Understanding Kidney Health: The Impact of Protein and Nutrition on Urinary Issues
Kidneys and Urinary Protein Hello Doctor: During a recent health check-up, my report indicated that both my blood pressure and urine protein levels were too high (the doctor mentioned it could indicate glomerulonephritis). I also noticed that my urine is foamy almost every time I...
Dr. Wu Jiyu Reply:
1. Based on your statement that "both blood pressure and urine protein are too high," it is possible that you have "glomerulonephritis." General recommendations include: a. controlling blood pressure (<130/80 mmHg) b. following a "low" protein die...[Read More] Understanding Kidney Health: The Impact of Protein and Nutrition on Urinary Issues
Understanding Hypertension Management: Questions About Diagnosis and Treatment
Hypertension screening I started experiencing daily blood pressure readings around 140/98 and symptoms of dizziness and headaches at the end of February, so I went to see a cardiologist. The doctor prescribed antihypertensive medication before waiting for the test results. A week...
Dr. Zhang Guoji Reply:
1. If you have concerns about the original physician's management, you should discuss it with the physician during the outpatient visit to understand their perspective and resolve your issues, as each physician may have different thoughts and approaches. Asking other physici...[Read More] Understanding Hypertension Management: Questions About Diagnosis and Treatment
Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained
Foamy urine and kidney issues? Hello Dr. Lee, I have high blood pressure (stopped medication for 3 months, currently 135/82 mmHg). Over the past few months, I have experienced increased urination with foamy urine. I underwent a physical examination, and the results showed no pro...
Dr. Li Zhiyao Reply:
Hello: The normal value for 24-hour urine epinephrine is < 22.4 µg/24hrs; please confirm the test results. As for the foamy urine, the test results showed no proteinuria, but you may consider performing a microalbuminuria quantitative test to confirm the absence of proteinuria...[Read More] Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained
Understanding Proteinuria in Teenagers: Causes and Concerns
Hello, I am 15 years old, male, and I have been tested for proteinuria with a result of 791 mg/dL? Two months ago, I experienced frequent swelling and pain in the area above my right testicle (the pubic region). The pain was severe enough that movement in that area would cause sh...
Dr. Wu Jiyu Reply:
1. When checking for proteinuria, it is important to first rule out conditions such as exercise, infection, and fever, as these factors can lead to an increase in proteinuria and result in inaccurate readings. 2. It is recommended to repeat the test (remember that the first morn...[Read More] Understanding Proteinuria in Teenagers: Causes and Concerns
Understanding Frequent Dizziness: Causes and Concerns
Often feel lightheaded? I came here to ask questions yesterday and I have some additional concerns. I experienced chest tightness only yesterday, but for several weeks leading up to the basic skills test in May, I often felt dizzy and unsteady while studying in the mornings. This...
Dr. Zeng Guosen Reply:
Hello, internet user: There are many causes of dizziness, including issues related to neuromuscular disorders, otolaryngology problems, cardiovascular issues, medication side effects, and psychiatric conditions. If the cause cannot be identified, it is advisable to consult a neur...[Read More] Understanding Frequent Dizziness: Causes and Concerns
Understanding Dizziness and Breathing Difficulties: Possible Causes and Solutions
I started feeling dizzy today and have some difficulty breathing? Hello, today I don't know why I often feel dizzy, and I have difficulty breathing along with chest tightness. I measured my blood pressure, which is 108/68, and my heart rate is 72 beats per minute, both of wh...
Dr. Zeng Guosen Reply:
Hello, the user often feels dizzy, experiences difficulty breathing, and has chest tightness. These symptoms could be related to various issues, including cardiovascular problems, thoracic conditions, neuromuscular disorders, as well as systemic diseases such as kidney issues and...[Read More] Understanding Dizziness and Breathing Difficulties: Possible Causes and Solutions
Understanding Abnormal Kidney Function: What You Need to Know
Is there any abnormality in kidney function? Hello, Doctor. Last July, I had a urinalysis that showed hematuria and proteinuria, both positive. In August, I went to another hospital for another urine test, and again, there were reactions for hematuria and proteinuria. After blood...
Dr. Wu Jiyu Reply:
1. First, let's discuss the risk factors for kidney disease: the three highs (hypertension, hyperglycemia, and hyperlipidemia) and proteinuria. Based on the data you provided: Blood Pressure??? Blood Glucose (GLU AC) 89 mg/dL: OK; Lipid Profile Cholesterol 224 mg/dL: borderl...[Read More] Understanding Abnormal Kidney Function: What You Need to Know
Understanding Blood Sugar Monitoring: Accuracy and Common Concerns
About diabetes? First of all, I would like to thank Dr. Lee for the previous response. I do have hyperlipidemia and hypertension, which I am currently managing with medication. My average blood pressure is (systolic) 110-120 and (diastolic) 65-75. In my last inquiry, my fasting b...
Dr. Li Zhiyao Reply:
Hello: The blood glucose levels obtained from a standard blood draw are typically about 15% higher than those measured by a glucose meter, which may raise some questions for you. Since you are at high risk for diabetes, it is recommended that you continue to manage your diet and ...[Read More] Understanding Blood Sugar Monitoring: Accuracy and Common Concerns
Impact of Diet on Blood Test Results for Prediabetes
Prediabetes Hello Dr. Lee: Today, the hospital's blood test report shows fasting blood glucose: 117, glycated hemoglobin: 5.8, triglycerides: 193, cholesterol: normal, and uric acid: normal. I consumed a large amount of soda (5 bottles) and ate fried chicken nuggets (4 piece...
Dr. Li Zhiyao Reply:
Hello: Based on what you mentioned, I recommend that you pay attention to the following three points: 1. Correct your dietary habits. 2. You are at high risk for diabetes: as your glycated hemoglobin (HbA1c) is greater than 5.7; please note that glycated hemoglobin is not affecte...[Read More] Impact of Diet on Blood Test Results for Prediabetes
Dietary Guidelines for Pre-Dialysis Kidney Patients: What to Know
I would like to ask about dietary issues for dialysis patients? I'm sorry to hear about your mother's condition. Here are some dietary adjustments that can help: 1. Yes, you can use reduced-sodium salt when cooking. It's important to limit sodium intake to help ma...
Dr. Wu Jiyu Reply:
1. The most appropriate course of action is to visit a nephrology outpatient clinic (if you regularly see a nephrologist, consult with your usual physician or dietitian) to discuss in detail with the physician or dietitian (including the arrangement of subsequent treatment plans,...[Read More] Dietary Guidelines for Pre-Dialysis Kidney Patients: What to Know
Understanding Uremia: Kidney Dialysis, Symptoms, and Life Expectancy
Uremia Hello Doctor: My friend is 56 years old and was diagnosed with uremia due to diabetes at the end of last year. He has been experiencing continuous vomiting and has now started dialysis. Will the vomiting symptoms decrease after starting dialysis? How long can he expect to ...
Dr. Chen Jianyu Reply:
1. If vomiting is caused by uremic symptoms, it should improve after dialysis; if it is not caused by uremia, vomiting will likely persist. 2. Dialysis is not a terminal condition; the duration of life is more closely related to the control of diabetes and its vascular complicati...[Read More] Understanding Uremia: Kidney Dialysis, Symptoms, and Life Expectancy
Understanding Diabetic Complications: Dialysis and Its Impact
Complications caused by diabetes? Hello Doctor: My friend is 56 years old and was diagnosed with uremia caused by diabetes at the end of last year. He has been experiencing continuous vomiting and has now started dialysis. Will the vomiting symptoms decrease after starting dialys...
Dr. Wu Jiyu Reply:
Q: Will vomiting symptoms decrease after starting dialysis due to uremia caused by diabetes? A: Vomiting is one of the symptoms of uremia, and it should improve after starting dialysis. Q: How long can he maintain his life after starting dialysis? A: If he cooperates well ...[Read More] Understanding Diabetic Complications: Dialysis and Its Impact
Understanding the Referral from Family Medicine to Nephrology for Diabetes Patients
The family medicine physician referred the case of my father to the nephrology department? Hello, my father has been suffering from diabetes and kidney stones for a long time. He was originally seeing a family medicine doctor, but for some reason, his case has been referred to a ...
Dr. Wu Jiyu Reply:
Sugar (Glycosuria): 1+ (-) HbA1c: 7.8% Uric Acid: 4.2 mg/dl Cholesterol Total: 219* mg/dl Q1: Attached is the examination report from February 7th. I noticed that there are no kidney function indices in the report. Can I request this test during my next outpatient visit? Answer1:...[Read More] Understanding the Referral from Family Medicine to Nephrology for Diabetes Patients
Understanding Hypokalemia: Causes and Kidney Health Concerns
Hypokalemia issues? Hello, Doctor. In December, my blood test showed a potassium level of 3.3. I did not have diarrhea or vomiting, nor did I use diuretics. The doctor prescribed Slow-K BID for three weeks, and when I was re-evaluated in early February, my potassium level had dro...
Dr. Lin Shunfa Reply:
Hello Mimi: 1. It seems that you are quite aware of the possible causes of hypokalemia. The main causes can be summarized as follows: a. Gastrointestinal losses, which are the most common. b. Renal losses due to certain complications of diabetes, autoimmune diseases, hi...[Read More] Understanding Hypokalemia: Causes and Kidney Health Concerns
Understanding Thigh Pain in Diabetic Patients on Dialysis
Thigh bone pain may be caused by dialysis or diabetes? Hello Doctor: I have had diabetes for 40 years and have been on dialysis for 6 years. Currently, I am troubled by thigh bone pain, which makes walking difficult, and I am unsure of the cause. Rehabilitation and electrical the...
Dr. Lin Shunfa Reply:
1. The text does not describe the dialysis situation, such as whether there were any discomfort symptoms during dialysis, low blood pressure, cramps, etc., so it may not be possible to determine if there is a direct correlation with dialysis. It is recommended that you consult yo...[Read More] Understanding Thigh Pain in Diabetic Patients on Dialysis
When to Seek Emergency Care for Influenza B Symptoms
Under what circumstances should one go to a large hospital for influenza type B? A 31-year-old female family member was diagnosed with influenza B at a clinic two days ago and is currently taking antiviral medication as prescribed by the doctor for five days. She is still experie...
Dr. Li Zhiyao Reply:
Hello Mr. Lin: Most influenza patients recover in about a week, but it is important to pay special attention to any warning signs of severe influenza (such as shortness of breath, difficulty breathing, cyanosis, blood or thick sputum, chest pain, altered consciousness, low blood ...[Read More] When to Seek Emergency Care for Influenza B Symptoms
Understanding Headaches and Eye Pressure: Cholesterol Concerns Explained
Headache and eye pressure? Hello Director Lin: Happy New Year and best wishes for prosperity. Please help me with some guidance, thank you. (Since I am temporarily working in Malaysia, the doctors here only mentioned that my cholesterol is high and advised me to watch my diet wit...
Dr. Lin Shunfa Reply:
Ms. Anqi: Hello!! According to the data, you have two high conditions (hypertension and hyperlipidemia). Proper blood pressure control can reduce the risk of new vascular diseases by 20 to 30%. Clearly, your blood pressure is ideally controlled at 130/80. High cholesterol is the ...[Read More] Understanding Headaches and Eye Pressure: Cholesterol Concerns Explained
Understanding Abdominal Pain, Nausea, and Dizziness: Causes and Concerns
Abdominal cramps with nausea and dizziness? Hello, doctor! I have a question... This morning, I suddenly experienced severe abdominal cramps and felt the urge to have a bowel movement. During the process, I suddenly felt nauseous and wanted to vomit. After finishing, I tried to g...
Dr. Hong Hongchang Reply:
Hello, thank you for your inquiry. I would like to address your question and provide the following suggestions: During bowel movements, reflexive changes in blood pressure can occur, which may sometimes lead to dizziness. Additionally, gastroenteritis could also be a factor. Card...[Read More] Understanding Abdominal Pain, Nausea, and Dizziness: Causes and Concerns
Managing Proteinuria: Dietary and Exercise Tips for Better Health
Proteinuria issues? This year during my health check-up, my proteinuria results were abnormal. What dietary and exercise adjustments should I make in my daily life?
Dr. Huang Yaoxuan Reply:
In daily life, avoid smoking and drinking alcohol, and do not stay up late. In terms of diet, limit salt intake, avoid excessive protein consumption, and refrain from binge eating (if there are conditions such as diabetes, hyperlipidemia, hyperuricemia, or chronic kidney disease,...[Read More] Managing Proteinuria: Dietary and Exercise Tips for Better Health
Understanding Blood Pressure Differences Between Arms: Is It Normal?
Differences in blood pressure between the left and right arms? Hello Dr. Lee, my mother (55 years old) has a family history of hypertension and has been on antihypertensive medication for about a year. Recently, her blood pressure readings have been approximately 100/70 mmHg in t...
Dr. Li Zhiyao Reply:
Hello Bryan: First, let me explain that the higher blood pressure value refers to systolic pressure, while the lower value refers to diastolic pressure; therefore, your father has a higher systolic pressure in his right arm compared to his left. Additionally, it is normal for ind...[Read More] Understanding Blood Pressure Differences Between Arms: Is It Normal?