Understanding Proteinuria in Teenagers: Causes and Concerns
Dear Doctor, why do I easily have proteinuria? Hello, I am a 17-year-old male. I have been experiencing proteinuria (+~++) for about a year. During this time, I have visited three major hospitals for diagnosis. I have undergone blood tests to assess kidney function and a 24-hour ...
Dr. Huang Yaoxuan Reply:
Hello, I am a nephrologist who relies on "tests (blood and urine tests, X-rays)" and "machines (dialysis machines)" to make a living... This is purely a joke (any resemblance is coincidental), but it does highlight the concerns of nephrologists and patients wi...[Read More] Understanding Proteinuria in Teenagers: Causes and Concerns
Understanding Edema and Weight Gain: Seeking Solutions for Persistent Issues
Edema & Obesity Hello, doctor. I would like to ask about my long-term edema (most noticeable in my ankles). I have visited both a nephrologist and an endocrinologist, and they both said my test results are normal. I am unsure where the problem lies and what I should do. My we...
Dr. Chen Qingbin Reply:
Hello Kanlin, I recommend that you exercise more, reduce salt, oil, and sugar intake, and eat more fruits and vegetables to maintain a regular lifestyle and promote both physical and mental health.[Read More] Understanding Edema and Weight Gain: Seeking Solutions for Persistent Issues
Managing Symptoms of Nausea and Fatigue in Peritoneal Dialysis Patients
Peritoneal dialysis, but my physical condition has been very poor recently? Dear Dr. Wu, My mother has a history of hypertension for over 30 years. In January of this year, she was hospitalized for treatment due to renal failure and is currently undergoing peritoneal dialysis. P...
Dr. Wu Jiyu Reply:
1. Based on your description, I infer that your mother has been undergoing peritoneal dialysis for about 10 months. Theoretically, you should have a certain level of familiarity with the peritoneal dialysis nurse. You can discuss or clarify the symptoms you described with your mo...[Read More] Managing Symptoms of Nausea and Fatigue in Peritoneal Dialysis Patients
Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Diabetes concerns? Hello, Dr. Lee. 1. Why does diabetes cause renal atrophy and uremia? 2. What are the symptoms of uremia?
Dr. Li Zhiyao Reply:
Hello: In response to your two questions: 1. Metabolic factors and hemodynamic changes are the primary causes affecting diabetic nephropathy. The effects of hyperglycemia alter the feedback control of the glomeruli and renal tubules, leading to abnormal glucose metabolic path...[Read More] Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms
Joint pain, edema, pityriasis rosea? Hello Dr. Tseng, A while ago, I accidentally bumped my left middle finger joint lightly against a table, which started to hurt slightly. At first, I thought it was just a bruise, but it has been over two months now, and it has developed into ...
Dr. Zeng Guosen Reply:
Hello, based on the definition, symptoms such as pain in the joints, muscles, fascia, and bones can all be referred to as rheumatism. Some rheumatic conditions can be diagnosed as specific diseases through symptoms, blood tests, and X-rays, while others may still remain undiagnos...[Read More] Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms
Understanding Sudden Anuria and Swelling: Causes and Concerns
Sudden anuria? Hello, I usually exercise very little and spend most of my time indoors. Previously, when the temperature was high at 38 degrees Celsius, my feet suddenly swelled while walking outside. Both of my feet became edematous, and when I pressed on them, they would indent...
Dr. Wu Jiyu Reply:
Hello, Xiaoyu: Based on the information you provided, the acute kidney injury you experienced may be suspected to be caused by heat exhaustion or heat stroke due to walking outside in high temperatures of 38 degrees Celsius. However, since you adequately replenished fluids and re...[Read More] Understanding Sudden Anuria and Swelling: Causes and Concerns
Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
How can one determine if it is simple proteinuria? I previously asked some questions and still have a few more. I would appreciate your answers. I have had proteinuria for two months, with two different tests showing one result as 1+ and another 24-hour result as 791. I also visi...
Dr. Wu Jiyu Reply:
1. The 24-hour result is 791 mg, which has not yet reached the level of nephrotic syndrome, and there are no clinical symptoms (such as edema or hypertension); therefore, there is currently no necessity for a kidney biopsy. 2. When is a kidney biopsy necessary? It is recommended ...[Read More] Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Concerns
Kidney problems Hello, doctor. Recently, I have been drinking a lot of water, but the amount I urinate is very little. I usually exercise a lot and sweat a lot, but lately, my sweat has had a very sour smell, somewhat like ammonia. Additionally, I have been experiencing a dull pa...
Dr. Wu Jiyu Reply:
1. Regarding acute renal failure (acute renal failure, also known as acute kidney injury): It is essential to understand the functions of the kidneys in the body. The kidneys primarily eliminate toxins produced from protein metabolism (commonly referred to as uremia) and regulate...[Read More] Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Concerns
Unexplained Swelling in Right Foot: Seeking Specialist Advice
Swelling of the right foot of unknown origin? Hello Director Wu, My father has been experiencing significant swelling in his right foot for more than a month and a half (from August 1 to August 15). Initially, he had pain in the sole of his foot and visited an orthopedic doctor,...
Dr. Wu Jiyu Reply:
Hello Arthur: 1. If the lower limb edema is caused by kidney problems, it is usually bilateral and not unilateral. 2. If there is unilateral lower limb edema accompanied by joint pain, joint issues should be considered. 3. If there is unilateral lower limb edema without joint...[Read More] Unexplained Swelling in Right Foot: Seeking Specialist Advice
Morning Finger Stiffness: Causes and Solutions for Cold Weather
Waking up in the morning with stiff fingers? For the past year, I have often experienced stiffness in my fingers when getting up in the morning during winter, making it difficult to bend them. The colder the weather, the more likely this occurs.
Dr. Zeng Guosen Reply:
Hello, internet user: Morning finger stiffness may be due to joint degeneration or inflammation (such as rheumatoid arthritis), tendonitis, neuropathy, or circulatory issues, as well as edema and other conditions. It is difficult to make a judgment based on your description, so I...[Read More] Morning Finger Stiffness: Causes and Solutions for Cold Weather
Best Soups for Managing Edema in Chronic Kidney Disease Patients
Patients with chronic kidney failure should avoid beverages that promote fluid retention? Hello, my mother is 76 years old and currently diagnosed with chronic kidney failure, type 2 diabetes, hyperkalemia, and essential hypertension. We have prepared a fistula for dialysis since...
Dr. Wu Jiyu Reply:
1. There is currently no medical evidence supporting the use of bamboo leaves to make bottle gourd soup, or the use of winter melon or red beans for boiling water. 2. Based on your description, your aunt is likely approaching the need for dialysis. At this stage, controlling flu...[Read More] Best Soups for Managing Edema in Chronic Kidney Disease Patients
Understanding Systemic Edema: Causes and Unexplored Tests
Generalized edema I have undergone multiple examinations at Cheng Kung University Hospital, including tests for the heart, liver, kidneys, thyroid, and urology, all of which showed no issues. However, the edema has become increasingly severe; sometimes, when I urinate less, the s...
Dr. Zeng Guosen Reply:
Hello: Aside from organ diseases, edema can often be attributed to medications, infections, nutrition, endocrine issues, electrolytes, and more. Most cases of edema can identify an underlying problem. You may seek a second opinion at the second hospital, which might provide a sol...[Read More] Understanding Systemic Edema: Causes and Unexplored Tests
Understanding Lower Limb Edema After Ovarian Cancer Surgery: Causes and Solutions
The issue of edema? Dear Doctor, My mother was previously diagnosed with stage II ovarian cancer and has undergone surgery to remove pelvic lymph nodes. Since then, she has gradually started experiencing swelling in her lower extremities. We have tried wearing compression stocki...
Dr. Xiao Yongxun Reply:
Hello: There are many causes of edema, including venous insufficiency, lymphedema, lipedema, heart failure, nephrotic syndrome, cirrhosis, medication effects, parasitic infections, thyroid disorders, and pregnancy, among others. For your daughter's issue, I personally recomm...[Read More] Understanding Lower Limb Edema After Ovarian Cancer Surgery: Causes and Solutions
Emergency Measures for Dialysis Patients Facing Acute Pulmonary Edema
Patient with kidney failure dies during emergency dialysis? Hello Dr. Huang: A friend of mine missed their scheduled dialysis on Monday due to work commitments. After finishing work the next day, they felt unwell and went to the hospital for emergency dialysis. Upon arrival, whil...
Dr. Huang Yaoxuan Reply:
1. For patients experiencing dyspnea (most dialysis patients typically present with acute pulmonary edema), if they are nearing respiratory failure, intubation may be considered, along with the use of a ventilator to assist with breathing (this is a theoretical scenario). However...[Read More] Emergency Measures for Dialysis Patients Facing Acute Pulmonary Edema
Understanding Complications After Diabetes-Related Amputation
Diabetes issues Hello, doctor. I would like to ask about my grandfather. He had an amputation above the left knee due to complications from diabetes, and he is currently in the intensive care unit with a breathing tube. His condition doesn't seem very good; the sputum that h...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, the text indicates that your grandfather is still in the intensive care unit. It is recommended that you consult the attending physician directly, as they are the most familiar with your grandfather's condition. Wishing for a speedy recov...[Read More] Understanding Complications After Diabetes-Related Amputation
Understanding Persistent Edema in Elderly Patients with Diabetes and Hypertension
Persistent edema Hello Dr. Lee: My mother is 78 years old and has a history of hypertension and diabetes. This year, she has experienced persistent edema in both legs for quite some time. She also gets up to urinate about 2 to 3 times during the night, with a large volume of urin...
Dr. Li Zhiyao Reply:
Tina: Hello, your mother has hypertension and diabetes, so it is important to consider whether there are any complications related to renal dysfunction. Additionally, low albumin levels due to malnutrition or diabetic nephropathy causing proteinuria may also lead to edema. I reco...[Read More] Understanding Persistent Edema in Elderly Patients with Diabetes and Hypertension
How Long After Dialysis Do Patients Typically Stop Urinating?
In general, how long after dialysis do patients with kidney failure stop producing urine? If a family member is undergoing dialysis, I would like to ask how long it typically takes for a person to stop urinating after starting dialysis.
Dr. Wu Jiyu Reply:
This issue involves "residual kidney function," and there is no standard answer. 1. If the residual kidney function is only 2 or 3 points at the beginning, the urine output may be less than 200 cc. 2. Generally, peritoneal dialysis tends to preserve more residual kidney...[Read More] How Long After Dialysis Do Patients Typically Stop Urinating?
Understanding Lipid Nutritional Deficiency: Diagnosis and Treatment Options
Lipid malnutrition syndrome Lipid Nutritional Deficiency (272.6) - which specialty should I consult for examination and treatment, and how can I obtain a catastrophic illness card? Ms. Lin, phone number 0932658379. Onset date: Late March 2007. Course of illness: After a car...
Dr. Chen Qingbin Reply:
Hello Miss Lin: In clinical practice, lipid malnutrition is very rare, and it is best to go to a medical center for a detailed examination and treatment.[Read More] Understanding Lipid Nutritional Deficiency: Diagnosis and Treatment Options
Effective Treatments for Leg Edema Caused by Prolonged Standing
Regarding foot edema? If your mother is experiencing calf edema due to prolonged standing at work, it is important to address the issue appropriately. She should consider consulting a specialist in vascular medicine or a phlebologist, as they focus on conditions related to veins,...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, edema is the swelling of soft tissues due to an abnormal increase in interstitial fluid. Common diagnoses include localized venous obstruction, lymphedema, as well as systemic conditions such as heart failure, nephrotic syndrome, hypoalbuminem...[Read More] Effective Treatments for Leg Edema Caused by Prolonged Standing
Understanding Amaurosis Fugax: Symptoms, Risks, and Treatment Options
Am I suffering from amaurosis fugax? I visited the ophthalmology department for a Q&A session, and here is our conversation: Doctor, hello! I am a 21-year-old female. Last Friday, my left eye suddenly saw only a white area (my right eye is fine). I did not experience any tr...
Dr. Li Huixiong Reply:
I apologize for the late response, as I have no personal experience in this area. Generally, if there is a suspicion of vascular blockage, one can consult a nearby cardiologist. If there is a suspicion of an intracranial lesion, it may be necessary to see a neurologist.[Read More] Understanding Amaurosis Fugax: Symptoms, Risks, and Treatment Options