Edema, Internal Medicine FAQ - Page 4

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Understanding Kidney Swelling from Excessive Water Intake

Kidney problems Hello, doctor! I would like to ask you a question. Recently, in a health education program, a medical expert mentioned that if a person drinks more than 1000cc (1 liter) of water in one go, it can show a state of renal edema on ultrasound imaging. I would like to ...


Dr. Wang Weijie Reply:
Hello: Kidney function needs to be assessed through examinations (blood tests, urine tests, imaging studies, etc.); there are many causes for kidney edema, which also require testing to determine. Drinking water is a natural act, but healthy hydration is also a science. It is adv...

[Read More] Understanding Kidney Swelling from Excessive Water Intake


Understanding Persistent Edema: Seeking Answers Beyond Normal Test Results

Edema issues Hello Doctor: I previously inquired about edema and have since visited the Metabolism Department at Shuanghe Hospital. My hormone levels and thyroid function are normal. (I had my heart, liver, and kidney blood tests done at the Family Medicine Department last August...


Dr. Wu Jiyu Reply:
Hello! Based on the information you provided, I can sense your concerns about your current physical condition. However, there are many causes of edema, and clinical judgment is necessary; written communication may not accurately address your concerns. If you have previously consu...

[Read More] Understanding Persistent Edema: Seeking Answers Beyond Normal Test Results


Understanding Unilateral Leg Edema: Next Steps for Diagnosis

Unilateral edema Hello, doctor! My grandmother, who is currently 87 years old, has been experiencing severe unilateral leg edema for the past two to three weeks. She recently visited the hospital and consulted a nephrologist, and her kidney function tests came back normal. Due to...


Dr. Xiao Yongxun Reply:
Dear Miss Quiet: 1. Common causes of unilateral leg edema include cellulitis, chronic venous insufficiency, compartment syndrome, complex regional pain syndrome, deep vein thrombosis, venous obstruction (e.g., from a bone tumor), lipedema, lymphedema, and right arterial compres...

[Read More] Understanding Unilateral Leg Edema: Next Steps for Diagnosis


Effective Strategies to Manage Persistent Edema: A Patient's Guide

How can edema be improved? Hello, doctor... I have asked a question recently. I previously visited a family medicine doctor who ruled out issues with my liver, kidneys, and heart. My blood tests have been normal for several years. I inherited my father's genetic tendency to ...


Dr. Wu Jiyu Reply:
1. First of all, I would like to express that everyone has a different definition of edema. Since I have not seen you in person and you did not mention your current weight, I cannot assess the degree of your edema. 2. You mentioned that you have seen a family physician, who has ...

[Read More] Effective Strategies to Manage Persistent Edema: A Patient's Guide


Understanding Persistent Edema: Causes and Solutions for Long-Term Swelling

I have been experiencing edema for six years, and it hasn't resolved? Hello doctor, my edema started in 2012. However, my diet is light, and I have been vegetarian since childhood. I am 34 years old this year and drink about 3000 ml of water daily. I have seen a family physi...


Dr. Wu Jiyu Reply:
General systemic edema should first rule out systemic issues related to the heart, liver, kidneys, and thyroid. If it is confirmed that there are no problems with these organs, it can then be classified as idiopathic edema. As for the dietary fluid intake you mentioned, it is lik...

[Read More] Understanding Persistent Edema: Causes and Solutions for Long-Term Swelling


Persistent Swelling in One Leg: What Specialist to Consult?

Swelling won't go down?! Hello Doctor: My father has diabetes and has recently experienced swelling in his foot, which extends beyond the sole to the ankle, but it is only affecting one foot. He has seen a metabolic specialist who found no issues. Which department should he ...


Dr. Xiao Yongxun Reply:
Dear Ms. Emily: 1. There are many causes of lower extremity edema. Generally speaking, if the edema is bilateral, one should consider heart failure, nephrotic syndrome, hypoalbuminemia, cirrhosis, medication side effects, pregnancy, hypothyroidism, and other potential causes. I...

[Read More] Persistent Swelling in One Leg: What Specialist to Consult?


Do You Need Regular Kidney Function Tests? Common Concerns Explained

Questions related to kidney examinations? Is it necessary to have regular kidney function tests? I do not have diabetes or hypertension, but I have congenital heart disease and have previously had urinary tract infections and pneumonia. I took a lot of traditional Chinese medicin...


Dr. Wu Hongjie Reply:
Dear Sir/Madam, Renal function monitoring is typically recommended for: 1. Patients with a history of chronic kidney disease (such as chronic nephritis, interstitial nephritis, or hydronephrosis); 2. Individuals with systemic chronic diseases such as diabetes, hypertension, gout...

[Read More] Do You Need Regular Kidney Function Tests? Common Concerns Explained


Recurring Hand Swelling and Itching: Possible Causes and Concerns

I have experienced itching and swelling in my palms five times within the past six months, and I am very concerned? Hello, doctor. I would like to ask about the swelling of my palms or fingers that has occurred five times in the past six months. Is there something wrong with my b...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your symptoms, it seems like you may be experiencing urticaria or angioedema, but a definitive diagnosis requires a physical examination and a detailed medical history. I recommend taking photos of the swelling and then consulting with ...

[Read More] Recurring Hand Swelling and Itching: Possible Causes and Concerns


Understanding Cold Fingers and Prolonged Facial Edema: Causes and Solutions

Stiffness in the fingers and prolonged suspected facial edema? Hello, doctor. I often experience cold fingers, especially during winter. Even after playing sports for two hours, my fingers remain cold. Sometimes, in the morning, my fingers feel a bit stiff, but they improve after...


Dr. Hong Yuanbin Reply:
Hello, regarding your questions, there are a few points that need clarification: 1. Concerning cold hands and feet, I would like to know if there are any color changes, such as turning white, then purple, and finally red. If so, it may indicate Raynaud's phenomenon, and you...

[Read More] Understanding Cold Fingers and Prolonged Facial Edema: Causes and Solutions


Does Severe Illness Affect Blood Sugar Levels? Insights and Answers

Does serious illness affect blood sugar fluctuations? Hello Dr. Hsiao, Due to acute renal failure that occurred in the middle of this year, accompanied by severe edema and fluid accumulation in the body, various kidney indicators were significantly elevated, leading to my hospi...


Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Conditions such as illness, infection, stress, pregnancy, irregular lifestyle, and the use of certain medications can lead to elevated blood glucose levels or significant fluctuations. 2. If anxiety is severe, it can indeed cause an increase in blood gluco...

[Read More] Does Severe Illness Affect Blood Sugar Levels? Insights and Answers


Could My Symptoms Indicate Angioedema? Understanding Allergic Reactions

Could it be a symptom of "vascular neurogenic edema"? Hello, Doctor: I have been experiencing symptoms of "rhinitis" and a "tight and itchy throat" for about a month. The nasal symptoms include a feeling of congestion and slight swelling, although I ...


Dr. Hong Yuanbin Reply:
Hello, "angioedema" is indeed a type of allergic reaction and can be considered one of the most severe forms of allergies. Patients typically have a clear exposure to a specific allergen, most commonly after consuming certain foods, leading to systemic allergic reaction...

[Read More] Could My Symptoms Indicate Angioedema? Understanding Allergic Reactions


What to Do If You Accidentally Ingest Melted Plastic from Cooking?

What to do if you are concerned about food poisoning? While baking food in the oven, I accidentally left the plastic handle of a spatula inside, and both the spatula and the handle came into contact with the food. I know part of it is resin, but I'm unsure about the other ma...


Dr. Wu Hongjie Reply:
Dear Correspondent, There are many types of plastic-related poisoning. Some can lead to the release of irritating gases (such as hydrogen cyanide), resulting in bronchitis, persistent coughing, and pulmonary edema. If you experience these symptoms, you may want to consult a pulm...

[Read More] What to Do If You Accidentally Ingest Melted Plastic from Cooking?


Understanding Facial Edema: Causes and When to Seek Medical Help

Facial edema Hello, doctor. I am 169 cm tall and weigh 52 kg, which is not considered overweight, but I have facial edema. There is no swelling in my eyelids, limbs, or other areas. My face swells every day, and it feels even more swollen after eating. I wonder if this is related...


Dr. Li Zhiyao Reply:
Hello: It is recommended that you first consult with a "Family Medicine" physician, who can then refer you to the appropriate specialist if necessary, or provide treatment themselves.

[Read More] Understanding Facial Edema: Causes and When to Seek Medical Help


Effective Strategies to Manage Proteinuria and Albumin Levels in Lupus Patients

How can proteinuria and albumin levels be effectively managed? Hello Doctor, I am a patient with systemic lupus erythematosus (SLE) and have been diagnosed for over four years. I had been managing my condition well, even stopping medications like quinine and mycophenolate mofetil...


Dr. Wu Jiyu Reply:
Hello: Based on the information you provided, there is currently still a significant amount of proteinuria, and given your history of lupus erythematosus, it is possible that you may have lupus nephritis. However, even within lupus nephritis, there are various types and degrees o...

[Read More] Effective Strategies to Manage Proteinuria and Albumin Levels in Lupus Patients


Could Your Diet and Dehydration Be Causing Kidney Pain?

Drinking insufficient water and experiencing lower back pain after consuming certain foods may indicate a potential issue with the kidneys? Hello Doctor: I have noticed that whenever I eat certain specific foods (like Angelica duck noodles or braised dishes), I experience sorenes...


Dr. Wu Hongjie Reply:
Dear Sir/Madam, Regarding your symptoms, there are several possible scenarios: 1. The pain in your elbows and knees may be related to gout. I recommend visiting a hospital for a blood test to check your uric acid levels. 2. A high-sodium diet can lead to increased fluid intake...

[Read More] Could Your Diet and Dehydration Be Causing Kidney Pain?


Understanding Lupus: Low Platelets, Pregnancy Concerns, and Treatment Options

Systemic lupus erythematosus (SLE) Hello Dr. Tseng, I have some questions regarding systemic lupus erythematosus (SLE). My wife has low platelet counts, and the hospital has identified three criteria that are consistent with SLE; we are still waiting for the X-ray results. If sh...


Dr. Zeng Guosen Reply:
Hello, netizen. 1. Systemic lupus erythematosus (SLE) typically presents with sudden onset of symptoms or abnormalities discovered during examinations, and the exact etiology is not fully understood. 2. If thrombocytopenia is the only finding during pregnancy, it does not nece...

[Read More] Understanding Lupus: Low Platelets, Pregnancy Concerns, and Treatment Options


Understanding Persistent Cough: Causes and Diagnosis Explained

Chronic bronchial itching and cough that cannot be resolved? Thank you, Doctor, for taking the time to answer my questions. I would like to ask: 1. Regarding your mention that lying down can lead to coughing, should we consider the issue of pulmonary edema? Can this condition be ...


Dr. Hong Yuanbin Reply:
Hello: Chronic cough caused by the heart, liver, or kidneys is mostly due to pulmonary edema, which often leads to orthopnea, meaning that coughing or wheezing is more pronounced when lying down. However, pulmonary edema can typically be detected on an X-ray. Additionally, condit...

[Read More] Understanding Persistent Cough: Causes and Diagnosis Explained


Persistent Cough After Thyroid Tumor Surgery: Possible Causes Explained

Thyroid tumor has been removed, but persistent cough continues? My mother underwent thyroid tumor removal surgery on Monday. She had been experiencing severe coughing for a week prior to the surgery. The day after the surgery, Tuesday, she did not cough before noon, but after noo...


Dr. Hong Yuanbin Reply:
Coughing can have many causes. Based on the clinical description, the possible reasons for the patient's condition include: 1. A thyroid tumor itself or the damage it causes, as the thyroid can trigger coughing. Even after surgery, it is necessary to monitor the surgical s...

[Read More] Persistent Cough After Thyroid Tumor Surgery: Possible Causes Explained


Post-Thyroid Cancer Surgery: Fertility Plans and Considerations

Post-thyroid cancer surgery considerations for fertility planning? Dear Dr. Hsiao, I underwent thyroid cancer surgery in early October 2015, which involved a total thyroidectomy and partial lymphadenectomy. I received radioactive iodine (I-131) treatment in early November 2015, ...


Dr. Xiao Yongxun Reply:
Dear Ms. H: 1. The half-life of iodine-131 is approximately 8 days. You may want to consult your attending physician regarding the dosage at that time to estimate the current residual amount in your body. Logically, from November 2015 to the present, it should theoretically have...

[Read More] Post-Thyroid Cancer Surgery: Fertility Plans and Considerations


Persistent Cough and Itchy Airways: Seeking Answers for Unresolved Symptoms

Chronic bronchial itching and cough that cannot be resolved? Hello, doctor. I had a cold at the beginning of April, and after recovering, I started experiencing intense itching from my throat to my chest (likely in the trachea). Pressing firmly on my chest or the area between my ...


Dr. Hong Yuanbin Reply:
Based on the medical condition, it is important to clarify whether everything was normal before the cold in April, whether there are any underlying diseases, and if there are any other illnesses in the family to determine the relationship with the cold in April. Therefore: Situa...

[Read More] Persistent Cough and Itchy Airways: Seeking Answers for Unresolved Symptoms


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