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Understanding Lower Back Pain: When to Seek Medical Attention

Pain in the lower back, noticeable when turning over and walking? Two days ago, while I was sleeping, I turned over and felt a sharp pain in my lower back. I initially thought it was due to sitting too long at work during the day. However, the next morning, the pain persisted, an...


Dr. Wang Weijie reply Internal Medicine
Dear Miss Peggy: Your symptoms appear to be indicative of acute pyelonephritis, which is characterized by fever, flank pain, dysuria, burning sensation, and increased urinary frequency. Symptoms can vary from person to person, and a correct diagnosis requires urine analysis and u...

[Read More] Understanding Lower Back Pain: When to Seek Medical Attention


Understanding Persistent Left-Sided Lower Back Pain: When to Seek Further Evaluation

Chronic low back pain Hello Doctor, I have been experiencing lower back pain for two months now. The pain is particularly noticeable on the left side, but it is not unbearable and does not worsen significantly with sitting or lying down. However, there have been two instances whe...


Dr. Wang Weijie reply Internal Medicine
Common examinations for low back pain in nephrology: 1. Urinalysis: This can initially determine whether the low back pain is caused by a disease. The presence of red blood cells in the urine may indicate kidney or ureteral stones, and in rare cases, tumors; the presence of white...

[Read More] Understanding Persistent Left-Sided Lower Back Pain: When to Seek Further Evaluation


Does a Sugar-Free, Oil-Free, and Starch-Free Diet Harm Kidney Health?

A diet that is free of sugar, oil, and starch may not necessarily harm the kidneys, but it is important to ensure that it is well-balanced and provides all essential nutrients. Extreme dietary restrictions can lead to deficiencies that may affect kidney function over time. It is ...


Dr. Wang Weijie reply Internal Medicine
Hello: A diet that is free of sugar, oil, and starch falls under the category of an unhealthy "ketogenic" diet in nutritional science. This can lead to abnormal fat metabolism in the body, resulting in ketoacidosis. When the body has no caloric sources to utilize, and c...

[Read More] Does a Sugar-Free, Oil-Free, and Starch-Free Diet Harm Kidney Health?


Understanding Left Lower Back Pain After Exercise: When to See a Doctor

Lower back After exercising, I experience a sharp pain in the left lower back (around the area where the kidneys are located). What could this symptom be? After resting for two days, the pain seems to be less noticeable. Should I see a doctor?


Dr. Wang Weijie reply Internal Medicine
Hello: The symptoms you described seem to be caused by muscle strain after exercise, which typically improves with rest. Generally, poor posture is the most common cause of lower back pain. When it comes to kidney-related lower back pain, common causes include kidney infections a...

[Read More] Understanding Left Lower Back Pain After Exercise: When to See a Doctor


Struggling to Gain Weight: Tips for Improving Digestive Health

I want to gain weight because I have a poor physique! Dr. Wang: I am currently in the ninth grade and I am 15 years old. Although my height has improved (169 cm), my weight is still lower than that of my male classmates (50 kg). Is it because I have "digestive issues" a...


Dr. Wang Weijie reply Internal Medicine
Hello, I recommend that you first visit the outpatient clinic to see the Metabolism Department to check for any internal medicine or metabolic issues. If there are no problems, further examinations can be conducted. Wishing you good health. Sincerely, Dr. Wang Wei-Jie, Di...

[Read More] Struggling to Gain Weight: Tips for Improving Digestive Health


Understanding Constipation: Stress, Bloating, and Solutions for Teens

Constipation I am currently a ninth-grade student, and I have not been having regular bowel movements every day. Could stress be causing this? I also experience bloating, which prevents me from gaining weight. What can I do to improve this situation?


Dr. Wang Weijie reply Internal Medicine
Dear Jie, Hello! Generally speaking, the Department of Health's recommendations for a balanced diet include adequate fluid intake (about 8 cups or approximately 2000 cc per day), sufficient vegetables (around 3-6 servings), and a moderate amount of fruits (about 2 servings)...

[Read More] Understanding Constipation: Stress, Bloating, and Solutions for Teens


Signs of Kidney Issues: Understanding Symptoms and Early Warnings

Are there any issues with the kidneys? Recently, I've been feeling pain in the middle of my back on the left side, and my dark circles under the eyes have become more pronounced and unnatural. A friend mentioned that this might be concerning, so I would like to know what ear...


Dr. Wang Weijie reply Internal Medicine
Early screening for kidney disease can be determined through urine tests to check for proteinuria, hematuria, and glucose in the urine. The most common cause of lower back pain is poor posture, followed by conditions that may cause back pain, such as kidney stones or infections. ...

[Read More] Signs of Kidney Issues: Understanding Symptoms and Early Warnings


Understanding Chest Pain: When to Seek Medical Attention

Internal Medicine Hello, two months ago I often experienced chest pain. I thought taking painkillers would be enough. At first, it was manageable, but recently the pain has been accompanied by cold sweats and discomfort while breathing. Eating is usually normal, but sometimes I f...


Dr. Wang Weijie reply Internal Medicine
Dear Ms. Chiu, The most common cause of chest pain is related to cardiovascular issues. Your symptoms, which include pain that leads to sweating and discomfort in breathing, suggest that you should seek medical attention as soon as possible for evaluation. This may include tests...

[Read More] Understanding Chest Pain: When to Seek Medical Attention


Understanding High Uric Acid Levels: Causes, Treatments, and Lifestyle Tips

Regarding the issue of high uric acid levels? I would like to consult a doctor. I have a condition of elevated uric acid levels, with values between 11 and 12. Is the normal value 7? I discovered this issue three years ago when I suddenly experienced severe lower back pain and wa...


Dr. Wang Weijie reply Internal Medicine
Hello, Ayou: The uric acid level should be maintained below 7.0 mg/dL. The most common sites affected by gout are the joints, particularly the interphalangeal and metatarsophalangeal joints (especially the big toe). During an acute attack, colchicine is typically administered alo...

[Read More] Understanding High Uric Acid Levels: Causes, Treatments, and Lifestyle Tips


Understanding Pediatric Urticaria: Causes, Symptoms, Treatment, and Prevention

Pediatric Urticaria Urticaria, commonly known as hives, can be caused by various factors, including allergic reactions, infections, stress, and certain medications. The severity of symptoms can vary from mild itching and redness to more severe reactions, such as angioedema or ana...


Dr. Wang Weijie reply Internal Medicine
Dear Mr. Ke, (1) Urticaria, commonly known as hives, is characterized by raised, itchy red welts that often have distinct snake-like borders, with a central area that may fade. The size of the welts can vary, and many people have experienced urticaria at some point. (2) The cau...

[Read More] Understanding Pediatric Urticaria: Causes, Symptoms, Treatment, and Prevention


Effective Remedies for Persistent Lower Back Pain: When to Seek Help

Lower back pain? Hello. This morning when I woke up, I felt some soreness in my back and lower back. The symptoms persisted until I finished work. By around 10 PM, the soreness in my lower back turned into pain. Any position I tried caused unbearable pain. The lower back pain pre...


Dr. Wang Weijie reply Internal Medicine
There are many causes of lower back pain. It is recommended that you first consult a urologist or nephrologist to determine if there are any issues with the urinary system. If it is confirmed that there are no problems with the urinary system, you may then see an orthopedic speci...

[Read More] Effective Remedies for Persistent Lower Back Pain: When to Seek Help


Understanding Lower Back Pain: Is It a Kidney Issue?

Lower back pain? Hello Dr. Wang: My husband has been experiencing frequent lower back pain. Could this indicate a problem with his kidneys or kidney inflammation? Thank you, Dr. Wang.


Dr. Wang Weijie reply Internal Medicine
1. To determine whether there is kidney inflammation or infection, a urine test is necessary to check for the presence of white blood cells and bacteria. 2. Common causes of lower back pain include poor posture, which accounts for 85% of cases, while other possible causes include...

[Read More] Understanding Lower Back Pain: Is It a Kidney Issue?


Understanding High Uric Acid and Its Impact on Kidney Health

Uric acid issues? Hello, doctor: Recently, I participated in a health check-up, and the abdominal ultrasound report indicated that there are bilateral renal calcifications (gouty nephropathy) in the kidneys. The examining physician mentioned that this is caused by my elevated uri...


Dr. Wang Weijie reply Internal Medicine
1. Bilateral renal calcifications may indicate the presence of calcified spots within the kidneys, which cannot be confirmed by other means. This could be one of the manifestations of hyperuricemia or hypercalcemia. If accompanied by hyperuricemia, controlling uric acid levels (t...

[Read More] Understanding High Uric Acid and Its Impact on Kidney Health


Understanding Left-Sided Lower Back Pain: Possible Kidney Issues?

Lower back pain? I have pain on the left side of my lower back extending at a 45-degree angle to my spine. I feel soreness in certain positions, but the right side is fine. Recently, I noticed some swelling. Four months ago, I had a record of high protein in my urine. I would lik...


Dr. Wang Weijie reply Internal Medicine
Hello: To determine if there is kidney disease, a urinalysis can provide the necessary information. The cause of low back pain is often related to poor posture, resulting in neuromuscular pain. Correcting posture and the use of analgesics can lead to improvement. Another cause is...

[Read More] Understanding Left-Sided Lower Back Pain: Possible Kidney Issues?


Understanding the Risks of Black Fly Bites: A Patient's Journey

Bite from a black fly? Hello Dr. Wang: My medical issue began as follows, and I hope you can help me. Thank you in advance! Many years ago, while camping by a stream near Pinglin, Taipei, I was bitten by a black fly (similar to a housefly). The bite felt like a knife cut and bled...


Dr. Wang Weijie reply Internal Medicine
Hello: I recommend that you consult an infectious disease specialist for diagnosis and treatment. Sincerely, Dr. Wang Wei-Jie, Internal Medicine.

[Read More] Understanding the Risks of Black Fly Bites: A Patient's Journey


How Much Water Should Seniors Drink Daily in Summer?

How much water should elderly individuals drink daily during the summer? Hello, doctor. My grandmother had a stroke nearly a year ago and is unable to speak or move. Now that it's summer, she is at home on the first floor where there is good ventilation. She is being fed wit...


Dr. Wang Weijie reply Internal Medicine
Hello: The issue you mentioned regarding fluid intake should be assessed for potential heart and kidney dysfunction (renal failure). Generally speaking, the recommended daily fluid intake can be estimated by taking the patient's urine output from the previous day (24 hours) ...

[Read More] How Much Water Should Seniors Drink Daily in Summer?


Essential Tests for Height Development Issues: What to Expect

Height I am currently around 157 cm tall. If I want to check what factors have affected my height development, what tests would the doctor perform? Also, do I need to schedule a separate appointment for the tests, or can they be done during the consultation?


Dr. Wang Weijie reply Internal Medicine
Hello Ray: Height is primarily determined by genetic inheritance. However, certain endocrine issues such as sex hormones, growth hormone, and thyroid function can also have an impact. The examination processes may vary among hospitals, so please consult the hospital for relevant ...

[Read More] Essential Tests for Height Development Issues: What to Expect


Should I Continue Taking These Medications for My Migraine?

Can these medications be taken? I have a question to ask! I went to the hospital to see a doctor in the internal medicine department because I was experiencing "headaches." The doctor informed me that I have migraines and checked my blood pressure, which was normal. Bef...


Dr. Wang Weijie reply Internal Medicine
Hello: Each individual's constitution reacts differently to medications. Generally speaking, when taken at normal doses, adverse reactions should not occur. If similar side effects do arise, discontinuation of the medication is advised. Sincerely, Dr. Wang Wei-Jie, Internal ...

[Read More] Should I Continue Taking These Medications for My Migraine?


Why Does Overnight Work Cause Left Stomach Pain?

Experiencing pain on the left side of the abdomen after working overnight? Why does the left side of the stomach hurt when working overnight? Could it be a sign of some illness?


Dr. Wang Weijie reply Internal Medicine
Hello: Pain on the left side of the abdomen (left abdominal pain) may be related to issues with the stomach, pancreas, small intestine, kidneys, or muscular, skeletal, and nerve problems. However, there are no specific diseases particularly associated with staying up late. Sincer...

[Read More] Why Does Overnight Work Cause Left Stomach Pain?


Post-Discharge Care for Rhabdomyolysis: Managing Pain and Complications

Post-care for rhabdomyolysis? Hello, In early May, my brother experienced a series of complications due to rhabdomyolysis. Fortunately, it was detected early, and all complications, including acute renal failure, have been effectively managed by the doctors. He is now able to b...


Dr. Wang Weijie reply Internal Medicine
Hello: Generally, symptoms of rhabdomyolysis should improve after treatment. The swelling and pain in the right leg indicate that there are still some lesions that have not been resolved. It is recommended that the patient go to the hospital for further examination. Sincerely, Dr...

[Read More] Post-Discharge Care for Rhabdomyolysis: Managing Pain and Complications


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