Understanding Low Glomerular Filtration Rate: What You Need to Know
Low glomerular filtration rate (GFR) Hello doctor, I am currently 26 years old and below are my data (the abnormal ones related to kidney function tests). Last year, my blood pressure was 137/80, cholesterol was 208 (standard upper limit is 200), white blood cells were 4.7 (norma...
Dr. Wu Jiyu reply Internal Medicine
Based on the data you provided, the glomerular filtration rate (GFR) has decreased from 94.58 to 80.89, which raises concerns about changes in kidney function. Currently, the GFR we use is derived from studies conducted by international scholars, and there are also researchers in...[Read More] Understanding Low Glomerular Filtration Rate: What You Need to Know
Impact of Total Kidney Removal: What to Expect and Consider
The impact of bilateral nephrectomy on the human body? Hello Doctor, my father had one kidney removed a few years ago due to a kidney tumor. Now, there are issues with his remaining kidney. If the only remaining kidney is also removed, will he have to rely on dialysis? Are there ...
Dr. Wu Jiyu reply Internal Medicine
Based on your inquiry, your father may face the possibility of needing to have his other kidney removed as well. In my clinical practice, I have indeed encountered patients who required lifelong dialysis due to bilateral nephrectomy. Thanks to advancements in modern medicine, ind...[Read More] Impact of Total Kidney Removal: What to Expect and Consider
Understanding High Creatinine Levels: Implications for Kidney Health
Elevated creatinine levels? Recent health check report: Blood urea nitrogen (BUN) 15 mg/dL, creatinine 1.35 mg/dL, uric acid 5.9 mg/dL, calcium 7.7 mg/dL. Does this report indicate that there is a problem with kidney function? What dietary and lifestyle considerations should be t...
Dr. Wu Jiyu reply Internal Medicine
Based on your report: creatinine level of 1.35, the estimated glomerular filtration rate (eGFR) is 60 ml/min/1.73m², indicating that kidney function is indeed slightly impaired. It is recommended to consult a nephrologist for further evaluation. Please pay attention to your diet ...[Read More] Understanding High Creatinine Levels: Implications for Kidney Health
Post-Splenectomy Health Issues: Seeking the Right Specialist for Your Symptoms
Splenectomy performed? Dear Doctor... I had my spleen removed 14 years ago, and I am now 34 years old. I feel fatigued every day, and my lower back is sore and weak. I've heard that without a spleen, my hematopoietic function may be impaired, which could lead to poor blood c...
Dr. Wu Jiyu reply Internal Medicine
After reviewing your question, I recommend seeking assistance from a urologist. Thank you for your inquiry. The Nephrology Department of Changhua Hospital cares about you.[Read More] Post-Splenectomy Health Issues: Seeking the Right Specialist for Your Symptoms
Understanding Renal Vascular Calcification: Causes and Implications
Renal vascular calcification Doctor, I previously underwent a health check-up at the hospital where I had an abdominal X-ray and a kidney ultrasound. The kidney ultrasound results were normal, but the abdominal X-ray indicated vascular calcification in the kidneys. Could you plea...
Dr. Wu Jiyu reply Internal Medicine
Based on the information provided, we are unable to address your medical condition. We recommend that you consult a nephrologist for blood tests to check your "creatinine" levels and a urinalysis to clarify the issue. Thank you for your inquiry. The Nephrology Departmen...[Read More] Understanding Renal Vascular Calcification: Causes and Implications
Does Favism Disappear with Age? Understanding the Condition
Regarding Favism (G6PD deficiency) Hello! Does G6PD deficiency disappear with age?
Dr. Wu Jiyu reply Internal Medicine
Regarding this issue, a physician has already responded on "Taiwan e-Hospital." Please refer to the following link: http://sp1.hso.mohw.gov.tw/doctor/Often_question/type_detail.php?q_type=%E8%A0%B6%E8%B1%86%E7%97%87&UrlClass=%E5%85%92%E7%A7%91 Thank you for your inq...[Read More] Does Favism Disappear with Age? Understanding the Condition
Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained
How are kidney blood and urine tests conducted, and are there any issues to be aware of? In mid-October, I had blood tests, urine tests, and X-rays done at the nephrology department. The reports came back normal. 1. However, I notice that my urine has bubbles that disappear in ...
Dr. Wu Jiyu reply Internal Medicine
1. Based on the report you provided, it can only be roughly determined that there is no proteinuria, and it is not possible to fully confirm whether kidney function is normal (as there are no blood test results for creatinine and glomerular filtration rate provided). 2. Most cas...[Read More] Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained
Can Patients with Favism Safely Use Lasix 40mg for Edema?
Can patients with favism use Lyrica 40mg? Hello, doctor. I would like to ask if a patient with favism can take Lasix (furosemide). I checked its contraindications and did not find any specific mention prohibiting its use in patients with favism, but upon researching its generic n...
Dr. Wu Jiyu reply Internal Medicine
Regarding this issue, there are relevant websites available for reference that should help resolve your concerns. Please feel free to connect to the following link: https://meddataspeaks.wordpress.com/2015/03/28/%E8%97%A5%E7%89%A9%E5%AE%89%E5%85%A8-g6pd%E7%BC%BA%E4%B9%8B%E5%8F%AF...[Read More] Can Patients with Favism Safely Use Lasix 40mg for Edema?
Understanding Hormonal Development Issues: A Guide for Young Adults
Hormones (previous question inquiry) Last time I had a question... Since I am 20 years old, my voice hasn't changed like a girl's, and I feel that my genitalia hasn't developed. Yesterday, I visited a urologist and initially asked the doctor about my "voice&qu...
Dr. Wu Jiyu reply Internal Medicine
1. Regarding your inquiry, it is recommended to consult a urologist or an endocrinologist. Since you have already seen a urologist, please wait for the blood test results and listen to the explanation from your physician. 2. If your questions remain unanswered at that time, reque...[Read More] Understanding Hormonal Development Issues: A Guide for Young Adults
Is 2000cc of Daily Water Intake Safe for a Single Kidney?
Unilateral kidney issues? Hello doctor, I was born with only one kidney, which functions normally. I would like to ask, for someone with only one kidney, is drinking 2000cc of water per day a burden on the kidney? Thank you.
Dr. Wu Jiyu reply Internal Medicine
If you only have one kidney, it has to bear the workload of two kidneys, so it's important to take good care of it. This includes staying well-hydrated (such as drinking at least 1500cc to 2000cc of water per day), monitoring and controlling the three highs (hypertension, hi...[Read More] Is 2000cc of Daily Water Intake Safe for a Single Kidney?
Understanding Hormone Therapy and Cholesterol Testing Costs in Taiwan
Development and Cholesterol Doctor, I feel that my development is not very good, and I don't have obvious secondary sexual characteristics. I want to pursue hormone therapy; will health insurance cover the costs? I'm worried it might be expensive. When I go for a consul...
Dr. Wu Jiyu reply Internal Medicine
Regarding your inquiry, whether it concerns hormones or cholesterol, it is recommended to consult with a urologist or an endocrinologist for fasting tests, which should be covered by health insurance. Thank you for your question, and the Nephrology Department at Changhua Hospital...[Read More] Understanding Hormone Therapy and Cholesterol Testing Costs in Taiwan
Understanding Cloudy Tea-Colored Urine: Causes and Concerns
Cloudy tea-colored urine? Hello Doctor, I have a hereditary issue that causes my uric acid levels to be consistently high, and I have experienced multiple gout attacks. I have been taking Benzobromarone 50 mg once daily for four months to manage this condition. This morning, I no...
Dr. Wu Jiyu reply Internal Medicine
Based on your inquiry (this morning's first urine was found to be cloudy and tea-colored, while the second urine returned to clear), it is not possible to determine whether Benzobromarone has caused hepatotoxicity. Generally, the first urine in the morning is darker because ...[Read More] Understanding Cloudy Tea-Colored Urine: Causes and Concerns
Understanding Kidney Health: GFR at 84.1 with No Proteinuria Concerns
The glomerular filtration rate (GFR) is measured at 84.1, and the urinalysis shows no proteinuria? Hello Dr. Wu: This year's health check report shows a creatinine level of 1.0, and the estimated glomerular filtration rate (eGFR) is approximately 84.1. I have a history of ch...
Dr. Wu Jiyu reply Internal Medicine
Based on your inquiry, your creatinine level is 1.0, and your estimated glomerular filtration rate (eGFR) is 84.1. Given your age, this indicates a slight decrease in kidney function (normal eGFR > 90). However, you are currently being treated for benign prostatic hyperplasia,...[Read More] Understanding Kidney Health: GFR at 84.1 with No Proteinuria Concerns
Kidney Stones vs. Kidney Cancer: Understanding Your Diagnosis and Concerns
Kidney stones or kidney cancer? Dear Dr. Wu, Hello! I have some questions that I would like your help with. 1. Since my sophomore year, I have consistently had protein in my urine during health check-ups, which has caused me a lot of concern. Almost every test I have done show...
Dr. Wu Jiyu reply Internal Medicine
1. The examination of proteinuria can be categorized into coarse and fine assessments, and there are physiological proteinuria and pathological proteinuria. It is recommended that you consult a nephrologist for a detailed examination to clarify the issue. 2. Kidney stones are d...[Read More] Kidney Stones vs. Kidney Cancer: Understanding Your Diagnosis and Concerns
Understanding Kidney Pain and Unpleasant Urine Odor: Symptoms Explained
I feel like there is a problem with my kidneys? Hello doctor, recently I have been experiencing occasional sharp pain in my left lower back, approximately where the kidney is located, and my urine has a foul odor. What could these symptoms indicate?
Dr. Wu Jiyu reply Internal Medicine
Regarding the pain you mentioned in the left lower back, which is approximately where the kidney is located, along with the occasional sharp pain and foul-smelling urine, it is possible that you may be experiencing kidney inflammation, stones, or other issues. It is advisable to ...[Read More] Understanding Kidney Pain and Unpleasant Urine Odor: Symptoms Explained
Understanding Proteinuria: Kidney Health and Hydration Concerns
Urinary protein and some issues? Hello Doctor, I have been drinking insufficient water for a long time, and my urine output is low. A few years ago, I tested positive for protein in my urine. During that time, I increased my water intake, and the protein disappeared, but I still ...
Dr. Wu Jiyu reply Internal Medicine
1. Regarding proteinuria, it should not be assessed by visual inspection (such as the presence of bubbles in the urine, darker urine color, or occasional cloudiness). If there are any concerns, it is advisable to consult a nephrologist for a detailed examination to confirm the di...[Read More] Understanding Proteinuria: Kidney Health and Hydration Concerns
Understanding Kidney Imaging: When to Repeat and What It Means
Renal imaging I would like to ask the doctor, a few years ago I had a urinalysis that showed trace hematuria (1+), and the doctor performed an intravenous pyelogram (IVP) which came back normal. If I have another urinalysis now that still shows trace hematuria (1+), should I unde...
Dr. Wu Jiyu reply Internal Medicine
1. It is recommended to consult a nephrologist or urologist for a renal ultrasound for monitoring. If any issues arise, further examinations such as an Intravenous Pyelogram (IVP) or a CT scan can be considered. 2. To determine if there is proteinuria, a urinalysis is sufficient...[Read More] Understanding Kidney Imaging: When to Repeat and What It Means
Understanding Blood in Stool: Causes and Concerns for Morning Symptoms
Blood in the stool? I have noticed blood in my first bowel movement in the morning for the past three days. It seems to be mixed with the stool and has a brownish color. I have only been passing watery stools, and I have been experiencing frequent abdominal pain and urgency to us...
Dr. Wu Jiyu reply Internal Medicine
There are many reasons for blood in the stool in the morning, with hemorrhoids being the most common in adults. If further examination is needed, it is recommended to consult a gastroenterologist or a colorectal surgeon for follow-up. Thank you for your inquiry. The Nephrology De...[Read More] Understanding Blood in Stool: Causes and Concerns for Morning Symptoms
Understanding Fluctuating Hematuria and Proteinuria in Young Adults
Hello, why is it that urine tests sometimes detect hematuria and proteinuria, and at other times do not? I am currently an 18-year-old male with intermittent proteinuria, which has been monitored for three years. My nephrologist has advised to continue monitoring. In early Februa...
Dr. Wu Jiyu reply Internal Medicine
1. There are many causes of occult blood, and orchitis can be one of them; further follow-up may be needed. 2. As for the multiple inflammatory conditions (otitis media, orchitis, and paronychia), they are likely not related. If inflammation occurs frequently in the future, it i...[Read More] Understanding Fluctuating Hematuria and Proteinuria in Young Adults
Understanding Stage 1 Chronic Kidney Disease: Symptoms and Concerns
Chronic Kidney Disease Stage 1 Hello, doctor... I have had mild proteinuria since high school. During a company health check, the urine test showed proteinuria intermittently (+/-). About six years ago, I underwent a 24-hour urine test, and the results were within the normal rang...
Dr. Wu Jiyu reply Internal Medicine
1. Chronic Kidney Disease Stage 1 is defined as a glomerular filtration rate (GFR) of 90 mL/min/1.73 m² or higher, accompanied by proteinuria, hematuria, or abnormal kidney morphology. Based on your description of "24-hour urine test results within normal range," this d...[Read More] Understanding Stage 1 Chronic Kidney Disease: Symptoms and Concerns