Understanding Changes in Creatinine Levels and Kidney Function
Kidney function issues? Hello, I have a question to ask you. This year's company health check report has been released, and when compared to last year, last year's creatinine level was 1.0 (0.5 ~ 1.3), which corresponds to a GFR of 91. This year, the creatinine level is...
Dr. Wu Jiyu Reply:
The estimated glomerular filtration rate (eGFR) of 91 mL/min/1.73 m² or 79 mL/min/1.73 m² shows a difference, but it is not significant when viewed in the long-term trend. However, if you do not have hypertension, diabetes, proteinuria, or hematuria, and you maintain a controlled...[Read More] Understanding Changes in Creatinine Levels and Kidney Function
Managing Kidney Health: Dietary Tips for Creatinine and Uric Acid Control
Kidney problems Hello, doctor. In 2014, I had abnormal creatinine levels and elevated uric acid, which led me to seek consultation in the nephrology department of a major hospital for examinations (ultrasound and CT scan) and continuous monitoring. About six months later, my leve...
Dr. Wu Jiyu Reply:
According to the information you provided, a cholesterol level of 130 is considered normal. However, excessive intake of cholesterol from meat can increase the burden on the kidneys, which may lead to adverse effects. Regarding your concerns about sexual function, there are many ...[Read More] Managing Kidney Health: Dietary Tips for Creatinine and Uric Acid Control
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
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 Post-Exercise Blood Sugar Spikes in Type 2 Diabetes
Post-exercise hyperglycemia in type 2 diabetes? Hello Doctor: I am a patient with type 2 diabetes. Recently, my blood sugar levels were around 200 mg/dL after two exercise sessions (one was a one-hour walk, and the other was a 35-minute brisk walk followed by a 20-minute rest bef...
Dr. Xiao Yongxun Reply:
Dear Mr. Tom: 1. We are unaware of your usual blood sugar control, so we cannot determine whether your post-exercise blood sugar is indeed higher than your pre-exercise level. Additionally, did you eat before exercising? If so, what was the caloric intake? This can also affect y...[Read More] Understanding Post-Exercise Blood Sugar Spikes in Type 2 Diabetes
Are Starchy Liquid Foods Suitable for Diabetics?
Are starchy liquid foods suitable for individuals with diabetes? Hello, my mother has type 2 diabetes (non-insulin dependent), bile duct cancer, and dementia, and she has insufficient chewing ability due to missing teeth. Currently, she is being fed three cans of nutritional supp...
Dr. Xiao Yongxun Reply:
Dear Mr. Wan Hsiu-Ming: 1. Regarding your questions about dietary management for diabetes, it is best to consult with a nutritionist at your mother's hospital. Designing a diet suitable for an elderly person with diabetes, bile duct cancer, and dementia is quite complex. 2...[Read More] Are Starchy Liquid Foods Suitable for Diabetics?
Understanding Constipation: Symptoms, Causes, and Remedies
Doubts about whether one is experiencing constipation? Hello, doctor! I have been experiencing constipation for about 10 days, but I'm not quite sure if it's constipation. Sometimes after having a bowel movement (which is relatively soft), I feel the urge to go again, b...
Dr. Xie Rongyuan Reply:
Hello: If you are uncertain whether you have been experiencing constipation for 10 years, it is advisable to visit a hospital for an examination to confirm. Chronic constipation can be detrimental to your health, so it is important to change your dietary habits by increasing your...[Read More] Understanding Constipation: Symptoms, Causes, and Remedies
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
Which Specialist to Consult for Low Alkaline Phosphatase and Anemia?
Which specialty should I see? Hello: Problem description: I have been on dialysis for five and a half years, and my alkaline phosphatase levels have consistently been below 30, which is quite low. Online searches suggest a connection with anemia, and it is recommended to consul...
Dr. Wang Weijie Reply:
Hello, thank you for your message. Regarding your question, laboratory medicine primarily utilizes various tools in the laboratory to assist in the assessment of health status and physiological functions in preventive medicine, as well as in the diagnosis, evaluation, treatment, ...[Read More] Which Specialist to Consult for Low Alkaline Phosphatase and Anemia?
What to Do About Low Uric Acid Levels of 0.6 mg/dL?
If your uric acid level is low at 0.6, what should you do? Hello, doctor. During my employee's health check-up, it was found that my uric acid level is too low, only 0.6 mg/dL, and it has been fluctuating between 0.X and 1.X for the past three to four years. The normal range...
Dr. Wu Hongjie Reply:
Hello: Common causes of low uric acid can be congenital or acquired. Congenital causes include enzyme deficiencies involved in uric acid production, among others. Acquired causes may include medications (such as losartan, allopurinol, febuxostat, and other uric acid-lowering drug...[Read More] What to Do About Low Uric Acid Levels of 0.6 mg/dL?
Morning Fatigue and Swelling: Managing Chemotherapy Side Effects
I can't get out of bed in the morning..? Hello, Doctor Wu. I would like to ask about my mother, who has been taking chemotherapy medication, specifically Capecitabine, for the past two months. She has gradually started experiencing some physical discomfort, including difficu...
Dr. Wu Hongjie Reply:
Hello: Regarding the weakness caused by chemotherapy drugs, it is recommended that you consult with your original hematology-oncology physician or seek assistance from traditional Chinese medicine for support. Wishing you all the best.[Read More] Morning Fatigue and Swelling: Managing Chemotherapy Side Effects
Managing SLE, COPD, Kidney Function, and High Cholesterol in Your 50s
The patient has systemic lupus erythematosus (SLE) and chronic obstructive pulmonary disease (COPD), along with impaired kidney function and elevated cholesterol levels? My mother is 50 years old and has systemic lupus erythematosus (SLE) and chronic obstructive pulmonary disease...
Dr. Wu Jiyu Reply:
Hello: Since systemic lupus erythematosus (SLE) can potentially affect the kidneys and even cause glomerulonephritis, if your health check shows a significant decrease in glomerular filtration rate, it is recommended that you discuss this with your rheumatologist or bring your me...[Read More] Managing SLE, COPD, Kidney Function, and High Cholesterol in Your 50s
Understanding Normal Blood Sugar Levels for Gestational Diabetes
Reference values for gestational diabetes mellitus? Hello, Director Hsiao: Could you please tell me what the reference values for "fasting" and "postprandial 2 hours" blood glucose levels are for gestational diabetes? I would like to monitor my blood sugar lev...
Dr. Xiao Yongxun Reply:
Dear Ms. JJ: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥126 mg/dl after fasting for more than 8 hours. b. Plasma glucose level ≥200 mg/dl during a 2-hour oral glucose tolerance test. c. HbA1c (g...[Read More] Understanding Normal Blood Sugar Levels for Gestational Diabetes
Diagnosing Non-Gout Acute Attacks: Beyond Uric Acid Testing
In addition to measuring uric acid levels, what other methods can be used to achieve a definitive diagnosis during an acute attack of non-gouty arthritis? Hello Dr. Gao, Due to my work in the United States, I was unable to return to Taiwan for medical treatment. On a day when I...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I will summarize my response as follows: 1. I believe the likelihood of gout is very low, even if you have mild hyperuricemia. Generally, gout attacks are quite severe, with significant redness, swelling, heat, and pain, often preventing indi...[Read More] Diagnosing Non-Gout Acute Attacks: Beyond Uric Acid Testing
Do I Need to See a Doctor for Acne and Mouth Sores?
Hello, doctor. Do I need to schedule an appointment? Hello Doctor, for the past three months, I have been experiencing acne on my face and mouth ulcers. They heal within a week, but new ones appear in different areas. My diet is normal; I only eat vegetables, tofu, eggs, and brow...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the issue of experiencing acne on my face and mouth ulcers over the past three months, which heal within a week but reappear in different areas, I maintain a normal diet consisting of vegetables, tofu, eggs, and brown rice, consume two types of fruit daily...[Read More] Do I Need to See a Doctor for Acne and Mouth Sores?
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
Can Unclean Underwear Cause Breast or Genital Diseases?
I'm sorry, but it seems that the content you provided is Hello, Doctor. I apologize for asking again. I have two questions: 1. If the inner side of undergarments is not clean, can it lead to breast diseases? Specifically, can it cause breast cancer or other serious diseases?...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding <Generally, it won't happen; at most, it may cause skin/muscle inflammation or infection due to abrasions> A: Yes, take good care of your skin; it will make you glow and boost your confidence. Thank you![Read More] Can Unclean Underwear Cause Breast or Genital Diseases?
Can Bacterial Infections from Clothing Cause Breast Cancer?
Is breast cancer caused by bacterial infection? Hello Doctor, here’s the situation: One day in August, while I was helping my family with laundry, I came into contact with some undergarments that were not very clean, specifically the inner side of my 72-year-old grandmother'...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question, "Can breast cancer be caused by bacterial infection?" A: 1. Generally, it does not occur; at most, it may lead to skin/muscle inflammation due to abrasions. 2. Risk factors for breast cancer include family history, diet, and lifesty...[Read More] Can Bacterial Infections from Clothing Cause Breast Cancer?
Understanding Blood Sugar Variations Before and After Meals During Pregnancy
The differences between before and after meals? Hello, Doctor! I have been diagnosed with high blood sugar issues for 12 years and have been under medical follow-up. Recently, due to my pregnancy, I have been monitoring my blood sugar levels before and after meals. My fasting blo...
Dr. Xiao Yongxun Reply:
Dear Ms. Wang: 1. Although pregnancy is a joyful event, it can cause significant changes in the body, particularly in the endocrine system. Consequently, fluctuations in blood sugar levels and hyperglycemia may become more pronounced. Generally speaking, if a person without diab...[Read More] Understanding Blood Sugar Variations Before and After Meals During Pregnancy
Understanding Weight Gain During Adolescence: A Medical Perspective
Body changes Hello, doctor. I am currently a ninth-grade student, with a height of 156 cm and a weight of 65 kg. Since I started junior high school, my weight has been continuously increasing, but my height hasn't changed much. When I graduated from elementary school, I was ...
Dr. Hong Yuanbin Reply:
Hello, weight gain is primarily related to two issues: diet and exercise. Regarding diet, it is common to unconsciously eat too much or consume overly fatty foods during vacation periods, which increases caloric intake. In terms of exercise, typically, both daily activities a...[Read More] Understanding Weight Gain During Adolescence: A Medical Perspective