More] Managing Congenital Kidney Cysts: Follow-Up and Treatment Insights