Dr. Lin Wuxuan reply Internal Medicine Question - Page 2

Hypertension and Elevated Creatinine Levels Dear Dr. Lin, Last December, my serum creatinine level was 0.78 mg/dL, with a glomerular filtration rate (GFR) of 122.6 mL/min. I weighed 64 kg and was 170 cm tall. This October, my serum creatinine increased to 0.9 mg/dL, and my micro...

Urinary occult blood. Glomerular filtration rate? Hello Dr. Lin, I would like to ask about the significance of my urine occult blood test results. Initially, it was 4+, and after 4 months, it changed to 5. Is this an improvement or a worsening for my kidneys? I have a history of ...

Minimal Change Disease in Nephrotic Syndrome Conditions for various types of nephritis include one of the following: 1. Chronic renal impairment confirmed by examination, with serum creatinine greater than 2 mg/dL and creatinine clearance less than 50 mL/min. 2. Histopathological...

Renal dysfunction and proteinuria issues? In March, I underwent a medical examination due to my job (lifting heavy objects) and was found to have proteinuria (500 mg/dL), a glomerular filtration rate (GFR) of 50 mL/min, and a creatinine level of 1.6 mg/dL. I have been receiving t...

Sudden increase in urinary protein levels? Hello Doctor, my urine protein levels skyrocketed from below 30 to 106 between June 7 and July 11, along with increases in microalbumin and urine albumin-to-creatinine ratio, while other urine tests remained normal. I was hospitalized in...

Thyroid enlargement issue? Hello Doctor: My current issue is related to my thyroid examination. I had an ultrasound that revealed one side is 2 cm thick, along with 2 or 3 nodules measuring 0.4 cm, but my blood test results are all within the normal range. I would like to ask why...

Abnormal creatinine levels in health check-ups? Hello Doctor, during my health check last month, my creatinine level was abnormal (0.58), blood urea nitrogen was 11, and the urine test showed normal values except for urine ketones at 1+. I had a poor appetite that month due to st...

Issues After Drinking Alcohol Hello Doctor, I had dinner with my colleagues tonight and drank about three bottles of beer, approximately 1800ml. Although I only feel slightly intoxicated, after taking a shower at home, I noticed a strange sensation in my right calf muscle. It fee...

Diet for Kidney Disease I would like to ask the doctor if patients with kidney disease can drink unsweetened lemon water? (Currently in a mildly low sodium and low potassium state) Thank you.

At what stage of a patient's condition is dialysis necessary? Hello Doctor, my grandmother was recently admitted to the emergency room due to pulmonary edema. After evaluation, the doctor determined that she needed urgent hemodialysis for rescue and then to monitor her recov...

Antihypertensive medication If you are currently taking carvedilol (a beta-blocker) for hypertension but are experiencing issues with gum swelling and abscesses, there are alternative classes of antihypertensive medications that you could consider. For example, you might discuss ...

Accidental ingestion issues? If someone accidentally ingests 20 grams of borax, will they die immediately? If taken to the hospital, can they be saved?

Urinary issues and proteinuria? Hello, doctor. On the evening of May 2nd, I visited a traditional Chinese medicine practitioner and explained that my urine in the morning was darker yellow, with a lot of bubbles that lasted longer than ten minutes. Aside from the first morning ur...

Childhood parasitic infections Hello Dr. Lin, I apologize for the interruption! I would like to ask what to do if my elementary school daughter has a pinworm infection. The other night, she woke up in the middle of her sleep complaining of itching around her buttocks. Upon checki...

Ultrasound Kidney Size Hello, doctor. I have been monitoring my hematuria under a microscope. Recently, I underwent a complete abdominal ultrasound, including a bladder scan after drinking water. The report indicated that the size and echogenicity of both kidneys are normal, with...

Not sure which specialty to see? Hello, doctor. I have been experiencing discomfort in my upper right abdomen (not a constant pain, nor a sharp pain) for almost two years. It feels like there is something inside, and occasionally pressing on the right upper rib causes pain. I con...

For patients with chronic kidney dysfunction, diabetes, and hypertension, it is important to follow a diet that helps manage these conditions. Here are some dietary recommendations: 1. **Limit Sodium Intake**: Reduce salt consumption to help control blood pressure. Aim for less ...

Proteinuria 2+ Hello Dr. Lin, I have had a frequent urination problem since my school days. To avoid affecting my classes and work, I often hold my urine. During routine health check-ups, I have had hematuria, but my recent labor health check showed normal results for hematuria. ...

Diagnosis of Mediterranean or Iron Deficiency Anemia WBC 5.8, RBC 5.49, HB 11.3, HCT 35.2, PLT 243, MCV 64, MCH 20.6, MCHC 32.3, RDW 15.10, PDW 16.8, HB-A1 94.4, HB-A2 5.6, HB-F 0.00. The test results suggest a possible diagnosis of thalassemia. Should I go to the hospital for fu...

Hemodialysis Hello, Dr. Lin! I am a dialysis patient and have been undergoing hemodialysis for nearly four years. In the past one to two years, I have been experiencing excessive flatulence during each dialysis session, and I also frequently pass gas during non-dialysis times. Is...