Acute renal failure, Internal Medicine FAQ

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Consequences of Delayed Dialysis in Acute Kidney Failure Patients

If acute renal failure is not treated with dialysis in a timely manner, it can lead to several serious complications, including: 1. Accumulation of waste products in the blood, leading to uremia. 2. Electrolyte imbalances, such as hyperkalemia, which can cause cardiac arrhythm P...


Dr. Wu Hongjie Reply:
Acute kidney failure, which is often more fatal or severe, primarily occurs in intensive care units. Among the common causes of acute kidney failure, sepsis is one of the most frequently reported. Studies indicate that even in cases of acute kidney failure not caused by infection...

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Navigating My Medical Journey: Confusion and Fear Amidst Antibiotic Treatment

What is happening with my medical process? I am filled with confusion and fear? I am currently on antibiotics and waiting for an MRI examination... Let me recount my medical journey from November 23, 2018, to the present... On the 23rd, I developed a corn on my right big toe, so ...


Dr. Liao Zhongxin Reply:
Dear readers, regarding your questions, here are the responses: 1. When bacterial infection is confirmed, why is it not possible to be hospitalized immediately (waiting for 4 days), and even after hospitalization, immediate testing is not available? After nearly 2 weeks of anti...

[Read More] Navigating My Medical Journey: Confusion and Fear Amidst Antibiotic Treatment


Does Severe Illness Affect Blood Sugar Levels? Insights and Answers

Does serious illness affect blood sugar fluctuations? Hello Dr. Hsiao, Due to acute renal failure that occurred in the middle of this year, accompanied by severe edema and fluid accumulation in the body, various kidney indicators were significantly elevated, leading to my hospi...


Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Conditions such as illness, infection, stress, pregnancy, irregular lifestyle, and the use of certain medications can lead to elevated blood glucose levels or significant fluctuations. 2. If anxiety is severe, it can indeed cause an increase in blood gluco...

[Read More] Does Severe Illness Affect Blood Sugar Levels? Insights and Answers


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:
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


Does a Sugar-Free, Oil-Free, and Starch-Free Diet Harm Kidney Health?

A diet that is free of sugar, oil, and starch may not necessarily harm the kidneys, but it is important to ensure that it is well-balanced and provides all essential nutrients. Extreme dietary restrictions can lead to deficiencies that may affect kidney function over time. It is ...


Dr. Wang Weijie Reply:
Hello: A diet that is free of sugar, oil, and starch falls under the category of an unhealthy "ketogenic" diet in nutritional science. This can lead to abnormal fat metabolism in the body, resulting in ketoacidosis. When the body has no caloric sources to utilize, and c...

[Read More] Does a Sugar-Free, Oil-Free, and Starch-Free Diet Harm Kidney Health?


Post-Discharge Care for Rhabdomyolysis: Managing Pain and Complications

Post-care for rhabdomyolysis? Hello, In early May, my brother experienced a series of complications due to rhabdomyolysis. Fortunately, it was detected early, and all complications, including acute renal failure, have been effectively managed by the doctors. He is now able to b...


Dr. Wang Weijie Reply:
Hello: Generally, symptoms of rhabdomyolysis should improve after treatment. The swelling and pain in the right leg indicate that there are still some lesions that have not been resolved. It is recommended that the patient go to the hospital for further examination. Sincerely, Dr...

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Understanding Body Water Retention: Causes and Management Tips

Fluid retention Dr. Yang: Hello, I apologize for the intrusion. I am 157 cm tall and weigh 46.5 kg. I have a history of hypertension, palpitations, and pyelonephritis, and I am intermittently on medication. However, due to oliguria and edema (systemic, particularly in the eyelids...


Dr. Yang Jun Reply:
Hello: In response to your question, uncomplicated pyelonephritis typically does not lead to severe deterioration of kidney function, unless there is a pre-existing chronic kidney disease, in which case there is a possibility of developing acute renal failure. Given your history ...

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How to Safely Handle Broken Fluorescent Bulbs and Mercury Exposure Risks

Fluorescent lamps contain mercury vapor, and if one breaks, it is important to handle it properly to avoid health hazards. Here are the steps to take: 1. **Evacuate the Area**: Immediately leave the room and ensure that others do the same to minimize exposure. 2. **Ventilate th...


Dr. Lin Mingfeng Reply:
We are exposed to trace amounts of mercury daily, approximately 0.005 to 0.02 milligrams. A fluorescent light bulb contains about several milligrams to over 20 milligrams of mercury. Mercury easily evaporates, so all mercury-containing objects should be handled with caution to pr...

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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:
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


Understanding Adrenal Hormone Injections: Side Effects and Management

Injection of adrenal hormones? Hello Dr. Ke, I would like to ask some questions. My friend has an endocrine issue, which he says is a hereditary condition, and he has developed acute renal failure. During one of his episodes, he mentioned that he went to the hospital to receive...


Dr. Ke Zhengchang Reply:
Replying to Bear: I have not heard of injecting adrenal hormones for acute renal failure. Injecting epinephrine can lead to increased heart rate, vasoconstriction, and cold sweats. It should not be administered casually. I recommend visiting a hospital to consult with the endocri...

[Read More] Understanding Adrenal Hormone Injections: Side Effects and Management