Managing Small Kidney Stones: What You Need to Know
Questions about kidney stones? Hello Doctor, I would like to ask about the two kidney stones measuring 0.25 cm that were discovered during my company's health check last week. I would like to know how I should proceed with this. I'm feeling a bit worried. Thank you.
Dr. Wu Jiyu Reply:
First, check if you have any symptoms such as lower back pain, hematuria, or urinary tract infection (fever, chills, frequent urination, or painful urination). If you do, you should consult a urologist. If not, based on the size of your stone (0.25 cm) and your age (20-39 years),...[Read More] Managing Small Kidney Stones: What You Need to Know
Understanding Elevated BUN Levels and Foamy Urine: Kidney Health Insights
Elevated BUN levels and foamy urine during a health check-up..? Hello Dr. Wu, I have some questions I would like to ask you! Recently, I have noticed bubbles in my urine, and there are quite a few. In September of this year, I underwent a simple blood test and urinalysis. The te...
Dr. Wu Jiyu Reply:
First of all, thank you for your question. Based on your inquiry, I will explain in three parts: 1. The blood test indices (serum urea nitrogen and creatinine) typically begin with an assessment of the creatinine level, which has a normal range of approximately 0.7-1.3 mg/dL (t...[Read More] Understanding Elevated BUN Levels and Foamy Urine: Kidney Health Insights
Finding the Right Specialist for Complex Abdominal Symptoms
Finding the right physician for treatment? My mother is currently 73 years old and has diabetes, heart disease, and hypertension, which she manages with regular doctor visits and medication. This year, she has experienced discomfort in two areas of her body. The first issue is th...
Dr. Xiao Jingqin Reply:
The patient's primary pain is located in the lower abdomen, and it worsens with walking. They also experience loss of appetite and a tendency to feel bloated, which may not necessarily indicate a gastric issue. If we narrow down the problem to the lower abdomen, potentially ...[Read More] Finding the Right Specialist for Complex Abdominal Symptoms
Understanding Muscle Strain and Nerve Sensations After Weight Training
Paralysis Hello Doctor: A while ago, I was doing weight training and accidentally injured my lower back. After treatment, it was diagnosed as a muscle strain, and I have improved significantly with medication, although I still occasionally feel something unusual. Recently, when I...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Inappropriate weight training may lead to muscle and ligament strains; it can even result in intervertebral disc disorders or joint diseases. Therefore, it is essential to have a health assessment, a comprehensive training plan, and warm-u...[Read More] Understanding Muscle Strain and Nerve Sensations After Weight Training
Understanding Blood in Urine: Causes, Concerns, and Next Steps
Hematuria Hello, I previously experienced hematuria (visible blood in urine) and consulted a doctor. After a urinalysis, the doctor diagnosed me with a urinary tract infection and prescribed antibiotics. A month and a half later, I underwent another urinalysis, which showed no in...
Dr. Yang Jun Reply:
Hello: In response to your question regarding hematuria, the most common causes are urinary tract infections or urinary stones. The first occurrence of gross hematuria is likely due to hemorrhagic cystitis. After the infection symptoms resolve, the presence of 5-10 red blood cell...[Read More] Understanding Blood in Urine: Causes, Concerns, and Next Steps
Understanding Vasculitis: Symptoms, Causes, and When to Seek Help
Vasculitis Hello Dr. Tseng, I previously had 2 to 3 instances where reddish-brown spots appeared on my hands and feet. I visited a dermatologist, who diagnosed me with vasculitis. They conducted blood tests and a urinalysis, and the results indicated that my immune system activit...
Dr. Zeng Guosen Reply:
Hello: 1. Based on your description, the likelihood of vasculitis is quite high, and further examination is recommended. 2. There should be no correlation with sexual activity or peeling skin. Sincerely, Dr. Tseng Kuo-Sen, Internal Medicine.[Read More] Understanding Vasculitis: Symptoms, Causes, and When to Seek Help
Could My Symptoms Indicate Diabetes? Understanding Causes and Treatments
Is it diabetes? Hello Doctor: Since November, I have been experiencing hematuria. X-rays and ultrasounds showed no stones and were normal. Urinalysis results indicated the presence of white blood cells and red blood cells. The doctor mentioned it might be urethritis. Additionally...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, the diagnostic criteria for diabetes are generally as follows: 1. A fasting plasma glucose level of greater than or equal to 126 mg/dL after fasting for at least 8 hours. 2. The presence of clinical symptoms of diabetes such as polyuria, polyd...[Read More] Could My Symptoms Indicate Diabetes? Understanding Causes and Treatments
Left Side Back Pain: Is It a Kidney Issue or Something Else?
Is left flank pain a kidney problem? Hello Doctor: About a year ago, I started experiencing pain in my left lower back. Later, I consulted a urologist who suggested it might be a lumbar strain and prescribed some medications for the strain. The pain did improve, although it still...
Dr. Yang Jun Reply:
Hello: In response to your question, there are many potential causes of lower back pain, which may be due to issues with nerves, muscles, tendons, skeletal joints, or kidney diseases (such as infections or stones). If kidney or urinary tract problems are suspected to be causing t...[Read More] Left Side Back Pain: Is It a Kidney Issue or Something Else?
Understanding Pus Cells in Urine: Causes Beyond Urethritis
Urinalysis Report Hello, doctor! In my recent urine report, I found that there are 30-40 pus cells per high power field (hpf). The doctor mentioned it could be urethritis and prescribed me a week of anti-inflammatory medication called OFLOXACIN. I would like to know if there are ...
Dr. Lin Mingfeng Reply:
Pyuria (indicating an excess of white blood cells in the urine) is most likely due to a urinary tract infection (UTI) based on probability. Some girls with UTIs may have subtle or nonspecific urinary symptoms. Additionally, the causes of pyuria may include interstitial nephritis,...[Read More] Understanding Pus Cells in Urine: Causes Beyond Urethritis
Understanding Elevated Immunoglobulin Levels and Kidney Health Risks
Elevated immunoglobulin levels? Doctor: Hello! Recently in April, I went to the hospital due to shortness of breath and chest tightness, where cardiac examinations showed no issues, and it was later diagnosed as autonomic nervous system dysfunction. However, the urine tests revea...
Dr. Yao Quan Reply:
Dear Ms. Kiki, Hello. There are five types of immunoglobulins: IgG, IgA, IgM, IgD, and IgE, each with different normal value ranges. Your letter mentions elevated immunoglobulin levels (approximately 440), but it is unclear which specific immunoglobulin is elevated. The normal r...[Read More] Understanding Elevated Immunoglobulin Levels and Kidney Health Risks
Understanding Fever: Could It Indicate a Different Illness?
Fever I have had a continuous fever for three days. I went to the hospital for an examination. I had blood and urine tests; the blood test results were normal, but they found an elevated white blood cell count in my urine, which suggests there might be some inflammation, leading ...
Dr. Lin Mingfeng Reply:
To identify the cause of fever, the easiest approach is to start with accompanying symptoms. Aside from pyuria (indicating an excess of white blood cells in the urine), no other accompanying symptoms were mentioned in the problem. However, statistically, a urinary tract infection...[Read More] Understanding Fever: Could It Indicate a Different Illness?
Managing Edema in Diabetic Patients: A Guide for Caregivers
Diabetic patients with edema issues? Hello, doctor. My grandmother is a 60-year-old diabetic patient with a history of about 10 years. She has been taking medication to control her blood sugar, which is usually stable and does not exceed 180. However, for the past year, she has b...
Dr. Xie Yonghui Reply:
According to your letter, your grandmother's lower back pain may be caused by urinary tract stones, but the most common reason for lower back pain in elderly individuals is degenerative changes in the lumbar spine. It is necessary to consult an orthopedic specialist for furt...[Read More] Managing Edema in Diabetic Patients: A Guide for Caregivers
Understanding Severe Gastrointestinal Issues After Medication Overdose
Severe gastrointestinal issues? I attempted suicide a month ago due to relationship issues, taking over sixty pills at once, including cold medicine, Abbott 15mg weight loss pills, and detox beauty pills. The day before this incident, I also took twelve sleeping pills. That night...
Dr. Cai Zonglong Reply:
Hello, I think your issue is quite complex. It may be necessary to consult a hematologist to check for any bleeding tendencies. Additionally, you should see an obstetrician-gynecologist to examine for any organ abnormalities. The black vomit you experienced a month ago likely ind...[Read More] Understanding Severe Gastrointestinal Issues After Medication Overdose
Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management
Type A globulin glomerulonephritis Hello Doctor, I have had microscopic hematuria for a year. Last year, I underwent examinations in the nephrology department, including blood tests, urine tests, and imaging X-rays. Aside from 4+ occult blood, I sometimes had proteinuria and some...
Dr. Yang Jun Reply:
Hello: In response to your question... Persistent microscopic hematuria and occasional proteinuria are indicative of glomerulonephritis. Generally, type A alpha globulin nephritis is more common. An IgA level of 380 is elevated, which further supports the high likelihood of type ...[Read More] Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management
Understanding Back Pain: Is It Related to Kidney Issues?
Could you please provide more details about the issue of back pain? Hello Doctor, 1. Last night before going to bed, I felt a slight soreness in my right upper back. In the past, I would usually wake up feeling sore, but this time I was suddenly awakened by the pain in my back ...
Dr. Yang Jun Reply:
Hello: In response to your question... Based on the symptoms and examination results you described, the back pain may not be related to kidney disease. It is necessary to seek further evaluation from a rehabilitation or orthopedic specialist to determine if the pain is caused by ...[Read More] Understanding Back Pain: Is It Related to Kidney Issues?
Understanding Blood in Urine: Causes, Concerns, and Next Steps
Could you please provide more details about the issue of hematuria? Doctor, I previously experienced reddish urine after running (without any blood clots). I underwent a kidney imaging examination, and the results showed no inflammation or stones. However, the doctor mentioned th...
Dr. Yang Jun Reply:
Hello: In response to your question... The occurrence of hematuria after exercise is often benign. It may be caused by the movement of urine in the bladder during physical activity, which can exert external force on the bladder wall and lead to microvascular rupture. However, it ...[Read More] Understanding Blood in Urine: Causes, Concerns, and Next Steps
Understanding Chronic Back Pain: Key Medical Insights and Tests Explained
Unresolved issues? Hello Doctor: I have been experiencing chronic lower back pain and have a history of injury. Recent test results show the following (urinalysis): hematuria reaction is +/- (normal reference is negative), urinary tract inflammation indicator is 1+ (normal refere...
Dr. Tang Jieru Reply:
Hello Ah-Gui: A urine test must be conducted using midstream urine for the results to be of reference value. The determination of whether it is midstream urine is based on the number of epithelial cells present. Your report shows a count of 10-15, which is considered too high, in...[Read More] Understanding Chronic Back Pain: Key Medical Insights and Tests Explained
Understanding Urine Test Results: Hematuria and Bacteria Levels Explained
Urinalysis shows hematuria +2 and bacteriuria +2? In a health check-up, if the urine test shows blood +2 and bacteria +2, what precautions should be taken, and which specialty should be consulted?
Dr. Zhao Chongliang Reply:
You should consult a nephrologist or a urologist. The urine analysis in a health check should only include qualitative tests using dipsticks. If there are issues, it is necessary to follow up with these specialists to evaluate the quantitative results of the urine sediment. Regar...[Read More] Understanding Urine Test Results: Hematuria and Bacteria Levels Explained
Understanding Kidney Health: Interpreting Abnormal Urine Test Results
Renal pathology Hello Dr. Yang, I have been undergoing health check-ups for many years and frequently have abnormal results for urine occult blood (++) and urine protein (++). I have previously consulted a urologist, but there hasn't been much improvement. My blood urea nitr...
Dr. Yang Jun Reply:
Hello: In response to your question, the urine test shows the presence of proteinuria and hematuria, along with elevated kidney function indices (blood urea nitrogen and creatinine), indicating chronic renal failure. It is essential to consult a nephrologist for further evaluatio...[Read More] Understanding Kidney Health: Interpreting Abnormal Urine Test Results
Understanding Blood in Urine After Fever: Causes and Concerns
Hematuria after fever? Dear Dr. Yang, I have recently experienced a fever accompanied by decreased urine output and dark brown urine. This situation also occurred once last year. I am wondering if it is related to medication. Can "line virus" also cause hematuria, and i...
Dr. Yang Jun Reply:
Hello: In response to your question, it is mentioned that decreased urine output after a fever may be due to increased fluid loss through sweating or reduced fluid intake, leading to a lower volume of fluid excreted by the kidneys and consequently decreased urine output. As for t...[Read More] Understanding Blood in Urine After Fever: Causes and Concerns