Understanding Foamy Urine: Causes, Concerns, and Kidney Health
Foamy urine issue Hello, Doctor: For the past month or so, I have noticed small bubbles in my urine (sometimes a whole patch when it's severe), most of which disperse and disappear within five minutes, but sometimes a little bit remains for a long time. Additionally, I have ...
Dr. Huang Yaoxuan Reply:
Hello Ms. Huang: The normal value for urinary protein is less than or equal to 150 mg per day. The report for urinary protein can be presented in two ways: one is as a concentration value, such as 100 mg/dL, and the other is as a number of "+" signs, such as "2+&qu...[Read More] Understanding Foamy Urine: Causes, Concerns, and Kidney Health
Understanding Fasting vs. Postprandial Blood Sugar Levels: A Patient's Concern
Is it considered preprandial blood glucose or postprandial blood glucose? I have a history of hypertension and take my medication every morning before meals. My blood pressure is currently well-controlled. I am 158 cm tall, weigh 55 kg, and am 44 years old. On the evening of Augu...
Dr. Lin Jianliang Reply:
Hello: I had milk tea around 3-4 PM. I tested my blood sugar at 6 PM, which is considered postprandial blood sugar (2 hours after eating), not fasting blood sugar.[Read More] Understanding Fasting vs. Postprandial Blood Sugar Levels: A Patient's Concern
Sudden Spike in Urinary Protein: Possible Autoimmune Causes?
Sudden increase in urinary protein levels? Hello Doctor, my urine protein levels skyrocketed from below 30 to 106 between June 7 and July 11, along with increases in microalbumin and urine albumin-to-creatinine ratio, while other urine tests remained normal. I was hospitalized in...
Dr. Lin Wuxuan Reply:
If you experience any discomfort, please schedule an earlier appointment and discuss it with your attending physician. Thank you.[Read More] Sudden Spike in Urinary Protein: Possible Autoimmune Causes?
Scleroderma and Microalbuminuria: Understanding the Connection and Next Steps
Scleroderma and Urinary Microalbumin Hello, in April of this year, I went to the rheumatology and immunology department due to hand pain and found the following abnormalities: ANA 1:160 (AC-10) Nucleolar punctate, Anti-Scl-70 16 (-) reference value (120 au/ml), Anti-Sm 9 (-), Ant...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The results from your rheumatology examination are mostly negative, with some results falling into a gray area, making it indeed difficult to draw conclusions based on the current test results. The diagnosis of scleroderma can sometimes be confi...[Read More] Scleroderma and Microalbuminuria: Understanding the Connection and Next Steps
Understanding Your Diabetes Risk: Key Health Check Insights
Questions related to diabetes? Every year, I participate in my company's health check-up. I am 35 years old, 179 cm tall, and weigh between 55 to 56 kg. I have always been slim and unable to gain weight since childhood, and I maintain a regular exercise routine. I have mild ...
Dr. Li Jian Reply:
You can undergo an oral glucose tolerance test at the Metabolism Clinic. Thank you for your inquiry.[Read More] Understanding Your Diabetes Risk: Key Health Check Insights
Managing Dizziness and Appetite Loss After Mild Stroke in Seniors
Consultation for family members? Hello, doctor. My father is 61 years old. Recently, he has been feeling dizzy every day. He was hospitalized in the neurology department, and the examination results showed a mild cerebral infarction, carotid artery atherosclerosis, and elevated b...
Dr. Zeng Guosen Reply:
The user has reported that their blood pressure and blood sugar levels are well controlled after taking medication, but they still feel dizzy, indicating that there may be other unresolved issues. It is recommended to return for a follow-up appointment with a neurologist, who wil...[Read More] Managing Dizziness and Appetite Loss After Mild Stroke in Seniors
Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Medication-related issues in ankylosing spondylitis? Hello, doctor. I am #191897. 1. During my previous visit, I asked the doctor about the medication Celebrex (celecoxib). The doctor believed that my condition was not severe enough to require the use of Salazopyrin (sulfasalaz...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. When I previously consulted with my doctor regarding the use of Salazopyrin (Salar), the doctor believed that my condition was not severe enough to warrant its use, so I was prescribed Celebrex instead. However, I am a...[Read More] Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle
Inquiry Consultation Dear Dr. Wu, I had a health check-up in September 2015, during which my fasting blood glucose level was 95 mg/dL; my estimated glomerular filtration rate (eGFR) was 105 mL/min; my albumin level was 3.5 g/dL; and my albumin-to-globulin ratio was 1.6. All of t...
Dr. Wu Hongjie Reply:
Q1. News reports online indicate that some doctors state: "Chronic kidney failure typically takes 20 to 30 years from the initial damage to the kidneys until dialysis is needed." Dr. Wu, is this statement accurate? Given that different stages of chronic kidney disease (...[Read More] Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle
How Long Should You Wait to Take Antibiotics After Drinking Beer?
After consuming a bottle of beer, it is generally recommended to wait at least 48 hours before taking the antibiotic Norfloxacin. Alcohol can interfere with the effectiveness of antibiotics and may increase the risk of side effects. Always consult your healthcare provider for per...
Dr. Hong Yuanbin Reply:
Hello, it is recommended to avoid alcohol consumption during the medication period. However, if you do drink alcohol, it is theoretically acceptable to take the medication after more than two hours. It is advised not to interrupt the treatment course, as it can indeed lead to bac...[Read More] How Long Should You Wait to Take Antibiotics After Drinking Beer?
Understanding the Connection Between Nasal Congestion and Rapid Heart Rate
Tachycardia and nasal congestion? Since I was diagnosed last year, I have been experiencing a profound sense of nasal congestion. There have been several instances where I felt close to suffocating and had to go to the emergency room. I have undergone numerous internal medicine e...
Dr. Hong Yuanbin Reply:
Hello, regarding the issue of rapid heartbeat, most nasal decongestants, including some cold medications, can have the side effect of increased heart rate. This is something to be aware of. If drug side effects are ruled out, it may be necessary to check for arrhythmias. If arrhy...[Read More] Understanding the Connection Between Nasal Congestion and Rapid Heart Rate
Can Gout Recur Days After First Attack in Patients with No History?
Is it possible for someone with no history of gout to experience a recurrence of symptoms just a few days after the first attack? Hello Doctor, thank you for taking the time to answer my questions. My mother, who is 72 years old, has high blood pressure and her height is 153 cm w...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Gout can indeed have recurrent attacks in a short period of time. Gout attacks typically present with redness and heat, so the absence of these symptoms does lower the likelihood. Eating shiitake mushrooms is fine, and consuming fish is also ac...[Read More] Can Gout Recur Days After First Attack in Patients with No History?
Understanding Arrhythmia: Causes, Symptoms, and Treatment Options
Arrhythmia Hello doctor, for the past three to four days, my heart rate has been above 120 beats per minute, my blood pressure is normal, but I feel a pressure in my head, dizziness, shortness of breath, chest tightness, and heart pain.
Dr. Xie Rongyuan Reply:
Hello: It is recommended that you visit a cardiologist to confirm the cause of your condition. Thank you for your message![Read More] Understanding Arrhythmia: Causes, Symptoms, and Treatment Options
Unexplained Left Back Pain: Causes and When to Seek Help
Unexplained back pain? Left-sided back pain that comes and goes mildly, with no pain during breathing. There is a slight tingling sensation in the left arm and a feeling of chest tightness. I have seen a cardiologist and also visited a clinic; my blood pressure is normal and lung...
Dr. Xie Rongyuan Reply:
Hello: You may consider visiting the pulmonary medicine outpatient clinic. Thank you for your message![Read More] Unexplained Left Back Pain: Causes and When to Seek Help
The Relationship Between Proteinuria and Osteolytic Lesions: A Clinical Inquiry
The relationship between proteinuria and osteolytic lesions? Hello, Doctor Wu. Happy New Year. I have a question. At the end of April last year, I underwent a PET scan, which revealed two osteolytic lesions in my body. Here are the excerpts from the report: 1. There are two osteo...
Dr. Wu Hongjie Reply:
Hello: 1. I am curious about the reason for your positron emission tomography (PET) scan. If it is due to cancer with suspected bone metastasis, certain cancers can secrete various proteins, which may lead to increased urinary protein levels even in the absence of bone metastas...[Read More] The Relationship Between Proteinuria and Osteolytic Lesions: A Clinical Inquiry
Understanding Low Glomerular Filtration Rate: Testing and Insights
Reduced glomerular filtration rate (GFR)? I am 28 years old and have had two kidney function tests at the hospital, both showing an estimated glomerular filtration rate (eGFR) of around 80. In November 2020, my creatinine level was 1.06 with an eGFR of 89.76. In November 2021, my...
Dr. Huang Yaoxuan Reply:
Hello Mr. Yang: "Further precise" direct "verification of kidney function" >> I believe it is not as important as -- how to maintain (protect) kidney health (kidney function) >> Indeed, direct testing of kidney function is still not widely availabl...[Read More] Understanding Low Glomerular Filtration Rate: Testing and Insights
Understanding Sudden Dizziness: Causes and Concerns in Cold Weather
Occasionally, there is a sensation of dizziness or heaviness? Hello, doctor. I would like to ask why sometimes when the weather is cold, I suddenly feel a sense of dizziness or heaviness for about 1-2 seconds. Although it doesn't feel like spinning or nausea, I initially tho...
Dr. Hong Yuanbin Reply:
Hello, what you mentioned is known as orthostatic hypotension, which commonly occurs with sudden changes in posture or changes in surrounding temperature that cause a temporary drop in blood pressure. This is a physiological response. To improve this condition, it is advisable to...[Read More] Understanding Sudden Dizziness: Causes and Concerns in Cold Weather
Understanding Elevated Creatinine Levels: Health Tips for a 34-Year-Old
The health check report shows a creatinine level of 1.31? Dear Doctor, I am 34 years old. My health check report from October 4, 2022, shows a BMI of 22.4, a waist circumference of 77 cm, a creatinine level of 1.31, and a glomerular filtration rate (GFR) of 66.57. There is no pro...
Dr. Huang Yaoxuan Reply:
Hello HEBE: "Creatinine 1.31, Glomerular Filtration Rate 66.57." You can follow up at the nephrology outpatient clinic. Additionally, regarding "daily diet/lifestyle," it is recommended to measure your blood pressure daily, avoid excessive salt intake, limit f...[Read More] Understanding Elevated Creatinine Levels: Health Tips for a 34-Year-Old
Living with a Single Kidney: Health Tips and Life Expectancy Insights
What are the lifestyle and life expectancy considerations for individuals with congenital solitary kidney and hydronephrosis? Hello, doctor. Recently, my boyfriend and I are preparing to get married, and we did a premarital health checkup. My boyfriend has a congenital single kid...
Dr. Huang Yaoxuan Reply:
Dear Ms. Tianle, Regarding kidney health, it is recommended to measure your blood pressure daily. If your blood pressure is elevated, please consult a physician for evaluation. Additionally, pay attention to your dietary intake of salt and protein, ensuring it is within appropri...[Read More] Living with a Single Kidney: Health Tips and Life Expectancy Insights
Managing Chronic Fatigue and Immune Issues: A Comprehensive Guide
Feeling unwell? At the age of 41, my immune system seems to be particularly weak, and I have trouble sleeping. My gastrointestinal digestion has slowed down, and I feel that the nutrients from the food I eat are not being absorbed properly, leading to frequent vaginal infections ...
Dr. Hong Yuanbin Reply:
Hello, 1. It is recommended to maintain a regular routine and engage in regular exercise to boost immunity and reduce the likelihood of infections. 2. Regarding blood pressure, it does not directly affect immunity; however, effectively managing blood pressure can reduce the ri...[Read More] Managing Chronic Fatigue and Immune Issues: A Comprehensive Guide
Managing Diabetes: Dietary Tips for Seniors with High Blood Sugar
Diabetes Recipe Hello Doctor, my grandmother is 148 cm tall and weighs 31 kg. She follows a lacto-vegetarian diet and has diabetes, hypertension, and hyperlipidemia, with blood sugar levels around 120-140 mg/dL. She takes oral medications for blood sugar and blood pressure in the...
Dr. Li Jian Reply:
The dietary principles for diabetes focus on a balanced diet, emphasizing the intake of foods rich in dietary fiber, such as whole grains, vegetables, and fruits. It is important to avoid refined carbohydrate foods, such as sugar, desserts, fruit juices, honey, and sugary beverag...[Read More] Managing Diabetes: Dietary Tips for Seniors with High Blood Sugar