Assessing Kidney Function and Medication Safety for Hair Transplant
Consultation on kidney function tests and medication after hair transplantation? Hello Dr. Wu, I am 31 years old. In 2022, my serum creatinine was 1.1 mg/dL with a glomerular filtration rate (GFR) of 82.9; in 2021, my serum creatinine was 1.11 mg/dL with a GFR of 78.3; in 2020, m...
Dr. Wu Jiyu Reply:
Based on your inquiry, first: if your glomerular filtration rate (GFR) is greater than 60 and there is no proteinuria or hematuria, your kidney function should be considered normal. Second: after hair transplantation, it is recommended to take minoxidil. Since this medication is ...[Read More] Assessing Kidney Function and Medication Safety for Hair Transplant
Post-Kidney Biopsy Care: Recovery Tips and Common Concerns
Regarding kidney biopsy? Hello, doctor! I recently underwent a kidney biopsy and would like to ask a few questions... 1. I found online that after a kidney biopsy, one should avoid lifting heavy objects for at least two weeks. However, my attending physician is willing to allow...
Dr. Wu Jiyu Reply:
According to your inquiry: 1. After a kidney biopsy, there is no strict requirement for a specific number of days of rest; it depends on individual circumstances. If you feel physically capable of returning to your usual work after a week, it should be fine. 2. If there is no ede...[Read More] Post-Kidney Biopsy Care: Recovery Tips and Common Concerns
Understanding Creatinine Levels: Concerns About Kidney Health
Confusion Regarding Blood Test Report for Serum Creatinine Hello Doctor, I am 37 years old, weigh 75 kg, and am 167 cm tall. I have symptoms of gastroesophageal reflux disease and Barrett's esophagus, for which I have been taking proton pump inhibitors (such as Pantoprazole)...
Dr. Wu Jiyu Reply:
1. According to your inquiry, first, it is important to understand the definition of chronic kidney disease (CKD). It can be classified as stage 1 or stage 2 when the glomerular filtration rate (GFR) is greater than 60 mL/min/1.73 m² and there are abnormalities in urine or imagin...[Read More] Understanding Creatinine Levels: Concerns About Kidney Health
Understanding Persistent Hematuria: Should You Be Concerned?
Long-term hematuria? I have been experiencing hematuria for five consecutive years, with urine tests showing +1 to +2 results. I have undergone microscopic examinations three times, which also revealed 6-9 red blood cells. Both urine and blood tests have consistently returned nor...
Dr. Wu Jiyu Reply:
There are many causes of hematuria, ranging from stones, glomerulonephritis to tumors. If there are no other abnormalities (such as proteinuria, renal function impairment, or abnormal ultrasound findings), please continue with regular follow-ups. Thank you for your inquiry. The N...[Read More] Understanding Persistent Hematuria: Should You Be Concerned?
Navigating Unexplained Symptoms: A Guide to Possible Vasculitis Diagnosis
I'm not sure where to look? The patient has experienced abnormal sensations in the left limb for approximately two years and has had persistent hematuria for over three years, although kidney examinations have returned normal results. There is a mild Raynaud's phenomeno...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your symptoms, I believe it may still be an issue related to immunology or rheumatology. I recommend that you first visit the immunology and rheumatology department at a medical center, where they can arrange for more detailed examinati...[Read More] Navigating Unexplained Symptoms: A Guide to Possible Vasculitis Diagnosis
Understanding Autoimmune Diseases: What You Need to Know
Autoimmune diseases Hello Doctor, last year I had a health check-up due to my studies, and since I was on my menstrual period that day, I experienced hematuria. After returning to the hospital for a follow-up, it was confirmed that there were no issues, and the cause of the hemat...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. The following test results may be related to autoimmune diseases, and if necessary, further blood tests can be arranged: C3: 57.7, C4: 10.7, ANA: Dense fine speckled with a titer of 1:160. I'm not sure if your physician has already arranged...[Read More] Understanding Autoimmune Diseases: What You Need to Know
Managing Hematuria While Waiting for Ureteroscopy: What You Need to Know
Questions about hematuria during the waiting period for surgery? Hello Doctor, I have been diagnosed with kidney stones. The stones are approximately 1.5-2 centimeters in size, and I am currently waiting for a ureteroscopy for lithotripsy. However, during this waiting period, I h...
Dr. Wu Jiyu Reply:
Kidney stones can cause symptoms such as hematuria, but this does not necessarily indicate the volume of bleeding (which is usually minimal). Since a surgery date has already been scheduled, it is best to wait for the procedure to be completed. Thank you for your inquiry. The Nep...[Read More] Managing Hematuria While Waiting for Ureteroscopy: What You Need to Know
Understanding Foamy Urine: Causes, Concerns, and Kidney Health
Foamy urine? Hello Doctor, I am 32 years old. Recently, I noticed that my urine has bubbles, which dissipate within 5-10 minutes, but there are small persistent bubbles at the edge of the toilet, especially noticeable during the first urination in the morning, where the bubbles d...
Dr. Wu Hongjie Reply:
1. I would like to ask if my situation is considered abnormal. Is a normal eGFR value ideally around 100? The eGFR is an estimate and is related to factors such as gender, muscle mass, and age; a value above 60 is generally acceptable. To diagnose kidney disease, it must be accom...[Read More] Understanding Foamy Urine: Causes, Concerns, and Kidney Health
Understanding Prediabetes: Causes, Management, and Lifestyle Changes
Prediabetes Hello, doctor. My height is 173 cm and my weight is 42.2 kg. In March, my weight was 45.2 kg. Due to weight loss, I underwent blood glucose and thyroid tests. The results showed fasting blood glucose of 96 mg/dL, hemoglobin A1c of 5.7%, eAG of 117 mg/dL, free T4 of 1....
Dr. Lin Jianliang Reply:
Hello: The normal range for fasting blood glucose levels is typically 70 to 100 mg/dL, and the normal range for hemoglobin A1c is 4 to 6%. I'm not sure what your laboratory's standard range is. For prediabetes, dietary changes and exercise can be effective in managing t...[Read More] Understanding Prediabetes: Causes, Management, and Lifestyle Changes
Understanding Blood Sugar and Kidney Health: Key Insights for Patients
Regarding blood sugar and the kidneys? Hello, doctor. At the end of last month, I visited a nearby clinic due to a urinary tract infection. My postprandial blood glucose was measured at 217 (more than one hour after eating). After a blood test, my hemoglobin A1c was found to be 5...
Dr. Chen Jianyu Reply:
Your situation is complex, and it is difficult to convey through text, which may lead to misunderstandings. It is recommended to seek assistance from a specialist in endocrinology, nephrology, or urology. Thank you. 109.12.24[Read More] Understanding Blood Sugar and Kidney Health: Key Insights for Patients
Understanding Urinary Protein, Hematuria, and Copper Levels: A Guide
Urinary protein, urinary occult blood, and copper body? Hello Doctor, due to a recent health check required by my company, the report showed: occult blood 4+, urine protein 3+, copper body 2+, red blood cells 3-5, and bacteria positive. I have previously visited the hospital to m...
Dr. Su Zhehong Reply:
Persistent proteinuria and mild hematuria may warrant testing for dysmorphic red blood cells to determine if there are abnormal red blood cells in the urine. If the result is positive, it is important to consider the possibility of glomerulonephritis, and further investigations s...[Read More] Understanding Urinary Protein, Hematuria, and Copper Levels: A Guide
Understanding Your Health Check: Urine Protein and Kidney Concerns
Health Examination Report I recently received my health check-up report, which shows urine protein +/- occult blood 1+, blood urea nitrogen 7.4, and a few bacteria. My menstrual period ended about ten days ago before the check-up. Should I schedule an appointment with a nephrolog...
Dr. Wu Hongjie Reply:
Hello: The bacteria may not have completely disappeared, which could result in incomplete recovery from the infection, causing persistent proteinuria. Hematuria may also be present for the same reason. It is recommended to follow up with urine tests. Confirm the resolution of the...[Read More] Understanding Your Health Check: Urine Protein and Kidney Concerns
Understanding Kidney Cysts: Diagnosis, Monitoring, and Management
Kidney cyst issues? Due to hematuria, the patient visited the urology department at a medical center. A CT scan of the urinary system revealed several tiny cysts in both kidneys. One of them appears hyperdense on non-contrast CT, suggesting a complicated cyst, classified as Bosni...
Dr. Wu Jiyu Reply:
According to your inquiry, Bosniak type II refers to a classification of renal cysts based on computed tomography, which theoretically does not require intervention, and the percentage of it becoming malignant is zero. If you are still concerned, you may consider follow-up imagin...[Read More] Understanding Kidney Cysts: Diagnosis, Monitoring, and Management
Understanding Proteinuria and Hematuria in Kidney Health: Key Insights
Proteinuria Hematuria Question 1: I do not have diabetes, and my UACR results were normal according to my doctor, and my blood tests were also normal. However, shouldn't I undergo a UPCR test to definitively determine if there is proteinuria? Question 2: I do not have chron...
Dr. Chen Jianyu Reply:
Symptoms may vary for each individual during each episode. If there are any abnormal values, please consult a hospital for a follow-up examination.[Read More] Understanding Proteinuria and Hematuria in Kidney Health: Key Insights
Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Urinalysis shows elevated levels of urinary albumin? Hello Doctor, I had a health check-up this month, and there were several abnormal results in my urinalysis. The findings included red blood cells at 10-19, bacteria at 1+, and trace amounts of hemoglobin. I also had a history ...
Dr. Lin Wuxuan Reply:
Hello: Based on the urine test results you provided, along with the normal albumin/creatinine ratio and protein/creatinine ratio, it is highly likely that the abnormal test data is influenced by gynecological issues. It is recommended that you return to the nephrology clinic for ...[Read More] Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Proteinuria Kidney 1. I do not have diabetes, and after undergoing a Urine Albumin-to-Creatinine Ratio (UACR) test, the doctor said the results were normal. However, shouldn't a Urine Protein-to-Creatinine Ratio (UPCR) test be performed to confirm the presence of proteinuria...
Dr. Huang Yaoxuan Reply:
Hello Mr. AC: 1. You can consult the physician who arranged your UACR test to discuss what I believe is crucial: "how to take care of your kidneys." Arranging tests (such as blood tests for creatinine and urine tests for UACR or UPCR) is just one method. Don't fo...[Read More] Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Understanding Elevated Creatinine Levels: Should You Worry?
Elevated creatinine levels? Hello Doctor, I am 30 years old. In recent years, my health check-ups have shown elevated creatinine levels twice, around 1.2 or 1.3. My glomerular filtration rate (GFR) has been in the 60s or 70s, but there is no protein or blood in my urine. I do not...
Dr. Wu Jiyu Reply:
Regarding your first question, a creatinine level of 1.2 or 1.3 roughly corresponds to a current estimated glomerular filtration rate (eGFR) of about 75 or 68, which is slightly low for your age. However, you mentioned that you do not have proteinuria or hematuria, nor do you hav...[Read More] Understanding Elevated Creatinine Levels: Should You Worry?
Understanding Mild Urinary Protein: When to Seek Further Medical Evaluation
Mild proteinuria Hello, doctor. I had a health check-up at the end of July and found a slight issue with albumin. My eGFR is 128.5, creatinine is 0.8 mg/dL, urine albumin (urine dipstick) is 30 mg/L, and urine creatinine (urine dipstick) is 200 mg/dL. The albumin-to-creatinine ra...
Dr. Ke Taiyuan Reply:
If the albumin to creatinine ratio is normal and there are no symptoms of edema or hematuria in the urine, no further testing is necessary.[Read More] Understanding Mild Urinary Protein: When to Seek Further Medical Evaluation
Understanding IgA Nephropathy: Key Questions and Concerns for Patients
Regarding IgA nephropathy? Hello Doctor, I recently went to see a physician due to proteinuria and hematuria. After several examinations, the doctor suspects I have IgA nephropathy. Since the test results are not yet available, I would like to ask a few questions in case I am dia...
Dr. Lin Wuxuan Reply:
Hello: Below are the responses to your questions. 1. IgA nephropathy can be well controlled with medication, but regular follow-up appointments are still necessary. Appropriate treatment can indeed reduce the risk of renal function deterioration leading to dialysis. 2. It is re...[Read More] Understanding IgA Nephropathy: Key Questions and Concerns for Patients
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