Back, Internal Medicine FAQ

Understanding BUN and CREA: Interpreting Kidney Function Test Results

BUN (Blood Urea Nitrogen) & CREA (Creatinine) Hello, doctor. On December 21st of last year, a private hospital in Kaohsiung came to our company to conduct health check-ups, which cost a total of 4,000 NTD. A few days later, the report came out, showing my BUN at 30 mg/dL and ...

Dr. Wu Jiyu Reply:
1. Each hospital has different standard values; it is unclear whether the first private hospital informed you of its normal values. 2. If the re-examination at Kaohsiung Medical University Hospital shows normal results, then there should be no issue. 3. If you are still concerned...

Understanding Hand Tremors and Palpitations: When to Seek Medical Help

I would like to ask..? Dear Dr. Yang, I would like to ask about my symptoms: my hands tremble, I experience palpitations, and my heart rate is faster than normal. Initially, I thought I had hyperthyroidism, but my blood test results came back negative. However, I still have sym...

Dr. Yang Hongzhi Reply:
Hello: If the symptoms are not very pronounced, it may not be necessary to see a physician. If it seems more like a neuropsychiatric issue and the symptoms cause significant distress, it is advisable to consult a psychiatrist first.

Understanding Kidney Displacement: Potential Risks and Complications

About the kidneys? I recently experienced a sensation of something in my left kidney. After undergoing a urethrogram, it was found that only my right kidney is slightly displaced. What potential complications could arise from this? During a previous examination, the doctor mentio...

Dr. Yao Quan Reply:
Dear Ms. Lin, Hello! According to your letter, your intravenous pyelography revealed that your right kidney is descended, but your symptoms are occurring on the left side (where you often feel something in the left kidney area). You did not mention whether there are any symptoms...

Understanding Left Abdominal and Back Pain: Possible Kidney Issues?

Low back pain Since last week, I have been experiencing mild bloating and pain in my left abdomen. Due to a long history of gastrointestinal issues, I initially thought it was related to my digestive system. However, the pain has now extended to my left flank and lower back, acco...

Dr. Yao Quan Reply:
Dear Mr. Kay77 329X, Hello. The dull pain and tightness from the left lower back to the posterior waist may be indicative of a musculoskeletal disorder; however, renal or other urinary tract issues cannot be ruled out. Therefore, it would be appropriate to consult specialists in...

Understanding Abdominal Pain After Constipation: When to Seek Medical Help

Abdomen Hello Doctor, I haven't had a bowel movement for a long time, so last Thursday night I took one of my grandfather's medications, which I believe was Dulcolax 5mg, a yellow enteric-coated tablet. Around 10:30 PM, I started experiencing diarrhea, and the next da...

Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Dulcolax promotes gastrointestinal motility, so a small number of patients who are more sensitive to the medication may experience abdominal pain or diarrhea. This side effect can improve simply by discontinuing the medication. 2. There ar...

Understanding Heart Discomfort: When to Seek Cardiac Care

Cardiac discomfort Hello, doctor; this issue has been bothering me for a long time, but it has become particularly severe recently. I often experience chest tightness, and my pulse is irregular—sometimes it is suddenly very fast, then it can be very slow or weak. I have generaliz...

Dr. Cai Yaozhou Reply:
If you see a cardiologist and they order a cardiac ultrasound, and the results are normal, it is likely that emotional stress is a significant contributing factor.

Understanding Joint Pain: Possible Causes and Treatment Options

Joint issues Doctor: Hello. My left knee cartilage has been worn down due to work for the past ten years. Recently, I've been experiencing pain in the area between my knees and my tailbone. After walking a distance or squatting for a while, both of my heels feel warm, but it...

Dr. Zeng Guosen Reply:
Dear Aa: Hello, based on the described situation, it seems to be related to the tendons and joints. The symptoms alone cannot determine if it is rheumatoid arthritis. I recommend visiting an orthopedic or rehabilitation specialist to identify the specific issue and then provide a...

Signs of Kidney Issues: Understanding Symptoms and Early Warnings

Are there any issues with the kidneys? Recently, I've been feeling pain in the middle of my back on the left side, and my dark circles under the eyes have become more pronounced and unnatural. A friend mentioned that this might be concerning, so I would like to know what ear...

Dr. Wang Weijie Reply:
Early screening for kidney disease can be determined through urine tests to check for proteinuria, hematuria, and glucose in the urine. The most common cause of lower back pain is poor posture, followed by conditions that may cause back pain, such as kidney stones or infections. ...

Understanding Frequent Urination: When to See a Urologist or Nephrologist

Frequent urination Hello Doctor: Recently, I have been going to the bathroom every 40-60 minutes. Sometimes I experience pain in my left lower back. I drink very little water, but after urinating, I still feel the urge to urinate, yet I cannot. Generally, the volume of urine is n...

Dr. Wu Jiyu Reply:
1. Either urology or nephrology is acceptable. 2. Generally, a urinalysis is required first to check for inflammation or stones. 3. Additionally, a renal ultrasound examination can be arranged.

Understanding Persistent Health Issues: Seeking Answers for Common Symptoms

Many questions, please take the time to clarify, thank you! I am 29 years old, 165 cm tall, and weigh 50 kg. In recent years, I have frequently experienced the following symptoms: 1. I suffer from insomnia and vivid dreams every day, with poor sleep quality. Despite feeling ver...

Dr. Yang Hongzhi Reply:
Hello: Based on your symptoms, it is difficult to determine if there is any specific disease. Generally, when FT4 is elevated, TSH tends to decrease; your results are atypical and may warrant further monitoring. ANA is an indicator of autoimmune diseases, and a positive reaction ...

Understanding High Uric Acid Levels: Causes, Treatments, and Lifestyle Tips

Regarding the issue of high uric acid levels? I would like to consult a doctor. I have a condition of elevated uric acid levels, with values between 11 and 12. Is the normal value 7? I discovered this issue three years ago when I suddenly experienced severe lower back pain and wa...

Dr. Wang Weijie Reply:
Hello, Ayou: The uric acid level should be maintained below 7.0 mg/dL. The most common sites affected by gout are the joints, particularly the interphalangeal and metatarsophalangeal joints (especially the big toe). During an acute attack, colchicine is typically administered alo...

Understanding Right Side Abdominal Pain: Causes and Solutions

The location of my pain is 20 centimeters to the right of the navel? The area of pain is located 20 centimeters to the right of the navel (waist size 31 inches, weight 61 kg) in the lower back. I have been experiencing this for 10 months. I underwent acupuncture with traditional ...

Dr. Yao Quan Reply:
Mr. Jeff: Hello. You have been experiencing right-sided lower back pain for the past 10 months, and despite treatment from both traditional Chinese medicine and Western medicine (rehabilitation and orthopedic specialists), it has not been completely resolved. Based on your sympto...

Persistent Hissing Sound Near Neck: Causes and Solutions

There is often a hissing sound near the back of the neck? I have been experiencing a constant hissing sound near the back of my neck (as if something is continuously passing through that area), especially noticeable before sleep. My work schedule is often irregular (I work on a c...

Dr. Chen Zhongshu Reply:
Dear Liu, In response to your letter, there are several factors to consider regarding the noise in the back of your head, such as tinnitus, cerebral vascular stenosis, or even excessive anxiety or stress, which can also lead to this phenomenon. It may be related to your work ove...

Effective Remedies for Persistent Lower Back Pain: When to Seek Help

Lower back pain? Hello. This morning when I woke up, I felt some soreness in my back and lower back. The symptoms persisted until I finished work. By around 10 PM, the soreness in my lower back turned into pain. Any position I tried caused unbearable pain. The lower back pain pre...

Dr. Wang Weijie Reply:
There are many causes of lower back pain. It is recommended that you first consult a urologist or nephrologist to determine if there are any issues with the urinary system. If it is confirmed that there are no problems with the urinary system, you may then see an orthopedic speci...

Understanding Lower Back Pain: Is It a Kidney Issue?

Lower back pain? Hello Dr. Wang: My husband has been experiencing frequent lower back pain. Could this indicate a problem with his kidneys or kidney inflammation? Thank you, Dr. Wang.

Dr. Wang Weijie Reply:
1. To determine whether there is kidney inflammation or infection, a urine test is necessary to check for the presence of white blood cells and bacteria. 2. Common causes of lower back pain include poor posture, which accounts for 85% of cases, while other possible causes include...

Understanding Sleep Disruptions: Is Your Kidney Health at Risk?

Lower back pain causing difficulty sleeping? Hello Doctor: In the past year, when I sleep on my right side at night, I often wake up around 3-4 AM due to a strong urge to urinate and lower back pain. Each time, the volume of urine is quite large, over 500cc. After waking up, I fr...

Dr. Wu Jiyu Reply:
Check/Precautions: 1. Please monitor your blood pressure first. 2. Then arrange for urine and kidney function tests. 3. Lower back pain, aside from the kidneys (such as infections or stones), is often due to inflammation of the muscles and tendons alongside the spine, and may not...

Discomfort Under Ribs: Could It Be Related to Chronic Back Pain?

I have discomfort on both sides of my abdomen? I would like to ask the doctor about some discomfort I feel near the end of my ribs close to my abdomen. This sensation occurs intermittently on both sides, and while it is not very frequent, I cannot clearly describe what it feels l...

Dr. Cai Yaozhou Reply:
Consult a gastroenterologist for abdominal ultrasound and X-ray examination, and perform an endoscopy if necessary.

Understanding Kidney Stones: Symptoms, Pain Relief, and Hydration Tips

Kidney problems Hello doctor, during a recent health check, I discovered that I have two kidney stones in my right kidney. After examination, it was determined that these stones were caused by my childhood habit of not drinking enough water. The doctor advised that surgery is not...

Dr. Wu Jiyu Reply:
Hello: First, it is important to confirm whether the pain is caused by kidney stones. "Gently tapping the lower back can elicit severe pain"—this symptom is very similar to pain caused by kidney stones; additionally, a kidney infection can also cause lower back pain. Se...

Understanding Adrenal Tumors: Symptoms, Treatment, and Family Risks

Adrenal adenoma issues? Hello Doctor: Last week, I went back to the neurology department to review my report, which indicated that my adrenal hormone levels are elevated. The doctor mentioned that this could likely be the reason for my hypertension at a young age. I have been tak...

Dr. Zhong Weisheng Reply:
Hello QQ: First, to answer your personal questions, 1. There are many causes of hypertension. Of course, in younger individuals, the occurrence of hypertension is significantly related to adrenal tumors. However, a definitive diagnosis must be made through various examinations (s...

Understanding Recurrent Fever: Causes and Concerns in Adults

High fever Hello Doctor: Two years ago, on October 10th, while I was walking with a friend after visiting a night market, I started to feel pain in the back of my head, which then radiated to my back. Generally, I experience pain in the back of my head when I am very tired, but i...

Dr. Liao Zhongxin Reply:
Hello Nancy: 1. The fever and headache on October 10, 2005, may indicate a viral infection, possibly even symptoms of a central nervous system infection. After treatment (such as intravenous fluids and medication), the white blood cell count quickly rose from over 1000 to 4000,...

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