Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
My urinary issues? Hello Dr. Wu, I previously experienced rapid weight loss due to taking Forxiga, dropping from 116 kg to 109 kg between March 30 and April 11. I stopped the medication on April 8. I was concerned about potential kidney issues, so I had blood tests done on April ...
Dr. Wu Jiyu reply Internal Medicine
Hello, 1. First, it is essential to understand the dosage of Forxiga you are using and whether you are combining it with other weight loss medications or treatments. A weight loss of nearly seven kilograms in less than two weeks is considered too rapid and may pose potential ha...[Read More] Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
Understanding Abdominal Discomfort: Key Signs and Concerns
Abdominal issues? I would like to ask about my boyfriend who is 23 years old. He often drinks Powerade, almost two servings daily. His sleep pattern is irregular, going to bed as late as 4 AM, and he sleeps less than 5 to 6 hours a night, sometimes only 3 to 4 hours. Yesterday, h...
Dr. Wu Jiyu reply Internal Medicine
Hello, the symptoms you described cannot rule out the possibility of gastrointestinal disorders. It is recommended that you promptly visit a gastroenterology clinic for further examination. Additionally, you should make appropriate adjustments to your daily routine to maintain go...[Read More] Understanding Abdominal Discomfort: Key Signs and Concerns
Understanding White Particles in Urine: Is It Normal?
Urine with suspended particles? Hello Doctor, I am 155 cm tall and currently weigh 57 kg. During my recent urine tests, I noticed that my urine has a whitish sediment. Is this normal? Also, is my uric acid level high? Here are the results from my most recent urine test: Blood Ure...
Dr. Wu Jiyu reply Internal Medicine
Hello, based on the information you provided, most of the results appear to be normal. However, some aspects of the urinalysis (such as the microscopic examination) were not listed, making it difficult to assess. If you continue to notice any suspended particles, you should consu...[Read More] Understanding White Particles in Urine: Is It Normal?
Understanding Urine Ketones: What Does +/- Mean for Your Health?
Urine ketones +/- means that ketones are either present or absent in the urine. The "+" indicates the presence of ketones, while the "-" indicates their absence? This year, as a junior, I just received my health check results and found that my urine ketones we...
Dr. Wu Jiyu reply Internal Medicine
Hello, when the human body is in a prolonged fasting state, it produces ketone bodies, which can be excreted in the urine and may show a positive result. If the ketone bodies are present in trace amounts, the urine test may indicate a weak positive (+/-), meaning that while they ...[Read More] Understanding Urine Ketones: What Does +/- Mean for Your Health?
Understanding Urinary Tract Issues: Symptoms and When to See a Doctor
Urethral issues My girlfriend has been going to the bathroom frequently these past few days. She says she feels the urge to urinate but only passes a small amount, and there is a slight presence of blood. She also experiences some discomfort in her lower abdomen. I looked online ...
Dr. Wu Jiyu reply Internal Medicine
Hello, based on the symptoms you described, the most common condition is a urinary tract infection. While gynecological issues cannot be ruled out, it is recommended that you seek medical attention as soon as possible to rule out the possibility of a urinary tract infection. I su...[Read More] Understanding Urinary Tract Issues: Symptoms and When to See a Doctor
Protein Intake: Guidelines for Kidney Health and Function
The amount of protein intake? Hello, doctor. Should individuals with impaired kidney function limit their protein intake? And for individuals with normal kidney function, should they also restrict their protein consumption? Can excessive protein intake in the general population l...
Dr. Wu Jiyu reply Internal Medicine
Hello, (1) Individuals with impaired kidney function should indeed limit their protein intake. Generally, as kidney function deteriorates, the recommended daily protein intake should be reduced to about 80% of that of the general population (0.8 grams per kilogram per day; the ty...[Read More] Protein Intake: Guidelines for Kidney Health and Function
Do Testicular Foreign Bodies Require Urgent Treatment?
Testicular foreign body Does this condition require urgent treatment? It really doesn't affect me at all, and since I'm about to take the college entrance exam, I really don't want to be distracted. Is it harmful to just let it go for now?
Dr. Wu Jiyu reply Internal Medicine
If you are very concerned, it is advisable to consult a urologist for an examination to clarify the situation as soon as possible, so you can feel more at ease. Thank you for your inquiry. The Nephrology Department at Changhua Hospital cares about you.[Read More] Do Testicular Foreign Bodies Require Urgent Treatment?
Is a Soft Lump Above My Testicle a Cause for Concern?
There is a foreign object above the testicle? I have an oval-shaped lump about one centimeter in size located above my left testicle, near the epididymis. It has been there for a long time, possibly 4 to 5 years or even longer. It does not hurt, feels slightly soft, and does not ...
Dr. Wu Jiyu reply Internal Medicine
Such conditions are mostly semen cysts or simple cysts, with a small number being benign leiomyomas. It is recommended to consult a urologist for a scrotal ultrasound for differentiation before making a decision. Thank you for your inquiry, and the Nephrology Department of Changh...[Read More] Is a Soft Lump Above My Testicle a Cause for Concern?
Is a Creatinine Level of 0.8 mg/dL Considered Normal?
Creatinine 0.8 Is my creatinine level of 0.8 considered normal?
Dr. Wu Jiyu reply Internal Medicine
1. If your age-adjusted glomerular filtration rate is 82 ml/min/1.73 m² (calculated using the MDRD formula), it is slightly below 90 ml/min/1.73 m²; however, this alone should not be used to conclude that there is a problem (as this formula was developed from studies conducted ab...[Read More] Is a Creatinine Level of 0.8 mg/dL Considered Normal?
Which Specialist to See for Persistent Abdominal and Urinary Discomfort?
If you are experiencing discomfort in various parts of your body, you should consider visiting a primary care physician or a general practitioner. They can evaluate your symptoms and refer you to the appropriate specialist if needed? I have been experiencing persistent pain in my...
Dr. Wu Jiyu reply Internal Medicine
In response to your inquiry, it seems you may have some medical background. 1. "Persistent left lower abdominal pain for several days, especially at night, to the point of being unable to sleep, with increased nocturia. Recently (for about a month), daytime urinary frequen...[Read More] Which Specialist to See for Persistent Abdominal and Urinary Discomfort?
Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide
Urinary tract infection (UTI) Dear Dr. Wu, my grandmother is 92 years old and frequently suffers from urinary tract infections. She was previously hospitalized due to an infection that caused a fever, and the bacteria entered her bloodstream (bacteremia). After being hospitalized...
Dr. Wu Jiyu reply Internal Medicine
Based on your inquiry, theoretically, the bacteremia caused by the urinary tract infection should have been resolved; otherwise, your grandmother would continue to have a fever. Regarding the urine test results from the second hospital indicating an infection index of 26-50, ther...[Read More] Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide
Understanding Glomerulonephritis: Treatment, Prognosis, and Lifestyle Impact
Glomerulonephritis or nephrotic syndrome Hello, doctor. I have been experiencing symptoms since May 2014, with the initial symptoms being proteinuria and lower limb edema. I have undergone a kidney biopsy, and the diagnosis was glomerulonephritis, for which I have been taking cor...
Dr. Wu Jiyu reply Internal Medicine
Regarding your inquiry, there are many types of glomerulonephritis, and the key is to base treatment on the pathological report from kidney biopsy. If you believe that the treatment from the second physician is more effective, you should cooperate with the physician regarding whe...[Read More] Understanding Glomerulonephritis: Treatment, Prognosis, and Lifestyle Impact
Understanding Proteinuria: Risks, Kidney Health, and Dietary Solutions
Kidney disease - Proteinuria I started noticing proteinuria about three years ago, as I often see bubbles in my urine that take a long time to dissipate. It seems that this is due to some issues with my kidneys. 1. I would like to ask if I continue to ignore this condition, is ...
Dr. Wu Jiyu reply Internal Medicine
Based on your description of "often having bubbles when using the restroom," it is important to note that the presence of foam in urine does not automatically indicate proteinuria. The foamy appearance of urine is a reminder to consult a physician for further evaluation...[Read More] Understanding Proteinuria: Risks, Kidney Health, and Dietary Solutions
Understanding Sudden Hypoglycemia: Causes and Concerns for Patients
Why does sudden hypoglycemia feel very uncomfortable? Hello, doctor. Today at 8:30 AM, I had breakfast consisting of sweet potatoes and whole grain bread, along with green tea. At 12:30 PM, I started experiencing symptoms of hypoglycemia: cold sweats, trembling, weakness, rapid h...
Dr. Wu Jiyu reply Internal Medicine
Hello: Based on the information you provided, it is not possible to determine whether your symptoms are caused by hypoglycemia. In addition to low blood sugar, there are many other conditions that can present with similar symptoms. Typically, undiagnosed and untreated diabetes pr...[Read More] Understanding Sudden Hypoglycemia: Causes and Concerns for Patients
Understanding Low Potassium Levels: Causes and Management for Seniors
Inquiry about Potassium (K) Testing Hello Director Wu, my mother is 65 years old. In March 2014, she experienced a mild cerebral infarction due to atrial fibrillation, but she has recovered well and can live independently. In November of last year, a blood test showed her potassi...
Dr. Wu Jiyu reply Internal Medicine
Hello, based on the information you provided, here are a few points for your reference: (1) Normal serum potassium levels range from 3.5 to 5 mg/dL. A level of 3.4 is considered mildly low, and the clinical risk associated with this is not high. Complications from severe hypoka...[Read More] Understanding Low Potassium Levels: Causes and Management for Seniors
Understanding the Impact of Protein Foods on Blood Sugar Levels
Dietary Control of Blood Sugar Levels Hello Doctor: I would like to ask about the impact of eggs, beans, fish, and meat on blood sugar levels. In the fourth paragraph of this article, it states, "Foods that do not affect blood glucose levels include vegetables, fats, and egg...
Dr. Wu Jiyu reply Internal Medicine
Regarding the principles and applications of the Glycemic Index (GI), you may refer to this paper: http://www2.dietitians.org.tw/userfiles/TJD%202-1-02.pdf. It should address your questions. Thank you for your inquiry. The Nephrology Department of Changhua Hospital cares about yo...[Read More] Understanding the Impact of Protein Foods on Blood Sugar Levels
Understanding Kidney Function: GFR vs. Creatinine in Health Concerns
Glomerular filtration rate and kidney disease issues? Hello Dr. Wu: I am 180 cm tall and weigh about 71 kg. Recently, for the past month, I have noticed persistent bubbles in my urine and have experienced increased urinary frequency (especially 2-3 hours after consuming sugary dr...
Dr. Wu Jiyu reply Internal Medicine
Based on the data you provided, the physician's response is correct because the current formula for estimating glomerular filtration rate (GFR) is derived from international sources, while domestic scholars have been researching a formula specific to our population. In summa...[Read More] Understanding Kidney Function: GFR vs. Creatinine in Health Concerns
Understanding BUN and Creatinine Levels for Kidney Function Assessment
Blood tests for kidney function indicators? If both BUN and creatinine levels in the blood test are within the normal range, does it indicate that kidney function is normal? Since the calculation of the glomerular filtration rate (GFR) is in the first stage, does this have any re...
Dr. Wu Jiyu reply Internal Medicine
To confirm normal kidney function, three tests must be normal: 1. Blood tests (BUN and Creatinine) 2. Urine tests (no hematuria, no proteinuria) 3. Ultrasound examination (no stones, no hydronephrosis...) Thank you for your inquiry, and the Nephrology Department of Changhua Hospi...[Read More] Understanding BUN and Creatinine Levels for Kidney Function Assessment
Understanding Kidney Function: GFR vs. Creatinine in Chronic Kidney Disease
Glomerular filtration rate and kidney disease issues? Hello Dr. Wu, I am 180 cm tall and weigh around 71 kg. Recently, for the past month, I have noticed persistent bubbles in my urine, and I feel that I have increased urinary frequency (especially 2-3 hours after consuming suga...
Dr. Wu Jiyu reply Internal Medicine
Based on the data you provided, the physician's response is correct because the current formula for estimating glomerular filtration rate (GFR) is derived from international sources, while domestic scholars are researching a formula specific to our population. In summary, re...[Read More] Understanding Kidney Function: GFR vs. Creatinine in Chronic Kidney Disease
Understanding Frequent Urination: Possible Causes and Solutions
Frequent urination issues? Hello, I would like to inquire! My father has been urinating very frequently in the past few months—about once every hour. This happens almost all day long! He went to the hospital for a check-up, and his prostate is normal, with no inflammation. What c...
Dr. Wu Jiyu reply Internal Medicine
Regarding your inquiry, it does not mention the total daily urine volume. From an internal medicine perspective, we would first check for diabetes or diabetes insipidus. If those are ruled out, it is advisable to consult a urologist. If prostate issues have been excluded, then co...[Read More] Understanding Frequent Urination: Possible Causes and Solutions