Understanding Urinary Tract Infections and Associated Back Pain
Urinary tract infection and subsequent lower back pain? Due to a urinary tract infection, I have been undergoing medication treatment for 12 days. The first 10 days included three medications: Paran (Panadol), Ikodin, and Urogen. However, since the treatment effects were limited,...
Dr. Hong Yuanbin Reply:
Hello, it's difficult to say that lower back pain is definitely due to a kidney infection, as muscle strains can also cause back pain. This aspect requires a physician's direct assessment for a more accurate diagnosis. If a urinary tract infection is accompanied by bact...[Read More] Understanding Urinary Tract Infections and Associated Back Pain
Sudden Back Pain and Nausea: When to Seek Medical Help?
Sudden lower back pain accompanied by nausea? Hello doctor, I urgently need advice. My girlfriend woke up that morning with lower back pain and discomfort. When she got to work, she started vomiting and even vomited blood. Later, she felt like she had a fever. At that moment, she...
Dr. Xie Rongyuan Reply:
Hello: If you have symptoms such as fever, lower back pain, and vomiting blood, you should go to the emergency room immediately to determine the cause. Thank you for your message![Read More] Sudden Back Pain and Nausea: When to Seek Medical Help?
Understanding Cloudy Urine: When to Seek Medical Advice
Urinary issues Hello, I would like to ask if it is normal for my morning urine to be cloudy for a period of time. A few days ago, I had a routine check-up (with a morning urine sample), and the results showed yellow, cloudy urine with a pH of 8.5. I went for further urine testing...
Dr. Hong Yuanbin Reply:
Hello, when you mention cloudy urine, are you referring to a darker color or the presence of suspended particles and sediment? If it's a darker color, along with your urine test report, it suggests that you may be dehydrated, leading to concentrated urine. I recommend increa...[Read More] Understanding Cloudy Urine: When to Seek Medical Advice
Does Rheumatoid Arthritis Affect CEA Levels in Blood Tests?
Does rheumatoid arthritis affect CEA? Hello, my mother experienced lower back pain and underwent an ultrasound in the nephrology department, which revealed a shadow on her liver. A blood test was then arranged, and her CEA level was found to be 1119, which is extremely high. Howe...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Psoriatic arthritis should not affect CEA levels. It is recommended to investigate the reasons for the elevated levels, particularly concerning the gastrointestinal tract. This is from the Department of Allergy, Immunology, and Rheumatology at C...[Read More] Does Rheumatoid Arthritis Affect CEA Levels in Blood Tests?
Understanding Atypical Symptoms of Ankylosing Spondylitis in Young Adults
I am not sure if it is truly ankylosing spondylitis? Hello Doctor, my son is currently 19 years old and has been diagnosed with ankylosing spondylitis at Chang Gung Memorial Hospital for over two years. Initially, he only experienced pain in the sacroiliac joint in his buttocks, ...
Dr. Zeng Guosen Reply:
The symptoms described by the user, such as experiencing pain in the lower back when leaning backward (but not when bending forward), are not typical of ankylosing spondylitis. There is no morning stiffness, no increased pain upon waking, and no relief after daytime activities, w...[Read More] Understanding Atypical Symptoms of Ankylosing Spondylitis in Young Adults
Should My Son Continue Taking Pain Relievers for Ankylosing Spondylitis?
I'm not sure whether to continue taking anti-inflammatory pain relievers? Hello Doctor, my son is currently 19 years old and has been diagnosed with ankylosing spondylitis for over two years. His only symptom has been pain in the sacroiliac joint in his buttocks. At the onse...
Dr. Zeng Guosen Reply:
1) If ESR/CRP levels are normal and symptoms are stable, pain medication may not be necessary, but regular monitoring of ESR/CRP and X-rays is required. 2) Ankylosing spondylitis typically begins by affecting the sacroiliac joints, and approximately half of the patients will expe...[Read More] Should My Son Continue Taking Pain Relievers for Ankylosing Spondylitis?
Managing Medication Changes for Ankylosing Spondylitis: A Patient's Journey
How to switch medications? Hello Doctor, my son is currently 19 years old and has been diagnosed with ankylosing spondylitis for 2 years. His only symptom is pain in the sacroiliac joint. At the onset of the disease, he took one tablet of Voltaren (60 mg) daily for a month, but i...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Since my child started taking 2 Salazopyrin and 1 Methotrexate daily, his CRP has significantly decreased to 0.2 mg/dL, which was previously unattainable even with 2 Sulfasalazine daily (although his ESR occasionally...[Read More] Managing Medication Changes for Ankylosing Spondylitis: A Patient's Journey
Managing Chronic Health Issues Before Military Service: A Guide
Pre-enlistment Consultation Hello, doctor. I have been seeing various doctors since middle school. My symptoms include pain around the joints at night, sometimes accompanied by redness and swelling, headaches, dizziness, and low-grade fevers (around 37 to 37.9 degrees Celsius, wh...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I recommend discussing your situation with your attending physician to assess whether you meet the criteria for a change in position. If you do, please ask them to issue a medical certificate, which you can then use to apply for a military re-ex...[Read More] Managing Chronic Health Issues Before Military Service: A Guide
Understanding Lower Back Pain and Hand Numbness: Causes and Solutions
Lower back pain with hand numbness? Hello, I have been experiencing a dull pain in my left lower back since Tuesday. At night, whether I sleep on my side or on my back, I feel pain, but it is less when I lie on my right side. Additionally, I have mild numbness in my left hand. Wh...
Dr. He Yonghe Reply:
Hello, please go to the internal medicine department for an examination.[Read More] Understanding Lower Back Pain and Hand Numbness: Causes and Solutions
Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More
Allergy / Dizziness / Lower back pain / Difficulty urinating Hello Doctor, I received the AZ vaccine at the beginning of August, and I did not experience significant side effects during the process. However, in mid-September, I developed an allergic reaction on my palms and the t...
Dr. Lin Wuxuan Reply:
Hello: Based on the symptoms you described, since your discomfort occurred at least 4-5 weeks after the vaccination, it is less likely to be a side effect of the COVID-19 vaccine. The symptoms that began in October are more likely related to a urinary tract infection, so it is re...[Read More] Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More
Understanding Cushing's Syndrome: Symptoms and Diagnosis Insights
Cushing's syndrome endocrine disorder Hello, doctor. For the past month, I have not had my period. My face appears round, and I have what seems to be "buffalo hump" at my collarbone. My mood has become depressed and irritable. My hands have become dry and even crac...
Dr. Lin Jianliang Reply:
Hello: It is recommended to visit a hospital for evaluation and examination by a physician. A diagnosis can only be made after a thorough consultation and examination; one should not rely solely on personal subjective feelings to make a diagnosis.[Read More] Understanding Cushing's Syndrome: Symptoms and Diagnosis Insights
Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Sought medical attention due to rapid heartbeat? Due to experiencing a rapid heartbeat and occasional lower back pain, a series of tests were conducted. Initially, it was thought to be a heart issue, but later it was found that the blood CR(B) level is 1.04, uric acid is 7.8, cho...
Dr. Wu Jiyu Reply:
Based on the data you provided, a serum creatinine level of 1.04 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range, and there is no need to worry about dialysis. As for your elevated uric acid and cholesterol levels...[Read More] Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Managing Lower Back Pain: Tips Beyond Exercise for Relief
Back problems I have been experiencing soreness in my lower back, which I believe is related to not exercising my back muscles and spending long periods lying in bed. 1. Could it be that the prolonged bed rest and lack of back exercises have led to muscle weakening, resulting in ...
Dr. Zeng Guosen Reply:
Hello, there are many reasons for back pain. It's important to identify the underlying issue before addressing it. I recommend visiting a rehabilitation or orthopedic specialist for an evaluation. After the assessment, further steps can be determined. Thank you for your ques...[Read More] Managing Lower Back Pain: Tips Beyond Exercise for Relief
Understanding Side Pain: Kidney Issues or Muscle Strain?
Two questions? Hello, Doctor. I would like to ask about some symptoms I experienced after waking up yesterday. I feel a slight pain on both sides of my lower back, and I'm wondering if this could indicate a kidney issue or if it's more likely related to muscle strain. I...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the lower back pain is likely caused by a muscle strain in the lumbar region, which is usually due to improper posture. It is uncertain whether it is related to masturbation, but it should not be related to kidney stones. I recommend allowing you...[Read More] Understanding Side Pain: Kidney Issues or Muscle Strain?
Unexplained Right Side Discomfort: Muscle Strain or Appendicitis?
Strange sensation in the right side of the waist? Doctor, when I try to sit up in bed, I suddenly feel a twitching sensation on my right side of the waist. It doesn't really hurt, but now I have a bit of soreness from the right side of my waist to the back. Could this just b...
Dr. Hong Yuanbin Reply:
Hello, appendicitis typically causes pain in the lower right abdomen, and it can be painful even when lying flat. It is often accompanied by feelings of nausea. Based on your description, it does not seem to be another possibility, which is a urinary tract infection combined with...[Read More] Unexplained Right Side Discomfort: Muscle Strain or Appendicitis?
Understanding Unexplained Fever: Insights and Recommendations for Patients
Consultation for Fever of Unknown Origin Hello, doctor. Recently, from the beginning of this month until now, I have measured my ear temperature to be between 37.1 and 38.5 degrees Celsius (my usual ear temperature is around 36 to 36.2 degrees). At the beginning of the month, I v...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding body temperature, different devices and measurement sites can yield varying results. It is advisable to refer to the baseline values provided by the device (usually found in the user manual). Body temperature should be assessed in relation to these baseline ...[Read More] Understanding Unexplained Fever: Insights and Recommendations for Patients
Could I Be at Risk for Lupus? Understanding Symptoms and Prevention
Could it be systemic lupus erythematosus? Hello Doctor, I recently caught a cold, which has lowered my immune system, and I started developing small red spots on my body, about a third the size of a mung bean. I have two on the side of my nose, one on my knee, one on my calf, and...
Dr. Hong Yuanbin Reply:
Hello, the typical rash associated with systemic lupus erythematosus (SLE) is indeed the butterfly rash. Based on your description of the small red spots, it is more likely to be folliculitis. However, skin issues usually require a visual examination for accurate diagnosis, so I ...[Read More] Could I Be at Risk for Lupus? Understanding Symptoms and Prevention
Understanding Renal Ptosis: Causes, Effects, and Management Strategies
Nephroptosis (floating kidney) Hello, doctor. I would like to ask about my mother, who underwent surgery about six years ago to remove a large hepatic cyst. She has been having regular abdominal ultrasounds for follow-up every year. Recently, the doctor mentioned that she may hav...
Dr. Ke Taiyuan Reply:
Floating kidney is more commonly seen in individuals who are slender or have experienced rapid weight loss. Common symptoms include lower back pain. If symptoms are present, a support belt can be used to stabilize the kidney in a higher position. It is recommended to lie down wit...[Read More] Understanding Renal Ptosis: Causes, Effects, and Management Strategies
Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Sjögren's syndrome, articular cartilage Hello, Director Gao! I have several symptoms and I'm unsure if they are related to an autoimmune disease. 1. My dentist informed me that my mouth is very dry. This condition has persisted for at least three years, especially dur...
Dr. Gao Jiankai Reply:
Hello, I apologize for the late response. I believe your symptoms are indeed related to Sjögren's syndrome, including dry eyes, dry mouth, thyroid dysfunction, cough, and generalized body aches, even lower back pain, which may all be associated with Sjögren's syndrome. ...[Read More] Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Frequent Urination, Dry Throat, and Chills: Understanding Your Symptoms
Frequent urination, dry throat, and feeling cold? Hello: Since last night, I have been experiencing frequent urination (approximately every half hour). Although I feel the urge to urinate, the volume is not significant, and the urine is clear. This morning, I started to feel dryn...
Dr. Hong Yuanbin Reply:
Based on your description, it is likely that you have a urinary tract infection. Given the accompanying lower back pain, there is a high possibility of a urinary tract infection combined with acute pyelonephritis. It is recommended to drink plenty of water, rest, and maintain a r...[Read More] Frequent Urination, Dry Throat, and Chills: Understanding Your Symptoms