Understanding Kidney Issues: Symptoms, Diagnosis, and Treatment Options
Kidney problems Hello, previously I mentioned the issue of dull pain in the upper right abdomen. I had an abdominal X-ray done, which only showed slight fecal retention in the left colon. When there are gastrointestinal issues, can abdominal X-rays reveal conditions like small ul...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, abdominal X-ray examinations primarily focus on identifying issues within the intestines, such as feces, intestinal gas, or other foreign objects. Additionally, some information regarding kidney and liver problems can be obtained, but ultrasou...[Read More] Understanding Kidney Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Hematuria in Children: Concerns and Next Steps
Hematuria Dear Dr. Yang, Hello. In late December of 2002, my child, Xiaodi Zhan, discovered blood in his urine. He subsequently visited a teaching hospital where he underwent urinalysis, blood tests, and an ultrasound. The results indicated mild kidney inflammation, accompanied ...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the text mentions that hematuria and mild proteinuria were discovered in December 2002 and have been monitored and treated. In general, when hematuria is found, nephrologists will first rule out the possibility of urinary tract stones or urolo...[Read More] Understanding Hematuria in Children: Concerns and Next Steps
Frequent Urination and Abdominal Pain: Possible Causes and Solutions
Frequent urination, abdominal pain? Hello Doctor: In the past one to two years, I have noticeably experienced an increase in the frequency of urination. Whenever I consume any liquid food or beverages, I need to use the restroom two to four times within one to two hours. Addition...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the phenomenon of frequent urination mentioned in your message should first consider the possibility of a urinary tract infection. It is advisable to visit a nephrology clinic for examination to confirm the diagnosis. Regarding the issue of lo...[Read More] Frequent Urination and Abdominal Pain: Possible Causes and Solutions
Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions
Panic Hello, Doctor Yang. A few days ago, I had a health check-up and found my HB: 9.8, MCV: 76, HT: 34, MCH: 24.9. I later tested for thalassemia and iron deficiency anemia, but the results showed no thalassemia. However, the data regarding iron deficiency is quite strange... Ir...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the reported HB is 9.8 and MCV is 76, which indicates microcytic anemia (normal MCV values range from 80-100). It is necessary to consider thalassemia and iron deficiency anemia. Subsequent tests ruled out thalassemia, and with a TIBC of 487 a...[Read More] Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions
Is Your Kidney Function at Risk? Understanding Health Check Results
Is there a problem with kidney function? Hello Dr. Yang, I would like to ask if my father's recent health check-up report indicates any issues with his kidney function. Does he need further testing? Blood Pressure: 140/100 mmHg Blood Urea Nitrogen (BUN): 26 mg/dL (norm...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your inquiry, your father's blood pressure is 140/100 mmHg, indicating elevated diastolic pressure. It is necessary to measure blood pressure multiple times to confirm whether he has hypertension. Although the blood urea nitrogen (BUN) level is above no...[Read More] Is Your Kidney Function at Risk? Understanding Health Check Results
Understanding Kidney Pain: Causes and Concerns for Your Health
Kidney issues? Hello Dr. Yang: I've been experiencing a dull ache around my right kidney area for the past few days. Is there something wrong with my kidney?
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the causes of the right flank pain that has persisted for several days may include the following: 1. Kidney diseases: Most people would first consider potential kidney issues, including renal or urinary tract stones, acute pyelonephritis, and,...[Read More] Understanding Kidney Pain: Causes and Concerns for Your Health
Understanding Positive Amorphous Urates: Implications and Lifestyle Tips
Non-crystalline urate Hello Dr. Yang: During a recent health check-up, one of the tests for amorphous urates returned a positive result (+), while the normal reference value is negative (-). What does this mean? Is there any issue that requires further treatment? Additionally, ar...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the urine test results show a positive reaction for non-crystalline uric acid, indicating that there is an elevated level of uric acid in the urine. This may suggest hyperuricemia, which increases the likelihood of developing uric acid stones ...[Read More] Understanding Positive Amorphous Urates: Implications and Lifestyle Tips
Understanding High Creatinine and Uric Acid Levels: What You Need to Know
My health check-up? Hello doctor, I found out during a health check at school that my kidney function test shows a creatinine level of 1.8 mg/dL and a uric acid level of 8 mg/dL. What diseases could this indicate, and how should I manage it? Thank you.
Dr. Yang Jun reply Internal Medicine
Hello: In response to your inquiry, the kidney function test indicated a serum creatinine level of 1.8 mg/dL, which exceeds the normal range, suggesting impaired kidney function and the possibility of renal failure. Given your age, the elevated creatinine level may indicate acute...[Read More] Understanding High Creatinine and Uric Acid Levels: What You Need to Know
What to Do If Your Urinalysis Shows Abnormal Results?
What should I do if the results of my urine test report are abnormal? In the health check report, the urine test results show the following abnormalities highlighted in red for the first time: PRO (protein) is +, OB (urine occult blood) is 3+, BIL (urine bilirubin) is +, and WBC ...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the urinalysis indicated the presence of proteinuria, hematuria, and pyuria, which may be caused by hemorrhagic cystitis due to a lower urinary tract infection. If there are no symptoms of fever or flank pain, it suggests that the infection ha...[Read More] What to Do If Your Urinalysis Shows Abnormal Results?
Understanding Kidney Health: Key Lab Values for Patients with Kidney Transplants
Please assist the director and colleagues. Thank you! (Forwarded from the director's mailbox) Hello Director and colleagues, I would like to inquire about my mother's condition as she is a kidney transplant patient and needs to frequently visit the Chang Gung Urology ...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, your mother is undergoing kidney transplantation due to uremia and requires regular outpatient follow-up and treatment. Regarding the biochemical tests mentioned in your correspondence, here is an explanation: 1. GLU: Glucose 2. BUN: Blood Ure...[Read More] Understanding Kidney Health: Key Lab Values for Patients with Kidney Transplants
Understanding Kidney Stones: Causes, Symptoms, and Treatment Options
Kidney stones Dear Dr. Yang, Hello! I would like to prepare a presentation on the topic of kidney stones. However, I have searched through many medical journals and monthly publications but have not found any reports related to this topic. Could you please provide me with some ...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your inquiry, you can find information about kidney stones by visiting the nephrology or urology departments of major hospitals' websites. They will have the information you need. As for Chinese journals, you may refer to "Clinical Medicine" a...[Read More] Understanding Kidney Stones: Causes, Symptoms, and Treatment Options
Understanding Hypertension: Causes, Mechanisms, and Diagnosis Challenges
Regarding hypertension? Hello, Dr. Yang. I would like to ask the following questions: 1. Is hypertension caused by "poor blood circulation"? Of course, I understand that it is related to diet, lifestyle, and other factors, but I mainly want to know the actual "me...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, 90% of hypertension is primary, related to genetics, and the cause cannot be identified. The remaining 10% of hypertension is secondary, caused by other diseases, and is associated with kidney function, renal artery stenosis, obesity, endocrin...[Read More] Understanding Hypertension: Causes, Mechanisms, and Diagnosis Challenges
Understanding Abdominal Discomfort: Causes and Concerns
Abdominal discomfort? An ultrasound showed a 1.8 cm cyst on the right side and a 0.4 x 0.6 cm stone on the left side. There is a sensation of cramping pain, which occurs infrequently and occasionally. Could this be a neuromuscular issue? Is it normal to experience pain upon press...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the ultrasound examination of the kidneys revealed the presence of cysts and stones, which occasionally cause sharp pain in the lower back. Renal cysts are generally benign and do not cause pain unless they become enlarged or rupture, which ma...[Read More] Understanding Abdominal Discomfort: Causes and Concerns
Understanding Kidney Health: Symptoms of Dehydration and Concerns
Hello, how can I assist you today? Hello, doctor. I usually drink a lot of water, but recently I've noticed that my urine is very yellow, and I've been urinating less frequently. I've also been feeling a dull ache around my kidneys, sometimes on one side and someti...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the recent issue of yellow urine and decreased urination may be due to high temperatures in the summer, leading to increased sweating. Although you may be drinking plenty of water, it might still be insufficient for your body's needs, cau...[Read More] Understanding Kidney Health: Symptoms of Dehydration and Concerns
Understanding Leg Indentation: Signs of Kidney Issues and Other Causes
The calf sinks when pressure is applied? Hello doctor, I have been feeling fatigued lately, and when I press down on my calves, they seem to indent as if it could be a sign of kidney disease. Are there other possible causes for this? Could you please provide some examples and sug...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the document mentions that there is a pitting edema in the lower extremities, which is a manifestation of edema. There are many causes for lower extremity edema, including (1) kidney diseases - such as proteinuria or nephrotic syndrome. (2) He...[Read More] Understanding Leg Indentation: Signs of Kidney Issues and Other Causes
Understanding Moduretic: Effects, Concerns, and Patient Safety
Moduretic is a combination medication that contains amiloride and hydrochlorothiazide. It is primarily used to treat high blood pressure (hypertension) and Dear Director Yang, My mother is 72 years old and has osteoporosis, diabetes (with a blood sugar level of 130), hypertensio...
Dr. Yang Jun reply Internal Medicine
Hello, in response to your inquiry regarding your mother, who is 72 years old and has diabetes, hypertension, and a long-term history of dizziness, currently being treated with a diuretic (Moduretic), here are the answers to your questions: 1. Diuretics are a class of medication...[Read More] Understanding Moduretic: Effects, Concerns, and Patient Safety
Understanding Blood Pressure Fluctuations During Dialysis: Key Insights
Regarding blood pressure issues during dialysis? My mother is a dialysis patient, but she recently told me that her blood pressure fluctuates during dialysis. Sometimes her blood pressure rises to 200, while at other times it drops to 60, all within the same day. During her most ...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, it is noted that your mother experiences significant fluctuations in blood pressure during dialysis, with blood pressure sometimes dropping to a level that makes it impossible to continue the treatment. However, I would like to know how many y...[Read More] Understanding Blood Pressure Fluctuations During Dialysis: Key Insights
Understanding Chronic Kidney Disease: Symptoms, Risks, and Management Strategies
Chronic Kidney Failure Recently, my father underwent a renal ultrasound examination at the hospital, where the physician noted that his kidneys appeared paler compared to other surrounding organs. The initial assessment suggested that he may be suffering from chronic kidney failu...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your inquiry, the ultrasound examination of your father's kidneys shows a phenomenon of color fading, which clinically indicates chronic parenchymal changes in the kidneys. If this is accompanied by blood biochemical tests indicating a decline in kidney...[Read More] Understanding Chronic Kidney Disease: Symptoms, Risks, and Management Strategies
Concerns About Weakness and Edema After IV Treatment in Elderly Patients
Intravenous (IV) drip My grandfather is 85 years old and generally in good health, but he felt unwell recently and received IV treatment at a small clinic for a week. However, in the past few days, he has become somewhat weak, has swollen legs, and is experiencing drowsiness with...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, your grandfather has developed lower extremity edema and weakness after a week of receiving intravenous fluids. It is important to consider whether there is fluid overload or signs of heart failure. It is advisable to go to the hospital for a ...[Read More] Concerns About Weakness and Edema After IV Treatment in Elderly Patients
Dietary Guidelines for Managing Hyperkalemia in Diabetic Cancer Patients
Diet for Hyperkalemia Patients with a 30-year history of diabetes and bone cancer, who also have hyperkalemia, should pay careful attention to their diet. It is important to limit potassium intake by avoiding high-potassium foods such as bananas, oranges, potatoes, tomatoes, and ...
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question regarding dietary considerations for hyperkalemia, please note the following points: 1. Foods high in potassium, such as certain fruits, salad greens, sashimi, rare steak, and raw lobster, should be consumed in moderation. Among fruits, only pi...[Read More] Dietary Guidelines for Managing Hyperkalemia in Diabetic Cancer Patients