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Improving Anemia and Managing Gout in Peritoneal Dialysis Patients

Peritoneal dialysis Hello Doctor: I am a patient undergoing peritoneal dialysis, but my hemoglobin level is only between 7 and 8, and my hematocrit is only 25. I often feel dizzy, and once my hematocrit dropped to 19, causing me to faint at work! However, there hasn't been m...


Dr. Jiang Wenzhi reply Internal Medicine
There are many causes of anemia in dialysis patients, including nutritional deficiencies, insufficient iron stores, issues related to dialysis and erythropoietin (EPO) dosage, and secondary hyperparathyroidism. A comprehensive understanding requires integrating clinical data. Add...

[Read More] Improving Anemia and Managing Gout in Peritoneal Dialysis Patients


Understanding Creatinine: Impacts of High and Low Levels on Health

What is creatine and what are its effects? I recently went to the hospital for a health check-up and found that my kidney function index was low (only 60), while my creatinine level was high. I did not inquire in detail at the time, so I would like to ask the doctor: Could you pl...


Dr. Jiang Wenzhi reply Internal Medicine
Waste products generated by the body's metabolism are excreted by the kidneys. When kidney function is impaired, the excretion ability decreases, leading to an increase in creatinine levels. Therefore, creatinine is an indicator of kidney function, and elevated levels can in...

[Read More] Understanding Creatinine: Impacts of High and Low Levels on Health


Can Artificial Kidneys Be Reused? Benefits for Long-Term Dialysis Patients

Artificial kidney Can artificial kidneys be reused? I've heard that reusing them is better for elderly patients undergoing dialysis. Is that true?


Dr. Jiang Wenzhi reply Internal Medicine
Currently, many dialysis centers reuse artificial kidneys, but there should be a specific limit on the number of uses, and they need to be thoroughly disinfected. Both reuse and single-use have their advantages and disadvantages, so it is advisable to consult with a nephrologist.

[Read More] Can Artificial Kidneys Be Reused? Benefits for Long-Term Dialysis Patients


Understanding Left Abdominal Pain and Frequent Urination During Running

Pain on the left side of the abdomen during running? Hello, doctor. Since I was young until now, I have experienced pain on the left side of my abdomen, in the area of the kidney, when I run. Pressing on it seems to alleviate the pain. Additionally, I often experience frequent ur...


Dr. Jiang Wenzhi reply Internal Medicine
Pain on the left side of the abdomen during running may be related to diaphragm spasms. For frequent urination, please consult a nephrologist.

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Which Department to Visit for Abnormal Urea Nitrogen Levels?

Could you please provide the content you would like me to translate? If your test result for "blood urea nitrogen" (BUN) is abnormal, you should visit a nephrologist for further evaluation.


Dr. Jiang Wenzhi reply Internal Medicine
Nephrology

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Could My Symptoms Indicate Chronic Prostatitis?

Is it possible that I have chronic prostatitis? My symptoms include lower back pain, decreased memory, lack of motivation, sluggish thinking, frequent urination, and increased anxiety. I masturbate 1 to 2 times a week; could this be the cause? What should I do now? It seems that ...


Dr. Jiang Wenzhi reply Internal Medicine
The above symptoms should not be related to masturbation.

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Can Modern Medicine Cure Rhabdomyolysis from Sports Injuries?

Rhabdomyolysis Hello Doctor: I have developed rhabdomyolysis due to an exercise injury, which has caused deep scars on my calves. Can current medical technology cure this condition? Thank you for your response!


Dr. Jiang Wenzhi reply Internal Medicine
Exercise injuries rarely lead to rhabdomyolysis, and rhabdomyolysis is seldom associated with scarring. Please consult an orthopedic physician for further information.

[Read More] Can Modern Medicine Cure Rhabdomyolysis from Sports Injuries?