Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome
The calculation of creatinine clearance (CCR) can be done using the following formula: \[ \text{CCR} = \ Hello Dr. Yang: I am a patient with Systemic Lupus Erythematosus (SLE) and currently suffering from nephrotic syndrome. My albumin levels have been around 2.8 to 3, and my ch...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, Systemic Lupus Erythematosus (SLE) is one of the causes of nephrotic syndrome. Treatment must focus on controlling the underlying disease (SLE) and reducing kidney function damage. A low-salt and low-protein diet is a method to slow down prote...[Read More] Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome
Understanding Amyloidosis: Causes, Treatments, and Prognosis
Causes and Treatment of Amyloidosis My father is 67 years old and underwent cardiac catheterization a month ago. The doctor diagnosed that only one area of the blood vessel required angioplasty, and his condition was stable after the procedure. However, about two weeks later, he ...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, amyloidosis refers to a disease caused by the deposition of amyloid, a fibrous protein, in one or more organs of the body. The clinical manifestations depend on the organs and areas affected, which can lead to systemic and multifocal diseases....[Read More] Understanding Amyloidosis: Causes, Treatments, and Prognosis
Understanding Sudden Lower Back Pain Triggered by Stress
Sudden onset of lower back pain? Hello Dr. Yang: My mother (52 years old) has experienced several episodes of sudden lower back pain over the past year. This pain occurs during extreme anger, stress, or sadness. She feels fine initially, but if she suddenly becomes very angry, th...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, your mother's sudden lower back pain may be caused by a musculoskeletal or neurological issue and is likely unrelated to adrenal gland dysfunction. It would be advisable to consult a rehabilitation specialist for a thorough evaluation and...[Read More] Understanding Sudden Lower Back Pain Triggered by Stress
Understanding Frequent Urination and Its Possible Causes
Dysuria Hello, Director Yang. ^_^ I have some questions I would like to ask. Recently, I have been experiencing frequent urination episodes, as well as a sensation of residual urine after urination. Additionally, there have been a few instances where I had to wait for a moment be...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, frequent urination or a burning sensation during urination may indicate a urinary tract infection (UTI). UTIs can be classified into upper urinary tract infections (such as pyelonephritis) and lower urinary tract infections (such as cystitis o...[Read More] Understanding Frequent Urination and Its Possible Causes
Is There Hope for Dialysis Patients to Stop Treatment?
Is it possible for patients on dialysis to no longer need dialysis? My mother went to the emergency room during this winter break, and the doctor diagnosed her with "uremia," stating that she would need lifelong dialysis. When she first arrived at the hospital, they dra...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, uremia refers to the condition where the kidneys are unable to eliminate toxins and excess fluids, thus failing to maintain normal metabolic functions in the body. This necessitates dialysis treatment (either hemodialysis or peritoneal dialysi...[Read More] Is There Hope for Dialysis Patients to Stop Treatment?
Caring for Patients with Rhabdomyolysis: Essential Tips and Recommendations
Rhabdomyolysis For a patient with rhabdomyolysis, proper care is crucial, especially when resources are limited. Here are some recommendations: 1. **Hydration**: Continue to encourage the patient to drink plenty of fluids, preferably water or electrolyte solutions, to help flush...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the causes of rhabdomyolysis may include heat stroke, severe trauma, prolonged local tissue compression, or drug-induced factors. It is essential to first eliminate the underlying cause and provide ample hydration along with diuretics to preve...[Read More] Caring for Patients with Rhabdomyolysis: Essential Tips and Recommendations
Understanding Proteinuria: Should You See a Nephrologist?
Urinary protein Hello Doctor, during this year's employee health check, I found (+) urine protein and (+/-) occult blood. I have had similar test results in the past, but after several rechecks, they disappeared. However, I occasionally test positive again, and sometimes my ...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the presence of proteinuria can be classified into functional proteinuria and pathological proteinuria. Functional proteinuria may occur due to urinary tract infections, fever, infections, or during a woman's menstrual period, and it typi...[Read More] Understanding Proteinuria: Should You See a Nephrologist?
Understanding Kidney Issues and Nighttime Leg Cramps in Elderly Patients
Please ask your question? Hello, Dr. Yang... I have a question I would like to ask you... My mother has kidney issues; her left kidney has completely lost function, and the right kidney currently has a tube inserted in the lumbar area to allow urine to drain. She has kidney stone...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, your mother's condition is quite complex. The issue of right kidney stones and the need for catheter drainage should be explained by a urologist based on her specific situation. The neurological sensations and symptoms of congestion cause...[Read More] Understanding Kidney Issues and Nighttime Leg Cramps in Elderly Patients
Managing Polycystic Kidney Disease: Tips for Patients and Family
Please inquire about polycystic kidney issues? My father is 50 years old and has inherited polycystic kidney disease. Last year, his kidney function was found to be at 65%. Besides dietary considerations, what else should he pay special attention to? Additionally, I am 24 years o...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, congenital polycystic kidney disease is a genetic hereditary condition. If someone in your family has this disease, siblings and direct relatives should be monitored. Your father was diagnosed with polycystic kidney disease at the age of 50, a...[Read More] Managing Polycystic Kidney Disease: Tips for Patients and Family
Choosing Between Hemodialysis and Peritoneal Dialysis for Kidney Failure
What are the dialysis methods for renal failure? For patients with high blood pressure and low hematocrit and hemoglobin levels, which method is better: hemodialysis or peritoneal dialysis? (Assuming that the schedule, family support, and home environment can accommodate both met...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, there are two types of dialysis: hemodialysis and peritoneal dialysis. Peritoneal dialysis is performed continuously over 24 hours for the removal of uremic toxins, resulting in less fluctuation in body fluid status, and patients typically hav...[Read More] Choosing Between Hemodialysis and Peritoneal Dialysis for Kidney Failure
Understanding Hydronephrosis: Dietary Impact and Management Tips
Hydronephrosis Grandma has not been feeling well recently, and after examination, she was diagnosed with hydronephrosis and the presence of kidney stones. Is there a significant correlation with diet? She has dementia and diabetes mellitus, so she usually pays special attention t...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question... The cause of your grandmother's hydronephrosis is likely due to kidney stones, and it is essential to contact a urologist as soon as possible to check for ureteral obstruction and manage the stones. A diabetic diet does not cause kidney...[Read More] Understanding Hydronephrosis: Dietary Impact and Management Tips
Understanding Unexplained Bruising: When to Seek Medical Help
Congestion due to underlying causes? Hello, Doctor: I am your patient with "glomerulonephritis" who needs to have regular check-ups every year. However, in the past month or two, I have been experiencing unexplained bruising below my thighs, which is painful and itchy. ...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question... The occurrence of unexplained bruising may be due to a deficiency or dysfunction of platelets, or it could be related to coagulation issues. This phenomenon can be further investigated at a hematology and oncology department. Keelung Hospita...[Read More] Understanding Unexplained Bruising: When to Seek Medical Help
Understanding Kidney Pain and Acid Reflux: When to Seek Medical Help
Please ask your two questions regarding the kidneys and stomach? Hello Dr. Yang, I would like to ask you about some recent symptoms I've been experiencing. Initially, I had shoulder pain, which then progressed to chest discomfort, and now I am noticing significant pain in th...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question... the symptoms described in your message are less likely related to the kidneys and may be caused by the neuromuscular system. It is advisable to consult with a rehabilitation specialist or an orthopedic doctor for an examination. As for the p...[Read More] Understanding Kidney Pain and Acid Reflux: When to Seek Medical Help
Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management
Type A globulin glomerulonephritis Hello Doctor, I have had microscopic hematuria for a year. Last year, I underwent examinations in the nephrology department, including blood tests, urine tests, and imaging X-rays. Aside from 4+ occult blood, I sometimes had proteinuria and some...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question... Persistent microscopic hematuria and occasional proteinuria are indicative of glomerulonephritis. Generally, type A alpha globulin nephritis is more common. An IgA level of 380 is elevated, which further supports the high likelihood of type ...[Read More] Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management
Evaluating Ketosteril: Can It Delay Dialysis in Chronic Kidney Disease?
Ketosteril Director Yang: Hello, in patients with chronic renal failure, especially in the end stages where muscle wasting occurs, what is your clinical experience with the efficacy of Ketosteril? Is it really as miraculous as the manufacturer claims in suppressing BUN and delayi...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question... The dietary recommendation for patients with chronic kidney failure is to follow a low-protein diet to avoid increasing the burden on the kidneys, which could lead to elevated blood urea nitrogen (BUN) levels. For patients with malnutrition,...[Read More] Evaluating Ketosteril: Can It Delay Dialysis in Chronic Kidney Disease?
Understanding Hydronephrosis: Kidney Size Discrepancy and Future Function
Hydronephrosis I experienced hydronephrosis on one side due to a partial obstruction of the ureter on September 17. Under the care of a urologist, I underwent laparoscopic surgery to remove the obstructed segment. During a follow-up visit on October 23, an ultrasound revealed a n...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question... The size of the kidneys should be similar on both sides, except in cases of congenital atrophy of one kidney or due to vascular disease, kidney stones, edema, or inflammation that may cause atrophy of one kidney. The function of the atrophie...[Read More] Understanding Hydronephrosis: Kidney Size Discrepancy and Future Function
Understanding Back Pain: Is It Related to Kidney Issues?
Could you please provide more details about the issue of back pain? Hello Doctor, 1. Last night before going to bed, I felt a slight soreness in my right upper back. In the past, I would usually wake up feeling sore, but this time I was suddenly awakened by the pain in my back ...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question... Based on the symptoms and examination results you described, the back pain may not be related to kidney disease. It is necessary to seek further evaluation from a rehabilitation or orthopedic specialist to determine if the pain is caused by ...[Read More] Understanding Back Pain: Is It Related to Kidney Issues?
Understanding Hair Loss After Pregnancy: Causes and Treatment Options
Hair loss I have been experiencing hair loss for seven years, which started after giving birth. I have been wearing a wig for seven years. Previously, I took steroids that helped my hair grow back, but after stopping the medication, my hair started to fall out again. Could this i...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question... regarding hair loss, it is unrelated to kidney function. You may consult a dermatologist. Keelung Hospital, Department of Health, Executive Yuan. Yang Jun.[Read More] Understanding Hair Loss After Pregnancy: Causes and Treatment Options
Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Swelling of the fingers and toes? Hello Dr. Yang: My child is currently 14 years old and experienced swelling in the hands and feet (fingers and toes) around the age of 9, which was accompanied by pain. I forgot what the doctor said at that time. It occurred occasionally, but for...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question... The possible causes of edema in the hands and feet, aside from kidney disease leading to proteinuria, include heart disease, liver disease, and metabolic disorders (such as hypothyroidism, etc.). It is recommended to visit a nephrologist for...[Read More] Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Understanding Blood in Urine: Causes, Concerns, and Next Steps
Could you please provide more details about the issue of hematuria? Doctor, I previously experienced reddish urine after running (without any blood clots). I underwent a kidney imaging examination, and the results showed no inflammation or stones. However, the doctor mentioned th...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question... The occurrence of hematuria after exercise is often benign. It may be caused by the movement of urine in the bladder during physical activity, which can exert external force on the bladder wall and lead to microvascular rupture. However, it ...[Read More] Understanding Blood in Urine: Causes, Concerns, and Next Steps