Is Kidney Shrinkage Serious? Understanding Ultrasound Results and Function
Is it serious if an ultrasound examination suggests that the kidneys are possibly smaller? Hello, doctor. I recently had a routine kidney check-up (due to having hematuria since childhood and regular follow-ups). My kidney function is otherwise normal, except for a creatinine lev...
Dr. Wu Jiyu reply Internal Medicine
The size of the kidneys is not necessarily related to kidney function; it is important to look at the results of blood tests and urinalysis for accurate assessment. Additionally, in terms of size, while 9 cm is smaller than 10 cm, the difference is minimal and does not warrant ex...[Read More] Is Kidney Shrinkage Serious? Understanding Ultrasound Results and Function
Exploring Online Claims of Kidney Disease Remedies: Fact or Fiction?
The internet is circulating information about dialysis therapy? Hello Dr. Wu, I came across a post online regarding a treatment for kidney disease that could allow patients to avoid dialysis. The original link is: https://www.facebook.com/photo.php?fbid=355286714492436&set=a....
Dr. Wu Jiyu reply Internal Medicine
Dear Lawren: Regarding this widely circulated information, Dr. Wu has also received inquiries about the five principles of medication promotion by the Department of Health: 1. Do not listen to radio recommendations 2. Do not believe in miraculous effects 3. Do not buy from street...[Read More] Exploring Online Claims of Kidney Disease Remedies: Fact or Fiction?
Understanding Diabetic Complications: Dialysis and Its Impact
Complications caused by diabetes? Hello Doctor: My friend is 56 years old and was diagnosed with uremia caused by diabetes at the end of last year. He has been experiencing continuous vomiting and has now started dialysis. Will the vomiting symptoms decrease after starting dialys...
Dr. Wu Jiyu reply Internal Medicine
Q: Will vomiting symptoms decrease after starting dialysis due to uremia caused by diabetes? A: Vomiting is one of the symptoms of uremia, and it should improve after starting dialysis. Q: How long can he maintain his life after starting dialysis? A: If he cooperates well ...[Read More] Understanding Diabetic Complications: Dialysis and Its Impact
Understanding the Referral from Family Medicine to Nephrology for Diabetes Patients
The family medicine physician referred the case of my father to the nephrology department? Hello, my father has been suffering from diabetes and kidney stones for a long time. He was originally seeing a family medicine doctor, but for some reason, his case has been referred to a ...
Dr. Wu Jiyu reply Internal Medicine
Sugar (Glycosuria): 1+ (-) HbA1c: 7.8% Uric Acid: 4.2 mg/dl Cholesterol Total: 219* mg/dl Q1: Attached is the examination report from February 7th. I noticed that there are no kidney function indices in the report. Can I request this test during my next outpatient visit? Answer1:...[Read More] Understanding the Referral from Family Medicine to Nephrology for Diabetes Patients
Understanding Uremia: Can Diabetes-Induced Kidney Failure Be Reversed?
Uremia? Hello Doctor: My friend is 56 years old and has been diagnosed with uremia due to diabetes. If she manages to control her condition well, can she recover? Or is uremia a lifelong affliction? Is it considered a terminal illness? How much longer can she expect to live? What...
Dr. Wu Jiyu reply Internal Medicine
1. If managed well, can it be cured? If it has progressed to uremia, please face the reality that it is not possible to cure it. The only option is to cooperate well with your physician and choose appropriate renal replacement therapy (hemodialysis, peritoneal dialysis, or kidney...[Read More] Understanding Uremia: Can Diabetes-Induced Kidney Failure Be Reversed?
Understanding Diabetic Uremia: Symptoms, Treatment, and Prognosis
Uremia..? Hello: I would like to ask if it is normal to vomit continuously due to uremia caused by diabetes? The doctor said that if there is no improvement, dialysis will be necessary. Can uremia be cured? Can uremia be fatal?
Dr. Wu Jiyu reply Internal Medicine
Before answering, I would like to ask a question: Do you or your family member have uremia? Regardless, please ensure that you or your family member (or friend) consult a nephrologist as soon as possible. First, uremia (regardless of whether it is caused by diabetes) can lead to ...[Read More] Understanding Diabetic Uremia: Symptoms, Treatment, and Prognosis
Understanding Foamy Urine: Should You Be Concerned?
Urinary bubble issue? For over a month, I have noticed bubbles in my urine. Sometimes they disappear quickly, while other times they take several minutes. The first urine of the morning has a lot of bubbles. I have seen a doctor who conducted a one-time blood and urine protein te...
Dr. Wu Jiyu reply Internal Medicine
This question can be answered in two parts: 1. Does foamy urine indicate proteinuria? The answer is not necessarily, but the issue that needs to be addressed is proteinuria. (Some unusual causes, such as having just undergone cystoscopy or having a bladder-rectal fistula, will ...[Read More] Understanding Foamy Urine: Should You Be Concerned?
Is Ionized Water Safe for Dialysis Patients with Diabetes?
Is it suitable for dialysis patients to drink ionized water? I would like to ask if my mother, who is a diabetic patient and currently undergoing dialysis, can drink alkaline water. Will it cause electrolyte imbalance or have any adverse effects on her body?
Dr. Wu Jiyu reply Internal Medicine
You can consider "negative ion water" as regular water, because your mother is undergoing dialysis and has diabetes. Generally speaking, patients on dialysis tend to require the removal of more fluid (as fluid can accumulate easily), so fluid intake needs to be carefull...[Read More] Is Ionized Water Safe for Dialysis Patients with Diabetes?
Unexplained Swelling in Right Foot: Seeking Specialist Advice
Swelling of the right foot of unknown origin? Hello Director Wu, My father has been experiencing significant swelling in his right foot for more than a month and a half (from August 1 to August 15). Initially, he had pain in the sole of his foot and visited an orthopedic doctor,...
Dr. Wu Jiyu reply Internal Medicine
Hello Arthur: 1. If the lower limb edema is caused by kidney problems, it is usually bilateral and not unilateral. 2. If there is unilateral lower limb edema accompanied by joint pain, joint issues should be considered. 3. If there is unilateral lower limb edema without joint...[Read More] Unexplained Swelling in Right Foot: Seeking Specialist Advice
Foamy Urine and Yellow Color: What It Means and When to Seek Help
Foamy urine? Hello Dr. Wu, I have recently noticed that my urine is a darker yellow color and has a lot of foam. Could you please tell me what this might indicate? What tests should I undergo and which specialist should I consult? Thank you. QQ
Dr. Wu Jiyu reply Internal Medicine
If you notice that your urine is yellow and has a lot of foam, it is advisable to have a urinalysis to clarify any issues related to proteinuria, as proteinuria can cause foamy urine. However, the presence of foam in urine does not necessarily indicate proteinuria; it can also be...[Read More] Foamy Urine and Yellow Color: What It Means and When to Seek Help
Understanding Bilateral Renal Cysts: Concerns and Management Options
Bilateral renal cysts? Hello, Doctor. Around May, I underwent a health check-up due to frequent feelings of dizziness and lack of energy. An abdominal ultrasound revealed "bilateral renal cysts" and a "right lobe liver mass." Initially, my family medicine phys...
Dr. Wu Jiyu reply Internal Medicine
Dear Tesuia: Based on your description (both kidneys are filled with various sizes of cysts), it is possible that you have "hereditary polycystic kidney disease." Fortunately, your blood test results for kidney function are normal, and the urine protein test is (±) pend...[Read More] Understanding Bilateral Renal Cysts: Concerns and Management Options
Best Soups for Managing Edema in Chronic Kidney Disease Patients
Patients with chronic kidney failure should avoid beverages that promote fluid retention? Hello, my mother is 76 years old and currently diagnosed with chronic kidney failure, type 2 diabetes, hyperkalemia, and essential hypertension. We have prepared a fistula for dialysis since...
Dr. Wu Jiyu reply Internal Medicine
1. There is currently no medical evidence supporting the use of bamboo leaves to make bottle gourd soup, or the use of winter melon or red beans for boiling water. 2. Based on your description, your aunt is likely approaching the need for dialysis. At this stage, controlling flu...[Read More] Best Soups for Managing Edema in Chronic Kidney Disease Patients
Understanding Abnormal Health Check Results: A Guide for Patients
Health Check Report Hello, doctor. I have a lab report for my father, which shows some abnormal test values, and I would like to consult with you. Thank you. (My father is a carrier of hepatitis B.) Red blood cells: 4.06 Hemoglobin: 11.6 Blood urea nitrogen: 29 Creatinine: 1...
Dr. Wu Jiyu reply Internal Medicine
1. Serum creatinine: 1.4 corresponds to an estimated glomerular filtration rate (eGFR) of approximately stage 3 chronic kidney disease. 2. Risk factors for preventing chronic kidney disease: hypertension, hyperglycemia, and hyperlipidemia. 3. Regular check-ups every 3 months....[Read More] Understanding Abnormal Health Check Results: A Guide for Patients
Understanding Post-Void Dribbling: When to Seek Medical Attention
Post-void dribbling? Doctor, I would like to ask again, under what circumstances would it be considered serious? Because this situation seems to be something I haven't experienced before. Could it be a prostate issue? However, I do not have frequent urination or pain during ...
Dr. Wu Jiyu reply Internal Medicine
Given your age, it is unlikely to be a prostate issue. It is recommended to consult a urologist to evaluate your condition in order to identify the cause. Changhua Hospital cares about you.[Read More] Understanding Post-Void Dribbling: When to Seek Medical Attention
Understanding Post-Urination Dribbling: Causes and Solutions
Post-urination dribbling? Hello, doctor. In the past few days, I've noticed some residual dripping after urinating when sitting down or standing. There is no pain during urination, the flow is strong, and I do not experience frequent urination. What could be the issue? Thank...
Dr. Wu Jiyu reply Internal Medicine
The male urethra is longer, and if there are a few drops of urine after urination, it is generally considered a normal phenomenon. However, if the situation is severe, it may indicate a structural abnormality (such as stones, trauma, etc.). In such cases, it is recommended to und...[Read More] Understanding Post-Urination Dribbling: Causes and Solutions
How Long After Dialysis Do Patients Typically Stop Urinating?
In general, how long after dialysis do patients with kidney failure stop producing urine? If a family member is undergoing dialysis, I would like to ask how long it typically takes for a person to stop urinating after starting dialysis.
Dr. Wu Jiyu reply Internal Medicine
This issue involves "residual kidney function," and there is no standard answer. 1. If the residual kidney function is only 2 or 3 points at the beginning, the urine output may be less than 200 cc. 2. Generally, peritoneal dialysis tends to preserve more residual kidney...[Read More] How Long After Dialysis Do Patients Typically Stop Urinating?
Understanding Rapid Creatinine Rise: Kidney Health Concerns
Kidney disease Hello, Doctor: In October 2009, my creatinine level was 1.1, and in September 2010, it increased to 1.3. Is my creatinine rising too quickly? Is there a problem with my kidneys? Thank you.
Dr. Wu Jiyu reply Internal Medicine
A change in creatinine levels from 1.1 to 1.3 suggests that it is advisable to first determine if there are any underlying risk factors (such as hypertension, hyperglycemia, or hyperlipidemia). Following this, it is recommended to consult a nephrologist to check for any proteinur...[Read More] Understanding Rapid Creatinine Rise: Kidney Health Concerns
Is Your Kidney at Risk? What to Watch for After a Back Injury
Kidney injury? Hello doctor, I accidentally got hit on the lower back by a heavy book. Initially, it was very painful, but after about three hours, the pain has decreased significantly. Do I need to go to the hospital for an examination to check if my kidneys are damaged? What si...
Dr. Wu Jiyu reply Internal Medicine
Dear Sir: The kidneys are located in the posterior part of the body and are protected by layers of muscle. Given your situation, it is unlikely that the kidneys have been injured. If you experience further pain, consider seeking medical attention (such as arranging for an ultraso...[Read More] Is Your Kidney at Risk? What to Watch for After a Back Injury
Understanding Left Side Lower Back Pain: Causes and Concerns for Students
Left flank pain? Hello Dr. Wu, I would like to ask you: I am a senior high school student, and since July of last year, I have been studying at a cram school for about fourteen hours a day, drinking approximately 1000 to 1500 cc of water daily. Starting in March of this year, as ...
Dr. Wu Jiyu reply Internal Medicine
1. First, rule out kidney inflammation or kidney stones—consider arranging for a urinalysis and renal ultrasound. 2. If neither of these is the cause, consider inflammation of the muscles and tendons beside the spine (which may be caused by prolonged sitting; please ensure proper...[Read More] Understanding Left Side Lower Back Pain: Causes and Concerns for Students
Understanding Kidney Aging: What You Need to Know
The kidneys are showing signs of aging? Hello, I had a health check-up at Changhua Show Chwan Hospital yesterday, and during the abdominal ultrasound, it was found that my kidneys show some signs of aging. What should I do about this?
Dr. Wu Jiyu reply Internal Medicine
"During a health check-up, an abdominal ultrasound revealed slight aging of the kidneys." The physician likely observed increased echogenicity in the images and recommended blood tests to assess kidney function and urinalysis for further clarification.[Read More] Understanding Kidney Aging: What You Need to Know