Frequent Urination, Dry Throat, and Chills: Understanding Your Symptoms
Frequent urination, dry throat, and feeling cold? Hello: Since last night, I have been experiencing frequent urination (approximately every half hour). Although I feel the urge to urinate, the volume is not significant, and the urine is clear. This morning, I started to feel dryn...
Dr. Hong Yuanbin Reply:
Based on your description, it is likely that you have a urinary tract infection. Given the accompanying lower back pain, there is a high possibility of a urinary tract infection combined with acute pyelonephritis. It is recommended to drink plenty of water, rest, and maintain a r...[Read More] Frequent Urination, Dry Throat, and Chills: Understanding Your Symptoms
Understanding Kidney Health: Tests, Concerns, and Dietary Advice
Examination, health, and other related issues concerning having one less kidney? Doctor Wu: Hello, over the past ten years, I have undergone abdominal ultrasounds three times due to gastrointestinal issues, and three different physicians have been unable to locate my right kidney...
Dr. Wu Hongjie Reply:
1. The diagnostic rate of ultrasound has already reached a high level, and computed tomography (CT) can enhance diagnostic accuracy. However, it is recommended that if the results of a non-contrast scan indicate a single kidney, it should be classified as a Class A diagnosis. The...[Read More] Understanding Kidney Health: Tests, Concerns, and Dietary Advice
Could These Symptoms Indicate Diabetes? Expert Insights on Testing
Is it possible that this could be diabetes? Hello Dr. Lee! Recently, I have been experiencing the following conditions: 1. Frequent urination (I often wake up in the middle of the night to urinate, about 1-2 times per night). 2. Weight loss from 63.5 kg to 60.5 kg (over about one...
Dr. Li Zhiyao Reply:
Hello, regarding your inquiries: 1. The measurements of glycated hemoglobin (HbA1c) before and after meals are the same. 2. According to your routine health check data from June, there are no signs of diabetes. If you are still concerned, you can have your fasting blood glucose a...[Read More] Could These Symptoms Indicate Diabetes? Expert Insights on Testing
Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss
Could this indicate the possibility of diabetes? Hello, Doctor. In mid-May of this year, I had a blood test that showed a hemoglobin A1c of 5.0 and a fasting blood glucose level of 86. From the end of May until today, my height and weight changed from 160 cm/55 kg to 160 cm/52 kg...
Dr. Xiao Yongxun Reply:
Dear Ms. NN: 1. Zoloft® (Sertraline) is classified as a selective serotonin reuptake inhibitor (SSRI) because it specifically inhibits the reuptake of serotonin, exhibiting a selectivity for serotonin transporters that is 300 to 3000 times greater compared to norepinephrine tran...[Read More] Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss
Understanding Floating White Fibers in Stool: Causes and Concerns
Floating stools Hello, doctor! After having a bowel movement, I noticed white, thread-like floating objects in the toilet. In early May, I experienced frequent urination and a burning sensation in the urethra. I visited a doctor and took a week of doxycycline, which resolved the ...
Dr. Liao Zhongxin Reply:
Dear readers: <Regarding the use of doxycycline for one week> Here is the response: A: 1. Doxycycline can treat Gram-positive bacteria, Gram-negative bacteria, rickettsiae, and some sexually transmitted pathogens. 2. The most common side effect is gastrointestinal discom...[Read More] Understanding Floating White Fibers in Stool: Causes and Concerns
Understanding Diabetes Diagnosis: Key Blood Test Criteria Explained
Diagnosis of Diabetes Mellitus Hello, Dr. Hsiao. I would like to ask about a recent blood test where the fasting blood glucose and HbA1c levels were 140 mg/dL and 7.3%, respectively. I saw Dr. Hsiao's response regarding the diabetes diagnostic criteria published by the Ameri...
Dr. Xiao Yongxun Reply:
Dear Mr. Kiwi: 1. In clinical medicine, diagnostic standards or treatment guidelines often serve as references when research is uncertain or controversial. In practice, clinicians must make diagnoses or interventions based on the patient's own complaints, symptoms, or chan...[Read More] Understanding Diabetes Diagnosis: Key Blood Test Criteria Explained
Understanding Hemoglobin A1c: Can Weight Loss Reverse Type 2 Diabetes?
Glycated hemoglobin Doctor, I would like to ask you about my situation. In September, my hemoglobin A1c was 6.1, and in January of this year, it was 6.5. Am I diabetic? When I went to the hospital to review my report, the doctor advised me to lose weight. Is this to manage my dia...
Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥ 126 mg/dl after fasting for more than 8 hours, b. Plasma glucose level ≥ 200 mg/dl during a 2-hour oral glucose tolerance test, c....[Read More] Understanding Hemoglobin A1c: Can Weight Loss Reverse Type 2 Diabetes?
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
Understanding Frequent Urination: Causes and Solutions for Your Symptoms
Frequent urination issues? Recently, I have been experiencing frequent urges to urinate, but the urine output is very low or even nonexistent. I went to the hospital for a urinalysis, and everything came back normal. However, the frequent urge to urinate has not improved. Could t...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the situation of frequently feeling the urge to urinate but having very little or no urine output, and after testing at the hospital showed normal urine results, is this a case of overactive bladder or related to anxiety? A: 1. If there is a history of s...[Read More] Understanding Frequent Urination: Causes and Solutions for Your Symptoms
Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Unexplained urethritis? Hello Dr. Wang, I have experienced a burning sensation during urination and pain at the urethral opening three times in the past two months. However, each time I have undergone urinalysis, the results have been normal, and no infection has been identified,...
Dr. Wang Weijie Reply:
Dear Ms. Wu, Thank you for your letter. A urinary tract infection (UTI) occurs when bacteria invade the urinary system, leading to infection. Common symptoms include: 1. A burning sensation, pain, difficulty urinating, frequent urination, nocturia, cloudy urine, or hematuria dur...[Read More] Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Is It a Kidney Issue? Understanding Bladder and Urinary Symptoms
Is it a kidney problem? Hello doctor, two months ago I experienced severe symptoms of cystitis, including fever, nausea, vomiting, chills, frequent urination, and painful urination. An ultrasound revealed a benign cyst on my kidney. A few weeks ago, I experienced frequent urinati...
Dr. Wu Jiyu Reply:
Based on your inquiry, it seems that you may have a urinary tract infection. If you have completed the necessary treatment but are still experiencing discomfort, it is advisable to follow up with a urologist or nephrologist. If necessary, consider undergoing a urine culture. Addi...[Read More] Is It a Kidney Issue? Understanding Bladder and Urinary Symptoms
Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Frequent urination issues? Hello, Doctor. About a month ago, I was diagnosed with gastritis at a clinic and took medication for two weeks without improvement. I then went to Tzu Chi Hospital for an endoscopy, where the physician confirmed that I only had inflammation and no signi...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that you don't have much trouble during the day, although you do wake up several times at night to urinate, and each time the volume is quite large. The most common reason for this could be that you are drinking too much water in th...[Read More] Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Understanding the Causes of Elevated Creatinine Levels in Lupus Patients
Causes of elevated creatinine levels? I have systemic lupus erythematosus, which was diagnosed in 2009. At that time, my serum creatinine level was 4.4. After receiving steroid treatment, it decreased to 2.5. I have since been under the care of rheumatology and nephrology. Howeve...
Dr. Lin Peifeng Reply:
The provided information is limited. Lupus nephritis can cause six types of pathological changes in the kidneys, some of which are acute changes. In such cases, the use of stronger immunosuppressants and corticosteroids may improve some kidney function. However, if the changes ar...[Read More] Understanding the Causes of Elevated Creatinine Levels in Lupus Patients
Understanding Incomplete Urination: Causes and Solutions
The small intestine is not clean? I often feel like I can't fully empty my bladder when I urinate. After finishing, there always seems to be some residual urine stuck in the urethra, and I have to shake a bit to completely finish.
Dr. Xiao Yongxun Reply:
Dear Mr. Jie: 1. If you do not experience frequent urination (more than 7 times a day under normal circumstances), nocturia, urgency, difficulty urinating, painful urination, burning sensation, hematuria, foul-smelling urine, or discomfort in the lower abdomen, your symptoms sh...[Read More] Understanding Incomplete Urination: Causes and Solutions
Understanding Abdominal Distension: Causes and Concerns for Women
The abdomen feels bloated, and there is discomfort when pressure is applied? Recently, I have noticed a sudden increase in the size of my lower abdomen. As a naturally slim woman, my abdomen used to be completely flat, but now it appears more protruded than before. When I have a ...
Dr. Xiao Yongxun Reply:
Dear Lulu: 1. There are many causes of abdominal discomfort, which are often difficult to diagnose. However, symptoms that physicians tend to pay more attention to include fever and chills, nausea and vomiting, belching and bloating, dry mouth, diarrhea, hematemesis, melena, we...[Read More] Understanding Abdominal Distension: Causes and Concerns for Women
Which Specialist to See for Persistent Abdominal and Urinary Discomfort?
If you are experiencing discomfort in various parts of your body, you should consider visiting a primary care physician or a general practitioner. They can evaluate your symptoms and refer you to the appropriate specialist if needed? I have been experiencing persistent pain in my...
Dr. Wu Jiyu Reply:
In response to your inquiry, it seems you may have some medical background. 1. "Persistent left lower abdominal pain for several days, especially at night, to the point of being unable to sleep, with increased nocturia. Recently (for about a month), daytime urinary frequen...[Read More] Which Specialist to See for Persistent Abdominal and Urinary Discomfort?
Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide
Urinary tract infection (UTI) Dear Dr. Wu, my grandmother is 92 years old and frequently suffers from urinary tract infections. She was previously hospitalized due to an infection that caused a fever, and the bacteria entered her bloodstream (bacteremia). After being hospitalized...
Dr. Wu Jiyu Reply:
Based on your inquiry, theoretically, the bacteremia caused by the urinary tract infection should have been resolved; otherwise, your grandmother would continue to have a fever. Regarding the urine test results from the second hospital indicating an infection index of 26-50, ther...[Read More] Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide
Could These Symptoms Indicate Type 1 Diabetes at 24?
Is it Type 1 Diabetes? Hello Doctor: I am currently 24 years old, 156 cm tall, and six months ago my fasting blood glucose was measured at 79 mg/dL, with a blood pressure of 94/57 mmHg. My weight has historically ranged between 40 to 44 kg, and I experience polyphagia, polyuria (...
Dr. Gao Jiankai Reply:
Hello Ms. Lin, the diagnosis of diabetes requires not only the classic symptoms of polyphagia, polydipsia, and polyuria but also the evaluation of fasting blood glucose or hemoglobin A1c levels. Your fasting blood glucose is only 79 mg/dL, which should not indicate diabetes. Addi...[Read More] Could These Symptoms Indicate Type 1 Diabetes at 24?
Understanding Frequent Urination: Possible Causes and Solutions
Frequent urination issues? Hello, I would like to inquire! My father has been urinating very frequently in the past few months—about once every hour. This happens almost all day long! He went to the hospital for a check-up, and his prostate is normal, with no inflammation. What c...
Dr. Wu Jiyu Reply:
Regarding your inquiry, it does not mention the total daily urine volume. From an internal medicine perspective, we would first check for diabetes or diabetes insipidus. If those are ruled out, it is advisable to consult a urologist. If prostate issues have been excluded, then co...[Read More] Understanding Frequent Urination: Possible Causes and Solutions
Understanding Diabetes Risk: Interpreting Your Blood Test Results
What is the likelihood of developing diabetes? Hello Doctor, Happy New Year! I would like to ask about my fasting blood test results after 12 hours: Mean Corpuscular Volume (MCV) 78.5, Hemoglobin 24.6, High-Sensitivity C-Reactive Protein (hs-CRP) 10.58, Glycated Hemoglobin (HbA1c...
Dr. Xiao Yongxun Reply:
1. Your fasting blood test report shows an average red blood cell volume of 78.5, hemoglobin of 24.6, high-sensitivity C-reactive protein of 10.58, glycated hemoglobin (HbA1c) of 7.7, GOT (AST) of 86, GPT (ALT) of 172, alkaline phosphatase of 110, total iron binding capacity of 5...[Read More] Understanding Diabetes Risk: Interpreting Your Blood Test Results