Dr. Wu Jiyu reply Internal Medicine Question - Page 3

Dialysis-related arrhythmias Hello Doctor, my father has been on dialysis for about two years. Before receiving the vaccine, he experienced arrhythmia, but it was managed with medication. However, after getting vaccinated, he has experienced arrhythmia again during dialysis, and ...

Sudden onset of elevated blood pressure and hydronephrosis? Hello Doctor: I am 31 years old and have a regular habit of donating blood. My blood pressure has never exceeded the normal range until mid-April this year when my company conducted a health check, and my blood pressure ...

Regarding stomach medication, Strocaine (Oxethazaine/Polymigel) is a medication used to relieve symptoms associated with gastric irritation? Hello Dr. Wu: Two weeks ago, I experienced some mild abdominal pain. It usually doesn't happen during the day, but occurs around six o...

What should be done if creatinine levels fluctuate and increase over a short period? In January 2020, the urea nitrogen level was 0.88, in July 2020 it was 1.22, in January 2021 it was 1.14, in February 2021 it was 0.98, and in April 2021 it was 1.26. There was foamy urine, but t...

Renal hemorrhagic atrophy? Hello, doctor. I was injured in a car accident at the end of July last year, which affected my left kidney and caused bleeding. The hematoma was approximately 10 cm at that time. I underwent two CT scans in the emergency room (one without contrast and o...

Urinalysis for renal function assessment? Doctor, I visited the clinic due to anxiety-related hypertension and underwent a urinalysis, which revealed proteinuria at 20.51 mg/dL (normal range 0-20 mg/dL) and creatinine at 26.60 mg/dL (normal range 0-250 mg/dL). However, the ratio ...

Lymphedema caused by dialysis? Hello Doctor: My father has a long history of dialysis due to a family history of hereditary diseases. As a result of the dialysis, he frequently experiences various side effects (such as weight loss, dizziness, low blood pressure, nausea, diarrhea,...

Lumbar issues Hello Doctor, I apologize for bothering you. Today, while using the restroom, I suddenly experienced a sharp pain on the left side of my back (approximately at the kidney area) halfway through. After finishing, the pain improved somewhat, but I still feel a lingeri...

Is it appropriate to use Dapagliflozin 40mg in patients with end-stage renal disease (eGFR < 5)? Hello Dr. Wu, Initially, I was only receiving treatment for kidney disease at Hospital A (where the doctors are relatively younger) and had stabilized for about two years. Howeve...

Kidney cyst issues? Due to hematuria, the patient visited the urology department at a medical center. A CT scan of the urinary system revealed several tiny cysts in both kidneys. One of them appears hyperdense on non-contrast CT, suggesting a complicated cyst, classified as Bosni...

Factors affecting elevated creatinine levels? I have chronic kidney disease and have been undergoing regular follow-ups. However, the results of my kidney function tests have shown significant fluctuations this year (ranging from the 50s to the 30s). Therefore, I would like to as...

Please consult a physician regarding issues with urine sample collection? Hello Dr. Wu, I would like to ask about using morning urine for PCR/ACR testing. I usually have a habit of urinating once in the early morning (around 3-5 a.m.). Given this situation, I have two questions: ...

Consultation Inquiry Hello, Doctor. I have some questions to ask you. 1. My mother is 65 years old and has been experiencing frequent abdominal pain, so she underwent an ultrasound and a colonoscopy. The results showed some gallstones and that her pancreatic duct is slightly la...

Which is better for assessing proteinuria: UACR or UPCR? (Urine Protein and Creatinine Ratio, hereafter referred to as UPCR) ≥ 150 mg/gm UACR ≥ 30 mg/gm proteinuria. Which is better, UACR or UPCR? Or is it sufficient to test UACR to determine the presence of proteinuria? Can both...

Rhabdomyolysis and Urine Color Issues Hello Dr. Wu, I have previously read your article on rhabdomyolysis that you posted on September 1, 2014. Today, I visited an orthopedic department at a hospital (the front desk recommended me to go there) because I experienced severe thigh...

Calcium supplements and kidney stones? (DXA) Dual-energy X-ray absorptiometry (DXA) bone mineral density T-score of -2.2 indicates a need for calcium supplementation. However, it is known that calcium supplements should not be taken with certain foods, as this may increase the ri...

Elevated creatinine levels? Hello Doctor, I am 30 years old. In recent years, my health check-ups have shown elevated creatinine levels twice, around 1.2 or 1.3. My glomerular filtration rate (GFR) has been in the 60s or 70s, but there is no protein or blood in my urine. I do not...

Low urine creatinine levels? Hello, doctor: I have a history of iron deficiency anemia and hypothyroidism, and I tend to experience mild edema. Recently, I underwent a physical examination, which included blood tests showing BUN 10, Cr 0.8, and urine tests showing Protein (urine)...

Low platelet count? I have reviewed a lot of information regarding platelets, and the standard range is 120-400. My test result came back at 428, which is slightly elevated. How can I improve this? As a soldier, I find it quite important, especially since I am considering applyin...

Chronic Kidney Disease and Vitamin B Complex Hello Dr. Wu Chi-Yu: I am a patient with chronic kidney disease. In my recent blood test report, my serum creatinine is 2.73, blood urea nitrogen is 33, glomerular filtration rate is 26.6, phosphorus is 5.4, and uric acid is 8.1. All o...