Understanding Acute Kidney Failure Recovery: Key Insights and Timeline
Recovery from renal failure Hello Dr. Wu, in May of this year, I underwent blood tests due to feeling unwell. The first test results showed BUN: in the 120s and Cr: around 5.5 (with no proteinuria present). Two days later, I had another blood test, and the results were BUN: in th...
Dr. Wu Jiyu Reply:
Hello: Based on the information you provided, if kidney function was normal during the previous year's health check and has suddenly deteriorated this year, the clinical course should primarily be considered as acute kidney injury. However, acute kidney injury can lead to va...[Read More] Understanding Acute Kidney Failure Recovery: Key Insights and Timeline
Understanding Sudden Weight Gain: Causes and Concerns
Short-term rapid weight gain issues? Hello Doctor: This week, I suddenly noticed that my weight has increased significantly in just a few days (from 55 kg to 63 kg). My diet has remained the same as before, but my records indicate an increase in body fat percentage, a drastic dec...
Dr. Xiao Yongxun Reply:
Dear Ms. JMF: 1. If there is an increase from 55 kg to 63 kg within a week, that amounts to an approximate daily increase of 1 kg; and various extensive examinations have shown no issues. Such a rate of weight gain is extremely rare in medicine and even contradicts common sense....[Read More] Understanding Sudden Weight Gain: Causes and Concerns
Does Lower Blood Pressure from Medication Reduce Sweating?
Blood pressure - "If blood pressure is slightly lower than usual, will the amount of sweating also decrease?" Hello, I would like to ask if taking medication (for nocturia improvement in urology) can cause "blood pressure to be slightly lower than usual, and whethe...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The medications prescribed by urologists for nocturia are sometimes aimed at treating benign prostatic hyperplasia (BPH) and other times at reducing urinary frequency. Medications that reduce urinary frequency may have side effects such as dryne...[Read More] Does Lower Blood Pressure from Medication Reduce Sweating?
Understanding Upper Right Abdominal Pain: Causes and Solutions
Regarding sharp pain in the right upper abdomen? Hello, Dr. Hsiao. I have been experiencing a sudden feeling of hunger shortly after meals, which feels somewhat like an empty stomach sensation without the typical stomach growling. If I eat too quickly, I might even feel hungry ha...
Dr. Xiao Yongxun Reply:
Dear Mr. Shi: 1. Regarding your upper right abdominal pain, I believe it may be what is commonly referred to as side stitch, as mentioned in my response on June 27, 2016. Therefore, I recommend that you consult a coach to learn proper breathing techniques while running to avoid ...[Read More] Understanding Upper Right Abdominal Pain: Causes and Solutions
Understanding Blood Pressure Fluctuations: Concerns and Solutions
Blood pressure issues Hello Doctor: I am 170 cm tall and weigh 53 kg. My parents do not have hypertension, I rarely drink alcohol, and I quit smoking six months ago. I tend to get anxious and have annual health check-ups, where my blood pressure has always been normal (<120/&l...
Dr. Li Zhiyao Reply:
Hello: 1. Blood pressure can vary due to internal factors such as physical activity and emotions, as well as external factors like temperature; this is a normal phenomenon. 2. Most people tend to have higher blood pressure readings in the hospital compared to at home, which is re...[Read More] Understanding Blood Pressure Fluctuations: Concerns and Solutions
Understanding Chest Discomfort and Digestive Issues After Exercise
Left chest tightness, frequent belching after meals, and feeling the heartbeat while walking? Hello Doctor, at the beginning of April, I developed tendonitis in the ligaments of my right foot. Since I was going to Japan, I visited a clinic to obtain muscle relaxants and other com...
Dr. Li Zhiyao Reply:
Hello: 1. Considering your physical condition, I personally recommend that you consult a cardiologist at a major hospital for a more thorough evaluation. 2. Exercise should be based on the principle of avoiding injuries; the situation you described is indeed insufficient. It is n...[Read More] Understanding Chest Discomfort and Digestive Issues After Exercise
Understanding Chest Pain: A Guide to Diagnosis and Management
Chest issues Hello doctor, last year I experienced pain in my left chest rib and first went to a small hospital to see a pulmonologist. After an X-ray, the doctor said there were no issues and referred me to the cardiology department at Kaohsiung Chang Gung Memorial Hospital. Upo...
Dr. Zeng Guosen Reply:
Hello, based on your description, it is possible that the pain is caused by myofascial issues. I suggest you consult an orthopedic specialist. Thank you for your question.[Read More] Understanding Chest Pain: A Guide to Diagnosis and Management
Understanding Low CCR Levels: Do You Need a Low-Protein Diet?
Regarding the CCR (Creatinine Clearance Rate) renal function index? Hello, doctor. I would like to ask why my creatinine clearance (CCR) is low, even though my other test results are mostly normal. I have had several tests, and my CCR has consistently been between the low 50s and...
Dr. Wu Jiyu Reply:
Hello: The 24-hour creatinine clearance rate is clinically used as an indirect indicator of glomerular filtration rate. While its accuracy is relatively high, it can still be affected by urine collection methods, medication use, and testing errors, which may influence the results...[Read More] Understanding Low CCR Levels: Do You Need a Low-Protein Diet?
Impact of Kidney Disease on Pregnancy: Risks and Recommendations
The impact of kidney disease on pregnancy? Hello doctor, I would like to ask about my current situation. My creatinine level is 1.4, but my blood pressure, proteinuria, and blood urea nitrogen levels are all normal. I recently underwent a kidney biopsy, which confirmed interstiti...
Dr. Wu Jiyu Reply:
Hello, I will explain your questions in several parts. 1. The impact of a creatinine level of 1.4 mg/dL on pregnancy: Although creatinine is referred to as a kidney function index, its value can be influenced by age, body weight/muscle composition, and gender. When interpreting...[Read More] Impact of Kidney Disease on Pregnancy: Risks and Recommendations
Understanding Tingling Sensations in the Head: Causes and Concerns
The head often feels tingly and prickly, as if blood is rushing to it? Dr. Lee, I usually experience a tingling sensation in my head. I measured my blood pressure and it was 143/86. By noon, I still felt a bit of tingling. I would like to ask you about my current medications: I a...
Dr. Li Zhiyao Reply:
Hello: Based on your description, I recommend that you consult a neurologist.[Read More] Understanding Tingling Sensations in the Head: Causes and Concerns
Understanding Proteinuria, Hematuria, and GFR: When to Seek Medical Help
Proteinuria, hematuria, glomerular filtration rate? Hello Dr. Huang, I would like to ask about my last health check-up in January. The report indicated several areas in red: urine occult blood 1+, urine protein 30 mg/dL, and glomerular filtration rate (GFR) 83. Is this serious? W...
Dr. Huang Yaoxuan Reply:
1. It does not appear to be very serious; the glomerular filtration rate (GFR) is 83, with a normal range of approximately 90 (measured in ml/min/1.73m²). A higher value is better; urine occult blood is 1+, and urine protein is 30 mg/dl, both of which are mildly abnormal. 2. Re...[Read More] Understanding Proteinuria, Hematuria, and GFR: When to Seek Medical Help
Managing High Blood Pressure: Sleep Issues, Fatigue, and Dry Mouth
Hypertension often makes me feel unwell, difficult to fall asleep, dry mouth, and fatigue? Hypertension is causing persistent discomfort, difficulty sleeping, dry mouth, and fatigue. The average heart rate is between 90 and 115 beats per minute, and the blood pressure is 162/101 ...
Dr. Li Zhiyao Reply:
Hello: Since you already know you have high blood pressure, you should seek medical attention and not delay treatment.[Read More] Managing High Blood Pressure: Sleep Issues, Fatigue, and Dry Mouth
Understanding Weight Loss and Side Effects of Forxiga and Olmetec
Rapid weight loss Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned for a check-up due to discomfort near my heart, and an ECG showed normal results, but my blood pressure was 155/101. The doctor asked if I wanted to tr...
Dr. Huang Yaoxuan Reply:
1. Do you know what Forxiga 10mg is (what it does)? Are there any precautions to take when using this medication? It is a new type of antidiabetic medication (approved by the FDA in the United States), which lowers blood sugar levels and can also lead to weight loss. Some physici...[Read More] Understanding Weight Loss and Side Effects of Forxiga and Olmetec
Understanding Headaches and Discomfort: Possible Causes and Solutions
Headache in the upper right side of the head before and after bowel movements, discomfort in the inner posterior area of the right thigh, and pain in the sole of the right foot? Hello doctor, I work long hours on the computer, am unmarried, and my blood pressure is around 80-90/5...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you follow up with a neurologist.[Read More] Understanding Headaches and Discomfort: Possible Causes and Solutions
Post-Meal Blood Sugar: Walking Benefits and Glucose Fluctuations Explained
Measuring postprandial blood glucose? Hello Doctor, I have been controlling my diet. If I eat at 12 PM and measure my postprandial blood glucose at 2 PM, I usually start walking around 1:30 PM, which means I will be slightly active for about half an hour before the measurement. I...
Dr. Xiao Yongxun Reply:
Dear Mr. Gao: 1. A moderate walk after meals can effectively lower postprandial blood glucose levels; there should not be any major issues. In fact, individuals with regular exercise habits tend to have increased sensitivity of insulin receptors, which helps maintain stable bloo...[Read More] Post-Meal Blood Sugar: Walking Benefits and Glucose Fluctuations Explained
Chronic Kidney Disease (Membranous): Treatment, Management, and Concerns
Chronic Kidney Disease (Membranous) Is chronic glomerulonephritis (membranous) always destined to require dialysis in the end? If treatment and management are ongoing, what should be noted in daily life? Will conditions like cold, fever, blood tests for creatinine, and albuminuri...
Dr. Wang Weijie Reply:
Hello, for membranous nephropathy (chronic nephritis), it is recommended to identify the underlying causes, manage diet, proteinuria, and blood pressure. Dialysis may not be inevitable. It is advised to follow up at a nephrology clinic for further consultation. Wishing you peace ...[Read More] Chronic Kidney Disease (Membranous): Treatment, Management, and Concerns
Understanding the Connection Between High Blood Pressure and Dizziness
Blood pressure issues Doctor, my blood pressure is around 140/90, and my ear temperature is about 37.2. Recently, I've been feeling slightly dizzy and heavy-headed. Could these symptoms be related to high blood pressure?
Dr. Li Zhiyao Reply:
Hello: Given your age, a blood pressure reading of 140/90 does require attention. It is recommended that you measure your blood pressure at least twice a day (once in the morning and once in the evening) and keep a record of it. Please consult a cardiologist and provide them with...[Read More] Understanding the Connection Between High Blood Pressure and Dizziness
Waking Up with Arm Weakness: Causes and Stroke Concerns
Numbness and weakness in the arm upon waking up? Hello! Every day when I wake up, my entire hand and arm feel numb and weak, primarily in my right hand, and sometimes in both hands. After a few minutes, it returns to normal. For the past few months, while sitting on the bed befor...
Dr. Li Zhiyao Reply:
Hello: Your symptoms are likely caused by nerve compression. It is recommended that you consult a neurologist. Wishing you health and safety![Read More] Waking Up with Arm Weakness: Causes and Stroke Concerns
Could These Symptoms Indicate Type 1 Diabetes at 24?
Is it Type 1 Diabetes? Hello Doctor: I am currently 24 years old, 156 cm tall, and six months ago my fasting blood glucose was measured at 79 mg/dL, with a blood pressure of 94/57 mmHg. My weight has historically ranged between 40 to 44 kg, and I experience polyphagia, polyuria (...
Dr. Gao Jiankai Reply:
Hello Ms. Lin, the diagnosis of diabetes requires not only the classic symptoms of polyphagia, polydipsia, and polyuria but also the evaluation of fasting blood glucose or hemoglobin A1c levels. Your fasting blood glucose is only 79 mg/dL, which should not indicate diabetes. Addi...[Read More] Could These Symptoms Indicate Type 1 Diabetes at 24?
Understanding Blood Pressure Variations and Metformin Use During Pregnancy
Regarding blood pressure and metformin? Doctor, I have a question. Recently, when I checked my blood pressure at the doctor's office, it was sometimes 114/79 and other times 133/88. Is this considered high? Also, can metformin be taken during pregnancy? Thank you, doctor!
Dr. Li Zhiyao Reply:
Hello; 1. Blood pressure should not be assessed based on a single measurement; multiple readings are necessary for accurate evaluation. 2. The best method for controlling blood sugar during pregnancy is insulin.[Read More] Understanding Blood Pressure Variations and Metformin Use During Pregnancy