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Understanding Abnormal Urine Protein Levels: Kidney Health Insights

Abnormal urine protein test? Hello, doctor. Three months ago, an ultrasound examination revealed that I have kidney stones, all measuring less than 0.5 cm. At that time, the doctor prescribed potassium citrate (K citrate), with a dosage of two tablets in the morning and two in th...


Dr. Lin Wuxuan reply Internal Medicine
Chronic kidney disease (CKD) is defined as kidney damage lasting for more than three months, resulting in structural or functional abnormalities that cannot return to normal. Whether a condition qualifies as CKD must be determined by a specialist based on your glomerular filtrati...

[Read More] Understanding Abnormal Urine Protein Levels: Kidney Health Insights


Understanding Temporary Cloudy Urine: Causes and Concerns for Kidney Health

Urine sometimes becomes cloudy? Hello, doctor. I have nephrotic syndrome and have been under continuous monitoring, which has been normal. Recently, I underwent an MRI, which detected cysts in both my liver and kidneys. The doctor mentioned that we will continue to monitor, and m...


Dr. Lin Wuxuan reply Internal Medicine
Hello, regarding urine color, it is advisable to monitor it. Chronic patients are not recommended to take dietary supplements on their own; it is best to consult a physician to assess their condition and the suitability of the ingredients to avoid excessive intake that may burden...

[Read More] Understanding Temporary Cloudy Urine: Causes and Concerns for Kidney Health


Understanding Kidney Function Test Results: What Do They Mean?

Blood Test Report Hello doctor, I had a health check-up in September 2023, and some of the results related to my kidneys were highlighted in red. The values were as follows: urine specific gravity 1.002, uric acid 8.5, blood urea nitrogen 6.5, creatinine 0.88, uric acid 4.3, glom...


Dr. Lin Wuxuan reply Internal Medicine
Hello, general practitioners will conduct a comprehensive assessment based on all examination data and provide recommendations on whether outpatient follow-up is necessary and how often it should occur. It is advisable to complete this year's examinations first and then take...

[Read More] Understanding Kidney Function Test Results: What Do They Mean?


Understanding Oral Sex Hygiene: Addressing Concerns About Smegma and Bad Breath

Oral sex issues? Hello doctor, recently when I was performing oral sex on my boyfriend, I noticed that his glans and coronal sulcus had a white, flaky substance. I want to confirm if this could be smegma. Besides the potential for infection, could this also lead to issues like ba...


Dr. Lin Wuxuan reply Internal Medicine
Smegma is composed of secretions from the sebaceous glands on the inner surface of the foreskin and dead skin cells from the foreskin. It is typically white or yellow in color and can have a hard or viscous texture, often accompanied by an unpleasant odor. If the foreskin is not ...

[Read More] Understanding Oral Sex Hygiene: Addressing Concerns About Smegma and Bad Breath


Does Eating Seafood Affect Urine Uric Acid Levels Before Testing?

Uric acid-related issues? I would like to ask if eating a lot of seafood the night before a urine test will affect the uric acid levels in the urine test?


Dr. Lin Wuxuan reply Internal Medicine
When assessing the levels of uric acid in the body, in addition to urine tests, blood test values will also be taken into consideration. Thank you.

[Read More] Does Eating Seafood Affect Urine Uric Acid Levels Before Testing?


Foods to Combat Dizziness and Fatigue from Blood Test Results

Blood Test Report Red blood cells: 5.81 Hemoglobin: 8.0 Hematocrit: 28.3 Mean corpuscular volume (MCV): 48.8 Mean corpuscular hemoglobin (MCH): 13.7 Mean corpuscular hemoglobin concentration (MCHC): 28.2 To alleviate symptoms of dizziness and fatigue, it is advisable...


Dr. Lin Wuxuan reply Internal Medicine
Hello, a blood test is just one indicator for assessing overall health. It is recommended that you return for a follow-up or consult with a physician in internal medicine or family medicine. Thank you.

[Read More] Foods to Combat Dizziness and Fatigue from Blood Test Results


Muscle Tremors and Abnormal Urinalysis: When to Seek Help?

Muscle tremors and abnormal urinalysis? Hello Doctor, I had a routine check-up last week, and the protein test result was (+/-). I initially thought it wasn't a big deal, but recently I've been experiencing involuntary muscle twitching all over my body, and I even had l...


Dr. Lin Wuxuan reply Internal Medicine
Side effects of the yellow fever vaccine may include headache, muscle pain, and mild fever, resembling cold symptoms, which typically resolve within 1 to 2 days. It is recommended to consult your primary care physician or an internal medicine clinic at the original vaccination fa...

[Read More] Muscle Tremors and Abnormal Urinalysis: When to Seek Help?


Risks of Discontinuing Hypertension Medication for Natural Remedies

Drug interactions Doctor, my father has high blood pressure and has been taking medication regularly. He has a condition that causes him to need to urinate every 20-30 minutes, so he started taking pumpkin seed supplements. He mentioned that taking both together might lower his b...


Dr. Lin Wuxuan reply Internal Medicine
Chronic disease patients are advised not to arbitrarily adjust their medication dosage, frequency, or discontinue their medication. If there is a need to take dietary supplements or adjust medications, please discuss it with your attending physician. Thank you.

[Read More] Risks of Discontinuing Hypertension Medication for Natural Remedies


Understanding Low Insulin Levels in Your Health Check Report

Medical Examination Report Hello doctor, I would like to ask about my health check report. My insulin level is 1.9 u/ml, and the report states that the normal range is 2.6 to 24.9. Is this low level of concern?


Dr. Lin Wuxuan reply Internal Medicine
It is necessary to combine other test values for a comprehensive assessment. Please check if the physician in the health report has any recommendations, or bring the report to a family medicine clinic for consultation. Thank you.

[Read More] Understanding Low Insulin Levels in Your Health Check Report


Understanding Pain After Kidney Biopsy: Causes and Recovery Tips

Kidney biopsy? Hello Dr. Lin, I just had a kidney biopsy this Thursday, and during the 12 hours of lying flat on a sandbag with pressure applied post-procedure, I experienced an unbearable level of soreness. After getting up 12 hours later, the soreness decreased but persisted su...


Dr. Lin Wuxuan reply Internal Medicine
Most patients experience discomfort or pain in the flank area on the side of the kidney biopsy, which usually resolves within a few days. If there is an increase in pain at the puncture site or the appearance of hematuria, please seek medical attention promptly. Thank you.

[Read More] Understanding Pain After Kidney Biopsy: Causes and Recovery Tips


Can High Blood Pressure and Kidney Issues Justify Stopping Medication?

Can medication be discontinued for hypertension, proteinuria, and poor kidney function? Recently, my husband wants to buy a supplement in Japan called "Serum High" to replace the medication prescribed by his doctor. The ingredients of "Serum High" include saff...


Dr. Lin Wuxuan reply Internal Medicine
Hello, to control and stabilize the condition, it is not advisable for patients to abruptly discontinue medication. Physicians prescribe medications based on the patient's condition. If there are any concerns regarding the medication, it is recommended to schedule a follow-u...

[Read More] Can High Blood Pressure and Kidney Issues Justify Stopping Medication?


Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained

Renal dysfunction Hello Doctor: I would like to ask about my recent health check report. My serum creatinine is 1.35, urine creatinine is 110.76, glomerular filtration rate (GFR) is 62.53, hemoglobin A1c is 5.4, fasting blood glucose is 90, uric acid is 7.2, urine protein is 9, a...


Dr. Lin Wuxuan reply Internal Medicine
Urine or blood tests can determine the presence of hematuria, proteinuria, or any abnormalities in kidney function, which is typically assessed using the glomerular filtration rate (GFR). It is recommended that you bring your test results to a nephrology outpatient clinic at a re...

[Read More] Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained


Managing Lupus-Related Kidney Disease: Symptoms, Treatments, and Lifestyle Tips

Systemic lupus erythematosus complicated by class IV lupus nephritis? My husband was diagnosed with systemic lupus erythematosus (SLE) and developed class IV lupus nephritis after a biopsy last October. The rheumatologist recommended hospitalization for treatment. Initially, he h...


Dr. Lin Wuxuan reply Internal Medicine
Please follow the medical advice provided. If new symptoms or other concerns arise, please return for consultation with the attending physician in the Rheumatology and Immunology department. Thank you.

[Read More] Managing Lupus-Related Kidney Disease: Symptoms, Treatments, and Lifestyle Tips


Managing a 10cm Kidney Cyst with Tissue: Expert Advice

Renal cysts Hello Dr. Wu, I recently had a CT scan and found that there is a 10 cm cyst on my right kidney that contains fine tissue. How should I proceed with this? What recommendations do you have?


Dr. Lin Wuxuan reply Internal Medicine
We recommend that you bring the report to the nephrology outpatient clinic for evaluation. Thank you.

[Read More] Managing a 10cm Kidney Cyst with Tissue: Expert Advice


Post-Hernia Surgery: Is Running and Weight Training Safe?

Hernia surgery and running? I would like to ask if, after hernia surgery, it is not recommended to run or do weight training, even after many years? I am concerned about the risk of re-injury.


Dr. Lin Wuxuan reply Internal Medicine
After hernia surgery, it is generally recommended to avoid lifting heavy objects, forceful coughing, or bending over for 2 to 3 weeks. Strenuous activities, such as running, should be avoided for 4 to 6 weeks. However, recovery varies for each individual, so it is advisable to fo...

[Read More] Post-Hernia Surgery: Is Running and Weight Training Safe?


Essential Health Tips for Dialysis Patients: Supplements and Care Guidance

Which department should I consult for diseases related to dialysis patients regarding dietary supplements? 1. Is it appropriate for dialysis patients to supplement with free lutein and sphingolipids? My mother is currently 67 years old. Last week, she was discharged from National...


Dr. Lin Wuxuan reply Internal Medicine
It is recommended that you take your elder to the outpatient clinic of the Department of Nephrology at National Taiwan University to discuss your concerns and any issues encountered with the original attending physician. Thank you.

[Read More] Essential Health Tips for Dialysis Patients: Supplements and Care Guidance


Understanding Kidney Risks from Pain Medications: A Patient's Guide

Medication Consultation for Kidney Issues Hello Doctor, I previously had severe inflammation and took Sketa capsules and Aceclofenac for a month, two capsules daily, one in the morning and one in the evening. I recently learned that frequent use of pain relief and anti-inflammato...


Dr. Lin Wuxuan reply Internal Medicine
Please take the medication as prescribed. If you have any concerns, feel free to return for a consultation. Thank you.

[Read More] Understanding Kidney Risks from Pain Medications: A Patient's Guide


Understanding Blood Test Results: What High RBC and Basophils Mean

Blood test? Hello, doctor. This time I suddenly experienced dizziness and vomited twice. I went to the hospital for a blood test, and the results showed RBC 5.11, Basophils 1.9, total cholesterol 202, and triglycerides 219, all highlighted in red. Both RBC and Basophils are sligh...


Dr. Lin Wuxuan reply Internal Medicine
If you still experience discomfort, please return for a follow-up appointment to have your attending physician assess your condition and address your concerns in person. Thank you.

[Read More] Understanding Blood Test Results: What High RBC and Basophils Mean


Understanding Rib Pain: When to Seek Medical Attention for Lumps

Rib pain If you suddenly feel a lump the size of a quail egg below your right rib that is painful to the touch and there is no history of trauma, you should consider visiting a gastroenterology clinic or a general surgery clinic for evaluation.


Dr. Lin Wuxuan reply Internal Medicine
You may first consult a dermatologist, and if further follow-up is necessary, you can be referred to a surgeon or other specialists. Thank you.

[Read More] Understanding Rib Pain: When to Seek Medical Attention for Lumps


Understanding Low Sodium Levels: Causes and Connections to Heart Rate

Causes of Hyponatremia Hello Doctor, my 87-year-old grandmother has a long history of hypertension (she is on diuretics) and bradycardia. Over the past two months, she has been undergoing chemotherapy and radiation for cervical cancer. In her weekly blood tests, we have observed ...


Dr. Lin Wuxuan reply Internal Medicine
Grandma's condition requires a comprehensive and thorough evaluation. It is advisable to consult her attending physician during the routine follow-up visit. If Grandma experiences symptoms such as fatigue, weakness, nausea, headache, or drowsiness, she should seek medical at...

[Read More] Understanding Low Sodium Levels: Causes and Connections to Heart Rate


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