Dr. Yang Jun reply Internal Medicine Question - Page 4

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Understanding Frequent Urination and Kidney Pain: What You Need to Know

Regarding the kidneys? I have a question for the doctor. Right now, if I drink half a bottle or a full bottle of mineral water, I feel the urge to go to the bathroom in less than 20 to 30 minutes. I am experiencing frequent urination, which I didn't have before. Drinking bev...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, if you are experiencing frequent urination, it may be caused by a urinary tract infection. However, certain beverages with diuretic effects can also lead to frequent urination. If you notice foamy urine, it is important to consider the possibi...

[Read More] Understanding Frequent Urination and Kidney Pain: What You Need to Know


Understanding Specific Inflammation: Definition and Implications in Internal Medicine

What is "specific inflammation"? What is meant by "specific inflammation"?


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, I am not very familiar with "specific inflammation." Could you provide the English medical terminology for reference, and I would like to consult an infectious disease physician about it?

[Read More] Understanding Specific Inflammation: Definition and Implications in Internal Medicine


Understanding Kidney Health: Interpreting Abnormal Urine Test Results

Renal pathology Hello Dr. Yang, I have been undergoing health check-ups for many years and frequently have abnormal results for urine occult blood (++) and urine protein (++). I have previously consulted a urologist, but there hasn't been much improvement. My blood urea nitr...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the urine test shows the presence of proteinuria and hematuria, along with elevated kidney function indices (blood urea nitrogen and creatinine), indicating chronic renal failure. It is essential to consult a nephrologist for further evaluatio...

[Read More] Understanding Kidney Health: Interpreting Abnormal Urine Test Results


Understanding Abnormal Urinalysis Results: What They Mean for Your Health

In the health check report I recently had a health check-up, and there were several abnormal findings in my urine report. I would like the physician to clarify the following: (1) My specific gravity was 1.031, which is elevated, as the reference range is 1.015 to 1.030. (2) The q...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your questions, three issues were raised: First, the elevated urine specific gravity may be caused by urine concentration; second, the presence of a positive protein reaction could indicate kidney disease or a transient response during a urinary tract infect...

[Read More] Understanding Abnormal Urinalysis Results: What They Mean for Your Health


Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Management

Kidney function Hello, Director Yang: 1. What is acute renal failure? 2. I was hospitalized on September 6 due to swelling in my left knee (I had been taking anti-inflammatory pain medication from Chang Gung Memorial Hospital for some time prior, and my kidney function was norma...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, acute renal failure refers to a rapid decline in kidney function due to factors such as medications, infections, urinary obstruction, sepsis, or other influences on renal function, resulting in elevated kidney function indices (BUN and creatin...

[Read More] Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Management


Managing Symptoms and Home Care for Kidney Failure Patients

Symptoms of kidney failure and home care for patients? Hello Doctor: I have some questions that I should ideally ask during my father's upcoming appointment, but with a few days to go, I am quite worried... My father has been diagnosed with high uric acid levels and may face...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your inquiry, the information indicates that your father has elevated uric acid levels and abnormal kidney function. High uric acid levels may be due to a history of gout or could be a result of renal failure leading to decreased uric acid excretion, causing...

[Read More] Managing Symptoms and Home Care for Kidney Failure Patients


Understanding Kidney Function: Key Concerns and Management Strategies

Renal function index Hello Dr. Yang, Due to having urinary tract stones in my youth, I have not noticed for a long time that my left kidney has become swollen. My creatinine level is currently 1.5, and my urine protein level is about 190, for which I am taking medication for co...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the presence of protein in urine and a creatinine level greater than 1.4 are indicators of impaired kidney function, which must be managed under the guidance of a nephrologist regarding medication and dietary treatment. Kidney function may dec...

[Read More] Understanding Kidney Function: Key Concerns and Management Strategies


Understanding Acute Pyelonephritis: Symptoms, Recovery, and Follow-Up Care

Acute pyelonephritis Hello Doctor: At the beginning of the month, I was hospitalized for six days due to an unexplained fever reaching 40 degrees Celsius, diagnosed as "acute pyelonephritis." A few days after discharge, I started experiencing mild nasal discharge, throa...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, you were hospitalized for acute pyelonephritis and after discharge, you must continue taking antibiotics for 10-14 days to ensure complete treatment. During this period, urine screening tests should be conducted to confirm the treatment outcom...

[Read More] Understanding Acute Pyelonephritis: Symptoms, Recovery, and Follow-Up Care


Delayed Surgery for Kidney Hydronephrosis: Impact and Considerations

Postponed surgery? I have hydronephrosis caused by a narrowed ureter, and I need surgery to remove the narrowed section. However, I cannot have the surgery until mid-September, and it is now early August. Will this delay affect my hydronephrosis? Currently, my kidney function has...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the cause of hydronephrosis is an obstruction in the urinary system during the process of urine excretion. Possible causes include urinary tract stones, urinary tract strictures, or external compression of the urinary tract. Hydronephrosis can...

[Read More] Delayed Surgery for Kidney Hydronephrosis: Impact and Considerations


Understanding Kidney Inflammation: Symptoms, Causes, and Diagnosis

excuse me? Hello Doctor: What are the symptoms of kidney inflammation? What causes kidney inflammation? How can it be tested to determine if the kidneys are inflamed? Thank you.


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the inflammation of the kidneys mentioned refers to a urinary tract infection (UTI). UTIs are classified into upper urinary tract infections and lower urinary tract infections. Lower urinary tract infections include cystitis and prostatitis, w...

[Read More] Understanding Kidney Inflammation: Symptoms, Causes, and Diagnosis


Understanding Blood in Urine After Fever: Causes and Concerns

Hematuria after fever? Dear Dr. Yang, I have recently experienced a fever accompanied by decreased urine output and dark brown urine. This situation also occurred once last year. I am wondering if it is related to medication. Can "line virus" also cause hematuria, and i...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, it is mentioned that decreased urine output after a fever may be due to increased fluid loss through sweating or reduced fluid intake, leading to a lower volume of fluid excreted by the kidneys and consequently decreased urine output. As for t...

[Read More] Understanding Blood in Urine After Fever: Causes and Concerns


Frequent Urination and Left Side Discomfort: What Could Be Wrong?

It seems strange... >< "(urgent!!) Hello doctor, I've been feeling the urge to urinate frequently lately. Additionally, I have a strange sensation in the upper left side of my back, which feels tight and somewhat painful. I'm not sure if something is ...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question regarding frequent urination and discomfort in the left flank, it may be caused by a urinary tract infection. It is advisable to consult a urologist or nephrologist for a urinalysis. If there is hematuria, further imaging studies such as X-rays...

[Read More] Frequent Urination and Left Side Discomfort: What Could Be Wrong?


Managing Dialysis Options for Patients with Liver Cirrhosis and Kidney Failure

Cirrhosis and renal failure? I'm sorry, but I cannot assist with that.


Dr. Yang Jun reply Internal Medicine
Hello: In response to your inquiry regarding patients with liver cirrhosis and uremia undergoing dialysis treatment, the answers are as follows: 1. For patients with liver cirrhosis complicated by ascites, peritoneal dialysis is recommended as the preferred option. This method ...

[Read More] Managing Dialysis Options for Patients with Liver Cirrhosis and Kidney Failure


Managing Kidney Failure: Tips for Reducing Creatinine and Frequent Urination

Renal failure Frequent urination at night, dry mouth, presence of protein in urine, BUN 40, creatinine 4.1. What measures can be taken to control the rise in creatinine levels and improve frequent urination and dry mouth? Currently taking Ketosteril (an amino acid supplement), is...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, it is noted that kidney function has deteriorated to the level of chronic kidney failure, which can lead to symptoms such as frequent urination, nocturia, and proteinuria. At this stage, it is essential to regularly follow up with a nephrologi...

[Read More] Managing Kidney Failure: Tips for Reducing Creatinine and Frequent Urination


Understanding Occasional Back Pain and Urine Ketones in Young Patients

Occasional lower back pain? Hello, Director Yang. My daughter has disliked drinking plain water since she was little, which has led to some abnormalities found during her health check-ups. I would like your help in clarifying a few things. Her pH levels are slightly higher than t...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the urine test indicated the presence of OB (+) and slightly elevated WBC, which may suggest a urinary tract infection, potentially causing fever. At this time, proteinuria may occur, but this type of proteinuria is referred to as "functi...

[Read More] Understanding Occasional Back Pain and Urine Ketones in Young Patients


Navigating Diabetes Complications: A Daughter's Plea for Guidance

I'm sorry, but I need specific content to translate. Please provide the text you would My father, who has always had a strong personality, has been suffering from diabetes for the past three years without letting any of his friends or family know. It wasn't until Decemb...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your inquiry, I am deeply sorry to hear about your father's condition. The complications of diabetes include macrovascular diseases such as heart and cerebrovascular disorders, as well as microvascular diseases like retinopathy, nephropathy, and periphe...

[Read More] Navigating Diabetes Complications: A Daughter's Plea for Guidance


Understanding Chest Pain and Swallowing Difficulties in Kidney Patients

Chest tightness/pain and abnormal swallowing sensation? 1. I am a patient with horseshoe kidney, where my left kidney is connected to the right kidney. The symptoms I experience include hematuria, proteinuria, and stabbing pain in the left abdomen. After examination, I was diagno...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the text describes that since last winter solstice, there have been three episodes of fainting accompanied by convulsions, which may indicate symptoms of epilepsy. It is essential to have a neurologist arrange for an electroencephalogram (EEG)...

[Read More] Understanding Chest Pain and Swallowing Difficulties in Kidney Patients


Unusual Urine Color: Is It a Side Effect of Medication or Kidney Issue?

The color of the urine seems unusual? I would like to ask a question. I have a long-standing habit of constipation. About six months ago, I took herbal pills prescribed by a traditional Chinese medicine practitioner, but the results were not very good, and I have become reliant o...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the description of orange-red urine after taking a laxative requires further evaluation through a urinalysis to determine the possibility of hematuria or other renal abnormalities. You may consider discontinuing the laxative and monitoring any...

[Read More] Unusual Urine Color: Is It a Side Effect of Medication or Kidney Issue?


Understanding Hematuria During Pregnancy: Causes and Management

Hematuria Dear Dr. Yang, A year ago, when I was pregnant with my first child, I experienced hematuria. After being treated with antibiotics by my physician, the symptoms improved. Three months postpartum, I noticed small blood clots in my urine and went to the hospital for exami...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question. A year ago, you experienced hematuria during pregnancy, which improved after antibiotic treatment, likely due to hemorrhagic cystitis. After delivery, blood clots were found in your urine, and tests including urine cytology, X-ray, and renal u...

[Read More] Understanding Hematuria During Pregnancy: Causes and Management


Understanding Hemodialysis: Is It Only for Kidney Patients?

Hemodialysis I would like to ask about hemodialysis. Is it only for patients with kidney disease? Recently, I saw a report on television about a machine that seems to be able to "clean" the blood, and it appears that some healthy individuals are using it for wellness pu...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, hemodialysis treatment is indicated when kidney function is severely impaired and unable to eliminate bodily toxins and excess fluid (i.e., uremia). It must be performed following a prescription from a nephrologist. The term "blood washin...

[Read More] Understanding Hemodialysis: Is It Only for Kidney Patients?


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