Understanding White Spots on the Kidney: Causes and Next Steps
White spots on the kidneys? Hello Dr. Wang, I recently had an abdominal ultrasound, and the doctor found a small white spot on my left kidney. Should I be concerned about this? What could be the possible causes? Do I need to see a nephrologist for further evaluation? Currently,...
Dr. Wang Weijie reply Internal Medicine
Hello: According to your description, the meaning of the white spots is not clear enough. The abdominal ultrasound shows that the possible causes of the white spots could be stones or vascular calcification. It is recommended to visit a nephrology clinic for further follow-up. Si...[Read More] Understanding White Spots on the Kidney: Causes and Next Steps
Do Patients with Kidney Shrinkage Always Need Dialysis? Insights and Alternatives
Is dialysis necessary if kidney size has shrunk to 7.5-8.5 centimeters? Hello Dr. Wang: My mother visited the nephrology department at Veterans General Hospital last week with symptoms of nausea, loss of appetite, jaundice, and fatigue (BUN: 150, creatinine: 8). She has severe an...
Dr. Wang Weijie reply Internal Medicine
Hello, Your mother’s symptoms are indicative of uremia, chronic kidney failure accompanied by anemia. Ultrasound imaging shows renal atrophy, and dialysis will be necessary as long as her life continues. Dialysis, specifically hemodialysis, is a procedure that removes high leve...[Read More] Do Patients with Kidney Shrinkage Always Need Dialysis? Insights and Alternatives
Living with One Kidney: Essential Tips After Left Nephrectomy
Unilateral nephrectomy Hello, doctor. I had a car accident that resulted in the complete removal of my left kidney. What should I pay attention to in my daily life moving forward? Now that I only have my right kidney, will it have a greater burden? Are there any specific consider...
Dr. Wang Weijie reply Internal Medicine
Hello: There are no special precautions for daily life in the future. Regular outpatient follow-up is required. Dietary recommendations should follow a general balanced diet. Sincerely, Dr. Wang Wei-Jie, Internal Medicine.[Read More] Living with One Kidney: Essential Tips After Left Nephrectomy
Understanding Height Growth Issues During Adolescence: Hormonal Factors
My height? I am in the third year of junior high school and have been in puberty for about 3 to 4 years. However, last year my height only increased by about 2 centimeters compared to the year before. Recently, I measured my height again, and not only did it not increase, but it ...
Dr. Wang Weijie reply Internal Medicine
Hello: Throughout a person's life, growth hormone is produced by the pituitary gland. The production of growth hormone is highest during infancy and puberty, peaking around the age of 20, when levels can reach up to 600 micrograms per 24 hours. However, after the age of 21, ...[Read More] Understanding Height Growth Issues During Adolescence: Hormonal Factors
Understanding Chronic Lower Back Pain: Kidney Issues or Circulation Problems?
Frequent lower back pain? Hello: One day, I suddenly experienced severe pain in my right lower back, which radiated down to my leg, making it difficult for me to stand up. I have undergone physical therapy, but there has been no improvement, and I am worried that there might be a...
Dr. Wang Weijie reply Internal Medicine
Hello, if you are concerned about kidney disease, it is advisable to visit a hospital for a blood test to check kidney function, specifically BUN and creatinine levels, which are indicators of renal function. In outpatient settings, common causes of lower back pain in young women...[Read More] Understanding Chronic Lower Back Pain: Kidney Issues or Circulation Problems?
Understanding Chronic Left-Sided Lower Back Pain: Causes and Solutions
Left-sided lower back pain? I often experience pain on the left side of my lower back. It has been going on for quite some time, averaging almost daily discomfort. When I palpate the area, I can't pinpoint the exact location of the pain, but it consistently occurs in the sam...
Dr. Wang Weijie reply Internal Medicine
Hello, there are many potential causes of lower back pain. Here are some common examples: 1. Acute pyelonephritis may sometimes be accompanied by fever. Diagnosis can be made through urinalysis and urine culture, where white blood cells and bacteria can be seen in significant a...[Read More] Understanding Chronic Left-Sided Lower Back Pain: Causes and Solutions
Menopause and Pregnancy-Related Pain: Which Specialist to Consult?
Menopause For adults experiencing menopause, they should visit a gynecology clinic. Regarding your second question, if your wife is experiencing pain at the junction of the hip and spine during pregnancy, which persists even after childbirth, it would be appropriate to consult ...
Dr. Wang Weijie reply Internal Medicine
For women experiencing menopause, they should visit the obstetrics and gynecology department, while men should consult the urology department. If there is unexplained pain at the junction of the buttocks and spine when turning at certain angles, to the extent that it hinders move...[Read More] Menopause and Pregnancy-Related Pain: Which Specialist to Consult?