Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels
Kidney problems On 03/19/2011, creatinine was 1.18, urine protein was 5, urine creatinine was 53.12, and urine protein-to-creatinine ratio (uPCR) was 94.12. On 10/09/2010, creatinine was 1.26, urine protein was 17, urine creatinine was 108.7, and uPCR was 156.11. On 11/03/200...
Dr. Wu Jiyu Reply:
According to your inquiry, although the serum creatinine levels show little variation (ranging between 60-70), the urinary protein levels are gradually increasing. In addition to pharmacological management of hypertension, diabetes, and hyperlipidemia, the prevention and treatmen...[Read More] Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels
Understanding Dizziness and Headaches: Possible Causes and Concerns
Dizziness, headache? The initial symptoms were mild dizziness, which lasted for three days, followed by the onset of headaches and sore throat. Later, I started to feel short of breath, resembling palpitations, possibly due to wearing a mask while working. I experience episodes o...
Dr. Hong Yuanbin Reply:
Hello, based on the current pandemic situation, the first consideration should be the possibility of a COVID-19 infection. It is advisable to perform a rapid test; if the result is negative, it could be due to orthostatic hypotension or anemia. I recommend measuring your blood pr...[Read More] Understanding Dizziness and Headaches: Possible Causes and Concerns
Understanding Elevated Urea Nitrogen Levels: Causes and Implications
Elevated blood urea nitrogen (BUN) levels? Hello Doctor: I recently had a blood test, and my blood urea nitrogen (BUN) level was 21.2, creatinine was 0.9, with the BUN highlighted in red (two months ago, it was 18.4 and creatinine was 0.95). About a week ago, I underwent dental i...
Dr. Li Jian Reply:
A hemoglobin A1c of 5.9 is consistent with a diagnosis of prediabetes, requiring regular follow-up every three months. Currently, kidney function is considered normal, but ongoing monitoring of future changes is necessary.[Read More] Understanding Elevated Urea Nitrogen Levels: Causes and Implications
Can Mediterranean Anemia and Microcytic Anemia Occur Together?
Mediterranean anemia and microcytic anemia? Hello, doctor. Can a person have both thalassemia and microcytic anemia at the same time? I previously took iron supplements and consumed a lot of meat for at least six months, which raised my hemoglobin to normal levels. However, after...
Dr. Hong Yuanbin Reply:
Hello, microcytic anemia is a general term that encompasses various types of anemia, with the most common being iron deficiency anemia and thalassemia. To determine which specific type of anemia you have, further testing is required. For instance, iron deficiency anemia can be as...[Read More] Can Mediterranean Anemia and Microcytic Anemia Occur Together?
Essential Considerations for Diabetic Patients Undergoing Surgery
Considerations for Surgery in Diabetic Patients Hello, doctor. I was diagnosed with diabetes three years ago, and my initial hemoglobin A1c was 9.1. I am still managing my blood sugar with oral medications, and my current hemoglobin A1c is 7.8. I will be hospitalized for surgery ...
Dr. He Yonghe Reply:
Hello, Ms. Wu. Yes, a blood sugar level of 100-150 is a basic requirement for surgery, and it should remain the same postoperatively.[Read More] Essential Considerations for Diabetic Patients Undergoing Surgery
Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
The most recent test showed a significant decrease in glomerular filtration rate (GFR)? Hello, Doctor. I am currently 29 years old, 153 cm tall, and weigh 50 kg. Last year, during a company health check, I was found to have elevated fasting blood glucose levels (118), but my hemo...
Dr. He Yonghe Reply:
Hello Ms. Wang, drinking less water can also lead to a decrease in eGFR. Generally, 2500-3000 cc per day should be sufficient. If your cholesterol is elevated, dietary changes and exercise can help improve it. You may consider visiting an internal medicine specialist for further ...[Read More] Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
Effective Ways to Lower Hemoglobin Levels: Myths and Facts
Hemoglobin Mediterranean-type anemia I would like to ask the doctor, what are the direct and effective methods to lower hemoglobin levels? Does smoking lower hemoglobin?
Dr. Hong Yuanbin Reply:
Hello, hematopoietic function can be influenced by diet and physical condition. Factors such as staying up late, smoking, drinking alcohol, or experiencing high levels of stress can all affect the body's condition, which in turn may impact hematopoiesis and potentially lead ...[Read More] Effective Ways to Lower Hemoglobin Levels: Myths and Facts
Understanding Arthritis Medications: Managing Symptoms and Side Effects
Arthritis medications I have been under follow-up in the rheumatology and immunology department for a year and a half. Previously, I was not on any medication, but my erythrocyte sedimentation rate (ESR) for 2 hours and 1 hour has consistently been elevated, with values ranging f...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your question, my response is as follows: 1. Your symptoms resemble urticaria, which may be a side effect of medication; both the anti-inflammatory or pain relief medications could be potential culprits. Urticaria is generally a mild ...[Read More] Understanding Arthritis Medications: Managing Symptoms and Side Effects
Am I at Risk for Prediabetes? Understanding Blood Sugar Levels
Is it prediabetes? Hello Doctor, I am 25 years old, 174 cm tall, and weigh 63 kg. The night before, I consumed about two bowls of rice, two bowls of noodles, and lamb hot pot. After fasting for eight hours, I measured my blood glucose level using a glucometer and found it to be 1...
Dr. Li Jian Reply:
Another test is needed for confirmation. Please include a hemoglobin A1c test in the next blood draw for reference.[Read More] Am I at Risk for Prediabetes? Understanding Blood Sugar Levels
Understanding Persistent Right Lower Abdominal Pain in Seniors: Causes and Specialist Recommendations
Right lower abdominal pain? My grandmother was born in 1934 and is currently 76 years old. She has been experiencing chronic pain in her lower right abdomen. Recently, she was hospitalized due to a gastric ulcer and underwent both colonoscopy and gastroscopy. The results showed a...
Dr. Wu Jiyu Reply:
There are many potential causes for right lower abdominal pain, ranging from the gastrointestinal system to the urinary and reproductive systems. It is advisable to consult your original gastroenterologist for appropriate examinations or referrals (to urology or obstetrics and gy...[Read More] Understanding Persistent Right Lower Abdominal Pain in Seniors: Causes and Specialist Recommendations
Understanding Morning Blood Sugar Levels: Causes and Solutions
High morning blood sugar? My usual morning blood sugar levels are between 82-90 (I measure it regularly), but last night I went to bed late. This morning, my first reading was 91, and after taking a shower, my second reading was 106, which surprised me! After half an hour, my thi...
Dr. Lin Wufu Reply:
Hello: Blood sugar levels naturally fluctuate. A fasting blood sugar level below 126 mg/dL and a postprandial level below 200 mg/dL do not meet the criteria for diabetes. If you are concerned, you can check your HbA1c (glycated hemoglobin), which estimates the average blood sugar...[Read More] Understanding Morning Blood Sugar Levels: Causes and Solutions
Do Diabetic Patients with LDL Cholesterol of 113 Need Medication?
Should a diabetic patient with a low-density lipoprotein (LDL) cholesterol level of 113 be treated with medication? During my health check-up, I found that my glycated hemoglobin (HbA1c) was 6.7, total cholesterol was 185, and low-density lipoprotein (LDL) cholesterol was 123. Af...
Dr. Li Jian Reply:
If a diagnosis of diabetes is confirmed, according to international large-scale studies, lowering low-density lipoprotein (LDL) cholesterol to below 100 mg/dL can reduce the incidence of cardiovascular diseases. This is why the National Health Insurance Administration provides co...[Read More] Do Diabetic Patients with LDL Cholesterol of 113 Need Medication?
Understanding Hematospermia: Treatment Success and Ongoing Symptoms
The success of treatment for hematospermia (blood in semen) depends on the underlying cause. It is important to conduct a thorough evaluation, including a medical history, physical examination, and appropriate diagnostic tests? Hello Doctor, I discovered blood in my semen in mid-...
Dr. Hong Yuanbin Reply:
Hello, 1. It is possible that the metabolites of hemoglobin may still appear reddish-brown, but the fecal occult blood test will be negative. 2. It is recommended to refrain from masturbation and observe the color of the urine; usually, bleeding should stop within 2-3 weeks. I...[Read More] Understanding Hematospermia: Treatment Success and Ongoing Symptoms
Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Regarding the postprandial blood glucose test results in the United States indicating prediabetes? Hello Dr. Lee, I am approximately 169 cm tall and weighed 67.5 kg at the time of my examination on July 28. I have a history of ankylosing spondylitis (diagnosed in 2008) and am a ...
Dr. Li Jian Reply:
Glycated hemoglobin (HbA1c): A level of 5.8% is sufficient to diagnose prediabetes. HbA1c can be tested after meals, and a follow-up test can be conducted in three months.[Read More] Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Understanding Antinuclear Antibodies and Lupus: A Patient's Guide
Antinuclear antibodies in systemic lupus erythematosus? ANA: Speckled 1:640 HLA-B27: Negative E.S.R: 61 Basophils: 1.0 Eosinophils: 1.0 Hemoglobin (Hb): 11.9 Hematocrit (Hct): 36.1 Lymphocytes: 28.2 Mean Corpuscular Hemoglobin (MCH): 25.3 Mean Corpuscular Hemogl...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your question regarding elevated ANA and ESR levels indicates that it is essential to further investigate the cause of the elevated ANA. Additional tests may be necessary to confirm your diagnosis, and I recommend consulting a rheumatologist for...[Read More] Understanding Antinuclear Antibodies and Lupus: A Patient's Guide
Post-Exercise Dizziness: Causes and Solutions for Your Symptoms
Dizziness and discomfort after exercise? Hello Doctor, I exercise for at least 30 minutes to 1 hour every day. I usually go to bed before midnight and wake up at 7 AM. My exercise routine typically starts around 4 PM and mainly consists of aerobic exercises combined with simple b...
Dr. Hong Yuanbin Reply:
Based on your description, there are four possible conditions. First is orthostatic hypotension, which is characterized by a sudden drop in blood pressure when changing posture, leading to dizziness. This typically resolves with rest, and there is no specific treatment other than...[Read More] Post-Exercise Dizziness: Causes and Solutions for Your Symptoms
Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Fasting blood glucose is higher than postprandial blood glucose? Hello, Doctor. I have been experiencing elevated fasting blood glucose levels during my annual company health check-ups, typically ranging from 97 to 102 mg/dL. My postprandial blood glucose levels are around 92 to ...
Dr. Lin Wuxuan Reply:
Hello: Your fasting blood glucose level is elevated, which can generally be classified as Impaired Fasting Glucose (IFG). It is recommended to choose a diet with a low Glycemic Index (GI) to help improve your elevated fasting blood glucose levels. Additionally, you may want to co...[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Understanding Decreased Red and White Blood Cell Counts: What You Need to Know
Decreased red and white blood cell counts? Hello, I recently reviewed my previous health check-up reports from high school and college, which were three years apart. My red blood cell count decreased from 4.17 to 3.97, and my white blood cell count also decreased from 6.9 to 5.5....
Dr. Hong Yuanbin Reply:
Hello, based on your blood test report, both the changes in white blood cells and red blood cells are within normal ranges, so there is no need to worry about anemia. It is important to also consider the hemoglobin (Hb) levels to assess this condition. To improve your overall hea...[Read More] Understanding Decreased Red and White Blood Cell Counts: What You Need to Know
Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and Medication Effects
Blood report Hello Dr. Hong, about a month ago I had a blood test at the hospital. The results showed total cholesterol at 210, LDL cholesterol at 144, blood glucose at 105, hemoglobin A1c at 5.3, and potassium at 5.3. I checked the standard values online and found that they are ...
Dr. Hong Yuanbin Reply:
Hello, although your blood sugar is slightly elevated, your glycated hemoglobin is normal, so there should be no issue with diabetes. Your potassium level is slightly high, but if your kidney function is normal, it may be due to constipation or decreased excretion, which usually ...[Read More] Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and Medication Effects
Severe Stenosis or Occlusion of Femoral and Popliteal Arteries in Elderly
Severe stenosis or occlusion of the femoral artery and popliteal artery? Hello Doctor, my mother is 90 years old and accidentally fell while walking. She has been lying in bed for some time now and is currently experiencing coolness and pain in her lower limbs for the past 50 hou...
Dr. Hong Yuanbin Reply:
Hello, this condition is indeed a dilemma because the surgical risks are very high. Even if the surgery is successful, the wound may not heal well. However, if surgery is not performed, it is anticipated that the left leg will gradually deteriorate. Cell death can produce many to...[Read More] Severe Stenosis or Occlusion of Femoral and Popliteal Arteries in Elderly