Understanding Your Creatinine Level: Is 0.61 a Cause for Concern?
Creatinine 0.61 Hello doctor, I would like to ask you about my health check-up results. I saw that my creatinine level is 0.61. Does this indicate any kidney issues? Do I need dialysis? How can I improve this? I really don't want dialysis or surgery; I'm very scared...
Dr. Wang Weijie reply Internal Medicine
Hello, Student Chang! The creatinine level of 0.61 in your health check report is within the normal range. It is recommended to drink 2000cc of water daily and maintain a regular diet and lifestyle. Wishing you peace and good health. Sincerely, Dr. Wang Wei-Jie, Attending Physici...[Read More] Understanding Your Creatinine Level: Is 0.61 a Cause for Concern?
Understanding Decreased Kidney Function: When to Adjust Diet and Exercise
Decreased renal function? Hello Dr. Wang, At the end of last year, my health check showed the following kidney function values: blood urea nitrogen (BUN) 18.0 mg/dL, creatinine 1.2 mg/dL, and glomerular filtration rate (GFR) 78 mL/min. Since mid-year, I have started exercising a...
Dr. Wang Weijie reply Internal Medicine
Hello, due to your high-protein diet and long-term exercise habits, it is likely that your muscle mass has increased, which may result in elevated levels of creatinine and blood urea nitrogen in your bloodstream compared to the average person. This can lead to a decrease in the e...[Read More] Understanding Decreased Kidney Function: When to Adjust Diet and Exercise
Understanding Edema Related to Kidney Issues: A Patient's Guide
Edema caused by kidney problems? Hello Dr. Wang, I have a question I would like to ask. About two and a half years ago, I was diagnosed with nephrotic syndrome, and since then I have been taking steroids and mycophenolate mofetil. During the process of tapering the medication, I ...
Dr. Wang Weijie reply Internal Medicine
Hello, thank you for your message. Due to the complexity of your condition, I welcome you to consult with me at my outpatient clinic. The clinic hours are every Tuesday and Friday morning. Wishing you peace, health, and well-being. Sincerely, Dr. Wang Wei-Jie, Attending Physician...[Read More] Understanding Edema Related to Kidney Issues: A Patient's Guide
Understanding Abnormal Urinalysis Results: When to Seek Medical Advice
Health examination report issues? Hello, I would like to inquire about a health check report. The urine test shows ketones at 3+ and protein at +/-; the blood test indicates neutrophil percentage at 76.2% and lymphocyte percentage at 18.4%, with the rest being normal. I'm un...
Dr. Wang Weijie reply Internal Medicine
Dear Patty, Ketones are metabolites produced from fat utilization when there is a lack of insulin. They can appear positive in conditions such as diabetes, starvation, diarrhea, and vomiting. Ketones are formed when fat metabolism is incomplete; normally, there are no ketones in...[Read More] Understanding Abnormal Urinalysis Results: When to Seek Medical Advice
Understanding Mild Chronic Kidney Dysfunction: Key Insights and Lifestyle Tips
Kidney function issues? Hello: In my recent health check-up in June, my serum creatinine (Cr) level was 1.01, blood urea nitrogen (BUN) was 10, and glomerular filtration rate (GFR) was 85. An ultrasound examination revealed a right renal cyst (0.7 cm) and bilateral renal calculi ...
Dr. Wang Weijie reply Internal Medicine
Mr. Tsao: Hello, the glomerular filtration rate (GFR) is calculated based on your serum creatinine level along with your age, gender, and weight. Your value falls within stage 2 of chronic kidney disease (CKD). However, based on your description of the kidney ultrasound report an...[Read More] Understanding Mild Chronic Kidney Dysfunction: Key Insights and Lifestyle Tips
Understanding Kidney Swelling from Excessive Water Intake
Kidney problems Hello, doctor! I would like to ask you a question. Recently, in a health education program, a medical expert mentioned that if a person drinks more than 1000cc (1 liter) of water in one go, it can show a state of renal edema on ultrasound imaging. I would like to ...
Dr. Wang Weijie reply Internal Medicine
Hello: Kidney function needs to be assessed through examinations (blood tests, urine tests, imaging studies, etc.); there are many causes for kidney edema, which also require testing to determine. Drinking water is a natural act, but healthy hydration is also a science. It is adv...[Read More] Understanding Kidney Swelling from Excessive Water Intake
Understanding Increased Urination: Is It Normal After Hydration?
Experiencing a quick urge to urinate after drinking water, along with a total urine output that exceeds the amount of water consumed, can indicate a condition known as polyuria. This may be associated with various factors, including diabetes mellitus, excessive fluid intake, or c...
Dr. Wang Weijie reply Internal Medicine
Hello, 1. Fluid intake includes both the water content in food and the amount of water consumed. Relying solely on water intake can lead to inaccuracies; it is advisable to check the specific gravity of urine and the presence of proteinuria to assess hydration status. 2. What...[Read More] Understanding Increased Urination: Is It Normal After Hydration?
Can You Be Discharged Within Hours After Rhabdomyolysis?
Rhabdomyolysis Is it possible to be discharged in just a few hours? Can one feel completely fine the next day? Is this feasible?
Dr. Wang Weijie reply Internal Medicine
Hello, "rhabdomyolysis" refers to the rapid and excessive damage to our skeletal muscles (striated muscles), leading to the destruction and necrosis of muscle cells. The affected muscles typically exhibit pain or tenderness, and there may be a decrease in muscle contrac...[Read More] Can You Be Discharged Within Hours After Rhabdomyolysis?
Understanding Kidney Cysts: What to Do When Diagnosed
Renal cysts Hello Doctor, I am asking on behalf of my mother. She has been experiencing hematuria and visited a clinic where the doctor prescribed anti-inflammatory medication. However, after a week of taking the medication, there was no improvement. The doctor recommended that s...
Dr. Wang Weijie reply Internal Medicine
Hello, renal cysts, commonly known as water bubbles or fluid tumors, are fluid-filled sacs that occur in the kidneys. Renal cysts can be classified into many types; some are hereditary while others are not. Some remain benign and do not affect the body. If you have any concerns, ...[Read More] Understanding Kidney Cysts: What to Do When Diagnosed
Is It Safe to Monitor Chronic Kidney Disease with Just Urine Tests?
Chronic Kidney Disease Follow-up Issues! A family member has stage 3 chronic kidney disease, and their lab values have been stable over the past year during follow-up visits. However, during this visit, the doctor informed them that blood tests are no longer necessary, and only a...
Dr. Wang Weijie reply Internal Medicine
Hello: In a stable condition, it is sufficient to perform a urine test to check for proteinuria. Urinary protein is the earliest indicator of kidney dysfunction... Wishing you safety and health, Deputy Director Wang Wei-Jie, Taoyuan General Hospital, Ministry of Health and Welfar...[Read More] Is It Safe to Monitor Chronic Kidney Disease with Just Urine Tests?
Understanding Kidney Function: Is Your GFR Too Low?
Kidney problems Hello, doctor! I recently received my health check report, which shows a serum creatinine level of 1.23 mg/dL and a glomerular filtration rate (GFR) of 77.51. There were no signs of hematuria or proteinuria. I would like to ask if my GFR is considered low, as I ha...
Dr. Wang Weijie reply Internal Medicine
Hello: In healthy individuals without proteinuria, a glomerular filtration rate (eGFR) greater than 80 ml/min is considered normal. If there is foamy urine, it may indicate proteinuria, and it is recommended to follow up with a nephrologist. Chronic kidney disease is classified i...[Read More] Understanding Kidney Function: Is Your GFR Too Low?
Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Unexplained urethritis? Hello Dr. Wang, I have experienced a burning sensation during urination and pain at the urethral opening three times in the past two months. However, each time I have undergone urinalysis, the results have been normal, and no infection has been identified,...
Dr. Wang Weijie reply Internal Medicine
Dear Ms. Wu, Thank you for your letter. A urinary tract infection (UTI) occurs when bacteria invade the urinary system, leading to infection. Common symptoms include: 1. A burning sensation, pain, difficulty urinating, frequent urination, nocturia, cloudy urine, or hematuria dur...[Read More] Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Which Specialist to Consult for Low Alkaline Phosphatase and Anemia?
Which specialty should I see? Hello: Problem description: I have been on dialysis for five and a half years, and my alkaline phosphatase levels have consistently been below 30, which is quite low. Online searches suggest a connection with anemia, and it is recommended to consul...
Dr. Wang Weijie reply Internal Medicine
Hello, thank you for your message. Regarding your question, laboratory medicine primarily utilizes various tools in the laboratory to assist in the assessment of health status and physiological functions in preventive medicine, as well as in the diagnosis, evaluation, treatment, ...[Read More] Which Specialist to Consult for Low Alkaline Phosphatase and Anemia?
Understanding Kidney Pain: Common Causes and Concerns
Kidney pain Doctor Wang, why does my mother often experience kidney pain?
Dr. Wang Weijie reply Internal Medicine
Hello, the kidneys are located in the retroperitoneal space, and approximately 97% of the causes of pain in most individuals are due to mechanical factors (including muscle strains, sprains, and spinal issues). Among these, over 70% are attributed to lumbar strains, while 4% are ...[Read More] Understanding Kidney Pain: Common Causes and Concerns
Understanding Sudden Chest Pain: Is It Asthma or Heart Issues?
Chest pain or angina? I have been experiencing sudden chest pain for a week, with each episode lasting 5 to 10 minutes. The pain is severe enough to make me feel nauseous and cause difficulty breathing and shortness of breath. It even extends to abdominal pain. I have no worries,...
Dr. Wang Weijie reply Internal Medicine
Hello, a simple symptom statement can sometimes make it difficult to determine the condition. It is advisable to discuss with a cardiologist and undergo appropriate examinations to confirm the diagnosis. Dr. Lin Chi-Hsiung.[Read More] Understanding Sudden Chest Pain: Is It Asthma or Heart Issues?
Chronic Kidney Disease (Membranous): Treatment, Management, and Concerns
Chronic Kidney Disease (Membranous) Is chronic glomerulonephritis (membranous) always destined to require dialysis in the end? If treatment and management are ongoing, what should be noted in daily life? Will conditions like cold, fever, blood tests for creatinine, and albuminuri...
Dr. Wang Weijie reply Internal Medicine
Hello, for membranous nephropathy (chronic nephritis), it is recommended to identify the underlying causes, manage diet, proteinuria, and blood pressure. Dialysis may not be inevitable. It is advised to follow up at a nephrology clinic for further consultation. Wishing you peace ...[Read More] Chronic Kidney Disease (Membranous): Treatment, Management, and Concerns
Understanding Side Abdominal Pain: Causes and Solutions
Pain on both sides of the abdomen? I would like to ask a question. Recently, I have been experiencing pain on both sides of my abdomen. Additionally, eating causes significant pain, and my stomach feels bloated and does not seem to go down. What could be the cause of this?
Dr. Wang Weijie reply Internal Medicine
Dear Mimi: Hello, the organs in the abdominal cavity include the lower esophagus, stomach, duodenum, jejunum, ileum, cecum, and appendix, as well as the ascending colon, transverse colon, descending colon, sigmoid colon, and rectum, liver, kidneys, pancreas, and spleen. It is rec...[Read More] Understanding Side Abdominal Pain: Causes and Solutions
Understanding Kidney Sand: Risks, Prevention, and Follow-Up Care
Renal ultrasound shows the presence of calculi (stones)? Hello doctor, during a health check-up, an ultrasound was performed, and it was noted that my kidneys appear to have some sand. The doctor mentioned that drinking water, exercising, and going to bed early can help metaboliz...
Dr. Wang Weijie reply Internal Medicine
Hello, most patients with kidney stones are asymptomatic unless the stones drop from the kidneys into the ureters, causing a blockage of urine flow. Common symptoms include flank pain, sweating, severe pain leading to dizziness, nausea, vomiting, restlessness, abdominal discomfor...[Read More] Understanding Kidney Sand: Risks, Prevention, and Follow-Up Care
Managing Membranous Nephropathy: Treatment Options and Lifestyle Tips
Membranous nephropathy Before treatment for membranous nephropathy, proteinuria was between 1-2 grams, and albumin was above 1000. After treatment, proteinuria decreased to below 0.5 grams (minimum 0.17), and albumin fluctuated between 300-500 (minimum 100). With continued treatm...
Dr. Wang Weijie reply Internal Medicine
Dear Hong, Hello. Membranous nephropathy is an important glomerular disease that can lead to end-stage renal disease, especially in cases with severe proteinuria reaching nephrotic syndrome. In a ten-year follow-up, 30-40% of patients with this condition progress to renal failur...[Read More] Managing Membranous Nephropathy: Treatment Options and Lifestyle Tips
Understanding Right Flank Pain: When to Consult a Nephrologist
It is unclear whether this phenomenon is related to renal pathology? Hello, I have been experiencing a dull ache and discomfort in my right lower back every morning upon waking up for the past week. I do not have any urgency to urinate or any other urinary symptoms. I'm unsu...
Dr. Wang Weijie reply Internal Medicine
Dear You-Hsin, Hello. The causes of low back pain (also known as lumbago) are approximately 97% due to mechanical factors, including muscle strains, sprains, and spinal issues. Among these, over 70% are due to lumbar sprains, 4% are due to herniated discs, and 1% are due to non-...[Read More] Understanding Right Flank Pain: When to Consult a Nephrologist