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Understanding White Particles in Urine During Bowel Movements

excuse me? Hello Dr. Yang: I would like to ask about the small white objects that appear when I urinate and have a bowel movement at the same time. The size of these objects is about 0.5 cm or less. I would like to know what they are. When I only urinate, there are no white objec...

Dr. Yang Weishun reply Internal Medicine
It is recommended that you perform a urine screening at least 5 to 7 days after your menstrual cycle ends to check for hematuria, proteinuria, or crystals. If the urine test results are normal, you may consider a stool screening, as your description does not clarify whether the s...

Understanding Hypertension: Risks and Management for Young Adults

About Hypertension Regarding hypertension, I am about 26 years old, 178 cm tall, and weigh 78 kg. I have noticed that every time I go to the hospital, my blood pressure is around 140, but I do not feel dizzy or have any other symptoms. I also exercise regularly. I would like to k...

Dr. Yang Weishun reply Internal Medicine
Many people experience elevated blood pressure readings in the hospital but normal readings at home. It is recommended that you measure your blood pressure at home in a relaxed and stress-free environment. If your blood pressure is normal at home, there is generally no need for c...

Can You Take Multivitamins and B Vitamins Together Safely?

Multivitamins and B-complex vitamins? Hello, doctor: I take Centrum Adult and Japanese BB (B vitamins) together every day. Is it safe to take them together? Thank you!

Dr. Yang Weishun reply Internal Medicine
As long as the intake does not exceed the individual recommended daily allowance for any single vitamin, it is perfectly fine to take them together. Wishing you good health.

Can Diabetes Insipidus in Children Be Cured Without Daily Medication?

Can pediatric diabetes insipidus be cured? Recently, my friend's child has been suffering from diabetes insipidus, which is very concerning. Is it curable? Is it possible to avoid taking medication every day? Please help me!

Dr. Yang Weishun reply Internal Medicine
Both pediatric and adult diabetes insipidus can be classified into two main types: central diabetes insipidus and nephrogenic diabetes insipidus. Central diabetes insipidus is caused by damage to the pituitary gland, such as from tumor invasion or trauma, leading to insufficient ...

Long-Term Use of Antacid: Is It Safe for GERD Patients?

Long-term use of gastric mucosa protectants issues? I have gastroesophageal reflux disease (GERD), so before bed, I take medication and drink 10 mL of a digestive aid (containing Aluminum Hydroxide, Magnesium Hydroxide, and the anti-foaming agent Simethicone). This significantly ...

Dr. Yang Weishun reply Internal Medicine
For patients with renal insufficiency or chronic kidney failure, the use of any antacids or laxatives containing magnesium or aluminum is not recommended. This is because individuals with impaired kidney function cannot adequately excrete these ions, leading to accumulation in th...

Managing Gout in Hepatitis B Carriers: Safety of Benzbromarone

Patients with hepatitis B who require treatment for gout should be carefully managed to avoid potential drug interactions and complications. It is essential to consult a healthcare provider for appropriate medication options that are safe and I am a carrier of hepatitis B and hav...

Dr. Yang Weishun reply Internal Medicine
The likelihood of benzbromarone causing fulminant hepatitis is low, with some scholars estimating an incidence of approximately one case per 17,000 people. However, if you have concerns about the medication, there are alternative drugs available. It's important to note that ...

Understanding Fluctuating Serum Creatinine Levels: A Clinical Perspective

Elevated creatinine levels issue? In 2009, I had a serum creatinine level of 1.9 at one hospital. After receiving treatment for hypertension and cataracts at another hospital in October 2009, my serum creatinine level was 1.5. Both the creatinine clearance and kidney ultrasound w...

Dr. Yang Weishun reply Internal Medicine
Based on your creatinine levels and age, the estimated glomerular filtration rate (GFR), which is a similar indicator of kidney function to creatinine clearance, indicates that your kidneys are clearing between 32 to 50 milliliters of blood per minute, regardless of whether the c...

Understanding Persistent Nighttime Fever in Elderly Patients

The elderly person has had a high fever for several days? Hello Doctor: My grandfather (in his 80s) has been experiencing high fevers of around 39 degrees Celsius every night for the past three days, but he only has a fever at night and not during the day. He claims he doesn'...

Dr. Yang Weishun reply Internal Medicine
Our hospital offers evening outpatient services for internal medicine on Tuesdays and Thursdays. If you have concerns, you can schedule an evening appointment for a physician to examine the patient. Additionally, even if there is no fever during the day, you can still seek medica...

Understanding Causes of Foamy Urine Beyond Proteinuria

In addition to proteinuria, other causes of foamy urine include dehydration, urinary tract infections, kidney disease, and the presence of excess sugar or fat in the urine? Hello, doctor. I have noticed bubbles in my urine for a while, but it's not present every time. Howeve...

Dr. Yang Weishun reply Internal Medicine
Dear Schulman, The presence of foamy urine does not necessarily equate to proteinuria. If the foam dissipates after standing for a while, it may not indicate proteinuria. Typically, proteinuria is often present for most of the day, especially in the first morning urine, so colle...

Understanding Urine Color Changes After Acute Hepatitis: Kidney Health Concerns

Liver disease, urine, kidney issues? Hello Doctor, I am 28 years old. A month ago, I was in the acute phase of hepatitis B, with liver enzymes exceeding 2000, but they have now approached normal levels, with values of 40 and 60. I am currently taking Betaloc. My daily routine is ...

Dr. Yang Weishun reply Internal Medicine
Dear Mr. TT, Indeed, the color of urine is related to the amount of water you drink and your urine output. In cases of diabetes insipidus, the urine output is often greater than the amount of water consumed, with at least 3000 cc of urine produced in a day being a consideration ...

Understanding Low Creatinine Levels: Symptoms and Improvement Strategies

Low creatinine levels in the liver, how to improve? Hello Dr. Yang, I recently received my health check report, and one of the special tests indicated a creatinine level of 0.65 (the report states that the normal reference range is F: 0.6–1.5; M: 0.9–1.5). As I am male, my resul...

Dr. Yang Weishun reply Internal Medicine
Creatinine levels are typically not affected by protein intake. Creatinine is a metabolic byproduct of muscle metabolism and is excreted by the kidneys. Muscle wasting (in individuals with low muscle mass) results in decreased creatinine production, leading to lower serum creatin...

Understanding Blood in Urine: Causes and Concerns for Kidney Health

Hematuria Hello Dr. Yang, I have been feeling like I have a slight fever these past few days, and I noticed that I have visible hematuria. It shouldn't be the new flu, right? My kidneys have not been in good condition; I have had hematuria (not visible) since childhood. Abou...

Dr. Yang Weishun reply Internal Medicine
To confirm whether it is indeed IgA nephropathy, the most reliable method is to perform a kidney biopsy for diagnosis. IgA nephropathy can indeed present with visible hematuria following respiratory infections, but it is also possible to detect microscopic hematuria during asympt...

Understanding Changes in Kidney Function Test Results: What Do They Mean?

Issues with renal function test values? Hello Doctor: Three days ago, I had a blood test, and my kidney function is normal. However, in previous tests, my BUN (Blood Urea Nitrogen) levels were around 8 or 9, and my creatinine levels were around 0.9. Now, my BUN is 11, and my crea...

Dr. Yang Weishun reply Internal Medicine
Blood urea nitrogen (BUN) and creatinine levels can be influenced by physiological factors such as protein intake, muscle mass, and physical activity. As long as these levels remain within the normal range, slight fluctuations are common and typically do not warrant excessive con...

Preventing Dialysis: Key Causes and Health Tips for Kidney Care

How to prevent dialysis? 1. What are the causes of dialysis? 2. How can one maintain health to avoid the need for dialysis? 3. I have been using a nasal spray containing Oxymetazoline Hydrochloride for over two years. The pharmacist advised me to use it for six days and then ...

Dr. Yang Weishun reply Internal Medicine
1. The most common chronic diseases include diabetes and hypertension, along with chronic glomerulonephritis, kidney stones, and urinary tract obstruction, among others. 2. It is important to monitor for hypertension or hyperglycemia, as well as the presence of proteinuria. Avo...

Can Chicken Essence Be Consumed with Impaired Kidney Function?

Kidney Can individuals with poor kidney function consume chicken essence?

Dr. Yang Weishun reply Internal Medicine
Regular chicken essence contains high levels of salt and purines, which can easily lead to edema, hypertension, and gout in patients with renal failure. Additionally, it has high levels of potassium and phosphorus, making it unsuitable for individuals with impaired kidney functio...

Can Cord Blood Stem Cells Cure Glomerulonephritis? Exploring Treatment Options

Can umbilical cord blood stem cells cure glomerulonephritis? Recently, umbilical cord blood therapy has become very popular. I wonder if it can be used to treat glomerulonephritis and what the effectiveness is? What considerations or precautions should be taken into account? It i...

Dr. Yang Weishun reply Internal Medicine
Currently, stem cells (whether from bone marrow, peripheral blood, or umbilical cord blood) are limited to animal experimental stages, and only a few types of acute glomerulonephritis animal models have been studied. According to my literature search, there have been no successfu...

Unusual Kidney Sensations: What Could Be Wrong?

My kidneys are not functioning properly? I've been feeling something unusual with my left kidney lately; I can't quite describe it, but it feels strange, not exactly painful. Recently, I've also been feeling more tired and my energy levels have been low. What kind ...

Dr. Yang Weishun reply Internal Medicine
Unless there is severe pain caused by kidney stones or kidney function has deteriorated to the level of uremia, kidney issues generally do not present with noticeable symptoms. You may be referring to discomfort in the left "lower back," which can have many potential ca...

Understanding Back Pain and Frequent Urination: Possible Causes and Solutions

Back pain? Frequent urination? Recently, I have been experiencing persistent back pain. Although it is not severe, it has been a dull ache that continues until now. I also feel like I have frequent urination, which is not too serious. Additionally, my urine is almost colorless, e...

Dr. Yang Weishun reply Internal Medicine
Dear Danny: It is possible that drinking more water has led to diluted urine, which can result in a lighter color and a sensation of increased frequency of urination. Please first visit a general clinic or a laboratory to have your urine tested. If there are any abnormalities, br...

Understanding Uric Acid Levels: Impact on Active Lifestyles

Regarding uric acid issues? Hello Dr. Yang: I understand that athletes commonly have issues with elevated uric acid levels. I am an active person and I brisk walk for an hour and a half every other day. I previously had my uric acid levels tested, and while they were slightly ele...

Dr. Yang Weishun reply Internal Medicine
Hello, since you are still within the normal range, there is no problem. You can continue exercising. Best wishes for your health. Sincerely, Dr. Yang Wei-shun, Taoyuan Hospital, Department of Health.

Understanding Kidney Pain: When to See a Doctor and How to Manage It

Kidney pain Doctor, I have been experiencing intermittent pain in both of my kidneys recently, but it's not too severe. Should I see a doctor? How can I improve this condition?

Dr. Yang Weishun reply Internal Medicine
Hello, please go to the Family Medicine department first to have your urine tested for hematuria. If you have any questions, you can schedule an appointment with the Nephrology department. Wishing you good health. Sincerely, Dr. Yang Wei-shun, Taoyuan Hospital, Ministry of Health...