Dialysis, Internal Medicine FAQ

Kidney-related issues? Hello Doctor, I recently felt inspired to undergo a health check-up, and after receiving the results, I am a bit concerned. My estimated Glomerular Filtration Rate (eGFR) is only 81.25, but my urine protein level is negative (<30). I have been monitoring...

Patients on dialysis taking kidney-protective probiotics? My father has been a dialysis patient for many years due to uremia. He has always enjoyed various health supplements, and he continues to do so after starting dialysis. Recently, he has seen advertisements for kidney-prote...

Which department should I consult for diseases related to dialysis patients regarding dietary supplements? 1. Is it appropriate for dialysis patients to supplement with free lutein and sphingolipids? My mother is currently 67 years old. Last week, she was discharged from National...

When blood pressure drops during dialysis and heart rate also decreases, how should it be managed? Hello, Doctor Wu: I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes. I also have coronary artery disease and mild arrhythmia. Last y...

Urinary albumin Hello Doctor: This morning I went to the medical laboratory for a simple health check, and I just received the report showing a highlighted value of "urine albumin at 30," with a normal range of 10. This has made me very anxious, and I would like to ask ...

Glomerular filtration rate (GFR) Doctor, in my company's annual health check-up reports, my glomerular filtration rate (GFR) has consistently ranged between 65-75 for the past nine years. Does this indicate chronic kidney disease? Am I at risk of needing dialysis? What shoul...

Inquire about the authenticity of this medical news article? Dear Dr. Lin, A family friend recently passed away. The elder had diabetes and felt symptoms of a urinary tract infection, so they took over-the-counter medication. That night, they developed a fever, which subsided af...

Hypertension and Elevated Creatinine Levels Dear Dr. Lin, Last December, my serum creatinine level was 0.78 mg/dL, with a glomerular filtration rate (GFR) of 122.6 mL/min. I weighed 64 kg and was 170 cm tall. This October, my serum creatinine increased to 0.9 mg/dL, and my micro...

It is unclear whether the ascites is caused by kidney issues or liver problems. How can this be addressed? I have hepatitis B, cirrhosis, and liver cancer. Targeted therapy was interrupted due to side effects, and the hospital suddenly informed us that I am now in the late stage ...

At what stage of a patient's condition is dialysis necessary? Hello Doctor, my grandmother was recently admitted to the emergency room due to pulmonary edema. After evaluation, the doctor determined that she needed urgent hemodialysis for rescue and then to monitor her recov...

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...

Hemodialysis Can blood dialysis be used to treat conditions similar to hyperlipidemia, such as filtering excess fats from the blood?

Hemodialysis Hello, Dr. Lin! I am a dialysis patient and have been undergoing hemodialysis for nearly four years. In the past one to two years, I have been experiencing excessive flatulence during each dialysis session, and I also frequently pass gas during non-dialysis times. Is...

Post-hemodialysis condition Hello, Doctor Wu! I am a dialysis patient and have been on hemodialysis for nearly four years. In the past year or two, I have been experiencing excessive flatulence during each dialysis session, and I also frequently pass gas during non-dialysis times...

Stung by a thorn? Hello Doctor, I would like to inquire about an incident that occurred while I was working in the operating room. That day, a very small suture needle was left on the table, and while collecting instruments, I accidentally pressed on the needle. I was wearing glo...

Medications for dialysis patients? Hello, my father undergoes dialysis three times a week, but he often reports experiencing painful urination and dizziness. Should I discuss this with the doctor at the dialysis center and request medication, or is it necessary to consult a urolo...

Tightness in the neck and difficulty breathing? Hello, doctor. I would like to ask you a question. I have been on dialysis for over six years. Recently, I underwent ablation surgery due to atrial fibrillation. Lately, before dialysis, I often feel a tightness in my neck and diffi...

Cetirizine and its effects on the kidneys and liver? Hello Doctor, I am a 35-year-old male, weighing 72 kg and 162 cm tall. I have been experiencing redness, swelling, and itching on various parts of my skin, which I believe started after I turned 20. I have consulted many hospit...

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...

Contrast agent issues in kidney disease? Hello Doctor: I have been experiencing issues with my eyes recently, and the ophthalmologist recommended administering a contrast agent to visualize the retinal blood vessels. However, I read online that contrast agents can harm the kidney...