Assessing Kidney Function and Medication Safety for Hair Transplant
Consultation on kidney function tests and medication after hair transplantation? Hello Dr. Wu, I am 31 years old. In 2022, my serum creatinine was 1.1 mg/dL with a glomerular filtration rate (GFR) of 82.9; in 2021, my serum creatinine was 1.11 mg/dL with a GFR of 78.3; in 2020, m...
Dr. Wu Jiyu Reply:
Based on your inquiry, first: if your glomerular filtration rate (GFR) is greater than 60 and there is no proteinuria or hematuria, your kidney function should be considered normal. Second: after hair transplantation, it is recommended to take minoxidil. Since this medication is ...[Read More] Assessing Kidney Function and Medication Safety for Hair Transplant
Understanding Rising Urine Protein Levels: What You Need to Know
The urinary protein index has surged? Hello, Doctor. Below are the results from my visit to Hospital B on the evening of March 14 this year. The random urine test results were as follows: Urine Creatinine: 93.4 mg/dL; Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL); Uri...
Dr. Wu Hongjie Reply:
The presence of bubbles in urine does not necessarily indicate proteinuria; factors such as fever, excessive exercise, consumption of high animal protein, hormonal influences, or other diseases causing abnormal protein production can also be responsible. Even if tests do not show...[Read More] Understanding Rising Urine Protein Levels: What You Need to Know
Post-Kidney Biopsy Care: Recovery Tips and Common Concerns
Regarding kidney biopsy? Hello, doctor! I recently underwent a kidney biopsy and would like to ask a few questions... 1. I found online that after a kidney biopsy, one should avoid lifting heavy objects for at least two weeks. However, my attending physician is willing to allow...
Dr. Wu Jiyu Reply:
According to your inquiry: 1. After a kidney biopsy, there is no strict requirement for a specific number of days of rest; it depends on individual circumstances. If you feel physically capable of returning to your usual work after a week, it should be fine. 2. If there is no ede...[Read More] Post-Kidney Biopsy Care: Recovery Tips and Common Concerns
Is Drinking Licorice Juice Daily Harmful to My Mother's Health?
Is it harmful for my mom to drink licorice root juice as if it were water? Hello Dr. Wu, my mother was born in 1938 and underwent thyroid surgery thirty years ago. She received chemotherapy and radiation therapy for nasopharyngeal cancer over twenty years ago, which resulted in i...
Dr. Wu Jiyu Reply:
Based on your inquiry, excessive consumption of licorice juice may lead to hypokalemia. Additionally, considering the issue of edema, it is recommended to consult a nephrologist to clarify your condition. Thank you for your question; the Nephrology Department at Changhua Hospital...[Read More] Is Drinking Licorice Juice Daily Harmful to My Mother's Health?
Understanding Ankylosing Spondylitis: MRI Findings and Future Implications
Nuclear vibration report issues? Hello Doctor: My son is 19 years old. A year and a half ago, he started experiencing pain in the sacroiliac joint, and recently, through MRI and other examinations, he was diagnosed with ankylosing spondylitis. The following English portion is the...
Dr. Zeng Guosen Reply:
Hello, bone marrow edema indicates a localized inflammatory response. Regardless of whether it is treated or stabilizes on its own, bone marrow edema will resolve, making it reversible. Once healed, there will be residual signs of previous inflammation on the bone, known as subch...[Read More] Understanding Ankylosing Spondylitis: MRI Findings and Future Implications
Understanding Sacroiliitis Levels in Ankylosing Spondylitis Diagnosis
What grade of sacroiliitis does it belong to? Dear Dr. Tseng, My son is 19 years old. A year and a half ago, he started experiencing pain in the sacroiliac joint, and recently, through MRI and other examinations, he has been diagnosed with ankylosing spondylitis. Below is the te...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I am not Dr. Tseng, so if you are looking for Dr. Tseng, please choose the corresponding hospital and department. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is here to assist you.[Read More] Understanding Sacroiliitis Levels in Ankylosing Spondylitis Diagnosis
Understanding Symptoms When Creatinine Levels Reach 12 mg/dL
When creatinine levels reach 12, the body may exhibit symptoms such as severe fatigue, weakness, nausea, vomiting, confusion, and decreased urine output. Additionally, patients may experience swelling in the legs, ankles, or around the eyes due to fluid retention. It is crucial t...
Dr. Wu Jiyu Reply:
First, confirm whether the test values are accurate, and then distinguish between acute and chronic conditions. If it is chronic, it typically falls under stage 5 chronic kidney disease, which is often associated with symptoms of uremia (fatigue, drowsiness, nausea, vomiting, los...[Read More] Understanding Symptoms When Creatinine Levels Reach 12 mg/dL
Understanding Albumin Use and Fungal Infections in Elderly Patients
Medication Use / Fungal Infection 1. Human albumin should be administered in situations such as significant hypoalbuminemia, severe burns, liver cirrhosis with ascites, or conditions requiring volume expansion in critically ill patients. 2. It is not typical for a patient to ha...
Dr. Lin Wufu Reply:
Hello: 1. Common indications include limb edema or pulmonary edema caused by low albumin, or the use of albumin may also be considered in cases of hypotension. 2. It is quite common to culture many bacteria and fungi from urine and sputum after a patient has been hospitalized for...[Read More] Understanding Albumin Use and Fungal Infections in Elderly Patients
Struggling with Hypothyroidism: Seeking Effective Treatment Solutions
Hypothyroidism Treatment Issues Hello Doctor, I am a patient with hypothyroidism. I have been undergoing treatment for about three years and have been taking thyroid hormone, but there has been little improvement in my lab values or physical condition. Dietary changes and exercis...
Dr. Lin Jianliang Reply:
Hello: Generally speaking, patients with hypothyroidism who regularly take their medication to keep thyroid hormone levels within the normal range are less likely to experience symptoms of hypothyroidism. Based on your description, it is recommended to first consult with an endoc...[Read More] Struggling with Hypothyroidism: Seeking Effective Treatment Solutions
Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options
Urticarial vasculitis? Hello, doctor. I have a tendency to be allergic and sneeze (which started about nine years ago). I have also experienced mild urticaria intermittently. However, starting in April of this year, I suddenly developed widespread urticaria. I went to a dermatolo...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. How is anaphylactic shock determined? Although I was experiencing stomach pain, I was still responsive at the time... --> Perhaps "shock" is a bit severe, but you did have swelling of the lips and eyelids,...[Read More] Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options
Understanding Foot Edema: Causes, Concerns, and Solutions
Foot edema Hello Doctor, I have been experiencing swelling in my feet for the past six months. Sometimes my feet feel sore before bed or upon waking up. However, I had a blood test in February, and all basic parameters, including liver and kidney functions, were normal. The only ...
Dr. Hong Yuanbin Reply:
Hello, a glomerular filtration rate (GFR) of 91.7 is within the normal physiological range and should not be directly related to edema. Based on your description, it is likely due to poor vascular elasticity, which can lead to inadequate blood circulation and subsequent edema. Va...[Read More] Understanding Foot Edema: Causes, Concerns, and Solutions
Efficacy of Ketotifen for Chronic Urticaria and Angioedema Treatment
Ketotifen in the treatment of chronic urticaria and angioedema? The phrase "complete curation in 16 patients" in the context of the article refers to "complete cure" for those 16 patients, indicating that they achieved a full resolution of their chronic urtica...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. The article you are looking for is quite old (from 1984), and the evidence is outdated. Additionally, the original text is in Spanish, with only the abstract available in English, so my understanding is limited to the abstract's explanation...[Read More] Efficacy of Ketotifen for Chronic Urticaria and Angioedema Treatment
Managing Fluctuating Creatinine Levels: Causes and Solutions
What should be done if creatinine levels fluctuate and increase over a short period? In January 2020, the urea nitrogen level was 0.88, in July 2020 it was 1.22, in January 2021 it was 1.14, in February 2021 it was 0.98, and in April 2021 it was 1.26. There was foamy urine, but t...
Dr. Wu Jiyu Reply:
Based on the data you provided, the calculated e-GFR (estimated Glomerular Filtration Rate) values are 95, 66, 70, 84, and 63, which indeed show some variation. Recommendations are as follows: 1. If there is no proteinuria, a low-protein diet is not necessary at this time, but a ...[Read More] Managing Fluctuating Creatinine Levels: Causes and Solutions
Understanding Lymphedema in Dialysis Patients: Causes and Treatment Options
Lymphedema caused by dialysis? Hello Doctor: My father has a long history of dialysis due to a family history of hereditary diseases. As a result of the dialysis, he frequently experiences various side effects (such as weight loss, dizziness, low blood pressure, nausea, diarrhea,...
Dr. Wu Jiyu Reply:
Due to the lack of direct examination of the patient, it is difficult to distinguish what you refer to as "lymphedema" from the "general edema" seen in dialysis patients. If it is general edema in dialysis patients, enhancing dehydration should resolve the iss...[Read More] Understanding Lymphedema in Dialysis Patients: Causes and Treatment Options
Should You See a Rheumatologist for Persistent Allergy Symptoms?
It is uncertain whether further evaluation by a rheumatologist or immunologist is necessary for allergy issues? Two weeks ago, on Monday night, I stayed up late and woke up the next morning to find that my lower eyelid was swollen, extending to my cheekbone. I confirmed there was...
Dr. Zeng Guosen Reply:
Hello, based on your situation, it may be angioedema, which can have many causes, with allergies being just one of them. I recommend that you visit a dermatologist or an immunology/rheumatology specialist for further evaluation and treatment. Thank you for your question.[Read More] Should You See a Rheumatologist for Persistent Allergy Symptoms?
Managing Kidney Medication Issues in Heart Failure Patients
Medication Issues in Renal Management for Heart Failure Patients Dear Doctor, My father is suffering from moderate to severe heart failure, and due to severe leg edema, he needs to limit his fluid intake. He has been on diuretics for 14 consecutive months, which has resulted in ...
Dr. Huang Yaoxuan Reply:
Dear Ms. Lin, Regarding your father's condition, it is recommended that you consult with a nephrologist to discuss his situation. Additionally, if you are concerned about kidney function, you may want to know about kidney care methods that are applicable regardless of wheth...[Read More] Managing Kidney Medication Issues in Heart Failure Patients
Understanding Persistent Calf Edema: Causes, Symptoms, and Solutions
Lower leg edema I'm not sure if it's a problem with my body constitution or if I have some illness, but my calves are prone to swelling. They are slim in the morning when I wake up, but they start to swell more as I walk. This symptom has been ongoing for quite a while....
Dr. Chen Jianyu Reply:
Your issue requires a detailed medical history, and it is recommended to visit a hospital for consultation.[Read More] Understanding Persistent Calf Edema: Causes, Symptoms, and Solutions
Understanding Persistent Foot Swelling: Causes and Solutions
Dorsal foot edema issue? Hello, doctor. I have been experiencing swelling on the dorsum of my left foot for the past five to six weeks. Occasionally, the swelling decreases a bit, but then it suddenly becomes swollen again. When the swelling is more pronounced, it is accompanied ...
Dr. Chen Jianyu Reply:
Your issue is quite complex and requires a detailed consultation. It is recommended that you visit a hospital for further evaluation.[Read More] Understanding Persistent Foot Swelling: Causes and Solutions
Managing Edema: Effective Strategies Beyond Diuretics for Relief
Systemic lupus erythematosus (SLE) Currently, I have edema affecting only the left side of my body, including the chest, arm, and lower extremities. After a hospital examination, the following causes were identified: (1) kidney disease - proteinuria or nephrotic syndrome in the u...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Please first confirm with your physician whether proteinuria and hypothyroidism are currently being treated with medication. If so, discuss with your physician the reasons why the edema is not improving. Generally, treatment requires some time ...[Read More] Managing Edema: Effective Strategies Beyond Diuretics for Relief
Understanding Post-Thyroidectomy Neck Symptoms and Lymphedema Management
Post-thyroid lobectomy neck? I would like to ask the doctor, I underwent a total right thyroid lobectomy with unilateral neck lymphadenectomy in March of this year. Upon discharge, I experienced numbness in the right side of my neck, but it has gradually improved. The swelling ab...
Dr. Li Jian Reply:
It is recommended to discuss postoperative recovery matters with the original surgeon to address how to alleviate and improve the situation.[Read More] Understanding Post-Thyroidectomy Neck Symptoms and Lymphedema Management