Understanding Kidney Health: Tests, Symptoms, and Vitamin Concerns
Kidney problems Hello: 1. What tests should be performed to diagnose all types of kidney diseases? 2. My urine has foam and it takes a long time to dissipate. My parents say they also have foamy urine. Does foamy urine indicate the presence of proteinuria? 3. Is it true that ex...
Dr. Wang Weijie Reply:
The symptoms of primary kidney disease can be detected through urine screening. Urinalysis can reveal signs of kidney damage by checking for proteinuria, hematuria, red blood cells, white blood cells, and ketones. If you have concerns, you can visit relevant hospitals, clinics, o...[Read More] Understanding Kidney Health: Tests, Symptoms, and Vitamin Concerns
Can Chicken Essence Be Consumed with Impaired Kidney Function?
Kidney Can individuals with poor kidney function consume chicken essence?
Dr. Yang Weishun Reply:
Regular chicken essence contains high levels of salt and purines, which can easily lead to edema, hypertension, and gout in patients with renal failure. Additionally, it has high levels of potassium and phosphorus, making it unsuitable for individuals with impaired kidney functio...[Read More] Can Chicken Essence Be Consumed with Impaired Kidney Function?
Understanding Chronic Neck and Back Pain: Seeking the Right Specialist
Shoulder, neck, and lower back pain? Hello, doctor. I previously experienced gastroenteritis around November 2008, for which I saw a doctor and took medication for a week, after which I did not return for a follow-up. In March of this year, the gastroenteritis symptoms reappeared...
Dr. Sun Yizhen Reply:
We recommend that you consult the hospital's information desk, where the staff will provide further advice based on your age, gender, and clinical symptoms.[Read More] Understanding Chronic Neck and Back Pain: Seeking the Right Specialist
Understanding Rapid Breathing: Causes and Concerns in Adults
Shortness of breath? My father had a cold a week ago and saw a doctor, but since then his breathing has been very loud and his respiratory rate has increased significantly. He often feels fatigued and goes to bed early every night. Whether asleep or awake, his breathing sounds ra...
Dr. Chen Junwei Reply:
Hello: There is no sensation of difficulty in breathing, but the breathing sounds wheezy, which may indicate bronchial wheezing. Chronic bronchitis, mild pulmonary edema, or chronic obstructive pulmonary disease (COPD) could present with such symptoms. However, nasal congestion, ...[Read More] Understanding Rapid Breathing: Causes and Concerns in Adults
Managing Diet and Activity for Moderate Kidney Disease Patients
Moderate kidney disease patients GFR 50 mL/min/1.73m² (moderate) Serum creatinine 2.3 (normal range 0.6–1.4) Serum potassium 6.0 (normal range 3.5–5.0) Serum phosphorus 5.2 (normal range 2.5–4.5) Presence of edema Age: 20 years Gender: Male Height: 160 cm Weight: ...
Dr. Yang Zhongwei Reply:
Hello: If someone is 20 years old and has stage 3 chronic kidney disease, they really need to take extra care! Do they have hypertension or diabetes? If so, it is crucial to manage these conditions strictly, as they can accelerate the decline of kidney function. Additionally, con...[Read More] Managing Diet and Activity for Moderate Kidney Disease Patients
Unexplained Swelling in Legs: Causes and When to Seek Help
Unexplained edema? Hello, doctor: My mother is currently 51 years old and has a history of hypertension. She has been taking medication regularly to control her blood pressure. However, for the past two weeks, she has been experiencing swelling in both legs, and when pressed, the...
Dr. Yang Zhongwei Reply:
Hello! The main causes of bilateral leg edema include the following: 1. Renal origin: This includes nephrotic syndrome and chronic kidney failure. Urinalysis should be performed to check for proteinuria, and blood tests to assess kidney function are necessary. 2. Hepatic origin: ...[Read More] Unexplained Swelling in Legs: Causes and When to Seek Help
Understanding Heart Discomfort: When to Seek Cardiac Care
Cardiac discomfort Hello, doctor; this issue has been bothering me for a long time, but it has become particularly severe recently. I often experience chest tightness, and my pulse is irregular—sometimes it is suddenly very fast, then it can be very slow or weak. I have generaliz...
Dr. Cai Yaozhou Reply:
If you see a cardiologist and they order a cardiac ultrasound, and the results are normal, it is likely that emotional stress is a significant contributing factor.[Read More] Understanding Heart Discomfort: When to Seek Cardiac Care
Post-Operative Care for Peritonitis: Boosting Immunity and Recovery Tips
How should one care for themselves after surgery for peritonitis? Hello Dr. Hsiao: My father was in a car accident over a month ago (colliding with a utility pole), which resulted in a small bowel rupture that went unnoticed, leading to a 20-day delay in receiving medical attenti...
Dr. Xiao Jingqin Reply:
After surgery for peritonitis, it is recommended to resume eating as soon as bowel motility returns to normal and gas is passed. Due to the surgery and peritonitis, there is a significant loss of body fluids into the abdominal cavity, which often leads to a marked decrease in ser...[Read More] Post-Operative Care for Peritonitis: Boosting Immunity and Recovery Tips
Understanding Edema: Which Specialist to Consult and Testing Tips
Symptoms of edema? Hello, Doctor: I would like to ask you... 1. Recently, I went for a health check-up at the hospital, and the doctor mentioned that I have edema. I researched some information online and learned that there are many causes of edema. Before confirming the cause of...
Dr. Wu Jiyu Reply:
1. The causes of edema involve organs such as the kidneys, heart, and liver, so a nephrology evaluation should be considered first. 2. If a urine test is required, it is advisable to avoid the menstrual period.[Read More] Understanding Edema: Which Specialist to Consult and Testing Tips
Managing Lymphedema After Breast Cancer: Key Questions Answered
Lymphedema Dear Doctor: My mother is 70 years old. Six years ago, she underwent surgery for stage II breast cancer, during which 8 lymph nodes were removed, and she received 12 sessions of chemotherapy. Her recovery has been good overall, but she occasionally experiences upper li...
Dr. Yang Hongzhi Reply:
Hello: 1. Please avoid consuming too much salt, as the weather can have unclear effects. 2. If you experience redness, swelling, heat, or pain, seek medical attention immediately, preferably from the original surgeon. Additionally, regular follow-ups are important. 3. Antibiotics...[Read More] Managing Lymphedema After Breast Cancer: Key Questions Answered
Struggling with Oliguria: Seeking Solutions for Diuretic Dependency
Metabolic concerns? Hello Dr. Wu, I hope you don't mind me asking. I have been struggling with oliguria for the past few years, often going over ten hours without needing to use the restroom. Due to eyelid swelling and for cosmetic reasons, I started taking diuretics several...
Dr. Wu Jiyu Reply:
Dear: First, please confirm the status of your kidney function. If kidney function is significantly impaired, please consult a nephrologist. Second, if kidney function is normal or slightly deteriorated, you should monitor the changes in your weight after stopping diuretics for 3...[Read More] Struggling with Oliguria: Seeking Solutions for Diuretic Dependency
Understanding Pediatric Urticaria: Causes, Symptoms, Treatment, and Prevention
Pediatric Urticaria Urticaria, commonly known as hives, can be caused by various factors, including allergic reactions, infections, stress, and certain medications. The severity of symptoms can vary from mild itching and redness to more severe reactions, such as angioedema or ana...
Dr. Wang Weijie Reply:
Dear Mr. Ke, (1) Urticaria, commonly known as hives, is characterized by raised, itchy red welts that often have distinct snake-like borders, with a central area that may fade. The size of the welts can vary, and many people have experienced urticaria at some point. (2) The cau...[Read More] Understanding Pediatric Urticaria: Causes, Symptoms, Treatment, and Prevention
Understanding Severe Leg Swelling: Causes and Relief Strategies
My mother initially had swelling in her thigh, and now her calf is also swollen? Hello Doctor: My mother previously had severe swelling in her right thigh, feeling as if the skin was about to burst. There is a significant size difference between her legs. Initially, we thought it...
Dr. Lin Mingfeng Reply:
First, press on the foot to see if there is any indentation; if so, it may indicate lower extremity edema. There are many diseases that can cause lower extremity edema, such as heart failure, renal failure, liver dysfunction, malnutrition, as well as conditions like cellulitis, t...[Read More] Understanding Severe Leg Swelling: Causes and Relief Strategies
Confused Patient: Navigating Complex Symptoms and Specialist Referrals
Confused patient Dear Dr. Yang, Since April or May of last year, I have been experiencing follicular lesions on my lower body and thighs. After about 20 days of medication treatment, the condition was controlled. However, I later developed swelling and skin breakdown on my eyeli...
Dr. Yang Hongzhi Reply:
Hello Kelly: Your issue does not seem to have a relevant underlying cause, and it may be necessary to consult the specialty you are currently seeing.[Read More] Confused Patient: Navigating Complex Symptoms and Specialist Referrals
Understanding Kidney Cysts and Edema: Treatment and Care for Seniors
Kidney cysts and edema issues? Hello Doctor: I would like to ask if medication is necessary to treat cysts in the kidneys. My grandmother was hospitalized for a urinary tract infection and has now been discharged. The doctor mentioned that there is edema and cystic formation in t...
Dr. Wu Jiyu Reply:
1. If there are only a few blisters, this is a degenerative issue and does not require medication. However, if there are multiple blisters, this is a genetic issue that needs to be managed in collaboration with a physician, monitoring blood pressure and avoiding urinary tract inf...[Read More] Understanding Kidney Cysts and Edema: Treatment and Care for Seniors
Understanding Hepatitis and Cirrhosis: Severity, Treatment, and Causes
Hepatitis. Liver Cirrhosis? Is this symptom serious? If it's just in the early stages, should it be treatable? Is this symptom related to diet, or is it due to something else?
Dr. Cai Yaozhou Reply:
In the early stages, liver cirrhosis may not present any symptoms, and liver function tests may appear normal. Diagnosis of liver cirrhosis can be made through liver function tests and abdominal ultrasound. The causes of liver cirrhosis include: 1. Chronic hepatitis B. 2. Chr...[Read More] Understanding Hepatitis and Cirrhosis: Severity, Treatment, and Causes
Understanding Post-Injection Complications: A Case Study
After receiving the injection? On February 1st, around 11 AM, I accompanied a friend to a pediatric clinic for a consultation. Her symptoms included muscle pain, headache, and neck stiffness. The doctor diagnosed her with what seemed to be influenza and administered an anti-infla...
Dr. Wang Fangli Reply:
The information you provided is insufficient for making a diagnosis or assessment. The hospital that provided your emergency care should have the most comprehensive data. If you have concerns about the treatment from the first clinic, it is advisable to consult with a physician a...[Read More] Understanding Post-Injection Complications: A Case Study
Why Do My Fingers Swell and Feel Tight Upon Waking?
Waking up with swollen and tight fingers? Hello Dr. Yao: May I ask why my fingers are swollen and tight upon waking up? Thank you.
Dr. Yao Quan Reply:
Dear Mr. Pu Pu, Edema indicates an excess of fluid. Since the distribution of fluid is primarily determined by gravity, if there is generalized edema, it may be more pronounced in the lower extremities during the day, while upon waking, the edema may be more noticeable in the up...[Read More] Why Do My Fingers Swell and Feel Tight Upon Waking?
Managing Persistent Leg Edema in Elderly Patients with Heart Conditions
Regarding the issue of persistent edema in the feet? I am inquiring on behalf of my grandmother. She is 75 years old and has a history of heart disease, diabetes, and hypertension. For the past two months, her legs have been swollen. Although she has been prescribed diuretics, th...
Dr. Chen Qingbin Reply:
There are many causes of leg edema, and it is essential to identify the underlying reason for targeted treatment. It is advisable to visit a cardiology department for examination and treatment. Elevated potassium levels do not necessarily indicate edema.[Read More] Managing Persistent Leg Edema in Elderly Patients with Heart Conditions
Understanding the Risks of Black Fly Bites: A Patient's Journey
Bite from a black fly? Hello Dr. Wang: My medical issue began as follows, and I hope you can help me. Thank you in advance! Many years ago, while camping by a stream near Pinglin, Taipei, I was bitten by a black fly (similar to a housefly). The bite felt like a knife cut and bled...
Dr. Wang Weijie Reply:
Hello: I recommend that you consult an infectious disease specialist for diagnosis and treatment. Sincerely, Dr. Wang Wei-Jie, Internal Medicine.[Read More] Understanding the Risks of Black Fly Bites: A Patient's Journey