Dialysis, Internal Medicine FAQ

Preventing Dialysis: Key Causes and Health Tips for Kidney Care

How to prevent dialysis? 1. What are the causes of dialysis? 2. How can one maintain health to avoid the need for dialysis? 3. I have been using a nasal spray containing Oxymetazoline Hydrochloride for over two years. The pharmacist advised me to use it for six days and then ...

Dr. Yang Weishun Reply:
1. The most common chronic diseases include diabetes and hypertension, along with chronic glomerulonephritis, kidney stones, and urinary tract obstruction, among others. 2. It is important to monitor for hypertension or hyperglycemia, as well as the presence of proteinuria. Avo...

Long-Term Medication Use: Risks and Kidney Health Protection Tips

The effects of long-term medication use on the body? Hello: I have heard that long-term medication use may lead to dialysis. May I ask: 1. Is it true that long-term medication use can potentially lead to dialysis? 2. Besides dialysis, what other issues can long-term medication us...

Dr. Wang Weijie Reply:
Hello: Drug metabolism occurs through the liver and kidneys, which eliminate waste from the body. Why is long-term medication necessary? What types of medications are involved? The degree of impact varies. The misuse of antibiotics, pain relievers, and unverified traditional Chin...

Understanding Nutritional Challenges in Dialysis Patients: A Caregiver's Guide

Dialysis Hello: My mother-in-law has been on peritoneal dialysis for 6 years. Due to her not eating or drinking and being inactive, she has developed malnutrition and dehydration. Recently, she was urgently hospitalized and a nasogastric tube was inserted for feeding with glucose...

Dr. Zhong Weisheng Reply:
Regarding your question about how long a patient can sustain themselves after discharge without intravenous fluids, only taking oral medications for feeding (considering they have diabetes and complications from dialysis), it is difficult to determine solely from online informati...

Managing Autosomal Dominant Polycystic Kidney Disease: Key Considerations

How to manage polycystic kidney disease? Dear Director Wu, My father is 70 years old. Two years ago, he experienced sudden hypertension and dizziness. After blood tests, he was found to have hematuria, with a creatinine level of 1.3 and a GFR (CG) of 56, indicating stage 3 chron...

Dr. Wu Jiyu Reply:
1. The left-sided cyst is compressing the kidney; consider referring to urology for "percutaneous renal cyst aspiration and sclerotherapy." If there is a recurrence, consider "laparoscopic cyst decortication" for management. 2. Consider treating with "Nor...

Risks and Longevity of Kidney Transplant for Diabetic Patients

Regarding the issue of kidney transplantation in diabetic patients? Hello Dr. Hsiao, I have a question regarding a family member who has developed kidney disease due to diabetes and has been on dialysis for several years. They are considering living kidney transplantation, so I w...

Dr. Xiao Yongxun Reply:
Hello, In response to your inquiry: 1. Renal transplantation is a collaborative effort that requires the teamwork of urologists, nephrologists, anesthesiologists, and various other personnel. Generally, patients who undergo renal transplantation are expected to have a longer l...

Essential Dietary Tips for Diabetic Hypertension Patients on Dialysis

Dietary Considerations for Diabetes, Hypertension, and Dialysis Management Dear Doctor, my mother is 63 years old and has hypertension and diabetes. She is scheduled for dialysis in two days. Could you please advise on dietary considerations and any specific precautions we should...

Dr. Guo Qinghui Reply:
Diabetes and hypertension are both causes of kidney disease that can lead to dialysis. There are many considerations for individuals undergoing dialysis. In principle, it is essential to control blood sugar levels and manage hypertension. Dietary considerations are related to the...

Understanding Complications from Diabetes: A Case Study on Peritoneal Dialysis

Diabetes leads to subsequent complications? I would like to inquire about the complications arising from diabetes. My mother was hospitalized on Lunar New Year's Eve due to symptoms of drowsiness, which led us to the emergency room. Blood tests and cultures revealed she had ...

Dr. Xiao Yongxun Reply:
Hello, In response to your question, long-term diabetes can lead to chronic complications, including nephropathy, heart disease, cerebrovascular disease, retinopathy, neuropathy, circulatory system disorders, and periodontal disease. Almost every part of the body that is nouris...

Exploring Kidney Donation: Testing, Confidentiality, and Blood Type Compatibility

I would like to undergo kidney donation screening? Since my father is currently undergoing dialysis at your hospital, witnessing his struggles and inconveniences has motivated us, his children, to consider kidney donation. I would like to know if it is necessary to have the evalu...

Dr. Yao Quan Reply:
Dear Ms. Ooariel, Hello. I greatly admire your filial piety. If you wish to undergo kidney donation evaluations at Taoyuan General Hospital, please consult with Dr. Wu Ching-Tang from the Department of Surgery. Dr. Wu specializes in kidney transplantation at our hospital. Living...

Addressing Mobility Issues in Dialysis Patients: Treatment Options Explained

The issue of leg immobility in dialysis patients? Hello, doctor: I have a question regarding potential complications after dialysis. My mother-in-law has been on dialysis for many years, and in recent years, her legs have become increasingly weak, to the point where she can barel...

Dr. Yao Quan Reply:
Ms. Amy: Hello. Your mother-in-law's legs are becoming increasingly weak, to the point where she can hardly walk. We need to determine the cause. As for your mother-in-law, I understand she has heard about an injection that involves six treatments, after which she would be a...

Understanding Glomerular Pressure Relief Therapy for Kidney Health

I would like to ask questions related to the kidneys? Dear Dr. Yang, My father has been suffering from long-term diabetes, and he recently visited Kaohsiung Veterans General Hospital. The doctor informed us that if his kidney function continues to deteriorate, he will soon need ...

Dr. Yang Hongzhi Reply:
The renal glomerular decompression therapy you mentioned likely refers to certain antihypertensive medications that can reduce glomerular pressure, which is beneficial for diabetic nephropathy. This approach is currently widely used; however, it may only slow the progression of t...

Understanding Low Platelet Count: Causes, Treatments, and Concerns

A low platelet count, confirmed by bone marrow examination, indicates a viral infection? Hello Doctor: On December 27, 2006, I visited a dermatologist due to purple spots and some bruising on my body. The doctor suggested that I go to the hospital for a blood test, suspecting tha...

Dr. Liao Zhongxin Reply:
Dear readers, 1. Regarding the low platelet count and accompanying purpura and bruising observed on December 27, 1995, common causes include liver dysfunction (cirrhosis), kidney dysfunction (dialysis), infections (viral infections, such as upper respiratory infections), hematol...

Understanding Diabetes Symptoms: What You Need to Know

Doctor, I'm quite scared... What should I do? What are the symptoms of diabetes? I grew up drinking sugary beverages! My friends often tell me to "be careful of diabetes," and I'm very worried because I've heard that people with diabetes tend to die earli...

Dr. Xiao Jingqin Reply:
Diabetes is characterized by three "polys": polyphagia (increased hunger), polydipsia (increased thirst), and polyuria (increased urination). Drinking beverages does not directly cause diabetes unless there is an underlying issue with insulin secretion from the pancreas...

Understanding Kidney Cysts: Risks and Monitoring for Your Health

Renal cyst Hello, Doctor. This month I had a kidney ultrasound examination, and the doctor informed me that there is slight dilation in the left kidney. The right kidney has a cyst approximately 2 centimeters in size. I later underwent an X-ray imaging examination, and the result...

Dr. Wu Jiyu Reply:
Hello, if there is a cyst in the kidney, we refer to it as a "renal cyst." Generally, it does not have any significant impact on your health. We will consider the following situations: 1. Whether there is a family history of "autosomal dominant polycystic kidney di...

Understanding Elevated BUN Levels and Foamy Urine: Kidney Health Insights

Elevated BUN levels and foamy urine during a health check-up..? Hello Dr. Wu, I have some questions I would like to ask you! Recently, I have noticed bubbles in my urine, and there are quite a few. In September of this year, I underwent a simple blood test and urinalysis. The te...

Dr. Wu Jiyu Reply:
First of all, thank you for your question. Based on your inquiry, I will explain in three parts: 1. The blood test indices (serum urea nitrogen and creatinine) typically begin with an assessment of the creatinine level, which has a normal range of approximately 0.7-1.3 mg/dL (t...

Can Blood Cleansing Machines Help Lower Uric Acid in Gout Patients?

Gout 1. Can gout patients use "extracorporeal machines" to cleanse their blood in order to lower uric acid levels? I have been diagnosed by my physician with gout-induced arthritis, but I still have residual pain after two weeks. Is it possible that it is not gout? Can ...

Dr. Yao Quan Reply:
Hello: 1. Uric acid cannot be completely eliminated through dialysis; moreover, it can be effectively lowered with medication, so there is no need for excessive measures. 2. Gout typically resolves within a week, but if the wrong medication is used, the diagnosis is incorrect, or...

Understanding Nausea and Dizziness in Dialysis Patients: Causes and Solutions

Dialysis patients often experience vomiting and dizziness? Hello Doctor, my father started dialysis at the end of January this year, just before the Lunar New Year. He did not feel particularly unwell initially, but in the past month, after undergoing dialysis at the hospital, he...

Dr. Yang Jun Reply:
Hello: In response to your question, based on your description, your father appears to have developed uremia due to diabetes mellitus complicated by hypertension, necessitating hemodialysis treatment. After dialysis, symptoms such as dizziness, vomiting, and cold sweats may occur...

Understanding Sepsis: Complications and Treatment Challenges in Elderly Patients

Sepsis My father underwent a lengthy surgery for bone spurs and received nearly 20,000 milliliters of blood transfusions. He developed sepsis, and despite more than two months of investigation, the source of the infection remains unidentified. He has been treated solely with anti...

Dr. Lin Mingfeng Reply:
The mortality rate for hospitalized patients with sepsis is generally around 35%. Only 30-50% of blood cultures are positive. Common sources include pneumonia or urinary tract infections. In postoperative patients, bacteria may also originate from surgical wounds. Additionally, i...

Can Kidney Patients Travel Abroad? Essential Tips for Safe Trips

Can kidney patients travel abroad? The father underwent dialysis for 7 years starting in 1986 and received a kidney transplant in 1994, which has lasted for 13 years. Since November of last year, he has begun to show signs of rejection, with current lab results indicating a BUN o...

Dr. Wu Jiyu Reply:
1. Whether or not to travel abroad should be based on the patient's physical condition. Adequate medication preparation is essential before the trip (such as antihypertensive medications for high blood pressure, calcium supplements, potassium-lowering powder, etc.). Strict d...

Do Patients with Kidney Shrinkage Always Need Dialysis? Insights and Alternatives

Is dialysis necessary if kidney size has shrunk to 7.5-8.5 centimeters? Hello Dr. Wang: My mother visited the nephrology department at Veterans General Hospital last week with symptoms of nausea, loss of appetite, jaundice, and fatigue (BUN: 150, creatinine: 8). She has severe an...

Dr. Wang Weijie Reply:
Hello, Your mother’s symptoms are indicative of uremia, chronic kidney failure accompanied by anemia. Ultrasound imaging shows renal atrophy, and dialysis will be necessary as long as her life continues. Dialysis, specifically hemodialysis, is a procedure that removes high leve...

Understanding Elevated Potassium Levels: Causes, Risks, and Management

Hyperkalemia Hello Dr. Yang, I was diagnosed with hyperthyroidism and went for an examination on January 12, 2006. The results showed TSH < 0.01, Free T4 > 6.00, K: 4.6. Consequently, the doctor prescribed METHIMAZOLE 2 tablets three times a day, PROPRANOLOL 10 mg 1 tablet ...

Dr. Yang Hongzhi Reply:
In males with hyperthyroidism, some individuals may experience hypokalemia. Other thyroid conditions have little relation to potassium levels. A potassium level of 5.5 is approximately at the upper limit of normal, and with normal renal function, it may not be significant. It can...

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