Understanding Kidney Issues: Symptoms and Concerns Explained
Kidney problems Hello doctor, I previously asked a question regarding experiencing pain when turning over and feeling a lump, which seemed to be intermittent. My urination was normal at that time. Now, those issues have resolved, but I have noticed swelling in the kidney area, an...
Dr. Wu Jiyu reply Internal Medicine
Regarding the swelling in the kidney area, if there are no palpable masses, it is still advisable to consult a physician for further evaluation. An ultrasound examination can be arranged for confirmation and peace of mind. Thank you for your inquiry. The Nephrology Department at ...[Read More] Understanding Kidney Issues: Symptoms and Concerns Explained
Understanding Kidney Issues: Pain and Symptoms Explained
Kidney problems Doctor, I have a question. When I turn over, I sometimes feel pain, but it comes and goes. When I touch the area, I can feel a lump that isn't very fixed, but it is always in a certain region. It's hard to locate it precisely, and my urination is normal....
Dr. Wu Jiyu reply Internal Medicine
First, regarding your initial question: When you turn over, you feel pain for a moment, but sometimes you can feel a lump that is not very fixed, yet it is always in a specific area. It may be a subcutaneous lipoma, and it is unlikely to be related to kidney pain, nor is it indic...[Read More] Understanding Kidney Issues: Pain and Symptoms Explained
Understanding Risks of Dialysis: Can Patients Face Life-Threatening Issues?
Dialysis-related issues (forwarded from the Director's mailbox) Is it possible for dialysis patients to experience life-threatening situations during the dialysis process? I saw news from mainland China where someone died during dialysis, and the doctors there mentioned that...
Dr. Wu Jiyu reply Internal Medicine
Ms. Weng: Hello, regarding your inquiry, it should be related to the patient's pre-existing conditions. If you have the opportunity to accompany your father to dialysis, you will notice that each individual's situation is different and cannot be compared. If your father...[Read More] Understanding Risks of Dialysis: Can Patients Face Life-Threatening Issues?
Understanding Your Urine Test Results: Kidney Health Insights
Consult a physician? Hello Dr. Wu, I have received my health check report, and the urine biochemical analysis shows the following results: urine protein: 56.9, urine creatinine: 412.2, and urine protein/creatinine ratio: 138. Could this indicate a kidney issue? What treatment o...
Dr. Wu Jiyu reply Internal Medicine
Ms. Wang: Hello, based on the situation you described, the urine protein level is 56.9 and the urine creatinine level is 412.2. Therefore, the urine protein/creatinine ratio is 56.9/412.2 = 138 mg/g, which indicates that the urine protein level is 138 mg/g, which is less than the...[Read More] Understanding Your Urine Test Results: Kidney Health Insights
Understanding Foamy Urine: Is It a Sign of Kidney Issues?
Foamy urine? Hello Dr. Wu: Recently, I have noticed bubbles in my urine. Initially, they were small bubbles, but over the past two days, they have become slightly larger. I also feel more fatigued than usual, and I usually drink plenty of water. Could this indicate a kidney probl...
Dr. Wu Jiyu reply Internal Medicine
The presence of bubbles in urine that do not dissipate over time may indicate the possibility of "proteinuria." You can visit a hospital for a urine screening to confirm this. (Note: Various components in urine can cause bubbles, but the one related to bodily diseases i...[Read More] Understanding Foamy Urine: Is It a Sign of Kidney Issues?
Managing Symptoms of Nausea and Fatigue in Peritoneal Dialysis Patients
Peritoneal dialysis, but my physical condition has been very poor recently? Dear Dr. Wu, My mother has a history of hypertension for over 30 years. In January of this year, she was hospitalized for treatment due to renal failure and is currently undergoing peritoneal dialysis. P...
Dr. Wu Jiyu reply Internal Medicine
1. Based on your description, I infer that your mother has been undergoing peritoneal dialysis for about 10 months. Theoretically, you should have a certain level of familiarity with the peritoneal dialysis nurse. You can discuss or clarify the symptoms you described with your mo...[Read More] Managing Symptoms of Nausea and Fatigue in Peritoneal Dialysis Patients
Post-Surgery Kidney Function Concerns in Children with Urinary Reflux
Postoperative renal function issues after ureteral reflux surgery? My child is 8 years old and was diagnosed in 2009 with left-sided vesicoureteral reflux, which caused scarring in the left kidney, reducing its function to only 27%. The right kidney is normal. He underwent reflux...
Dr. Wu Jiyu reply Internal Medicine
Q1: The doctor told me that my child's left kidney function is only 27%, but the normal right kidney will compensate, so overall, kidney function is similar to that of a healthy person. Is this true? Answer: This statement is correct. Q2: Should the diet be controlled like...[Read More] Post-Surgery Kidney Function Concerns in Children with Urinary Reflux
Understanding Elevated White Blood Cells in Urinalysis Results
Urinalysis Hello doctor, during my health check-up, my urine test showed 8-10 white blood cells, while everything else was normal. I'm not sure what this means. Thank you.
Dr. Wu Jiyu reply Internal Medicine
During a health check-up, if the urine test shows 8-10 white blood cells and there are no symptoms of urethritis, treatment is not necessary. It is recommended to follow up later. Thank you for your inquiry. This is a message from the Nephrology Department of Changhua Hospital, c...[Read More] Understanding Elevated White Blood Cells in Urinalysis Results
Understanding Low Morning Urine Output and Swelling: Causes and Concerns
Decreased urine output upon waking? Hello doctor, I would like to ask, if I sleep for a longer duration of 8 to 9 hours, sometimes I wake up with very little urine, and my face is puffy and my hands feel tight. The swelling goes down after about 1 to 2 hours. Could this be relate...
Dr. Wu Jiyu reply Internal Medicine
Dear Mary: 1. Based on your description, it is possible that during prolonged sleep, urine formation naturally becomes concentrated (which is why you do not frequently need to use the restroom), leading to a perception of oliguria. This is not indicative of urinary reflux and ty...[Read More] Understanding Low Morning Urine Output and Swelling: Causes and Concerns
Understanding Sudden Anuria and Swelling: Causes and Concerns
Sudden anuria? Hello, I usually exercise very little and spend most of my time indoors. Previously, when the temperature was high at 38 degrees Celsius, my feet suddenly swelled while walking outside. Both of my feet became edematous, and when I pressed on them, they would indent...
Dr. Wu Jiyu reply Internal Medicine
Hello, Xiaoyu: Based on the information you provided, the acute kidney injury you experienced may be suspected to be caused by heat exhaustion or heat stroke due to walking outside in high temperatures of 38 degrees Celsius. However, since you adequately replenished fluids and re...[Read More] Understanding Sudden Anuria and Swelling: Causes and Concerns
Understanding Biochemical Reports: Managing Diabetes and Kidney Health
Family's biochemical report Hello Dr. Wu, I consulted with you in February this year, and today I am attaching more biochemical report data for your explanation. My father is 60 years old today and has been suffering from diabetes and kidney stones for a long time. He was or...
Dr. Wu Jiyu reply Internal Medicine
My father is 60 years old today and has long been troubled by diabetes and kidney stones. He has been seeing a family medicine doctor, but for some reason, his case has been referred to a nephrologist. I have attached the examination reports from February of this year to the pres...[Read More] Understanding Biochemical Reports: Managing Diabetes and Kidney Health
Understanding Kidney Health: The Impact of Protein and Nutrition on Urinary Issues
Kidneys and Urinary Protein Hello Doctor: During a recent health check-up, my report indicated that both my blood pressure and urine protein levels were too high (the doctor mentioned it could indicate glomerulonephritis). I also noticed that my urine is foamy almost every time I...
Dr. Wu Jiyu reply Internal Medicine
1. Based on your statement that "both blood pressure and urine protein are too high," it is possible that you have "glomerulonephritis." General recommendations include: a. controlling blood pressure (<130/80 mmHg) b. following a "low" protein die...[Read More] Understanding Kidney Health: The Impact of Protein and Nutrition on Urinary Issues
Understanding Pain Near the Bladder: Possible Kidney Issues?
Pain occurs when pressure or pulling is applied to both sides of the bladder? Hello Doctor: I recently noticed that if I curl my body or stretch backward, I experience pain on both sides of my bladder, which should be around the kidney area. However, it’s strange because the pain...
Dr. Wu Jiyu reply Internal Medicine
Dear Kay: 1. Regarding the pain when pressing or pulling on both sides of the bladder, it is important to note that this is not related to the kidneys, as the kidneys are located in the retroperitoneal space. If there were pain, it would be felt in the back, not the front. 2....[Read More] Understanding Pain Near the Bladder: Possible Kidney Issues?
Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
How can one determine if it is simple proteinuria? I previously asked some questions and still have a few more. I would appreciate your answers. I have had proteinuria for two months, with two different tests showing one result as 1+ and another 24-hour result as 791. I also visi...
Dr. Wu Jiyu reply Internal Medicine
1. The 24-hour result is 791 mg, which has not yet reached the level of nephrotic syndrome, and there are no clinical symptoms (such as edema or hypertension); therefore, there is currently no necessity for a kidney biopsy. 2. When is a kidney biopsy necessary? It is recommended ...[Read More] Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
Understanding Proteinuria in Teenagers: Causes and Concerns
Hello, I am 15 years old, male, and I have been tested for proteinuria with a result of 791 mg/dL? Two months ago, I experienced frequent swelling and pain in the area above my right testicle (the pubic region). The pain was severe enough that movement in that area would cause sh...
Dr. Wu Jiyu reply Internal Medicine
1. When checking for proteinuria, it is important to first rule out conditions such as exercise, infection, and fever, as these factors can lead to an increase in proteinuria and result in inaccurate readings. 2. It is recommended to repeat the test (remember that the first morn...[Read More] Understanding Proteinuria in Teenagers: Causes and Concerns
Understanding Abnormal Kidney Function: What You Need to Know
Is there any abnormality in kidney function? Hello, Doctor. Last July, I had a urinalysis that showed hematuria and proteinuria, both positive. In August, I went to another hospital for another urine test, and again, there were reactions for hematuria and proteinuria. After blood...
Dr. Wu Jiyu reply Internal Medicine
1. First, let's discuss the risk factors for kidney disease: the three highs (hypertension, hyperglycemia, and hyperlipidemia) and proteinuria. Based on the data you provided: Blood Pressure??? Blood Glucose (GLU AC) 89 mg/dL: OK; Lipid Profile Cholesterol 224 mg/dL: borderl...[Read More] Understanding Abnormal Kidney Function: What You Need to Know
Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Concerns
Kidney problems Hello, doctor. Recently, I have been drinking a lot of water, but the amount I urinate is very little. I usually exercise a lot and sweat a lot, but lately, my sweat has had a very sour smell, somewhat like ammonia. Additionally, I have been experiencing a dull pa...
Dr. Wu Jiyu reply Internal Medicine
1. Regarding acute renal failure (acute renal failure, also known as acute kidney injury): It is essential to understand the functions of the kidneys in the body. The kidneys primarily eliminate toxins produced from protein metabolism (commonly referred to as uremia) and regulate...[Read More] Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Concerns
Understanding Right Groin Discomfort: Seeking the Right Medical Advice
Right groin? Since last summer, I've been experiencing discomfort on the right side of my body, starting with pain that is hard to describe. The uncomfortable area is located to the right of my right testicle, in the perineum, and the upper right side of my anus (initially, ...
Dr. Wu Jiyu reply Internal Medicine
First, let's clarify a few points that may not seem related to nephrology (I am a nephrologist). 1. Where exactly do you feel discomfort? Is it in the scrotum, inner thigh, perineum, or near the anus? A physician examining you in person would have a better understanding of...[Read More] Understanding Right Groin Discomfort: Seeking the Right Medical Advice
Frequent Urination: Is It Normal to Urinate 12 Times a Day?
Frequent urination? Dr. Wu: I usually drink 3 bottles of water (1800 mL), but I often urinate twice an hour, averaging about 12 times a day (the color is light). However, if I don't drink a lot of water, I only go about 6-7 times. Is this normal?
Dr. Wu Jiyu reply Internal Medicine
Q1: I usually drink 3 bottles of water (1800ML), but I often go to the bathroom (urinate) twice an hour, averaging about 12 times a day (the color is light). Answer: Drinking more water typically results in lighter urine; however, urinating about 12 times a day is considered exce...[Read More] Frequent Urination: Is It Normal to Urinate 12 Times a Day?
Dietary Guidelines for Pre-Dialysis Kidney Patients: What to Know
I would like to ask about dietary issues for dialysis patients? I'm sorry to hear about your mother's condition. Here are some dietary adjustments that can help: 1. Yes, you can use reduced-sodium salt when cooking. It's important to limit sodium intake to help ma...
Dr. Wu Jiyu reply Internal Medicine
1. The most appropriate course of action is to visit a nephrology outpatient clinic (if you regularly see a nephrologist, consult with your usual physician or dietitian) to discuss in detail with the physician or dietitian (including the arrangement of subsequent treatment plans,...[Read More] Dietary Guidelines for Pre-Dialysis Kidney Patients: What to Know