Understanding Proteinuria in Teenagers: Causes and Concerns
Dear Doctor, why do I easily have proteinuria? Hello, I am a 17-year-old male. I have been experiencing proteinuria (+~++) for about a year. During this time, I have visited three major hospitals for diagnosis. I have undergone blood tests to assess kidney function and a 24-hour ...
Dr. Huang Yaoxuan Reply:
Hello, I am a nephrologist who relies on "tests (blood and urine tests, X-rays)" and "machines (dialysis machines)" to make a living... This is purely a joke (any resemblance is coincidental), but it does highlight the concerns of nephrologists and patients wi...[Read More] Understanding Proteinuria in Teenagers: Causes and Concerns
Understanding Kidney Issues: Proteinuria and Hematuria Concerns
Kidney problems Hello, Doctor: 1. Is a urine protein level of 180 mg/L considered normal? (The reference value is 150 mg/L.) 2. However, I have a urine occult blood result of 4+. Is this related to excessive masturbation? After drinking more water, the color of my urine became ...
Dr. Wu Jiyu Reply:
1. Is a urine protein level of 180 mg/L considered normal? (The reference value is 150 mg/gm. Since 180 > 150 mg/gm, it cannot be considered normal. However, this slightly elevated physiological urine protein may occur after intense exercise. It is recommended to retest later....[Read More] Understanding Kidney Issues: Proteinuria and Hematuria Concerns
Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
How can one determine if it is simple proteinuria? I previously asked some questions and still have a few more. I would appreciate your answers. I have had proteinuria for two months, with two different tests showing one result as 1+ and another 24-hour result as 791. I also visi...
Dr. Wu Jiyu Reply:
1. The 24-hour result is 791 mg, which has not yet reached the level of nephrotic syndrome, and there are no clinical symptoms (such as edema or hypertension); therefore, there is currently no necessity for a kidney biopsy. 2. When is a kidney biopsy necessary? It is recommended ...[Read More] Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
Understanding Proteinuria in Teenagers: Causes and Concerns
Hello, I am 15 years old, male, and I have been tested for proteinuria with a result of 791 mg/dL? Two months ago, I experienced frequent swelling and pain in the area above my right testicle (the pubic region). The pain was severe enough that movement in that area would cause sh...
Dr. Wu Jiyu Reply:
1. When checking for proteinuria, it is important to first rule out conditions such as exercise, infection, and fever, as these factors can lead to an increase in proteinuria and result in inaccurate readings. 2. It is recommended to repeat the test (remember that the first morn...[Read More] Understanding Proteinuria in Teenagers: Causes and Concerns
Understanding Abnormal Kidney Function: What You Need to Know
Is there any abnormality in kidney function? Hello, Doctor. Last July, I had a urinalysis that showed hematuria and proteinuria, both positive. In August, I went to another hospital for another urine test, and again, there were reactions for hematuria and proteinuria. After blood...
Dr. Wu Jiyu Reply:
1. First, let's discuss the risk factors for kidney disease: the three highs (hypertension, hyperglycemia, and hyperlipidemia) and proteinuria. Based on the data you provided: Blood Pressure??? Blood Glucose (GLU AC) 89 mg/dL: OK; Lipid Profile Cholesterol 224 mg/dL: borderl...[Read More] Understanding Abnormal Kidney Function: What You Need to Know
Is Kidney Shrinkage Serious? Understanding Ultrasound Results and Function
Is it serious if an ultrasound examination suggests that the kidneys are possibly smaller? Hello, doctor. I recently had a routine kidney check-up (due to having hematuria since childhood and regular follow-ups). My kidney function is otherwise normal, except for a creatinine lev...
Dr. Wu Jiyu Reply:
The size of the kidneys is not necessarily related to kidney function; it is important to look at the results of blood tests and urinalysis for accurate assessment. Additionally, in terms of size, while 9 cm is smaller than 10 cm, the difference is minimal and does not warrant ex...[Read More] Is Kidney Shrinkage Serious? Understanding Ultrasound Results and Function
Understanding Hematuria: Causes, Effects, and Treatment Options
Regarding hematuria? Dear Doctor: I recently had a health check-up and the report indicated that I have hematuria (blood in urine). Is this due to kidney stones or other reasons? What is the impact on my health? What treatment should I pursue?
Dr. Xiao Yongxun Reply:
Hello: In response to your question, 1. "Urine occult blood" refers to the blood urine reaction detected by a test strip, indicating that under high-power microscopy, the number of red blood cells may exceed three. The sensitivity is approximately 90%. However, false po...[Read More] Understanding Hematuria: Causes, Effects, and Treatment Options
Understanding White Particles in Urine During Bowel Movements
excuse me? Hello Dr. Yang: I would like to ask about the small white objects that appear when I urinate and have a bowel movement at the same time. The size of these objects is about 0.5 cm or less. I would like to know what they are. When I only urinate, there are no white objec...
Dr. Yang Weishun Reply:
It is recommended that you perform a urine screening at least 5 to 7 days after your menstrual cycle ends to check for hematuria, proteinuria, or crystals. If the urine test results are normal, you may consider a stool screening, as your description does not clarify whether the s...[Read More] Understanding White Particles in Urine During Bowel Movements
Understanding Elevated Creatinine Levels: Causes and Concerns
Creatinine issues? The health examination report indicates that there are no signs of hematuria or proteinuria, and the blood urea nitrogen level is normal. However, the creatinine level is 1.34 mg/dL. The doctor advised to follow up in three months. Given that I had surgery for ...
Dr. Yang Zhongwei Reply:
Most medical centers have a normal serum creatinine level up to 1.4 mg/dL. If urine tests show no proteinuria or hematuria and serum creatinine is less than 1.4 mg/dL, we consider kidney function to be normal. To assess whether both kidneys are functioning properly, an ultrasound...[Read More] Understanding Elevated Creatinine Levels: Causes and Concerns
Understanding Blood in Urine: Causes and Concerns for Kidney Health
Hematuria Hello Dr. Yang, I have been feeling like I have a slight fever these past few days, and I noticed that I have visible hematuria. It shouldn't be the new flu, right? My kidneys have not been in good condition; I have had hematuria (not visible) since childhood. Abou...
Dr. Yang Weishun Reply:
To confirm whether it is indeed IgA nephropathy, the most reliable method is to perform a kidney biopsy for diagnosis. IgA nephropathy can indeed present with visible hematuria following respiratory infections, but it is also possible to detect microscopic hematuria during asympt...[Read More] Understanding Blood in Urine: Causes and Concerns for Kidney Health
Understanding Urine Test Results: Protein and Blood Levels Explained
Regarding urine reports? Dr. Yang: I would like to ask a few questions. I have been experiencing issues with proteinuria and hematuria for some time. Recently, I underwent a routine check-up, and the report showed: proteinuria at 1.85, but the physician there said the normal rang...
Dr. Yang Zhongwei Reply:
Hello: Currently, proteinuria refers to the detection of albumin in urine using a dipstick test, where a level exceeding the detectable limit of 30 mg/dL is indicated. If it exceeds this limit, it will be expressed as 1+ to 4+ or in numerical values. Regarding the values of 1.85 ...[Read More] Understanding Urine Test Results: Protein and Blood Levels Explained
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
Understanding Morning Lower Back Pain: Causes and Solutions
Lower back pain? Hello Doctor, I have been experiencing severe lower back pain every morning when I wake up. At times, the pain is so intense that it makes it difficult to breathe, and I often wake up due to the pain. However, the discomfort usually subsides on its own after abou...
Dr. Wang Weijie Reply:
Your symptoms resolve on their own after about half an hour? This seems more like pain caused by neuromuscular issues. You might consider consulting a neurosurgeon or orthopedic specialist for a spinal X-ray to determine if there is any nerve compression. Typically, pain caused b...[Read More] Understanding Morning Lower Back Pain: Causes and Solutions
Managing Autosomal Dominant Polycystic Kidney Disease: Key Considerations
How to manage polycystic kidney disease? Dear Director Wu, My father is 70 years old. Two years ago, he experienced sudden hypertension and dizziness. After blood tests, he was found to have hematuria, with a creatinine level of 1.3 and a GFR (CG) of 56, indicating stage 3 chron...
Dr. Wu Jiyu Reply:
1. The left-sided cyst is compressing the kidney; consider referring to urology for "percutaneous renal cyst aspiration and sclerotherapy." If there is a recurrence, consider "laparoscopic cyst decortication" for management. 2. Consider treating with "Nor...[Read More] Managing Autosomal Dominant Polycystic Kidney Disease: Key Considerations
Understanding Kidney Pain: When to See a Doctor and How to Manage It
Kidney pain Doctor, I have been experiencing intermittent pain in both of my kidneys recently, but it's not too severe. Should I see a doctor? How can I improve this condition?
Dr. Yang Weishun Reply:
Hello, please go to the Family Medicine department first to have your urine tested for hematuria. If you have any questions, you can schedule an appointment with the Nephrology department. Wishing you good health. Sincerely, Dr. Yang Wei-shun, Taoyuan Hospital, Ministry of Health...[Read More] Understanding Kidney Pain: When to See a Doctor and How to Manage It
Understanding Kidney Atrophy: Causes, Risks, and Diagnosis Explained
Renal atrophy I experienced lower back pain six months ago, and upon examining my kidneys, it was found that my left kidney measures 9 cm while my right kidney measures 12.2 cm. Both blood and urine tests were normal. The doctor was uncertain whether the left kidney atrophy was c...
Dr. Wang Weijie Reply:
Hello, the normal size of a kidney is approximately 10-12 centimeters, and its shape resembles that of a fava bean. Your left kidney is indeed smaller in size. Distinguishing whether this is due to congenital atrophy or acquired atrophy is quite challenging. It may be caused by c...[Read More] Understanding Kidney Atrophy: Causes, Risks, and Diagnosis Explained
Understanding Kidney Displacement: Potential Risks and Complications
About the kidneys? I recently experienced a sensation of something in my left kidney. After undergoing a urethrogram, it was found that only my right kidney is slightly displaced. What potential complications could arise from this? During a previous examination, the doctor mentio...
Dr. Yao Quan Reply:
Dear Ms. Lin, Hello! According to your letter, your intravenous pyelography revealed that your right kidney is descended, but your symptoms are occurring on the left side (where you often feel something in the left kidney area). You did not mention whether there are any symptoms...[Read More] Understanding Kidney Displacement: Potential Risks and Complications
Signs of Kidney Issues: Understanding Symptoms and Early Warnings
Are there any issues with the kidneys? Recently, I've been feeling pain in the middle of my back on the left side, and my dark circles under the eyes have become more pronounced and unnatural. A friend mentioned that this might be concerning, so I would like to know what ear...
Dr. Wang Weijie Reply:
Early screening for kidney disease can be determined through urine tests to check for proteinuria, hematuria, and glucose in the urine. The most common cause of lower back pain is poor posture, followed by conditions that may cause back pain, such as kidney stones or infections. ...[Read More] Signs of Kidney Issues: Understanding Symptoms and Early Warnings
Understanding Blood Test Results: Cholesterol, Gout, and Follow-Up Care
Blood draw issues? Hello, on May 19th, I had a health check-up, and the blood test report showed some concerning results: total cholesterol 125, high-density lipoprotein (HDL) 39, urine pH 7, and a positive reaction for occult blood. Does this indicate a risk for cardiovascular d...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The essence of a health check-up is to screen for specific diseases or issues through certain tests or examinations, and if necessary, to conduct further evaluations or diagnoses. 2. Your total cholesterol level is 125 mg/dL, and your high...[Read More] Understanding Blood Test Results: Cholesterol, Gout, and Follow-Up Care
Understanding Hematuria: Kidney Health Concerns and Solutions
Hematuria Hello. My husband recently had a health check-up and found issues with hematuria and proteinuria. Could this indicate a problem with his kidneys? Is this situation considered serious? Could it lead to kidney deficiency? Is there a way to improve this condition?
Dr. Yao Quan Reply:
Hello, the source of hematuria can originate from any part of the urinary system, including the kidneys, ureters, bladder, or urethra. As for the proteins found in proteinuria, they must originate from the kidneys. Therefore, if hematuria is accompanied by proteinuria, it typical...[Read More] Understanding Hematuria: Kidney Health Concerns and Solutions