Understanding Adrenal Tumors: Symptoms, Diagnosis, and Specialist Guidance
Adrenal tumor Doctor Ping An: I went to the emergency room on April 4 due to vomiting, where I had an abdominal X-ray and a CT scan of the right abdomen. The doctor informed me that the CT scan revealed a 2 cm tumor on my adrenal gland, and I need to return for follow-up. They re...
Dr. Wu Hongjie Reply:
Incidentaloma refers to an adrenal tumor that is discovered incidentally, typically when it is larger than 4 centimeters. It is important to determine whether the tumor is functional. Functional adrenal tumors may cause secondary hypertension, and surgical removal is recommended ...[Read More] Understanding Adrenal Tumors: Symptoms, Diagnosis, and Specialist Guidance
Can Red Yeast Rice and Nitric Oxide Supplements Be Safe with Blood Pressure Meds?
Antihypertensive medications, red yeast rice, and nitric oxide? My husband is 43 years old and has been taking blood pressure medication (Lisinopril and Amlodipine) for about six months. Can he take red yeast rice or nitric oxide-related health supplements?
Dr. Lin Wuxuan Reply:
Hello: Since we are unable to ascertain the current health status of the gentleman, it is recommended to bring the dietary supplements he wishes to take to his regular outpatient physician for consultation. Thank you for your inquiry.[Read More] Can Red Yeast Rice and Nitric Oxide Supplements Be Safe with Blood Pressure Meds?
Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels
Kidney problems On 03/19/2011, creatinine was 1.18, urine protein was 5, urine creatinine was 53.12, and urine protein-to-creatinine ratio (uPCR) was 94.12. On 10/09/2010, creatinine was 1.26, urine protein was 17, urine creatinine was 108.7, and uPCR was 156.11. On 11/03/200...
Dr. Wu Jiyu Reply:
According to your inquiry, although the serum creatinine levels show little variation (ranging between 60-70), the urinary protein levels are gradually increasing. In addition to pharmacological management of hypertension, diabetes, and hyperlipidemia, the prevention and treatmen...[Read More] Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels
Understanding eGFR and Creatinine Levels: Should You Be Concerned?
eGFR, creatinine Hello doctor, I would like to ask about my situation. In September 2021, my blood test showed an eGFR of 67.06 and a creatinine level of 1. After seeing these values outside the normal range, I consulted my doctor, who suggested that if I was concerned, I could h...
Dr. Huang Yaoxuan Reply:
Hello Ms. Chi, you mentioned that you have had two blood creatinine tests in the past six months, with results of 1 and 1.1, and eGFR values of 67.06 and 60.08, respectively. The urine test report indicated no issues. Here is some information for your reference: 1. eGFR stands f...[Read More] Understanding eGFR and Creatinine Levels: Should You Be Concerned?
Understanding Dizziness and Headaches: Possible Causes and Concerns
Dizziness, headache? The initial symptoms were mild dizziness, which lasted for three days, followed by the onset of headaches and sore throat. Later, I started to feel short of breath, resembling palpitations, possibly due to wearing a mask while working. I experience episodes o...
Dr. Hong Yuanbin Reply:
Hello, based on the current pandemic situation, the first consideration should be the possibility of a COVID-19 infection. It is advisable to perform a rapid test; if the result is negative, it could be due to orthostatic hypotension or anemia. I recommend measuring your blood pr...[Read More] Understanding Dizziness and Headaches: Possible Causes and Concerns
Managing Proteinuria in Diabetic Kidney Disease: When to Start Low-Protein Diet?
Proteinuria and Diabetic Kidney Disease (DKD) Hello, doctor. I have been diagnosed with diabetes for about ten years and have consistently had microalbuminuria. My eGFR has been around 105 ± 10 for several years. I had a UACR > 300 tested before surgery at National Taiwan Univ...
Dr. Wu Jiyu Reply:
According to your inquiry regarding the classification of UACR: UACR < 30 mg/g is considered normal range; UACR 30-300 mg/g is classified as microalbuminuria; and UACR > 300 mg/g is classified as macroalbuminuria. Since you only mentioned "UACR results < 300," ...[Read More] Managing Proteinuria in Diabetic Kidney Disease: When to Start Low-Protein Diet?
Understanding High Cholesterol: The Role of HDL and Health Risks
High cholesterol Hello, my mother is currently 61 years old and recently had a health check-up with the following results: height 167 cm, weight 51 kg, BMI 18.3, blood pressure 138/81, pulse 75, blood glucose 102 (slightly elevated), triglycerides 51, cholesterol 322 (severely el...
Dr. Lin Jianliang Reply:
Hello: High total cholesterol can be partly attributed to high-density lipoprotein (HDL), while low-density lipoprotein (LDL) is a significant factor contributing to cardiovascular disease. Whether or not to take medication depends on health insurance regulations, which consider ...[Read More] Understanding High Cholesterol: The Role of HDL and Health Risks
Understanding Sudden Decline in Kidney Function: Causes and Concerns
Acute decline in renal function? At the end of the year, my health check revealed a blood urea nitrogen level of 13, creatinine level of 1.7, urine protein negative, specific gravity of 1.030, and blood pressure of 126/71. Over the past years, my health check results have remaine...
Dr. Wu Jiyu Reply:
According to your inquiry: 1. If the health check has confirmed low vitamin D levels, please proceed with vitamin D supplementation. 2. If you experienced diarrhea about a month prior to the health check, it is indeed possible that dehydration may have caused changes in kidney fu...[Read More] Understanding Sudden Decline in Kidney Function: Causes and Concerns
Understanding Sudden Decline in Kidney Function: Causes and Solutions
What could cause a sudden decline in kidney function? In mid-December last year, my health check revealed a blood urea nitrogen level of 13, creatinine level of 1.7, uric acid level of 6.9, pH of 6, urine protein negative, specific gravity of 1.030, and blood pressure of 126/71. ...
Dr. Wu Jiyu Reply:
1. The presence or absence of proteinuria is determined by testing, and your urine protein result is negative (-). If you are still concerned, you can ask your physician to check the urine protein to creatinine ratio next time. 2. In mid-December, your creatinine level was 1.7, ...[Read More] Understanding Sudden Decline in Kidney Function: Causes and Solutions
Can I Take Cialis 5mg After Blood Pressure Medication?
Can I use Cialis 5mg while taking antihypertensive medication for blood pressure control? A 66-year-old patient taking Lisinopril in the morning for blood pressure control can take 5 mg of Cialis (Tadalafil) after dinner in the evening. However, it is important to monitor for any...
Dr. Lin Wuxuan Reply:
Hello: When using both medications together, it is important to monitor blood pressure. If there are any abnormalities in blood pressure, you should consult your healthcare provider. If there are no blood pressure abnormalities, there should be no significant concerns about using...[Read More] Can I Take Cialis 5mg After Blood Pressure Medication?
Understanding Microalbuminuria: Causes, Risks, and Treatment Options
Microalbumin Hello Doctor, During my health check on January 3rd, I found that my "urine microalbumin (UMA)" test result was 41.3 mg/L, with a normal range of 0-20 mg/L. Additionally, I have gallbladder polyps, prostatic calcifications, weakly positive urine ketones, ...
Dr. He Yonghe Reply:
Hello Mr. Li, Gallbladder polyps should be monitored at least once every six months, and urine protein should be tracked together. There's no need to worry; you can return to Taiwan for follow-up.[Read More] Understanding Microalbuminuria: Causes, Risks, and Treatment Options
Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies
Issues in Vaccine Administration Assessment I often feel dizzy due to low blood pressure, and sometimes I experience palpitations. Occasionally, the edges of my lips turn cyanotic at night, and I frequently catch colds, which can lead to nosebleeds. Additionally, I have a history...
Dr. Liao Zhongxin Reply:
1. For recommendations and guidelines on vaccination for immunocompromised patients, please refer to the attachment: https://www.cdc.gov.tw/Category/ListPage/g9rqm1jhIt65b8sr5Vap8w2. The classification of immunocompromised individuals is as follows: 1. Primary immunodeficienc...[Read More] Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies
Understanding Persistent Low-Grade Fever After Vaccination: What You Need to Know
Elevated body temperature? Hello Doctor, I received the BNT vaccine on November 25th, and for the past three weeks, my body temperature has been consistently elevated. I have been measuring my ear temperature (inserting the thermometer as deeply as possible) and it ranges from ap...
Dr. Liao Zhongxin Reply:
1. Women's body temperature is indeed relatively higher during menstruation, while it tends to be lower at other times. 2. Generally, a person's body temperature can fluctuate throughout the day; for example, it is lowest in the morning upon waking and tends to be highe...[Read More] Understanding Persistent Low-Grade Fever After Vaccination: What You Need to Know
Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
The most recent test showed a significant decrease in glomerular filtration rate (GFR)? Hello, Doctor. I am currently 29 years old, 153 cm tall, and weigh 50 kg. Last year, during a company health check, I was found to have elevated fasting blood glucose levels (118), but my hemo...
Dr. He Yonghe Reply:
Hello Ms. Wang, drinking less water can also lead to a decrease in eGFR. Generally, 2500-3000 cc per day should be sufficient. If your cholesterol is elevated, dietary changes and exercise can help improve it. You may consider visiting an internal medicine specialist for further ...[Read More] Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
Understanding the Impact of Cholesterol on Blood Pressure Variability
Blood Pressure and Cholesterol Hello Doctor: I am a person who gets nervous easily, and every time I go to the hospital to have my blood pressure measured, it is very high, with systolic pressure over 160 and diastolic pressure over 100. However, when I measure my blood pressure ...
Dr. Hong Yuanbin Reply:
Hello, cholesterol itself does not directly affect blood pressure. It is the long-term high levels of lipids that can lead to atherosclerosis, which may then influence an increase in blood pressure. Thank you for your question.[Read More] Understanding the Impact of Cholesterol on Blood Pressure Variability
Understanding Elevated Creatinine Levels: Causes and Concerns
Creatinine levels are slightly elevated? Doctor: Due to having high blood pressure, I have been undergoing routine check-ups for over a decade. My creatinine levels were consistently between 1.04 and 1.08, but this month it suddenly increased to 1.23. I recently changed jobs and ...
Dr. Wu Jiyu Reply:
Based on your description, the change in creatinine (CRE) levels may indeed be related to your use of anti-inflammatory pain medications, combined with excessive sweating. If you are not adequately hydrating, this could also impact kidney function. It is recommended to discontinu...[Read More] Understanding Elevated Creatinine Levels: Causes and Concerns
Managing Long-Term Low Potassium: Symptoms and Next Steps
Chronic hypokalemia Hello Doctor 👋 # I have been experiencing low potassium, proteinuria, mild anemia, and diarrhea for over a year! My body often feels unwell with symptoms such as fatigue, dizziness, numbness in my hands, nausea, palpitations, diarrhea, high blood pressure, and...
Dr. Wu Jiyu Reply:
Based on your inquiry, chronic hypokalemia primarily falls under the domain of nephrology, and it is advisable to consult a nephrologist for better coordination in managing your condition. Thank you for your question; the Nephrology Department at Changhua Hospital is here to supp...[Read More] Managing Long-Term Low Potassium: Symptoms and Next Steps
Post-Exercise Dizziness: Causes and Solutions for Your Symptoms
Dizziness and discomfort after exercise? Hello Doctor, I exercise for at least 30 minutes to 1 hour every day. I usually go to bed before midnight and wake up at 7 AM. My exercise routine typically starts around 4 PM and mainly consists of aerobic exercises combined with simple b...
Dr. Hong Yuanbin Reply:
Based on your description, there are four possible conditions. First is orthostatic hypotension, which is characterized by a sudden drop in blood pressure when changing posture, leading to dizziness. This typically resolves with rest, and there is no specific treatment other than...[Read More] Post-Exercise Dizziness: Causes and Solutions for Your Symptoms
Understanding Sudden Increase in Creatinine Levels: Causes and Concerns
Short-term rapid increase in creatinine levels? Hello Dr. Wu, On August 28, 2021, I went to the hospital for a blood test. On that day, I checked the report online and found that my creatinine level had risen to 1.28. The creatinine levels from the previous four months were 1.0...
Dr. Wu Jiyu Reply:
Regarding the definition of chronic kidney disease (CKD), you mentioned that the five data points you provided indicated the presence of urinary protein, which alerted you to your kidney function. The four measurements of glomerular filtration rate (GFR) were 75, 83, 75, and 79 m...[Read More] Understanding Sudden Increase in Creatinine Levels: Causes and Concerns
Managing Chronic Illness in Hot Environments: Risks and Tips
Chronic diseases in hot environments? Hello, I have renal tubular dysfunction (currently around stage 3 chronic kidney disease) and diabetes. Due to my job, I need to spend about half an hour outdoors in the sun or in hot environments every noon for business. After finishing my w...
Dr. Wu Jiyu Reply:
Regarding the care of diabetes combined with chronic kidney disease, please pay attention to the control of the "three highs" (high blood sugar, high blood pressure, and high cholesterol) to prevent the worsening of the condition. If you need to work in a hot environmen...[Read More] Managing Chronic Illness in Hot Environments: Risks and Tips