Understanding the Link Between Proteinuria and Osteolytic Lesions
The relationship between proteinuria and osteolytic lesions? Hello, Doctor Wu. Happy Day Six of the Lunar New Year. Following up on my previous question, I will be undergoing a PET scan. I have been diagnosed with stage I papillary thyroid carcinoma (currently no longer classifie...
Dr. Wu Hongjie reply Internal Medicine
Your question is too complex; please discuss it with your nephrologist. Thank you.[Read More] Understanding the Link Between Proteinuria and Osteolytic Lesions
Understanding Post-Dialysis Symptoms: Gas and Skin Sensations Explained
Post-hemodialysis condition Hello, Doctor Wu! I am a dialysis patient and have been on hemodialysis for nearly four years. In the past year or two, I have been experiencing excessive flatulence during each dialysis session, and I also frequently pass gas during non-dialysis times...
Dr. Wu Hongjie reply Internal Medicine
It is not recommended to eat during dialysis sessions, as it can lead to digestive discomfort. Please discuss the issue of sweating with your dialysis physician, as it is not directly related to nephrology. You may want to follow up with a dermatologist. Wishing you good health.[Read More] Understanding Post-Dialysis Symptoms: Gas and Skin Sensations Explained
Understanding Changes in Creatinine and GFR: What You Need to Know
Creatinine and glomerular filtration rate (GFR) can vary significantly? In 2020, after a 12-hour fasting test, the results showed a creatinine level of 0.80 and a glomerular filtration rate (GFR) of 121. In 2023, after having a meal at around 1 PM, doing strength training and aer...
Dr. Wu Hongjie reply Internal Medicine
Creatinine levels are related to diet, including meat intake and hydration. It is recommended to fast for 8 hours prior to testing. To accurately assess kidney function, meat consumption should not be excessive. A comparison of results is necessary to determine if there has been ...[Read More] Understanding Changes in Creatinine and GFR: What You Need to Know
The Relationship Between Proteinuria and Osteolytic Lesions: A Clinical Inquiry
The relationship between proteinuria and osteolytic lesions? Hello, Doctor Wu. Happy New Year. I have a question. At the end of April last year, I underwent a PET scan, which revealed two osteolytic lesions in my body. Here are the excerpts from the report: 1. There are two osteo...
Dr. Wu Hongjie reply Internal Medicine
Hello: 1. I am curious about the reason for your positron emission tomography (PET) scan. If it is due to cancer with suspected bone metastasis, certain cancers can secrete various proteins, which may lead to increased urinary protein levels even in the absence of bone metastas...[Read More] The Relationship Between Proteinuria and Osteolytic Lesions: A Clinical Inquiry
Medication Management for Dialysis Patients: When to Seek Specialist Care
Medications for dialysis patients? Hello, my father undergoes dialysis three times a week, but he often reports experiencing painful urination and dizziness. Should I discuss this with the doctor at the dialysis center and request medication, or is it necessary to consult a urolo...
Dr. Wu Hongjie reply Internal Medicine
Dysuria: If there is residual urine, please check to rule out infection and provide medication that can be administered at the dialysis clinic. Dizziness: Check hemoglobin levels to ensure they are adequate, and arrange a neurology consultation if necessary. Wishing you health an...[Read More] Medication Management for Dialysis Patients: When to Seek Specialist Care
Understanding High Creatinine and Uric Acid Levels in Young Adults
Elevated creatinine levels? Hello doctor, I am currently 18 years old, 170 cm tall, and weigh 47 kg. During a health check-up, I found that my creatinine level is elevated (1.45) and my uric acid level is also high (9.2). Additionally, protein was detected in my urine. Is my kidn...
Dr. Wu Hongjie reply Internal Medicine
Based on your body type, it appears that you do not have a physique characterized by high muscle mass. The elevated creatinine levels suggest a need for further evaluation at a clinic. Wishing you health and safety.[Read More] Understanding High Creatinine and Uric Acid Levels in Young Adults
Understanding Blood Pressure Drops and Nausea During Dialysis
Dialysis issues The links provided lead to recent blood test reports. I would like to ask the doctor why my grandmother often experiences a drop in blood pressure, confusion, and nausea during the dialysis process. When we asked her attending physician, the doctor only advised us...
Dr. Wu Hongjie reply Internal Medicine
Hello: There are many causes of intradialytic hypotension (IDH) during dialysis: excessive weight gain between dialysis sessions (> 5%), heart failure, malnutrition, female gender, autonomic nervous system dysfunction, etc., are common causes. 1. If there is excessive weight...[Read More] Understanding Blood Pressure Drops and Nausea During Dialysis
Understanding Kidney Issues: Urination Patterns and Posture Effects
Kidney problems Hello Doctor: My urine output is not very high, about 100 to 200 ml each time, and the color is yellow or dark yellow. I feel the urge to urinate every 2 to 3 hours. However, when I am half-reclining and half-sitting on my bed using my phone at night, the time bet...
Dr. Wu Hongjie reply Internal Medicine
1. Urine color is not related to posture; it is recommended to visit a hospital for examination to rule out urinary system issues. 2. Kidney function impairment is assessed by serum creatinine and glomerular filtration rate. If there is no proteinuria and the values are normal, i...[Read More] Understanding Kidney Issues: Urination Patterns and Posture Effects
Assessing Kidney Function and Medication Safety for Hair Transplant Patients
Consultation on kidney function tests and medication after hair transplantation? Hello, Doctor. I am 31 years old with a creatinine level of 1.1 and an estimated glomerular filtration rate (eGFR) of 82.9. At 27 years old, my creatinine was 1.2 with an eGFR of 77.8, and at 26 year...
Dr. Wu Hongjie reply Internal Medicine
I usually love to eat meat and consume very few vegetables, but next month I will undergo hair transplantation. The hair transplant physician advised me to take Boscal (1/3) and also to add a blood pressure medication, Lornidine 10 mg (1/4 is 2.5 mg). He mentioned that this medic...[Read More] Assessing Kidney Function and Medication Safety for Hair Transplant Patients
Understanding Rising Urine Protein Levels: What You Need to Know
The urinary protein index has surged? Hello, Doctor. Below are the results from my visit to Hospital B on the evening of March 14 this year. The random urine test results were as follows: Urine Creatinine: 93.4 mg/dL; Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL); Uri...
Dr. Wu Hongjie reply Internal Medicine
The presence of bubbles in urine does not necessarily indicate proteinuria; factors such as fever, excessive exercise, consumption of high animal protein, hormonal influences, or other diseases causing abnormal protein production can also be responsible. Even if tests do not show...[Read More] Understanding Rising Urine Protein Levels: What You Need to Know
Understanding Adrenal Tumors: Symptoms, Diagnosis, and Specialist Guidance
Adrenal tumor Doctor Ping An: I went to the emergency room on April 4 due to vomiting, where I had an abdominal X-ray and a CT scan of the right abdomen. The doctor informed me that the CT scan revealed a 2 cm tumor on my adrenal gland, and I need to return for follow-up. They re...
Dr. Wu Hongjie reply Internal Medicine
Incidentaloma refers to an adrenal tumor that is discovered incidentally, typically when it is larger than 4 centimeters. It is important to determine whether the tumor is functional. Functional adrenal tumors may cause secondary hypertension, and surgical removal is recommended ...[Read More] Understanding Adrenal Tumors: Symptoms, Diagnosis, and Specialist Guidance
Understanding Swollen Ankles and Feet in Elderly Patients
Swelling of the ankle and dorsum of the foot in the elderly? Dear Doctor, My mother is 72 years old and has a history of hypertension, gastrointestinal issues, and chronic severe constipation. Recently, she has been experiencing swelling in her right ankle and the top of her fo...
Dr. Wu Hongjie reply Internal Medicine
Hello: It is difficult to determine a definitive diagnosis from your description; I recommend following up with a nephrologist to identify the correct underlying cause.[Read More] Understanding Swollen Ankles and Feet in Elderly Patients
Understanding Elevated Creatinine Levels: Causes and Management Tips
Elevated creatinine levels? Hello Doctor: I had a blood test on July 6, and my creatinine level was 1.2. Prior to the blood draw, I was experiencing gastrointestinal discomfort, including bloating, gastroesophageal reflux, and irregular bowel movements. I had been taking medicati...
Dr. Wu Hongjie reply Internal Medicine
A single creatinine report does not indicate chronic kidney dysfunction; it is recommended to drink more water and maintain a normal routine for a period of time before retesting. It is advisable to avoid any illnesses or discomfort before the test, as these factors may interfere...[Read More] Understanding Elevated Creatinine Levels: Causes and Management Tips
Understanding Foamy Urine: Causes, Concerns, and Kidney Health
Foamy urine? Hello Doctor, I am 32 years old. Recently, I noticed that my urine has bubbles, which dissipate within 5-10 minutes, but there are small persistent bubbles at the edge of the toilet, especially noticeable during the first urination in the morning, where the bubbles d...
Dr. Wu Hongjie reply Internal Medicine
1. I would like to ask if my situation is considered abnormal. Is a normal eGFR value ideally around 100? The eGFR is an estimate and is related to factors such as gender, muscle mass, and age; a value above 60 is generally acceptable. To diagnose kidney disease, it must be accom...[Read More] Understanding Foamy Urine: Causes, Concerns, and Kidney Health
Understanding Zinc Gluconate: Safety and Absorption Concerns
Zinc Gluconate Is it true that many zinc gluconate supplements available on the market are synthetic? Will consuming these cause irreversible harm to the body? Is there a possibility that taking zinc gluconate could lead to an inability to absorb zinc in the future, or am I just ...
Dr. Wu Hongjie reply Internal Medicine
Side effects of zinc include abdominal cramps, loss of appetite, irritability, nausea, vomiting, diarrhea, headaches, and a metallic taste in the mouth. These symptoms usually resolve on their own. Adult males require approximately 11 milligrams (mg) of zinc per day, and the abso...[Read More] Understanding Zinc Gluconate: Safety and Absorption Concerns
Managing Microalbuminuria in Diabetic Patients: Concerns and Treatments
The issue of microalbuminuria? Dear Doctor Wu, I was diagnosed with diabetes three years ago, and since then I have been controlling my diet and taking medication, maintaining my hemoglobin A1c below 6. My blood pressure before bed has been below 130. However, starting around No...
Dr. Wu Hongjie reply Internal Medicine
ACR is used as a substitute for the 24-hour urine collection method to measure daily protein loss; the former is only an approximate estimation of the latter. Therefore, the accuracy of this estimation is inevitably not completely reliable. If ACR does not significantly increase,...[Read More] Managing Microalbuminuria in Diabetic Patients: Concerns and Treatments
Is It Safe to Take Expired Tetracycline? Understanding the Risks
Tetracycline that has expired for several years? Hello, doctor. I took a tetracycline that expired several years ago. After researching online, I found out that it could be toxic. Is it possible to reach a toxic dose by taking just one pill? Do I need to seek medical attention? T...
Dr. Wu Hongjie reply Internal Medicine
Hello: Poisoning refers to a situation where the dosage of a toxic substance is too high or interacts with other medications, causing harm to the human body. In your case, the dosage is neither too high nor too low, and there are no other medications being taken concurrently. Ins...[Read More] Is It Safe to Take Expired Tetracycline? Understanding the Risks
Understanding Pentoxifylline: Uses and Duration of Treatment
Kidney function tests Doctor, what is the primary use of this medication (400mg Pentoxifylline), and how long can it be taken?
Dr. Wu Hongjie reply Internal Medicine
Hello: The indication for this medication under health insurance is to improve peripheral circulation; however, it has been found to reduce urinary protein, improve creatinine levels, and lower inflammatory markers. Therefore, some physicians use it to treat renal dysfunction. Po...[Read More] Understanding Pentoxifylline: Uses and Duration of Treatment
Understanding Declining GFR: When to See a Nephrologist?
The glomerular filtration rate (GFR) has been continuously declining? I would like to inquire about my health check report. My glomerular filtration rate (GFR) is 78, creatinine is 1.09, blood urea nitrogen (BUN) is 13.2, and uric acid is 4.9. All other reports are normal, and th...
Dr. Wu Hongjie reply Internal Medicine
Hello: The glomerular filtration rate (GFR) is a variable value. If the GFR is <60 ml/min and persists for more than three months, the likelihood of a diagnosis of renal failure is high. If the GFR is >60 and there are no other pathological findings (such as renal biopsy), ...[Read More] Understanding Declining GFR: When to See a Nephrologist?
Understanding Creatinine Levels and eGFR Changes: What You Need to Know
Creatinine and Glomerular Filtration Rate (GFR) Hello Doctor, I have a few questions regarding my blood test reports. I am currently 35 years old and had surgery a while ago. Before the surgery, I had a blood test, and the report showed an estimated glomerular filtration rate (eG...
Dr. Wu Hongjie reply Internal Medicine
The estimated glomerular filtration rate (eGFR) is not a fixed value at any given time. Chronic kidney disease (CKD) is defined as an eGFR of less than 60 ml/min/1.73 m² for a duration of three months, meaning that both the eGFR three months ago and today must be less than 60 to ...[Read More] Understanding Creatinine Levels and eGFR Changes: What You Need to Know