Understanding Mild Urinary Protein: When to Seek Further Medical Evaluation
Mild proteinuria Hello, doctor. I had a health check-up at the end of July and found a slight issue with albumin. My eGFR is 128.5, creatinine is 0.8 mg/dL, urine albumin (urine dipstick) is 30 mg/L, and urine creatinine (urine dipstick) is 200 mg/dL. The albumin-to-creatinine ra...
Dr. Ke Taiyuan Reply:
If the albumin to creatinine ratio is normal and there are no symptoms of edema or hematuria in the urine, no further testing is necessary.[Read More] Understanding Mild Urinary Protein: When to Seek Further Medical Evaluation
Does Drinking 6 Cups of Water at Once Harm Kidney Function?
Kidney problems I recently had a kidney examination, and my kidney function is slightly elevated. I would like to know if this is related to my drinking habits. I often forget to drink water, so I usually drink 6 cups (about 1500 mL) of water all at once before lunch. I want to k...
Dr. Hong Yuanbin Reply:
Hello, 1. There are many indices for kidney function, and I'm not sure which specific index you are referring to when you mention "mildly elevated kidney function." How is it elevated? It is highly likely that the values in question are BUN (Blood Urea Nitrogen) ...[Read More] Does Drinking 6 Cups of Water at Once Harm Kidney Function?
Which Medical Specialty Should I See for My Weight Loss and Swelling Issues?
I would like to ask which department I should visit? I have been taking weight loss pills for a long time, but when I'm not taking them, my face really gets swollen, looking like a pig's head when I wake up. I often feel fatigued and can sleep up to 18 hours a day for s...
Dr. Ke Taiyuan Reply:
Hello, thank you for your inquiry. There are many causes of edema. It is recommended to seek further evaluation at a general internal medicine or nephrology clinic. The Chiayi Hospital of the Ministry of Health and Welfare cares about you![Read More] Which Medical Specialty Should I See for My Weight Loss and Swelling Issues?
Understanding CEA Levels in Dialysis Patients: What You Need to Know
Dialysis - CEA A family member has been on dialysis for about 7 years and developed pleural effusion and loss of appetite due to low albumin levels. After hospitalization, the pleural effusion has improved. Currently, the hospital nutritionist recommends high-protein powder along...
Dr. Wu Hongjie Reply:
In patients with renal failure, many indicators will be higher than those of the general population. For example, in elderly individuals, smoking itself can lead to elevated levels of Carcinoembryonic Antigen (CEA). CEA is a monitoring tool rather than a diagnostic tool. Typicall...[Read More] Understanding CEA Levels in Dialysis Patients: What You Need to Know
Understanding CEA Levels in Dialysis Patients: What You Need to Know
Dialysis - CEA (Carcinoembryonic Antigen) A family member has been on dialysis for about 7 years. Due to low albumin levels, they developed pleural effusion and loss of appetite. After hospitalization, the pleural effusion has improved. Currently, the hospital nutritionist recomm...
Dr. Wu Hongjie Reply:
There are many interfering factors for CEA, including older age and smoking. Additionally, CEA levels in dialysis patients may also be higher than normal. CEA is used as a marker for "monitoring" colorectal cancer, not for "diagnosis." The upper limit of CEA f...[Read More] Understanding CEA Levels in Dialysis Patients: What You Need to Know
Understanding Proteinuria and Edema: Key Insights for Kidney Health
Proteinuria, edema Hello, I have recently experienced a rapid increase in weight, along with severe edema in both legs. Additionally, after holding my urine for two to three hours without drinking water, my first morning urine produced small bubbles, approximately the size of a s...
Dr. Ke Taiyuan Reply:
Thank you for your question. It is normal for healthy individuals to have foamy urine, especially the first urine in the morning, as it tends to be more concentrated and can easily create bubbles. If the foam persists for a long time, it may indicate proteinuria. Edema can be cau...[Read More] Understanding Proteinuria and Edema: Key Insights for Kidney Health
Understanding Low Urine Creatinine Levels and Kidney Function
Low urine creatinine levels? Hello, doctor: I have a history of iron deficiency anemia and hypothyroidism, and I tend to experience mild edema. Recently, I underwent a physical examination, which included blood tests showing BUN 10, Cr 0.8, and urine tests showing Protein (urine)...
Dr. Wu Jiyu Reply:
Renal function is assessed based on eGFR. According to the data you provided, eGFR = 81.718 ml/min/1.73 m², which indicates that renal function is still within the normal range for your age. Regarding your question about urine creatinine (21.5 mg/dl), it is used to correct protei...[Read More] Understanding Low Urine Creatinine Levels and Kidney Function
Understanding IgA Nephropathy: Key Questions and Concerns for Patients
Regarding IgA nephropathy? Hello Doctor, I recently went to see a physician due to proteinuria and hematuria. After several examinations, the doctor suspects I have IgA nephropathy. Since the test results are not yet available, I would like to ask a few questions in case I am dia...
Dr. Lin Wuxuan Reply:
Hello: Below are the responses to your questions. 1. IgA nephropathy can be well controlled with medication, but regular follow-up appointments are still necessary. Appropriate treatment can indeed reduce the risk of renal function deterioration leading to dialysis. 2. It is re...[Read More] Understanding IgA Nephropathy: Key Questions and Concerns for Patients
Understanding Swollen Feet: Causes Beyond Normal Test Results
Swollen feet? Why is it that despite normal results from blood tests, urine tests, and ultrasound, my lower limbs are still swollen? I have hypertension and am taking medication; could this be affecting me?
Dr. Wu Hongjie Reply:
Hello: I'm not sure about the contents of your blood, urine, and ultrasound tests. There are many causes for leg swelling: medication, salt retention, hormonal imbalance, inflammation, vascular embolism, poor blood flow, lymphedema, etc., which can all lead to edema. If your...[Read More] Understanding Swollen Feet: Causes Beyond Normal Test Results
Understanding Dizziness, Nausea, and Rapid Heartbeat After Intense Exercise
Dizziness, nausea, and rapid heartbeat? A few days ago, I went to exercise because I felt that the pressure from my studies had kept me from working out for a long time. While doing pull-ups, I pushed myself to do more until I couldn't continue, and I drank electrolyte bever...
Dr. Hong Yuanbin Reply:
Hello, excessive exercise may lead to rhabdomyolysis, which can cause acute kidney failure. However, based on your age and physical condition, the likelihood of this is probably low. Another more probable scenario is that some individuals may experience mild nephrotic syndrome, p...[Read More] Understanding Dizziness, Nausea, and Rapid Heartbeat After Intense Exercise
Understanding Mitral Valve Prolapse: When to Seek Medical Attention
Mitral valve prolapse Hello, doctor. I was diagnosed with mitral valve prolapse in February and was prescribed medication at that time. Recently, I've been experiencing sudden shortness of breath while lying down or sitting, which is quite uncomfortable. Previously, this wou...
Dr. Hong Yuanbin Reply:
Hello, valve issues are concerning as they may be accompanied by arrhythmias, heart failure, or pulmonary edema. These conditions require a personal examination for accurate assessment. Therefore, if you are experiencing shortness of breath, it is advisable to seek medical attent...[Read More] Understanding Mitral Valve Prolapse: When to Seek Medical Attention
Common Questions from Families of New Dialysis Patients
Questions from family members of novice kidney patients? Dear Dr. Wu, I hope this message finds you well. My elderly family member has recently entered the dialysis stage due to chronic kidney failure, and as a novice caregiver, I have some questions I would like to ask you. 1....
Dr. Wu Jiyu Reply:
1. Determine an appropriate target dry weight: approximately 1-2 weeks, unless the patient has a history of pulmonary edema or generalized edema, in which case additional time may be needed. 2. If the dry weight has been achieved but blood pressure remains elevated, antihypertens...[Read More] Common Questions from Families of New Dialysis Patients
Managing Blood Pressure and Edema in a 76-Year-Old Patient
Blood pressure, edema, uric acid? Hello Dr. Wu: My mother is 76 years old and has been taking Adalat 30 mg for many years. Recently, she has experienced edema in her lower extremities. We switched her to one Zanidip (Lercanidipine) 10 mg at bedtime and one Fluitran (Furosemide) 2...
Dr. Xiao Yongxun Reply:
Dear Miss Hsiao-Fen: 1. Your mother is taking Adalat® (30mg; generic name Nifedipine), which is a calcium channel blocker. Long-term use can lead to sodium and fluid retention, resulting in edema. It is recommended to switch to Zanidip® (10mg; generic name Lercanidipine) and Flu...[Read More] Managing Blood Pressure and Edema in a 76-Year-Old Patient
Understanding Metabolic Issues: Low Urine Output and Digestive Concerns
Metabolic issues Hello, doctor. Recently, I've noticed that my metabolism seems to be off. I've been experiencing a decrease in bowel movements; they are infrequent and difficult to pass. Additionally, regardless of how much water I drink, my urine output is very low. F...
Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. The body's sources of hydration primarily come from drinking water, beverages, food and ingredients, as well as metabolic processes. Fluid loss mainly occurs through urine, feces, evaporation from the skin, respiratory water vapor, and sweating. For ...[Read More] Understanding Metabolic Issues: Low Urine Output and Digestive Concerns
Understanding Facial Swelling After Facial Nerve Paralysis: What to Do Next?
During the recovery phase of facial nerve paralysis, swelling of the eyes and face may occur? Hello Doctor, I experienced facial nerve paralysis on the right side of my face on August 3, 2017. At that time, my right eye's vision, hearing, and taste were all affected. Althoug...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. The unilateral lower limb swelling and pain (right leg) should not be related to the facial nerve paralysis on the same side, nor should it be associated with renal dysfunction (as renal dysfunction typically leads to...[Read More] Understanding Facial Swelling After Facial Nerve Paralysis: What to Do Next?
Understanding IgG and IgG4 Abnormalities: Lifelong Medication and Health Implications
IgG: 1750 and IgG4: 208? Hello Doctor, I apologize for bothering you, but I have some questions. Recently, after several days of staying up late, I have been feeling very fatigued, experiencing dry mouth and reduced saliva. Therefore, I visited an oral surgeon, but they did not ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I will address your questions as follows: 1. You may have IgG4-related disease, which has symptoms similar to Sjögren's syndrome. It may require long-term medication, but there might be possibilities for dose reduction or discontinuation. ...[Read More] Understanding IgG and IgG4 Abnormalities: Lifelong Medication and Health Implications
Understanding Edema Related to Kidney Issues: A Patient's Guide
Edema caused by kidney problems? Hello Dr. Wang, I have a question I would like to ask. About two and a half years ago, I was diagnosed with nephrotic syndrome, and since then I have been taking steroids and mycophenolate mofetil. During the process of tapering the medication, I ...
Dr. Wang Weijie Reply:
Hello, thank you for your message. Due to the complexity of your condition, I welcome you to consult with me at my outpatient clinic. The clinic hours are every Tuesday and Friday morning. Wishing you peace, health, and well-being. Sincerely, Dr. Wang Wei-Jie, Attending Physician...[Read More] Understanding Edema Related to Kidney Issues: A Patient's Guide
Understanding Kidney Issues: A Comprehensive Guide for Patients and Families
Kidney problems Hello Doctor, My family member (female, 29 years old) has long-term chronic health issues. She has been diagnosed with refractory epilepsy for 23 years and is currently taking the following medications: Depakote 700mg, Vimpat 100mg, Keppra 1000mg, and Lamictal 30...
Dr. Wu Hongjie Reply:
Hello: Currently, your family member's creatinine levels have returned to normal range. The recent decline in kidney function is likely due to acute kidney injury, but regular monitoring is still necessary. Dietary restrictions are not required at this time. The exact causes...[Read More] Understanding Kidney Issues: A Comprehensive Guide for Patients and Families
Understanding Leg Swelling in Teenagers: When to Seek Medical Advice
About Edema Consulting a physician: My 15-year-old daughter has gained about 7 kilograms over the past year, with no change in height. Her face, upper arms, and upper body have not changed, but she has gained weight primarily in her thighs and calves. Should we see a doctor for a...
Dr. Huang Yaoxuan Reply:
Hello Ms. Ting: First of all, thank you for your question. I will divide your inquiry into two parts. 1. "Am I experiencing lower extremity edema?" Based on your description, you have gained approximately 7 kilograms over the past year without a change in height, and ...[Read More] Understanding Leg Swelling in Teenagers: When to Seek Medical Advice
Understanding Creatinine Levels and Kidney Function Concerns
Creatinine and Kidney Function Related Issues Hello, Doctor. I apologize for the lengthy description of my issue. Here are the results from my blood and urine tests conducted at the clinic two weeks ago: Fasting blood glucose: 100 mg/dL (reference range: 70-100) Blood urea ni...
Dr. Wu Jiyu Reply:
Based on your description, your creatinine level is 1.34 mg/dL (reference range 0.7-1.5), and your glomerular filtration rate (GFR) is 66.9 (reference value > 60). Given your age, your GFR is slightly low, and the most common risk factors affecting kidney function are hyperten...[Read More] Understanding Creatinine Levels and Kidney Function Concerns