Understanding Hypoglycemia: Causes, Diagnosis, and Treatment Options
Hypoglycemia Report [Radioimmunoassay Nuclear Medicine Test] Hypoglycemia Report Date: 01/08/2021 [Thyroglobulin] 25.51 ng/ml [hGH] 11.13 ng/ml [C-Peptide] 1.01 ng/ml [Insulin] 2.52 uIU/ml [Cortisol] 15.35 (17:39) µg/dl [Free T4] 1.06 ng/ml [TSH] 2.44 uIU/ml [Ab-T...
Dr. Lin Jianliang Reply:
Hello: 1. The above report cannot determine whether it is hypoglycemia or type 1 diabetes; it seems to be looking for causes of hypoglycemia. 2. In the early or pre-stage of diabetes, due to abnormal insulin secretion in the body, postprandial hypoglycemia may occur. The assessme...[Read More] Understanding Hypoglycemia: Causes, Diagnosis, and Treatment Options
Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics
Glomerular filtration rate (GFR) Hello Dr. Chang, I am a diabetes patient. Recently, my blood test report showed the following: estimated glomerular filtration rate (eGFR): 143, creatinine: 0.65, urine microalbumin-to-creatinine ratio: 84, urine occult blood: 1+. Is a higher glom...
Dr. Zhang Shixin Reply:
Hello: 1. Regarding the glomerular filtration rate, if your blood pressure and blood sugar are well-controlled, it is recommended to monitor the trends. 2. Diabetic nephropathy is usually accompanied by proteinuria; therefore, maintaining stable blood sugar and blood pressure is ...[Read More] Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics
Understanding Pain After Kidney Biopsy: Causes and Recovery Tips
Kidney biopsy? Hello Dr. Lin, I just had a kidney biopsy this Thursday, and during the 12 hours of lying flat on a sandbag with pressure applied post-procedure, I experienced an unbearable level of soreness. After getting up 12 hours later, the soreness decreased but persisted su...
Dr. Lin Wuxuan Reply:
Most patients experience discomfort or pain in the flank area on the side of the kidney biopsy, which usually resolves within a few days. If there is an increase in pain at the puncture site or the appearance of hematuria, please seek medical attention promptly. Thank you.[Read More] Understanding Pain After Kidney Biopsy: Causes and Recovery Tips
Understanding Proteinuria: What Your Kidney Health Tests Mean
Proteinuria testing Hello Doctor, I am 22 years old. Recently, I underwent a health check-up, and the report indicated that my glomerular filtration rate (GFR) is around 83. Is this a bit low for my age? Can drinking more water and exercising help restore it to above 100? I also ...
Dr. Zhang Shixin Reply:
Good morning! The definition of chronic kidney disease (CKD) is a glomerular filtration rate (eGFR) of less than 60 mL/min for more than three months, or the presence of proteinuria, hematuria, or structural abnormalities of the kidneys. Your eGFR is greater than 60, and there is...[Read More] Understanding Proteinuria: What Your Kidney Health Tests Mean
Understanding Kidney Health: Concerns About eGFR and Bilirubin Levels
Kidney-related issues? Hello Doctor, I recently felt inspired to undergo a health check-up, and after receiving the results, I am a bit concerned. My estimated Glomerular Filtration Rate (eGFR) is only 81.25, but my urine protein level is negative (<30). I have been monitoring...
Dr. Zhang Shixin Reply:
Hello, the definition of chronic kidney disease (CKD) is a glomerular filtration rate (eGFR) of less than 60 mL/min for more than three months, or the presence of proteinuria, hematuria, or structural abnormalities of the kidneys. Your eGFR is greater than 60 and there is no prot...[Read More] Understanding Kidney Health: Concerns About eGFR and Bilirubin Levels
Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained
Renal dysfunction Hello Doctor: I would like to ask about my recent health check report. My serum creatinine is 1.35, urine creatinine is 110.76, glomerular filtration rate (GFR) is 62.53, hemoglobin A1c is 5.4, fasting blood glucose is 90, uric acid is 7.2, urine protein is 9, a...
Dr. Lin Wuxuan Reply:
Urine or blood tests can determine the presence of hematuria, proteinuria, or any abnormalities in kidney function, which is typically assessed using the glomerular filtration rate (GFR). It is recommended that you bring your test results to a nephrology outpatient clinic at a re...[Read More] Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained
Understanding Discomfort and Urgency in the Genital Area: Causes and Solutions
Perineal tightness Sometimes I experience discomfort in my lower abdomen (during non-menstrual periods), accompanied by frequent urination, but only a small amount each time. It feels particularly uncomfortable and tense when I urinate. This morning, I had the same situation, but...
Dr. Lin Wufu Reply:
Hello, it is recommended to schedule an appointment with the obstetrics and gynecology department for diagnosis and treatment. The symptoms sound very much like a urinary tract infection, but during menstruation, it is common to experience discomfort similar to that of a urinary ...[Read More] Understanding Discomfort and Urgency in the Genital Area: Causes and Solutions
Understanding Occult Blood in Urine: Implications for Kidney Health
Occult blood? Hello, Doctor Wu. I would like to ask if there is a relationship between occult blood and the kidneys. My occult blood level increased from 4+ to 5+. Will this affect my kidneys? What does an occult blood level of 4+ indicate? My urine protein and other indices are ...
Dr. Wu Hongjie Reply:
Hematuria and occult blood are different. It is important to first confirm the presence of red blood cells in the urine. If red blood cells are present, renal issues such as renal cysts, kidney lesions, stones, or tumors may need to be ruled out. If there is only occult blood wit...[Read More] Understanding Occult Blood in Urine: Implications for Kidney Health
Understanding Glomerular Filtration Rate and Hematuria Changes in Kidney Health
The glomerulus and occult blood? Hello, doctor. I would like to ask about a glomerular filtration rate (GFR) of 64.6, with the standard being greater than 60. Two years ago, it was 84. Does this indicate a decline in kidney function? Additionally, the urine occult blood test has ...
Dr. Wu Hongjie Reply:
Occult blood testing is different from hematuria; it may be caused by recent infections, kidney stones, medications, or excessive exercise. The filtration rate can vary with fluid intake, renal function deterioration, and increased body weight. It is advisable to assess the prese...[Read More] Understanding Glomerular Filtration Rate and Hematuria Changes in Kidney Health
Understanding Urinary Hematuria and Glomerular Filtration Rate Changes
Urinary occult blood. Glomerular filtration rate? Hello Dr. Lin, I would like to ask about the significance of my urine occult blood test results. Initially, it was 4+, and after 4 months, it changed to 5. Is this an improvement or a worsening for my kidneys? I have a history of ...
Dr. Lin Wuxuan Reply:
Please take the medication as prescribed and follow up regularly. If you have any concerns, please return to the clinic to discuss them with your attending physician. Thank you.[Read More] Understanding Urinary Hematuria and Glomerular Filtration Rate Changes
Understanding Kidney Size: Is Your Ultrasound Result Normal?
Ultrasound Kidney Size Hello, doctor. I have been monitoring my hematuria under a microscope. Recently, I underwent a complete abdominal ultrasound, including a bladder scan after drinking water. The report indicated that the size and echogenicity of both kidneys are normal, with...
Dr. Lin Wuxuan Reply:
Hello, based on your statement that "the examination report indicates that the size of both kidneys and the ultrasound echogenicity are normal," there is no need for excessive concern. Thank you.[Read More] Understanding Kidney Size: Is Your Ultrasound Result Normal?
Understanding Proteinuria: Causes, Concerns, and Next Steps for Kidney Health
Proteinuria 2+ Hello Dr. Lin, I have had a frequent urination problem since my school days. To avoid affecting my classes and work, I often hold my urine. During routine health check-ups, I have had hematuria, but my recent labor health check showed normal results for hematuria. ...
Dr. Lin Wuxuan Reply:
Hello, it is recommended to bring your health check-up report to a family medicine physician or a nephrologist for evaluation, and then consult a dietitian for nutritional advice. Thank you.[Read More] Understanding Proteinuria: Causes, Concerns, and Next Steps for Kidney Health
Understanding Lower Back Pain and Related Symptoms: A Comprehensive Guide
Lower back pain? Lower back pain, numbness in hands, slight pinkish blood when wiping after urination, sometimes present and sometimes absent, generalized abdominal pain without a specific location, occasional decreased urine output which may be due to hot weather and sweating, d...
Dr. Lin Wufu Reply:
Hello, urinary tract infection should be ruled out first, as it can cause hematuria and abdominal pain. If there is also kidney inflammation, it may lead to lower back pain. It is recommended to consult an infectious disease specialist or a urologist for a urine test and further ...[Read More] Understanding Lower Back Pain and Related Symptoms: A Comprehensive Guide
Understanding Low Glomerular Filtration Rate: Testing and Insights
Reduced glomerular filtration rate (GFR)? I am 28 years old and have had two kidney function tests at the hospital, both showing an estimated glomerular filtration rate (eGFR) of around 80. In November 2020, my creatinine level was 1.06 with an eGFR of 89.76. In November 2021, my...
Dr. Huang Yaoxuan Reply:
Hello Mr. Yang: "Further precise" direct "verification of kidney function" >> I believe it is not as important as -- how to maintain (protect) kidney health (kidney function) >> Indeed, direct testing of kidney function is still not widely availabl...[Read More] Understanding Low Glomerular Filtration Rate: Testing and Insights
Understanding Fluctuations in Glomerular Filtration Rate: What You Need to Know
Glomerular filtration rate (GFR) issues? Hello Doctor: I would like to inquire about my glomerular filtration rate (GFR) results from my blood tests. In December 2020, my GFR was 100.6, in May 2021 it was 119.6, and in November 2021 it was 85.3. My concern is why today's GFR...
Dr. Lin Wuxuan Reply:
Hello Ms. Chen, the glomerular filtration rate (GFR) only reflects kidney function, so there is no need to worry too much. If there are additional concerns such as proteinuria, hematuria, abnormalities in ultrasound examinations, or other chronic conditions, please consult a neph...[Read More] Understanding Fluctuations in Glomerular Filtration Rate: What You Need to Know
Can Women with IgA Nephropathy Safely Get Pregnant?
Can a person with IgA nephropathy become pregnant and give birth? Hello, doctor. I was diagnosed with IgA nephropathy and minimal change disease after undergoing a kidney biopsy in the past. My condition is currently stable, with no proteinuria or hematuria, and my kidney functio...
Dr. Wu Jiyu Reply:
Based on the information provided in the literature, if blood pressure is normal and the glomerular filtration rate is greater than 70 ml/min, the impact of pregnancy on the kidneys can be minimized. However, it is essential to discuss your specific situation with your attending ...[Read More] Can Women with IgA Nephropathy Safely Get Pregnant?
Understanding Elevated Creatinine Levels: When to See a Nephrologist
Creatinine levels exceed the standard? Hello Doctor: In my blood test report, my creatinine level is 1.21 and my glomerular filtration rate (GFR) is 71.7. Should I urgently see a nephrologist? What advice would you give me? My triglycerides are 160, total cholesterol is 210, high...
Dr. Wu Jiyu Reply:
For chronic kidney disease, a glomerular filtration rate (GFR) greater than 60, combined with proteinuria, hematuria, or renal parenchymal damage (such as stones, edema, or cysts), is required for a diagnosis of chronic kidney disease. Based on the report you provided, while your...[Read More] Understanding Elevated Creatinine Levels: When to See a Nephrologist
Understanding Kidney Function Tests: Interpreting Your Results
Kidney function tests Hello Dr. Wu, I had a general health check-up at a clinic in early May, and the report is as follows: - Blood Urea Nitrogen (BUN): 14.0 (normal range: 7-25) - Creatinine: 0.63 (normal range: 0.6-1.2) - Glomerular Filtration Rate (GFR): 115 (greater than 6...
Dr. Wu Jiyu Reply:
According to your inquiry, both reports indicate normal kidney function (as the glomerular filtration rate is greater than 60, and all urine tests are normal), which does not qualify as chronic kidney disease. For chronic kidney disease to be diagnosed, the glomerular filtration ...[Read More] Understanding Kidney Function Tests: Interpreting Your Results
Managing Varicocele: Exploring Traditional Chinese Medicine Options
Varicocele Hello Doctor, I received the Moderna vaccine last week and subsequently developed gastroenteritis (with watery diarrhea) two days later. During work, I suddenly noticed some pain when touching my testicles. As I became more anxious, I frequently checked the situation, ...
Dr. Lin Wuxuan Reply:
Please continue to monitor the situation. If there is no improvement in the condition with medication treatment, or if new symptoms arise, it is recommended to return for a consultation with the original treating physician to discuss whether medication adjustments are necessary. ...[Read More] Managing Varicocele: Exploring Traditional Chinese Medicine Options
Understanding Hematuria: Causes, Tests, and Kidney Health Concerns
Kidney problems Hello Doctor, Last September, during a urine test, I had a trace of hematuria (1+) with red blood cells (3-5), while all other indices were normal. An intravenous pyelogram (IVP) was performed, and the doctor said everything was normal and that it could be due t...
Dr. Wu Jiyu Reply:
Based on your inquiry: 1. If you have not undergone a renal ultrasound, you may consider this examination. 2. Given your current condition, if the renal ultrasound results are normal, you can continue with regular monitoring. 3. If subsequent urine tests still show hematuria, it ...[Read More] Understanding Hematuria: Causes, Tests, and Kidney Health Concerns