Understanding Right-Sided Back Pain: Causes and When to Seek Help
Back pain Hello, doctor: I have been experiencing significant pain on the right side of my back near the spine (approximately at the level just below the rib cage) for the past couple of days. It is quite painful when pressed, and there is discomfort even without pressure, althou...
Dr. Wang Yiming reply Internal Medicine
The area you are referring to is precisely the location of the right kidney, and any issues with the kidney could potentially manifest these symptoms. It is advisable for you to consult a nephrologist or urologist at a hospital and have your urine tested, as it can provide us wit...[Read More] Understanding Right-Sided Back Pain: Causes and When to Seek Help
Understanding Dialysis and Kidney Removal in Diabetic Patients
Dialysis and nephrectomy? Patients with diabetes currently undergoing dialysis have been diagnosed with kidney disease requiring nephrectomy. Doctor, may I ask: 1. Is there still any kidney function remaining after starting dialysis? 2. Can both kidneys be removed simultaneously?
Dr. Wang Yiming reply Internal Medicine
1. Although a patient is undergoing dialysis, the residual kidney tissue still retains several functions, such as the ability to excrete a small amount of water, produce erythropoietin (EPO), and generate various endocrine substances that influence blood pressure. 2. If possible,...[Read More] Understanding Dialysis and Kidney Removal in Diabetic Patients
Managing Blood Pressure Issues in Hemodialysis Patients: Key Insights and Solutions
Blood pressure issues in hemodialysis? Hello Doctor: 1. I would like to ask you two questions. If a patient undergoing hemodialysis for 10 years has a history of hypertension but, for some unknown reason, their blood pressure has dropped to around 100 without taking any antihyp...
Dr. Wang Yiming reply Internal Medicine
Hello Ms. Wdvrdx: Your question is very profound and is a common topic among dialysis physicians. The most frequent issue faced by patients undergoing hemodialysis is fluctuations in blood pressure, particularly during standard dialysis sessions. The most significant factors infl...[Read More] Managing Blood Pressure Issues in Hemodialysis Patients: Key Insights and Solutions
Understanding High Lymphocyte Levels: Health Impacts and Prevention
Lymphocyte Hello Doctor: May I ask if a high lymphocyte count has any impact on health? What diseases can it easily trigger, and how can it be prevented? Wishing you peace and health.
Dr. Wang Yiming reply Internal Medicine
Lymphocytosis can sometimes impact health, but often it may be a normal response of the body and does not necessarily indicate illness. There are certain situations where lymphocytes may increase, such as in chronic infections, infectious mononucleosis, viral infections, chronic ...[Read More] Understanding High Lymphocyte Levels: Health Impacts and Prevention
Understanding Dialysis: Key Principles and Concerns for Patients
Dialysis The principle of dialysis is to remove waste products and excess fluids from the blood when the kidneys are no longer able to perform these functions effectively. It is typically indicated for patients with end-stage renal disease or severe kidney dysfunction. If you are...
Dr. Wang Yiming reply Internal Medicine
The purpose of dialysis is to remove excess toxic waste from the body that cannot be excreted. This is achieved through hemodialysis or peritoneal dialysis. The criteria for initiating dialysis typically include: 1. Serum creatinine greater than 8 mg/dL, 2. Blood urea nitrogen gr...[Read More] Understanding Dialysis: Key Principles and Concerns for Patients