Understanding Clear Urine: When to Seek Medical Advice
Urinary issues Hello Doctor: I recently started weight training for the past week and have been consuming weight gain protein powder, along with increasing my water intake to about 2500 ml per day. In the last couple of days, I've noticed that my urine has become almost clea...
Dr. Huang Yaoxuan reply Internal Medicine
Hello Lin, if you notice that your urine sometimes has slight bubbles, you can follow up at the nephrology clinic. Thank you![Read More] Understanding Clear Urine: When to Seek Medical Advice
Living with a Single Kidney: Health Tips and Life Expectancy Insights
What are the lifestyle and life expectancy considerations for individuals with congenital solitary kidney and hydronephrosis? Hello, doctor. Recently, my boyfriend and I are preparing to get married, and we did a premarital health checkup. My boyfriend has a congenital single kid...
Dr. Huang Yaoxuan reply Internal Medicine
Dear Ms. Tianle, Regarding kidney health, it is recommended to measure your blood pressure daily. If your blood pressure is elevated, please consult a physician for evaluation. Additionally, pay attention to your dietary intake of salt and protein, ensuring it is within appropri...[Read More] Living with a Single Kidney: Health Tips and Life Expectancy Insights
Understanding the Kidney Risks of Long-Term NSAID Use: Dosage Matters
The dosage of NSAIDs that can cause kidney damage? Hello, doctor. I would like to ask about the issue of long-term NSAID use and its impact on kidney health. What dosage would be considered harmful to the kidneys? If someone takes 2-3 tablets of ibuprofen (200 mg each) during men...
Dr. Huang Yaoxuan reply Internal Medicine
Dear Evonne: It is well known that long-term use of NSAIDs may harm the kidneys; however, there are no clinical studies indicating the dosage of NSAIDs that could cause kidney damage in young, healthy adults (such as yourself at 28 years old). It is recommended that you first und...[Read More] Understanding the Kidney Risks of Long-Term NSAID Use: Dosage Matters
Understanding Abnormal Kidney Function Tests: Causes and Next Steps
Abnormal kidney function tests? The health examination report indicates elevated creatinine levels (1.45 mg/dL) and high uric acid levels (9.2 mg/dL), along with the presence of protein in the urine. Should I undergo further testing? What could be the causes of these abnormalitie...
Dr. Huang Yaoxuan reply Internal Medicine
Hello, Asong: It is recommended that you consult a nephrology outpatient clinic to monitor the elevated creatinine levels and protein in your urine. For high uric acid levels, you may follow up with a rheumatology outpatient clinic. Thank you![Read More] Understanding Abnormal Kidney Function Tests: Causes and Next Steps
Understanding Neck Tightness and Breathing Issues in Dialysis Patients
Tightness in the neck and difficulty breathing? Hello, doctor. I would like to ask you a question. I have been on dialysis for over six years. Recently, I underwent ablation surgery due to atrial fibrillation. Lately, before dialysis, I often feel a tightness in my neck and diffi...
Dr. Huang Yaoxuan reply Internal Medicine
"Hello, dialysis patient: Based on your description, I cannot determine the underlying factors... I recommend discussing this with your physician at the dialysis center to see what suggestions they may have, or consider consulting a specialist for cervical spine treatment (u...[Read More] Understanding Neck Tightness and Breathing Issues in Dialysis Patients
Managing Vitamin B Supplementation in Patients with Kidney Disease
Regarding the issue of taking vitamin B? Hello doctor, I have diabetes and a kidney disease known as Fanconi syndrome. I have regular follow-up appointments, and my kidney function is currently about half of that of a normal person. Previously, I visited a neurologist due to pain...
Dr. Huang Yaoxuan reply Internal Medicine
Hello, Xiao You: "I heard the attending physician in nephrology say that my condition does not allow my body to absorb vitamins." I'm not very clear on what "unable to absorb" means. Generally, vitamins are absorbed through the gastrointestinal tract, and...[Read More] Managing Vitamin B Supplementation in Patients with Kidney Disease
Does Diarrhea Affect Creatinine Levels in Chronic Kidney Disease?
Elevated creatinine levels? Hello, doctor. My mother has chronic kidney disease, so I had my creatinine level tested at the end of May, which was 0.65. After a health check at the end of August, I found that my creatinine level had risen to 0.85. However, I had been experiencing ...
Dr. Huang Yaoxuan reply Internal Medicine
Hello, Ms. Ge: The creatinine levels of 0.65 and 0.85 are both within the normal range, so I believe there is no need to worry about (or consider) whether the changes in creatinine levels are related to gastroenteritis. Thank you![Read More] Does Diarrhea Affect Creatinine Levels in Chronic Kidney Disease?
Understanding Declining eGFR: Kidney Health Concerns and Solutions
Kidney problems Hello Dr. Huang, my estimated glomerular filtration rate (eGFR) values from previous years (2017 to 2020) were consistently between 117 and 118. However, after undergoing surgery for a gynecological chocolate cyst at the end of March 2021, I started taking a medic...
Dr. Huang Yaoxuan reply Internal Medicine
Hello "lulu": An eGFR of 117-118 or 99, 94 is considered normal, so you don't need to worry. If you are concerned about your kidneys, it is recommended to measure your blood pressure at home daily (after resting for 20 minutes before taking the measurement). Thank ...[Read More] Understanding Declining eGFR: Kidney Health Concerns and Solutions
Can Forxiga Be Used for Chronic Kidney Disease Not Caused by Diabetes?
Medication Issues in Kidney Disease Hello Dr. Huang, can the SGLT2 inhibitor Forxiga be used to treat chronic kidney disease (stage 3) not caused by type 2 diabetes? My blood sugar is relatively high, with a hemoglobin A1c of about 6.0.
Dr. Huang Yaoxuan reply Internal Medicine
Hello: Farxiga is an SGLT2 inhibitor. You may discuss with your nephrologist whether this type of medication is suitable for your condition. Thank you![Read More] Can Forxiga Be Used for Chronic Kidney Disease Not Caused by Diabetes?
Do Nutritional Supplements Strain Kidney Function? A Closer Look
Kidney problems Doctor, will consuming "Quaker Complete Nutritional - Double Protein Formula Original Flavor Sugar-Free" cause kidney burden? Ingredients: Deionized water, maltodextrin, calcium caseinate, canola oil, sodium caseinate, sunflower oil, indigestible maltode...
Dr. Huang Yaoxuan reply Internal Medicine
Hello Mr. S: May I first ask you what the definition of "causing kidney burden" is? Do you think eating two bowls of Ichiran ramen "will cause kidney burden"? What about eating a 40-ounce steak? I believe that for the general population or individuals with kid...[Read More] Do Nutritional Supplements Strain Kidney Function? A Closer Look
Understanding Kidney Issues: The Significance of Proteinuria and Creatinine Levels
Kidney issues (proteinuria) Urine Creatinine: 93.4 mg/dL Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL) Urine Protein: 42.0 * mg/dL < 14 ACR: 275.16 * µg/mg Creatinine (<30) Protein/(Creatinine/1000): 449.68 mg/g Serum Creatinine: 1.07 Doctor, I have...
Dr. Huang Yaoxuan reply Internal Medicine
Dear Mr. A-Mao, Regarding your concerns about proteinuria, kidney function, and kidney biopsy, here are some suggestions for your consideration: 1. You may want to discuss the benefits and drawbacks of a kidney biopsy with your physician. An excerpt from UpToDate states, "...[Read More] Understanding Kidney Issues: The Significance of Proteinuria and Creatinine Levels
Understanding eGFR and Creatinine Levels: Should You Be Concerned?
eGFR, creatinine Hello doctor, I would like to ask about my situation. In September 2021, my blood test showed an eGFR of 67.06 and a creatinine level of 1. After seeing these values outside the normal range, I consulted my doctor, who suggested that if I was concerned, I could h...
Dr. Huang Yaoxuan reply Internal Medicine
Hello Ms. Chi, you mentioned that you have had two blood creatinine tests in the past six months, with results of 1 and 1.1, and eGFR values of 67.06 and 60.08, respectively. The urine test report indicated no issues. Here is some information for your reference: 1. eGFR stands f...[Read More] Understanding eGFR and Creatinine Levels: Should You Be Concerned?
Understanding High Urinary Protein Levels: Causes and Concerns
Feeling scared due to high levels of protein in urine? Urine analysis shows the following results: - Creatinine (CRE): 189.40 mg/dL (normal range: 14-26 mg/dL) - Protein/Creatinine Ratio (P/C Ratio): 1558 (normal range: below 200) - Urine Total Protein: 295.0 mg/dL (normal rang...
Dr. Huang Yaoxuan reply Internal Medicine
Hello Jack: "Urine 3+ and below are the contents of the urine. On 10/19, CRE (creatinine) was 189.40, with a standard range of 14-26. P/C Ratio was 1558, with a standard of below 200. Urine Total Protein was 295.0, with a standard of below 15." Among these urine test it...[Read More] Understanding High Urinary Protein Levels: Causes and Concerns
CT Scan with Non-Ionic Contrast: Risks for Diabetic Patients and Medication Guidelines
Recently, I need to undergo a CT scan of the brain with non-ionic contrast agent? I have a history of type 2 diabetes for 8 years, and my kidney function is currently normal based on blood tests. I am scheduled for a CT scan of the brain and will be receiving a non-ionic contrast...
Dr. Huang Yaoxuan reply Internal Medicine
Please visit the nephrology outpatient clinic to discuss the effects of non-ionic contrast agents on renal function. According to the UpToDate database, specifically the section on "Prevention of contrast-induced acute kidney injury associated with computed tomography,"...[Read More] CT Scan with Non-Ionic Contrast: Risks for Diabetic Patients and Medication Guidelines
Managing Kidney Medication Issues in Heart Failure Patients
Medication Issues in Renal Management for Heart Failure Patients Dear Doctor, My father is suffering from moderate to severe heart failure, and due to severe leg edema, he needs to limit his fluid intake. He has been on diuretics for 14 consecutive months, which has resulted in ...
Dr. Huang Yaoxuan reply Internal Medicine
Dear Ms. Lin, Regarding your father's condition, it is recommended that you consult with a nephrologist to discuss his situation. Additionally, if you are concerned about kidney function, you may want to know about kidney care methods that are applicable regardless of wheth...[Read More] Managing Kidney Medication Issues in Heart Failure Patients
Understanding Compensatory Hypertrophy in Kidney Function: What It Means
Renal compensatory mechanisms疑惑 Hello, doctor. I would like to ask if the phenomenon of compensatory hypertrophy in one kidney indicates that the other kidney has completely lost its function in medical terms? Will the smaller kidney still have function? One kidney measures 12 cm...
Dr. Huang Yaoxuan reply Internal Medicine
Hello Mr. A Shui: First, I would like to confirm your kidney sizes, "one is 12 cm and the other is 9 cm." Were these measurements obtained from an ultrasound examination? The following information is based on the ultrasound findings. Normal kidney size is approximately ...[Read More] Understanding Compensatory Hypertrophy in Kidney Function: What It Means
Understanding Kidney Function Tests: Symptoms and Specialist Guidance
Kidney function tests Hello Doctor: In the past few months, I have been experiencing discomfort, including chest tightness and pain, occasional shortness of breath, and unexplained nausea, although I haven't actually vomited. My daily routine has not changed, and there has b...
Dr. Huang Yaoxuan reply Internal Medicine
Hello, "person with questions." 1. In recent months, I have been experiencing discomfort, including chest tightness and pain, occasional shortness of breath, and unexplained nausea. 2. I have noted episodes of tachycardia and mild arrhythmia. 3. My cortisol level is...[Read More] Understanding Kidney Function Tests: Symptoms and Specialist Guidance
Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Proteinuria Kidney 1. I do not have diabetes, and after undergoing a Urine Albumin-to-Creatinine Ratio (UACR) test, the doctor said the results were normal. However, shouldn't a Urine Protein-to-Creatinine Ratio (UPCR) test be performed to confirm the presence of proteinuria...
Dr. Huang Yaoxuan reply Internal Medicine
Hello Mr. AC: 1. You can consult the physician who arranged your UACR test to discuss what I believe is crucial: "how to take care of your kidneys." Arranging tests (such as blood tests for creatinine and urine tests for UACR or UPCR) is just one method. Don't fo...[Read More] Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Is It Normal to Have Bubbles in Urine During Menstruation?
Is it normal to have bubbles in urine during menstruation? Recently, I have noticed that when I menstruate, my urine has a lot of bubbles, and the bubbles are very fine. Normally, my urine does not have bubbles. Should I get this checked?
Dr. Huang Yaoxuan reply Internal Medicine
Hello: Bubbles in urine may indicate proteinuria, or it could be a normal occurrence (other components may cause bubbles but do not affect health; in such cases, we do not need to identify the specific component, and we will only check for proteinuria). Recommendations: 1. Visit ...[Read More] Is It Normal to Have Bubbles in Urine During Menstruation?
Understanding Leg Swelling in Teenagers: When to Seek Medical Advice
About Edema Consulting a physician: My 15-year-old daughter has gained about 7 kilograms over the past year, with no change in height. Her face, upper arms, and upper body have not changed, but she has gained weight primarily in her thighs and calves. Should we see a doctor for a...
Dr. Huang Yaoxuan reply Internal Medicine
Hello Ms. Ting: First of all, thank you for your question. I will divide your inquiry into two parts. 1. "Am I experiencing lower extremity edema?" Based on your description, you have gained approximately 7 kilograms over the past year without a change in height, and ...[Read More] Understanding Leg Swelling in Teenagers: When to Seek Medical Advice