Understanding Declining GFR: Is Your Kidney Health at Risk?
Health check for kidney issues? Hello, doctor. I would like to ask if a decrease in glomerular filtration rate (GFR) is concerning. Over the past few years, my GFR has been around 120, but in January of last year, it was 99, and after another test in August, it dropped to 94. Is ...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Generally speaking, if the glomerular filtration rate (GFR) is between 60 and 90, chronic kidney disease (CKD) should only be diagnosed if there is accompanying proteinuria or structural abnormalities of the kidneys. If neither is present, it is recommended to follow up wi...[Read More] Understanding Declining GFR: Is Your Kidney Health at Risk?
Understanding Kidney Function: GFR and Creatinine Levels Explained
Kidney examination issues? I would like to ask the doctor: I am 48 years old. I went to the hospital for a blood test, and the results showed a creatinine level of 0.92, with an estimated GFR of 60 (88 is for reference) ml/min/1.73㎡. Is the glomerular filtration rate 88? Is my ki...
Dr. Lin Wuxuan reply Internal Medicine
Hello: This kidney function report is within the normal range.[Read More] Understanding Kidney Function: GFR and Creatinine Levels Explained
Which Test is Best for Detecting Heavy Metal Poisoning: Hair, Blood, or Urine?
To determine if there is heavy metal poisoning, one should check hair, blood, or urine. Which one is appropriate? Hello, doctor. I have frequently been exposed to various strange pigments in the past, which contained heavy metals, but I have not been exposed for a long time. If I...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Generally speaking, different heavy metals have different detection methods, but most can be assessed through blood tests and urine tests to determine their levels.[Read More] Which Test is Best for Detecting Heavy Metal Poisoning: Hair, Blood, or Urine?
Understanding Tongue Impressions: When to Seek Medical Advice
The tongue has indentations or teeth marks? You originally had some indentations on the left side of your tongue that have been present for a while. Recently, over the past couple of days, you have noticed more indentations, an increase in tongue coating, and a prickling sensatio...
Dr. Lin Wuxuan reply Internal Medicine
Hello! It is recommended to adjust your diet and daily routine first, and then monitor your condition. If discomfort persists, please visit an otolaryngologist. Thank you.[Read More] Understanding Tongue Impressions: When to Seek Medical Advice
Why Do Blood Genetic Test Results Take Almost a Month?
Blood genetic testing Hello, doctor. Why does it take almost a month to receive the test results?
Dr. Lin Wuxuan reply Internal Medicine
Hello, could you please provide detailed information about the examination items? Generally, genetic-related tests may take approximately 7 to 14 business days, depending on the specific tests required. The exact testing timeline can only be determined based on the specific items...[Read More] Why Do Blood Genetic Test Results Take Almost a Month?
Understanding Abdominal Pain: When to Seek Medical Help for Your Loved One
Abdominal bloating and pain? My father is 58 years old. He usually smokes and drinks alcohol, and often doesn't finish his meals, eating in several portions. Since I started visiting him last year, I've noticed he has been gradually losing weight because he feels full a...
Dr. Lin Wuxuan reply Internal Medicine
Hello! It is recommended to first visit the family medicine department or the gastroenterology and hepatology outpatient clinic at the hospital. After evaluation by a physician, further examinations and treatments can be arranged. Thank you.[Read More] Understanding Abdominal Pain: When to Seek Medical Help for Your Loved One
Understanding Abnormal eGFR: Insights into Kidney Function Issues
Experience reports indicate abnormal glomerular filtration rate? Hello Doctor, the results of my recent tests show a creatinine level of 0.84, BUN of 13, and eGFR of 86.4 (indicating a significant abnormality). My albumin level is 4.3, and I weigh 48 kg. I have a low skeletal mus...
Dr. Lin Wuxuan reply Internal Medicine
Hello! It is recommended that you bring your health check-up report to a family medicine or nephrology clinic for evaluation by a physician. Thank you.[Read More] Understanding Abnormal eGFR: Insights into Kidney Function Issues
Is Frequent Urination Linked to Kidney Health Issues?
Is there a relationship between frequent urination and the kidneys? Hello doctor, I have been experiencing frequent urination, more than 8 times a day, with each voiding around 50, 100, or 150 ml, and sometimes it can reach 200 ml. The color of my urine is deep yellow in the morn...
Dr. Lin Wuxuan reply Internal Medicine
Hello, Yaxun. If the frequency of urination increases, it could indeed indicate a problem with the kidneys. However, it may also be due to excessive fluid intake or psychological factors such as anxiety and stress leading to psychogenic polydipsia. Other potential causes include ...[Read More] Is Frequent Urination Linked to Kidney Health Issues?
Understanding Fluctuations in Glomerular Filtration Rate: What You Need to Know
Glomerular filtration rate (GFR) issues? Hello Doctor: I would like to inquire about my glomerular filtration rate (GFR) results from my blood tests. In December 2020, my GFR was 100.6, in May 2021 it was 119.6, and in November 2021 it was 85.3. My concern is why today's GFR...
Dr. Lin Wuxuan reply Internal Medicine
Hello Ms. Chen, the glomerular filtration rate (GFR) only reflects kidney function, so there is no need to worry too much. If there are additional concerns such as proteinuria, hematuria, abnormalities in ultrasound examinations, or other chronic conditions, please consult a neph...[Read More] Understanding Fluctuations in Glomerular Filtration Rate: What You Need to Know
Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Chronic Kidney Disease Treatment Hello Dr. Lin, I am a patient with chronic kidney disease (stage 3B) and have high proteinuria (approximately 1600-2200 mg/g). My blood sugar levels are also elevated, with a hemoglobin A1c of about 6.1 and a blood glucose level of approximately 1...
Dr. Lin Wuxuan reply Internal Medicine
Hello Mr. Zeng, the glomerular filtration rate may decline due to aging, diseases, and other factors. It is advisable to discuss with your attending physician before starting new medications or adjusting dosages. Thank you.[Read More] Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Understanding Low Blood Pressure: Symptoms, Diagnosis, and Treatment Options
Consultation for Symptoms of Hypotension Currently, my average blood pressure is 90-105/52-60, and I often feel fatigued. My nails appear slightly purple. What symptoms would suggest that I should go to the hospital for low blood pressure? What tests are typically performed to de...
Dr. Lin Wuxuan reply Internal Medicine
Hello Liu, it is recommended to first consult with a family medicine or general internal medicine outpatient clinic. Based on the physician's assessment, further management can be determined. Thank you.[Read More] Understanding Low Blood Pressure: Symptoms, Diagnosis, and Treatment Options
Can You Combine Western Medicine and Qingguan No. 1 for Bronchopneumonia?
Medication issues Can bronchopneumonia be treated with Western medicine and Qingguan No. 1 together?
Dr. Lin Wuxuan reply Internal Medicine
Hello! It is generally recommended to space medications at least 1 hour apart. However, since each individual's condition and medication circumstances may vary, it is advisable to consult with the prescribing physician. Thank you.[Read More] Can You Combine Western Medicine and Qingguan No. 1 for Bronchopneumonia?
Does a Temperature of 37.4 Affect Blood Test Results?
Is a body temperature of 37.4 degrees Celsius acceptable for a medical examination? Recently, antibodies for the Human T-Lymphotropic Virus (HTLV) were detected during blood donation. Yesterday, my body temperature was 37.4°C. I would like to know if this will affect my white blo...
Dr. Lin Wuxuan reply Internal Medicine
According to the Taiwan Blood Services Foundation data (https://www.blood.org.tw/Internet/main/docDetail.aspx?uid=7396&pid=6381&docid=29179), the following is an excerpt: 1. Human T-lymphotropic virus (HTLV) is primarily divided into two types: HTLV-I and HTLV-II. 2. HTLV...[Read More] Does a Temperature of 37.4 Affect Blood Test Results?
Understanding IgA Nephropathy Treatment Options and Concerns
Treatment options for IgA nephropathy? Hello, Doctor! Recently, I had a kidney biopsy, and when reviewing the report, my attending physician asked me to take a picture of the report with my phone so I could look up the information at home. He only mentioned that the biopsy result...
Dr. Lin Wuxuan reply Internal Medicine
IgA nephropathy has different treatment approaches depending on the individual's condition. If there are any concerns, it is advisable to return for a follow-up and consult the primary physician for clarification. Thank you.[Read More] Understanding IgA Nephropathy Treatment Options and Concerns
Managing Varicocele: Exploring Traditional Chinese Medicine Options
Varicocele Hello Doctor, I received the Moderna vaccine last week and subsequently developed gastroenteritis (with watery diarrhea) two days later. During work, I suddenly noticed some pain when touching my testicles. As I became more anxious, I frequently checked the situation, ...
Dr. Lin Wuxuan reply Internal Medicine
Please continue to monitor the situation. If there is no improvement in the condition with medication treatment, or if new symptoms arise, it is recommended to return for a consultation with the original treating physician to discuss whether medication adjustments are necessary. ...[Read More] Managing Varicocele: Exploring Traditional Chinese Medicine Options
Can Red Yeast Rice and Nitric Oxide Supplements Be Safe with Blood Pressure Meds?
Antihypertensive medications, red yeast rice, and nitric oxide? My husband is 43 years old and has been taking blood pressure medication (Lisinopril and Amlodipine) for about six months. Can he take red yeast rice or nitric oxide-related health supplements?
Dr. Lin Wuxuan reply Internal Medicine
Hello: Since we are unable to ascertain the current health status of the gentleman, it is recommended to bring the dietary supplements he wishes to take to his regular outpatient physician for consultation. Thank you for your inquiry.[Read More] Can Red Yeast Rice and Nitric Oxide Supplements Be Safe with Blood Pressure Meds?
Can I Take Cialis 5mg After Blood Pressure Medication?
Can I use Cialis 5mg while taking antihypertensive medication for blood pressure control? A 66-year-old patient taking Lisinopril in the morning for blood pressure control can take 5 mg of Cialis (Tadalafil) after dinner in the evening. However, it is important to monitor for any...
Dr. Lin Wuxuan reply Internal Medicine
Hello: When using both medications together, it is important to monitor blood pressure. If there are any abnormalities in blood pressure, you should consult your healthcare provider. If there are no blood pressure abnormalities, there should be no significant concerns about using...[Read More] Can I Take Cialis 5mg After Blood Pressure Medication?
Concerns About HIV Infection After Blood Glucose Testing: What You Need to Know
Fear of contracting HIV/AIDS? Hello, doctor! I just went to the pharmacy to buy a blood glucose meter, and the pharmacist was helping me test it. He said there were no lancets inside, so he tried it on himself first, and then it was my turn to try. I ended up bleeding! I realized...
Dr. Lin Wuxuan reply Internal Medicine
Hello: If you and the pharmacy staff have both been pricked by the same needle, it is recommended to visit the family medicine outpatient department at a hospital. Please inform the attending physician of your situation in detail; they will arrange appropriate tests and follow-up...[Read More] Concerns About HIV Infection After Blood Glucose Testing: What You Need to Know
Understanding Abdominal Issues After Vaccination and Trauma
Abdominal issues? A few days ago, I was hit hard in the abdomen by a classmate, and I also received the BNT vaccine that day. The next morning, I experienced excessive flatulence, accompanied by some fecal matter, and I continued to pass gas frequently. I would like to know if th...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Based on the situation you described, it appears to be a mild abdominal contusion. It is recommended to rest and monitor your symptoms. If there is a trend of worsening symptoms, it is advisable to visit the emergency department to rule out the possibility of internal blee...[Read More] Understanding Abdominal Issues After Vaccination and Trauma
Understanding Chest Pain: Causes and Concerns for Your Symptoms
Chest tightness and pain? Hello doctor, two days ago I woke up with a feeling of tightness and pain in my left chest. When I turn over in bed, I experience sharp pain, and I also feel the same sharp pain when I turn my head. However, when I walk or run, I don't feel the shar...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Based on your symptoms, the first thing that needs to be ruled out is an acute upper respiratory infection. It is recommended that you visit a nearby clinic or seek treatment at the family medicine or otolaryngology department of a hospital. Thank you for your inquiry.[Read More] Understanding Chest Pain: Causes and Concerns for Your Symptoms