Assessing Kidney Function: Is Your Plasma Renin Activity Elevated?
Is the plasma renin activity elevated in renal function? Hello, doctor. I recently had a health check-up, and my lab results show a serum creatinine level of 1.3 mg/dL, a glomerular filtration rate (GFR) of 62.3 mL/min, a urine albumin test result of 30 mg/L, a urine specific gra...
Dr. Ke Taiyuan Reply:
Your kidney function index, creatinine level of 1.3, is approximately at the upper limit of the normal range (which may vary slightly between different medical institutions). A glomerular filtration rate (GFR) less than 60 sustained for more than three months indicates chronic ki...[Read More] Assessing Kidney Function: Is Your Plasma Renin Activity Elevated?
Understanding Urine Test Results: Uribilinogen Levels and Health Concerns
In the recent health check report, a urine urobilinogen level of "1+" indicates a mild presence of urobilinogen in the urine. Urobilinogen is a byproduct of bilirubin reduction, and its levels can provide insights into liver function and hemolysis. A "1+" resu...
Dr. Lin Wuxuan Reply:
Hello: The normal value for urobilinogen is less than 1.0 E.U/dL, and your test result is 1.0, which is actually not considered high. This is because urine tests are typically conducted using the first morning urine, which can be concentrated and may lead to a higher value. Furth...[Read More] Understanding Urine Test Results: Uribilinogen Levels and Health Concerns
Understanding Kidney Health: Addressing Concerns About Urine Changes
Kidney problems Hello Doctor: In mid-April, I started experiencing acne on my face, so I visited a dermatologist and took medication and applied topical treatments for about two months. Later, I noticed that my urine had bubbles, so I went to a nephrologist for a urine test and b...
Dr. Lin Wuxuan Reply:
Hello: Based on the partial report you provided, I believe your kidneys are generally in good condition. However, if you could provide complete blood and urine test reports, it would be more helpful in assessing your health status. Generally speaking, foamy urine often raises con...[Read More] Understanding Kidney Health: Addressing Concerns About Urine Changes
Understanding Kidney Issues: Possible Causes and Diagnostic Steps
Kidney problems Hello Doctor: During a health check-up last September, I was found to have hematuria (1+). A urine test at the end of July also showed hematuria, but kidney function was normal. Last week, I underwent another routine urine test and a urine red blood cell morpholog...
Dr. Lin Wuxuan Reply:
Hello: Your condition is classified as microscopic hematuria. Generally, the causes of this mild urinary occult blood need to first rule out interference from menstruation. If the urine test is conducted during the menstrual period, it often leads to false-positive results. The p...[Read More] Understanding Kidney Issues: Possible Causes and Diagnostic Steps
How Often Should You Get Tested for Diabetes Risk?
Questions related to diabetes testing? Hello, doctor: I would like to ask how often the general public should get tested for the risk of diabetes. If I am a diabetes patient, how often should I go to the hospital for check-ups? Is it the same as a routine health check-up, once a ...
Dr. Lin Jianliang Reply:
Generally, assessments should be based on individual circumstances such as age, weight, family history, medication history, symptoms, and the presence of other diseases. This is also true for diabetes patients, who should be evaluated according to their specific conditions. It is...[Read More] How Often Should You Get Tested for Diabetes Risk?
Is It Safe to Drink High-Protein Whey for Fitness Enthusiasts?
Can I drink whey protein? Hello, doctor. I am someone who enjoys working out, and since fitness requires a lot of protein intake, I have purchased whey protein but I'm concerned about my kidney health before I start consuming it. I sometimes notice bubbles in my urine, and I...
Dr. Lin Wuxuan Reply:
Hello: For individuals with normal kidney function, consuming high whey protein after exercise according to the recommended amounts will not harm the kidneys. However, it is important to remember to replenish adequate fluids after any workout to maintain fluid balance. Additional...[Read More] Is It Safe to Drink High-Protein Whey for Fitness Enthusiasts?
Impact of Blood Pressure Medications on Creatinine Levels: A Case Study
Creatinine and antihypertensive medications? Hello Doctor, last year during my health check-up, my creatinine level was 1.3, total cholesterol was 200, and my systolic blood pressure was between 140 and 150. I have been monitoring these results for a year, and they have remained ...
Dr. Lin Wuxuan Reply:
Hello: Generally speaking, certain types of antihypertensive medications can indeed cause an increase in serum creatinine levels. However, the Norvasc you previously took at a normal dosage does not impair kidney function, so the rise in serum creatinine should be attributed to o...[Read More] Impact of Blood Pressure Medications on Creatinine Levels: A Case Study
Understanding Mild Anemia: Symptoms, Causes, and Recovery Tips
Mild anemia? Recently, I suspect that I have mild anemia (experiencing shortness of breath, fatigue, etc.). My gums and conjunctiva also appear somewhat pale, but I am not anemic by birth (I believe I have been tested for this). I often drink tea, usually one bottle a day, and so...
Dr. Lin Wuxuan Reply:
Hello: First of all, it is recommended to visit a medical facility for a blood test to confirm whether there is an issue with anemia. The treatment for anemia depends on establishing a diagnosis and identifying the underlying cause before appropriate treatment can be administered...[Read More] Understanding Mild Anemia: Symptoms, Causes, and Recovery Tips
Struggling with Weight Loss: Overcoming Challenges and Finding Solutions
Weight loss and related issues? Hello, (1) I was diagnosed with Mediterranean anemia during a health check-up, but my doctor said it is not severe and does not require treatment. My BMI is 27, which classifies me as overweight. I do not have a specific plan for weight loss and ...
Dr. Ke Taiyuan Reply:
1. The fundamentals of weight loss are still dietary control and regular exercise. Dietary principles include low calories, high protein (meat, fish, beans, eggs, dairy), high fiber, low salt, low oil, and low sugar. Reduce calorie intake outside of main meals, and if you feel hu...[Read More] Struggling with Weight Loss: Overcoming Challenges and Finding Solutions
Understanding B Vitamins: Allergies, Kidney Health, and Monitoring Needs
Questions related to B vitamins? Hello, Doctor. Recently, I have been experiencing glossitis and have been taking B vitamins. After taking them, I sometimes feel a general sensation of heat, and sometimes I do not. Is this an allergic reaction? Could it cause kidney damage? Addit...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Taking any medication or dietary supplements can lead to a variety of non-specific bodily reactions, so I'm not certain if your symptoms are an allergic reaction. However, most allergic reactions typically present with itching and skin ras...[Read More] Understanding B Vitamins: Allergies, Kidney Health, and Monitoring Needs
Should You Be Concerned About Your Blood Sugar Levels?
Is there a concern for diabetes? I had a company health check-up and my fasting blood glucose level was 101 after fasting for more than 12 hours. According to online standards, it should be below 100. Should I start dietary control and see a doctor for follow-up? I am 180 cm tall...
Dr. Xiao Yongxun Reply:
1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after 8 hours or more of fasting, b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance test, c. An HbA1c of ≥6...[Read More] Should You Be Concerned About Your Blood Sugar Levels?
Adjusting Lipitor Dosage for Cholesterol Management: Key Considerations
The dosage of Lipitor? Hello Doctor, I am a patient with diabetes and hypercholesterolemia. Currently, I am managing my condition through diet and exercise, and my HbA1c is maintained below 6. However, my cholesterol levels remain high (total cholesterol 250, LDL 180, HDL 55). Th...
Dr. Xiao Yongxun Reply:
Dear Ms. Song Sang-Sang: 1. Lipitor® (generic name Atorvastatin) is typically prescribed at a dosage of 10 mg per tablet. It belongs to the class of 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors, commonly known as statins. It effectively lowers elevated le...[Read More] Adjusting Lipitor Dosage for Cholesterol Management: Key Considerations
High Kappa Immunoglobulin Levels: Understanding Potential Health Risks
Elevated levels of immunoglobulin Kappa? Hello, I am a 48-year-old male, 166 cm tall and weighing 66 kg, with hereditary Mediterranean anemia. I had a urinary stone in 2012, but it passed naturally. I do not have hypertension (January 2018 readings: 122 mmHg systolic, 77 mmHg dia...
Dr. Wu Jiyu Reply:
Based on your inquiry, I can provide you with some recommendations: 1. The eGFR of 55 is slightly low, and the urine microalbumin/creatinine ratio of 303.4 mg/g is elevated; it is advisable to have long-term follow-up with a nephrologist. 2. Regarding the immunoglobulin levels, K...[Read More] High Kappa Immunoglobulin Levels: Understanding Potential Health Risks
Managing High Blood Sugar: When to See a Doctor and Dietary Tips
Blood sugar issues? Hello, doctor. After my health check-up, I found that my blood sugar levels were elevated, so I completely stopped eating sweets. However, I often feel very hungry after meals. Although it doesn't significantly affect my daily routine, I would like to ask...
Dr. Xiao Yongxun Reply:
Dear Mr. Ahong: 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. HbA...[Read More] Managing High Blood Sugar: When to See a Doctor and Dietary Tips
Understanding Low Lymphocyte Count and High Neutrophil Levels
Lymphocytopenia and elevated neutrophil count? Hello, two weeks ago I had a self-paid health check-up, and there are two results that I am particularly concerned about. My lymphocyte count is low at 16% (normal range is 20-45%), and my neutrophil count is slightly elevated at 75%...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the V-shaped lymph nodes on both sides of the mandible, the response is as follows: A: 1. You may refer to a PDF document, attached. 2. If you still have questions, you can consult and seek treatment at a medical facility with an otolaryngology or family m...[Read More] Understanding Low Lymphocyte Count and High Neutrophil Levels
Understanding Your Creatinine Level: Is 0.61 a Cause for Concern?
Creatinine 0.61 Hello doctor, I would like to ask you about my health check-up results. I saw that my creatinine level is 0.61. Does this indicate any kidney issues? Do I need dialysis? How can I improve this? I really don't want dialysis or surgery; I'm very scared...
Dr. Wang Weijie Reply:
Hello, Student Chang! The creatinine level of 0.61 in your health check report is within the normal range. It is recommended to drink 2000cc of water daily and maintain a regular diet and lifestyle. Wishing you peace and good health. Sincerely, Dr. Wang Wei-Jie, Attending Physici...[Read More] Understanding Your Creatinine Level: Is 0.61 a Cause for Concern?
Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns
Health check shows elevated uric acid and cholesterol levels? Hello Doctor: I recently had a health check-up, and my uric acid level is 7.1, which is above the normal range. Isn't the normal value for women supposed to be less than 6.6? I currently do not have any symptoms o...
Dr. Xiao Yongxun Reply:
Dear Ms. KiKi: 1. Elevated uric acid levels primarily refer to high concentrations of uric acid in the blood. If uric acid precipitates in joint tissues (such as the big toe joint, the back of the foot, or finger joints), it can trigger an inflammatory response, leading to gout....[Read More] Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns
Understanding Blood Sugar Levels: When to Test and What to Know
Blood sugar issues? Hello Doctor, I have been feeling a bit uncomfortable and dizzy after meals recently. Four months ago, I had my hemoglobin A1c tested, which was 5.4, and my fasting blood glucose was 97. I did not have a postprandial blood glucose test done. A few days ago, I ...
Dr. Gao Jiankai Reply:
Hello, sir, thank you for your question. Although diabetes has a genetic component, for type 2 diabetes, the chance of children of affected individuals developing diabetes is around 15%. Therefore, there is no need to be overly anxious. In other words, if you pay attention to you...[Read More] Understanding Blood Sugar Levels: When to Test and What to Know
Understanding Unexplained Body Sensations: Which Specialist to Consult?
Health issues. Which department should I consult? Hello Dr. Hong, I would like to consult about some unusual symptoms I'm experiencing and which specialty I should see to determine what illness I might have. My symptoms include experiencing internal pulsations after a night...
Dr. Hong Yuanbin Reply:
Hello, based on your description, there are two possible causes for the palpitations. First, there may be a temporary episode of tachycardia. Since you mentioned that you have previously undergone an exercise electrocardiogram that showed tachycardia, I recommend a 24-hour Holter...[Read More] Understanding Unexplained Body Sensations: Which Specialist to Consult?
Understanding Elevated Creatinine Levels: Causes and Concerns
Elevated creatinine levels? Hello, doctor. This year, during my health check-up, my kidney function test showed a creatinine level of 1.5 and a uric acid level of 4.31. Last year, my creatinine level was 1.4 and my uric acid level was 5.3. My BMI has been 22 for both years. I hav...
Dr. Wu Hongjie Reply:
Hello, regarding your elevated creatinine levels, it is recommended that you see a nephrologist for further examination and follow-up. Since your uric acid levels are normal, the cause of the renal dysfunction may require additional urine tests and blood tests to determine whethe...[Read More] Understanding Elevated Creatinine Levels: Causes and Concerns