Understanding the Kidney Risks of Long-Term NSAID Use: Dosage Matters
The dosage of NSAIDs that can cause kidney damage? Hello, doctor. I would like to ask about the issue of long-term NSAID use and its impact on kidney health. What dosage would be considered harmful to the kidneys? If someone takes 2-3 tablets of ibuprofen (200 mg each) during men...
Dr. Huang Yaoxuan Reply:
Dear Evonne: It is well known that long-term use of NSAIDs may harm the kidneys; however, there are no clinical studies indicating the dosage of NSAIDs that could cause kidney damage in young, healthy adults (such as yourself at 28 years old). It is recommended that you first und...[Read More] Understanding the Kidney Risks of Long-Term NSAID Use: Dosage Matters
Understanding Dizziness After Sudden Movements: When to Seek Medical Advice
Please ask your question? I apologize for bothering you, doctor, but I have a question. I was lying down playing on my phone when my grandmother suddenly needed to use the bathroom and called for my help. I rushed over, and after standing up, I suddenly felt dizzy and unsteady fo...
Dr. Hong Yuanbin Reply:
Hello, the conditions you mentioned are referred to as "orthostatic hypotension," which occurs when there is a significant change in body posture and the cardiovascular system is unable to adequately adjust, resulting in temporary low blood pressure. It is recommended t...[Read More] Understanding Dizziness After Sudden Movements: When to Seek Medical Advice
Understanding Declining eGFR: Kidney Health Concerns and Solutions
Kidney problems Hello Dr. Huang, my estimated glomerular filtration rate (eGFR) values from previous years (2017 to 2020) were consistently between 117 and 118. However, after undergoing surgery for a gynecological chocolate cyst at the end of March 2021, I started taking a medic...
Dr. Huang Yaoxuan Reply:
Hello "lulu": An eGFR of 117-118 or 99, 94 is considered normal, so you don't need to worry. If you are concerned about your kidneys, it is recommended to measure your blood pressure at home daily (after resting for 20 minutes before taking the measurement). Thank ...[Read More] Understanding Declining eGFR: Kidney Health Concerns and Solutions
Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Chronic Kidney Disease Treatment Hello Dr. Lin, I am a patient with chronic kidney disease (stage 3B) and have high proteinuria (approximately 1600-2200 mg/g). My blood sugar levels are also elevated, with a hemoglobin A1c of about 6.1 and a blood glucose level of approximately 1...
Dr. Lin Wuxuan Reply:
Hello Mr. Zeng, the glomerular filtration rate may decline due to aging, diseases, and other factors. It is advisable to discuss with your attending physician before starting new medications or adjusting dosages. Thank you.[Read More] Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Understanding Low Blood Pressure: Symptoms, Diagnosis, and Treatment Options
Consultation for Symptoms of Hypotension Currently, my average blood pressure is 90-105/52-60, and I often feel fatigued. My nails appear slightly purple. What symptoms would suggest that I should go to the hospital for low blood pressure? What tests are typically performed to de...
Dr. Lin Wuxuan Reply:
Hello Liu, it is recommended to first consult with a family medicine or general internal medicine outpatient clinic. Based on the physician's assessment, further management can be determined. Thank you.[Read More] Understanding Low Blood Pressure: Symptoms, Diagnosis, and Treatment Options
Understanding Steroid Side Effects and Sock Indentations: A Patient's Inquiry
Onset of steroid side effects / Sock indentation marks Hello, Doctor. I have lupus erythematosus and have been undergoing treatment since 2012. Initially, I was taking three steroid pills, but three years ago, the dosage increased to five pills. Over the past six months, my weigh...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. How long does it take for steroid side effects to appear? Is my body change possibly related to medication use, or is it simply due to dietary or lifestyle changes? --> Side effects from steroids can begin to manif...[Read More] Understanding Steroid Side Effects and Sock Indentations: A Patient's Inquiry
Should You Take Medication for High LDL Cholesterol Levels?
Elevated low-density lipoprotein cholesterol (LDL-C)? The total cholesterol is 245 mg/dL, low-density lipoprotein (LDL) cholesterol is 150 mg/dL (exceeding the standard value of 130 mg/dL), and high-density lipoprotein (HDL) cholesterol is 78 mg/dL. Given that triglycerides are 9...
Dr. Lin Jianliang Reply:
Hello: According to the regulations for medication coverage under the National Health Insurance, it is necessary to consider whether the patient has cardiovascular disease, diabetes, or risk factors. The definition of cardiovascular disease includes: (1) coronary atherosclerosis ...[Read More] Should You Take Medication for High LDL Cholesterol Levels?
Understanding Dizziness, Nausea, and Weakness: When to Seek Help
Dizziness, nausea, and weakness? Hello Dr. Hong, in the past week, I have been experiencing dizziness, headaches, and nausea (one day it was quite severe). I also feel some weakness in my hands, and I have pain around my glabella and from the right side of my nose to the area aro...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is recommended to first check your blood pressure to see if it is elevated. The higher likelihoods could be due to elevated intraocular pressure, inner ear inflammation, or migraines. It is advisable to first consult an ophthalmologist, especi...[Read More] Understanding Dizziness, Nausea, and Weakness: When to Seek Help
Can Women with IgA Nephropathy Safely Get Pregnant?
Can a person with IgA nephropathy become pregnant and give birth? Hello, doctor. I was diagnosed with IgA nephropathy and minimal change disease after undergoing a kidney biopsy in the past. My condition is currently stable, with no proteinuria or hematuria, and my kidney functio...
Dr. Wu Jiyu Reply:
Based on the information provided in the literature, if blood pressure is normal and the glomerular filtration rate is greater than 70 ml/min, the impact of pregnancy on the kidneys can be minimized. However, it is essential to discuss your specific situation with your attending ...[Read More] Can Women with IgA Nephropathy Safely Get Pregnant?
Understanding Elevated Creatinine Levels: When to See a Nephrologist
Creatinine levels exceed the standard? Hello Doctor: In my blood test report, my creatinine level is 1.21 and my glomerular filtration rate (GFR) is 71.7. Should I urgently see a nephrologist? What advice would you give me? My triglycerides are 160, total cholesterol is 210, high...
Dr. Wu Jiyu Reply:
For chronic kidney disease, a glomerular filtration rate (GFR) greater than 60, combined with proteinuria, hematuria, or renal parenchymal damage (such as stones, edema, or cysts), is required for a diagnosis of chronic kidney disease. Based on the report you provided, while your...[Read More] Understanding Elevated Creatinine Levels: When to See a Nephrologist
Understanding Sleep Issues in Teen Athletes: A Guide to Common Concerns
Sleep issues Hello, doctor. I have some questions I would like to ask you. As a teenager, I'm not sure if what I'm experiencing is normal. I am an athlete and I start training at 7 AM and also have practice in the afternoon. Recently, I've been sleeping with the ai...
Dr. Hong Yuanbin Reply:
Hello, 1. It is normal to experience a dry throat when sleeping in an air-conditioned room, as air conditioning has a dehumidifying function. 2. Whether you snore may require the assistance of those around you to observe. As for sleep apnea, a sleep study at a sleep clinic is ...[Read More] Understanding Sleep Issues in Teen Athletes: A Guide to Common Concerns
Managing Blood Sugar and Pressure: Addressing Unusual Voice Changes
Medication issues Hello, doctor... My husband recently discovered that his blood sugar and blood pressure are too high, so he started using medications to lower his blood sugar and blood pressure. His job requires physical labor and exposure to the sun (farming and formwork). Whe...
Dr. Li Jian Reply:
If you experience abnormal voice changes, you can first consult an otolaryngologist (ENT specialist).[Read More] Managing Blood Sugar and Pressure: Addressing Unusual Voice Changes
Understanding Sudden Fainting: Causes and Concerns for Your Health
Sudden fainting? Around 12:20 AM today, my mother (52 years old) was talking before going to the bathroom when she suddenly fainted just as she was about to enter. I heard a noise and rushed to check, finding her collapsed at the doorway. She regained consciousness after about 30...
Dr. Hong Yuanbin Reply:
Based on your description, it is likely that the alcohol caused vasodilation, leading to a sudden drop in blood pressure, combined with urine production activating the sympathetic nervous system, resulting in a temporary fainting episode. It is recommended that if she drinks alco...[Read More] Understanding Sudden Fainting: Causes and Concerns for Your Health
Understanding Blood Pressure Drops and Nausea During Dialysis
Dialysis issues The links provided lead to recent blood test reports. I would like to ask the doctor why my grandmother often experiences a drop in blood pressure, confusion, and nausea during the dialysis process. When we asked her attending physician, the doctor only advised us...
Dr. Wu Hongjie Reply:
Hello: There are many causes of intradialytic hypotension (IDH) during dialysis: excessive weight gain between dialysis sessions (> 5%), heart failure, malnutrition, female gender, autonomic nervous system dysfunction, etc., are common causes. 1. If there is excessive weight...[Read More] Understanding Blood Pressure Drops and Nausea During Dialysis
Understanding Muscle Indentation Above the Tibia: Kidney Health Insights
Depression upon palpation of the muscles above the tibia in the lower leg? Hello Dr. Wu, I apologize for bothering you, but I would like to ask you a question. Recently, I suddenly noticed that when I press on the muscles around my tibia in both calves, they indent and do not bou...
Dr. Wu Jiyu Reply:
According to your inquiry, the report you provided shows that urine protein levels are at 568 mg/g, which exceeds the normal value (<150 mg/g). This may require a discussion with a nephrologist regarding treatment options and adherence to a low-protein diet. Regarding the inde...[Read More] Understanding Muscle Indentation Above the Tibia: Kidney Health Insights
Understanding IgA Nephropathy Treatment Options and Concerns
Treatment options for IgA nephropathy? Hello, Doctor! Recently, I had a kidney biopsy, and when reviewing the report, my attending physician asked me to take a picture of the report with my phone so I could look up the information at home. He only mentioned that the biopsy result...
Dr. Lin Wuxuan Reply:
IgA nephropathy has different treatment approaches depending on the individual's condition. If there are any concerns, it is advisable to return for a follow-up and consult the primary physician for clarification. Thank you.[Read More] Understanding IgA Nephropathy Treatment Options and Concerns
Assessing Kidney Function and Medication Safety for Hair Transplant Patients
Consultation on kidney function tests and medication after hair transplantation? Hello, Doctor. I am 31 years old with a creatinine level of 1.1 and an estimated glomerular filtration rate (eGFR) of 82.9. At 27 years old, my creatinine was 1.2 with an eGFR of 77.8, and at 26 year...
Dr. Wu Hongjie Reply:
I usually love to eat meat and consume very few vegetables, but next month I will undergo hair transplantation. The hair transplant physician advised me to take Boscal (1/3) and also to add a blood pressure medication, Lornidine 10 mg (1/4 is 2.5 mg). He mentioned that this medic...[Read More] Assessing Kidney Function and Medication Safety for Hair Transplant Patients
Understanding Kidney Issues: The Significance of Proteinuria and Creatinine Levels
Kidney issues (proteinuria) Urine Creatinine: 93.4 mg/dL Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL) Urine Protein: 42.0 * mg/dL < 14 ACR: 275.16 * µg/mg Creatinine (<30) Protein/(Creatinine/1000): 449.68 mg/g Serum Creatinine: 1.07 Doctor, I have...
Dr. Huang Yaoxuan Reply:
Dear Mr. A-Mao, Regarding your concerns about proteinuria, kidney function, and kidney biopsy, here are some suggestions for your consideration: 1. You may want to discuss the benefits and drawbacks of a kidney biopsy with your physician. An excerpt from UpToDate states, "...[Read More] Understanding Kidney Issues: The Significance of Proteinuria and Creatinine Levels
Assessing Kidney Function and Medication Safety for Hair Transplant
Consultation on kidney function tests and medication after hair transplantation? Hello Dr. Wu, I am 31 years old. In 2022, my serum creatinine was 1.1 mg/dL with a glomerular filtration rate (GFR) of 82.9; in 2021, my serum creatinine was 1.11 mg/dL with a GFR of 78.3; in 2020, m...
Dr. Wu Jiyu Reply:
Based on your inquiry, first: if your glomerular filtration rate (GFR) is greater than 60 and there is no proteinuria or hematuria, your kidney function should be considered normal. Second: after hair transplantation, it is recommended to take minoxidil. Since this medication is ...[Read More] Assessing Kidney Function and Medication Safety for Hair Transplant
Understanding Rising Urine Protein Levels: What You Need to Know
The urinary protein index has surged? Hello, Doctor. Below are the results from my visit to Hospital B on the evening of March 14 this year. The random urine test results were as follows: Urine Creatinine: 93.4 mg/dL; Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL); Uri...
Dr. Wu Hongjie Reply:
The presence of bubbles in urine does not necessarily indicate proteinuria; factors such as fever, excessive exercise, consumption of high animal protein, hormonal influences, or other diseases causing abnormal protein production can also be responsible. Even if tests do not show...[Read More] Understanding Rising Urine Protein Levels: What You Need to Know