Understanding Kidney Function and Glomerular Filtration Rate Issues
Glomerular and renal function issues? Hello doctor, I would like to ask a question. I am 35 years old, and my glomerular filtration rate (GFR) has not exceeded 90 for the past seven years. I do not have hypertension or diabetes. In my most recent urine test, the protein level was...
Dr. Wu Jiyu Reply:
Based on the data you provided, the following is the calculation of the health examination results: Year Age Serum Creatinine Glomerular Filtration Rate (GFR) 2010 29 1.2 mg/dL 72 mL/min 2011 30 1.3 mg/dL 65 mL/min 2012 31 ...[Read More] Understanding Kidney Function and Glomerular Filtration Rate Issues
High Potassium Levels: Causes, Symptoms, and Treatment Options
If the potassium ion levels in the electrolytes are elevated, what should be done? Hello Doctor: I recently had a blood test for electrolytes, and the report shows that my potassium level is 6.1 mEq/L. Is this value considered high? How can I address the issue of potassium imbala...
Dr. Wu Jiyu Reply:
According to the data you provided, the potassium ion level is 6.1 mEq/L, which is indeed elevated. High potassium levels can lead to arrhythmias, so it is important to identify the underlying cause of the hyperkalemia and provide appropriate treatment. I recommend that you consu...[Read More] High Potassium Levels: Causes, Symptoms, and Treatment Options
Understanding Hashimoto's Thyroiditis and Its Impact on Thyroid Enlargement
Regarding thyroid enlargement caused by Hashimoto's thyroiditis? Hello, Doctor. I was diagnosed with Hashimoto's thyroiditis earlier this month after experiencing thyroid enlargement. I underwent an ultrasound and blood tests at the hospital. My outpatient physician inf...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I am not an endocrinologist, so I can only provide a general response. Ultimately, your question should be discussed with your physician during your clinic visit. From what I understand, Hashimoto's thyroiditis can lead to either hyperthyr...[Read More] Understanding Hashimoto's Thyroiditis and Its Impact on Thyroid Enlargement
Understanding Your Blood Test Results: Anemia Indicators Explained
Should I get a blood test? The school health check report shows the following results: WBC 6470, RBC 5.53, Hb 10.2, Hct 33.5, MCV 60.6, MCH 18.4, MCHC 30.4. The items marked in red indicate that you may have anemia, as your hemoglobin (Hb) and hematocrit (Hct) levels are below th...
Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding the health check report, only the red blood cell section is abnormal: Hb 10.2, MCV 60.6 (normal range 80-100). 2. A 19-year-old female may experience iron deficiency anemia due to menstrual blood loss if iron supplements are not adequately provided t...[Read More] Understanding Your Blood Test Results: Anemia Indicators Explained
Managing Oral Health Concerns Amid Uncertain Dryness Diagnosis
Immune system In the past year, I have noticed that my body gets tired easily, and during late-night work, I often experience tears and a runny nose to the point that I need to keep tissues handy to wipe my tears. Additionally, my tongue has a whitish coating with cracks, and I f...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The results of a general salivary gland scintigraphy can be obtained quite quickly, so it should be fine to wait a bit before proceeding with periodontal disease treatment. However, only your physician is aware of the severity of your periodont...[Read More] Managing Oral Health Concerns Amid Uncertain Dryness Diagnosis
Understanding Endocrine Issues and PCOS in Young Women: A Case Study
Regarding Endocrinology and Polycystic Ovary Syndrome (PCOS) Hello, Doctor: I am currently 19 years old, with a height of 151 cm, weight of 45.4 kg, body fat percentage of 20.3%, and a waist circumference of 58 cm. Description of my condition: In March of this year, my weight sud...
Dr. Xiao Yongxun Reply:
Dear Miss Nini: 1. The formula for Basal Metabolic Rate (BMR) is often estimated using various regression equations; it represents the energy required to maintain basic physiological functions daily. It can be used as a reference, but there is no need to be overly concerned, as ...[Read More] Understanding Endocrine Issues and PCOS in Young Women: A Case Study
Understanding Antiphospholipid Syndrome: Misdiagnosis and Treatment Insights
Antiphospholipid Syndrome About five years ago, I was diagnosed with antiphospholipid syndrome (ANA positive, anticardiolipin antibody positive, elevated inflammatory markers, and significant abnormalities in cerebral blood flow on one side). Since then, I have been continuously ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are the responses: 1. The use of medication will not affect the test results. 2. The results of antiphospholipid antibody tests can fluctuate, and if tested at different hospitals or laboratories, interpretation should be done with caution....[Read More] Understanding Antiphospholipid Syndrome: Misdiagnosis and Treatment Insights
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
Should You Get Tested for Hepatitis B After Using a Carrier's Toothpaste?
Using the same toothpaste as a carrier of Hepatitis B? Hello Dr. Liao, my husband is 33 years old and does not have hepatitis B surface antigens or antibodies. Three days ago, he accidentally used a toothbrush that belonged to a hepatitis B carrier. He does not remember if he had...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the situation of my husband, who is 33 years old and has no hepatitis B surface antigen (HBsAg) or antibodies. Three days ago, he mistakenly used toothpaste that belonged to a hepatitis B carrier. He does not recall if he had any gum bleeding at that time....[Read More] Should You Get Tested for Hepatitis B After Using a Carrier's Toothpaste?
Understanding Postprandial Blood Sugar Levels: Concerns and Insights
Blood sugar issues Hello Doctor: My height is 165 cm and my weight is 58 kg (my weight has been about the same for the past six months). Last year, my fasting blood glucose (glucose AC) was 92 mg/dL. I tested my fasting blood glucose again in early August, and it was 96 mg/dL. La...
Dr. Xiao Yongxun Reply:
Dear Mr. Jacky: 1. Your weight is 58 kg, height is 165 cm, and your body mass index (BMI) is 21.3 kg/m², which falls within the normal range. 2. In 2015, your fasting blood glucose level was 92 mg/dL, and in August 2016, it was 96 mg/dL. Last week, your hemoglobin A1c (HbA1c) wa...[Read More] Understanding Postprandial Blood Sugar Levels: Concerns and Insights
Is My Sudden Back Pain a Sign of HIV Risk? Common Concerns Explained
Is the risk of HIV high? Hello, I would like to ask about an incident that happened yesterday while I was riding my motorcycle at approximately 40 km/h. Suddenly, I felt a sharp pain in my back. I immediately touched the area but didn’t feel anything. Later, a person rode past me...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the chance of HIV infection is indeed very low, and there is no need for prophylactic medication. The pain in the skin on your back is usually caused by muscle soreness. If you are concerned, you can have a blood test done in 3 to 6 weeks. Thank ...[Read More] Is My Sudden Back Pain a Sign of HIV Risk? Common Concerns Explained
Understanding Heart Palpitations: When to Seek Further Testing
Cardiac issues? Hello, doctor. In March, I experienced daily palpitations and went to the emergency room at two different hospitals. I underwent blood tests, a CT scan, and an electrocardiogram, all of which showed no abnormalities. Later, I was referred to a psychiatrist who dia...
Dr. Li Zhiyao Reply:
Hello: If you are concerned about heart problems, you should first consult a cardiologist. If it is confirmed that there are no heart issues, then you can return to the psychiatrist for follow-up. Additionally, consider the possibility of hyperthyroidism.[Read More] Understanding Heart Palpitations: When to Seek Further Testing
Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns
Excess stomach acid Hello, doctor. I previously underwent an endoscopy which showed that my gastrointestinal tract is generally fine, but I have gastroesophageal reflux disease (GERD). I have been taking Pantoprazole for a month, but I occasionally experience acid reflux, a burni...
Dr. Xiao Yongxun Reply:
Dear Mr. Ellis: 1. Nexium® (generic name: Esomeprazole) is indicated for gastroesophageal reflux disease (GERD). Possible side effects include abdominal pain, constipation, diarrhea, bloating, nausea, dry mouth, headache, drowsiness, allergic reactions, fever, and others. Genera...[Read More] Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns
Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Regarding issues related to diabetes..? Hello, Director. I would like to ask about my health situation. I was diagnosed with diabetes on April 27. My blood test results on that date showed: fasting blood glucose 204 mg/dL, postprandial blood glucose 250 mg/dL, HbA1c 8.3%, total c...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah-Chiang: 1. Your original weight was 108 kg, height 180 cm, resulting in a body mass index (BMI) of 33.3 kg/m², which classifies you as obese. Due to insulin resistance, you are at an increased risk for type 2 diabetes. Non-pharmacological treatments for weight loss i...[Read More] Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Could Your Diet and Dehydration Be Causing Kidney Pain?
Drinking insufficient water and experiencing lower back pain after consuming certain foods may indicate a potential issue with the kidneys? Hello Doctor: I have noticed that whenever I eat certain specific foods (like Angelica duck noodles or braised dishes), I experience sorenes...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Regarding your symptoms, there are several possible scenarios: 1. The pain in your elbows and knees may be related to gout. I recommend visiting a hospital for a blood test to check your uric acid levels. 2. A high-sodium diet can lead to increased fluid intake...[Read More] Could Your Diet and Dehydration Be Causing Kidney Pain?
Understanding Non-Joint Swelling and Pain in the Index Finger
Swelling of the index finger (non-articular) Hello, I would like to ask about a situation I experienced. Last night, I suddenly had swelling and throbbing pain in the tip of my index finger (not related to the joint), which kept me awake. The next morning, I went to a clinic for ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe it would be beneficial to consult with an allergist or rheumatologist to investigate whether it might be recurrent rheumatic disease. I recommend seeking an appointment at any time, rather than waiting for an episode to occur. The Chan...[Read More] Understanding Non-Joint Swelling and Pain in the Index Finger
Understanding Post-Treatment Syphilis Issues: What to Expect
Issues After Syphilis Treatment Hello Doctor, It has been seven months since I was diagnosed with syphilis and treated. My titers have decreased from 1:128 to 1:8. I went for a follow-up blood test yesterday, and the results are still 1:8. It seems that the titers are not decre...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Regarding early syphilis (infection within one year), treatment is considered successful if the RPR or VDRL titers decrease by fourfold within six months after treatment. Based on your titer reduction, if the entire treatment course is completed, it should be con...[Read More] Understanding Post-Treatment Syphilis Issues: What to Expect
Understanding Thyroid Antibodies: What Your Test Results Mean
Thyroid antibodies Hello Dr. Gao: I noticed a lump in the front of my neck, and after a blood test, the doctor said my thyroid function is normal. However, after testing for thyroid antibodies, the report showed: Anti-TPO 14.45 (normal range: less than 34) and Anti-TG 3807 (norma...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Although your inquiry is related to antibodies and immune function, thyroid issues fall under the specialty of endocrinology, and I recommend visiting an endocrinologist in the future. I can provide a brief explanation of the significance of th...[Read More] Understanding Thyroid Antibodies: What Your Test Results Mean
Understanding Androcur for Acne: Side Effects and Alternatives Explained
Treatment for acne includes taking Androcur? To treat acne, I underwent blood tests that showed elevated testosterone levels and have been taking Androcur for several months. However, my libido has significantly decreased. Previously, I would wake up with an erection every mornin...
Dr. Xiao Yongxun Reply:
Dear Mr. Cong: 1. Androcur® (50mg, generic name: Cyproterone) is indicated for the treatment of prostate tumors, severe hypersexuality, significant masculinization symptoms, hirsutism, acne, and more. Potential side effects may include nausea, vomiting, abdominal pain, slight we...[Read More] Understanding Androcur for Acne: Side Effects and Alternatives Explained
Chest Discomfort, Frequent Hiccups, and Persistent Cough: What to Know
Left chest tightness, persistent hiccups, and continuous coughing? Hello Doctor, at the beginning of the month, I felt a heaviness in my left chest and sometimes experienced slight weakness in my body. On the 8th, I went to a cardiologist for an examination, and the doctor mentio...
Dr. Hong Yuanbin Reply:
Based on your description, the most likely condition is gastroesophageal reflux disease (GERD). The characteristics of GERD include symptoms that occur after eating or when lying down, such as a mild burning sensation in the chest, noticeable belching, and in severe cases, throat...[Read More] Chest Discomfort, Frequent Hiccups, and Persistent Cough: What to Know