Lower back pain, Internal Medicine FAQ - Page 7

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Understanding Viral Infections: Symptoms and What to Expect

Viral infection?! Hello, doctor. 1. I have been experiencing diarrhea since this morning, with about 4 to 5 episodes by noon. 2. I have vomited 3 times (only drank a sip of water and about 100 c.c. of milk). 3. I have lower back pain, calf soreness, and overall weakness. 4. ...


Dr. Cai Zonglong Reply:
Hello, based on your symptoms, it is indeed possible that you have a viral infection. However, it is important to consider the issues and symptoms that occurred prior to the diarrhea. If it was caused by contaminated food, then it is likely a viral infection; otherwise, there cou...

[Read More] Understanding Viral Infections: Symptoms and What to Expect


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 and Treating Seronegative Spondyloarthritis: Symptoms and Management

How to treat "seronegative spondyloarthritis"? Hello, how is "seronegative spondyloarthritis" treated? What are the symptoms? Is it incurable, and will the condition worsen over time? Thank you!


Dr. Zeng Guosen Reply:
Hello: Seronegative spondyloarthritis is an autoimmune disease that cannot be cured but can be managed. Most cases are well-controlled without significant long-term sequelae. Symptoms include lower back pain, lower limb arthritis, iritis, and some may have mucocutaneous lesions. ...

[Read More] Understanding and Treating Seronegative Spondyloarthritis: Symptoms and Management


Understanding Acute Pyelonephritis: Symptoms, Recovery, and Follow-Up Care

Acute pyelonephritis Hello Doctor: At the beginning of the month, I was hospitalized for six days due to an unexplained fever reaching 40 degrees Celsius, diagnosed as "acute pyelonephritis." A few days after discharge, I started experiencing mild nasal discharge, throa...


Dr. Yang Jun Reply:
Hello: In response to your question, you were hospitalized for acute pyelonephritis and after discharge, you must continue taking antibiotics for 10-14 days to ensure complete treatment. During this period, urine screening tests should be conducted to confirm the treatment outcom...

[Read More] Understanding Acute Pyelonephritis: Symptoms, Recovery, and Follow-Up Care


Understanding Left Back Pain: When to See a Doctor and Which Specialist?

excuse me? Hello doctor, I have a slight pain in the middle of my left back. It doesn't hurt as much when I take a deep breath, but it's difficult to breathe when I sit up straight. I've never experienced this before. Should I see a doctor? If so, which specialty s...


Dr. Zhao Chongliang Reply:
We usually categorize back pain into upper, middle, and lower regions, and I'm not sure which segment you are referring to. Back pain is often considered the "original sin" of bipedalism in humans, as the vertebrae and intervertebral discs of most vertebrate animal...

[Read More] Understanding Left Back Pain: When to See a Doctor and Which Specialist?


Understanding Frequent Urination and Kidney Issues: Causes and Treatments

excuse me? Hello Doctor: Last year, I felt unwell and took medication for nearly a year. Later, I experienced frequent urination, soreness in my lower back and abdomen, and my stomach has also become enlarged. A traditional Chinese medicine practitioner diagnosed me with left kid...


Dr. Chen Jingwen Reply:
In response to your letter, both the traditional Chinese medicine practitioner and you may believe that after taking medication for a year, you have harmed your kidneys, resulting in kidney disease. It is recommended to first visit an internal medicine outpatient clinic. A detail...

[Read More] Understanding Frequent Urination and Kidney Issues: Causes and Treatments


Understanding Occasional Back Pain and Urine Ketones in Young Patients

Occasional lower back pain? Hello, Director Yang. My daughter has disliked drinking plain water since she was little, which has led to some abnormalities found during her health check-ups. I would like your help in clarifying a few things. Her pH levels are slightly higher than t...


Dr. Yang Jun Reply:
Hello: In response to your question, the urine test indicated the presence of OB (+) and slightly elevated WBC, which may suggest a urinary tract infection, potentially causing fever. At this time, proteinuria may occur, but this type of proteinuria is referred to as "functi...

[Read More] Understanding Occasional Back Pain and Urine Ketones in Young Patients


Understanding Hematuria in Children: Concerns and Next Steps

Hematuria Dear Dr. Yang, Hello. In late December of 2002, my child, Xiaodi Zhan, discovered blood in his urine. He subsequently visited a teaching hospital where he underwent urinalysis, blood tests, and an ultrasound. The results indicated mild kidney inflammation, accompanied ...


Dr. Yang Jun Reply:
Hello: In response to your question, the text mentions that hematuria and mild proteinuria were discovered in December 2002 and have been monitored and treated. In general, when hematuria is found, nephrologists will first rule out the possibility of urinary tract stones or urolo...

[Read More] Understanding Hematuria in Children: Concerns and Next Steps


Could My Symptoms Indicate Chronic Prostatitis?

Is it possible that I have chronic prostatitis? My symptoms include lower back pain, decreased memory, lack of motivation, sluggish thinking, frequent urination, and increased anxiety. I masturbate 1 to 2 times a week; could this be the cause? What should I do now? It seems that ...


Dr. Jiang Wenzhi Reply:
The above symptoms should not be related to masturbation.

[Read More] Could My Symptoms Indicate Chronic Prostatitis?


Understanding Kidney Pain: Causes and Concerns for Your Health

Kidney issues? Hello Dr. Yang: I've been experiencing a dull ache around my right kidney area for the past few days. Is there something wrong with my kidney?


Dr. Yang Jun Reply:
Hello: In response to your question, the causes of the right flank pain that has persisted for several days may include the following: 1. Kidney diseases: Most people would first consider potential kidney issues, including renal or urinary tract stones, acute pyelonephritis, and,...

[Read More] Understanding Kidney Pain: Causes and Concerns for Your Health


Understanding Lower Back Pain and Urinary Symptoms: Possible Kidney Issues

Lower back pain? I have been experiencing severe lower back pain for the past week, along with unusual pain below the right rib cage. Additionally, I have been experiencing frequent urination at night; typically, I only wake up once to use the restroom, but recently I have been g...


Dr. Zhao Chongliang Reply:
Common causes of a burning sensation during urination include urinary tract infections, bladder stones, and diabetic autonomic neuropathy. Urinary tract infections encompass urethritis and acute cystitis (including honeymoon cystitis) among other infections. Diabetic autonomic ne...

[Read More] Understanding Lower Back Pain and Urinary Symptoms: Possible Kidney Issues


Managing Lower Back Pain After Kidney Stone and Infection

Low back pain Hello, I had kidney stones 5 years ago. On September 29, 2003, I had an outpatient visit at a hospital in Taipei due to persistent pain in the lower right back. There were no stones found, but there was inflammation and infection. What should I do about this? Thank ...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Urinary tract stones can cause lower back pain, hematuria, or associated infections; in severe cases, they can lead to hydronephrosis or renal dysfunction. Therefore, it is advisable to consult a urologist for examination and treatment if ...

[Read More] Managing Lower Back Pain After Kidney Stone and Infection


Understanding Abdominal Discomfort: Causes and Concerns

Abdominal discomfort? An ultrasound showed a 1.8 cm cyst on the right side and a 0.4 x 0.6 cm stone on the left side. There is a sensation of cramping pain, which occurs infrequently and occasionally. Could this be a neuromuscular issue? Is it normal to experience pain upon press...


Dr. Yang Jun Reply:
Hello: In response to your question, the ultrasound examination of the kidneys revealed the presence of cysts and stones, which occasionally cause sharp pain in the lower back. Renal cysts are generally benign and do not cause pain unless they become enlarged or rupture, which ma...

[Read More] Understanding Abdominal Discomfort: Causes and Concerns


Chronic Fatigue and Digestive Issues: Seeking Medical Guidance

Still feeling fatigued..? I would like to ask: I have the following conditions: 1. I feel very tired every day, even though I sleep for 8 hours, I still feel exhausted. 2. I have chronic bad breath and dry mouth (very little saliva production). 3. My bowel movements are irregular...


Dr. Yang Hongzhi Reply:
Hello, due to the presence of various non-specific symptoms, the likelihood of having a specific medical condition that explains all the symptoms is not very high. You have also undergone some tests that did not reveal any issues. It may be necessary to consult a physician again ...

[Read More] Chronic Fatigue and Digestive Issues: Seeking Medical Guidance


Understanding Coccydynia: Causes, Symptoms, and Treatment Options

Coccydynia (tailbone pain) Hello, two years ago I experienced wrist pain and consulted a doctor, suspecting rheumatoid arthritis (I live in Australia). I intermittently took medication and stopped, and one day it suddenly got better. Recently, I have been waking up in the morning...


Dr. Zeng Guosen Reply:
Isolated wrist pain cannot be diagnosed as rheumatoid arthritis (RA). It is important to observe for symptoms such as swelling, pain, and heat in the joints (arthritis), particularly if multiple joints are involved symmetrically in both hands. If morning stiffness in the hand joi...

[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options


Understanding Drug Allergies: Risks, Resources, and Common Medications

Not found? I'm looking for information related to deaths caused by drug allergies or strokes induced by medications. Could you recommend comprehensive books or websites for this research? Additionally, what types of medications are most likely to cause allergic reactions in ...


Dr. Zeng Guosen Reply:
Hello: 1. Regarding data on drug allergies that can lead to death or stroke, bookstores or websites may not provide detailed or comprehensive information; only professional textbooks might offer more complete and thorough insights. I recommend a book: "Davies' Textboo...

[Read More] Understanding Drug Allergies: Risks, Resources, and Common Medications


Is Your Kidney Inflamed? Understanding Proteinuria and Back Pain

Is it a kidney inflammation? Recently, I underwent a health check-up and found that I have proteinuria and hematuria. I usually experience lower back pain and my diet tends to be high in salt and flavor.


Dr. Li Huixiong Reply:
I recommend that you redo the urine test. When collecting the urine, remember to first void a small amount and then collect the midstream urine for testing. This method provides more valuable reference data and makes it easier to determine if there is any inflammation. Otherwise,...

[Read More] Is Your Kidney Inflamed? Understanding Proteinuria and Back Pain


How to Distinguish Between Kidney Pain and Lower Back Pain?

Kidney pain? Lower back pain? How can I differentiate between kidney pain and back pain? Sometimes I experience pain on one side, and my urine has small bubbles that do not dissipate! I have had an ultrasound, but the doctor couldn't find anything specific and only mentioned...


Dr. Ke Zhengchang Reply:
Hello Lili: If there is kidney inflammation, routine urine tests typically show an increase in white blood cells and red blood cells. If the urine is normal, lower back pain is mostly caused by muscle strain or fascia inflammation. If you have any questions, please consult a urol...

[Read More] How to Distinguish Between Kidney Pain and Lower Back Pain?


Unexplained Symptoms: Understanding Cold and Hot Flashes, Back Pain, and Weakness

Unexplained symptoms Intermittent chills and fever, lower back pain, and weakness in the limbs.


Dr. Ke Zhengchang Reply:
Hello Lulu: There is a high likelihood that your symptoms indicate a urinary tract infection (pyelonephritis). You need to go to the hospital for a urine test and treatment. (Please consult a urologist.)

[Read More] Unexplained Symptoms: Understanding Cold and Hot Flashes, Back Pain, and Weakness


Understanding Shogren's Syndrome: Symptoms, Diagnosis, and Treatment Options

What is Shy-Drager syndrome? My mother has been experiencing gastrointestinal discomfort for over ten years, with frequent abdominal pain and diarrhea. Doctors believe she has colonic dysmotility and have also mentioned irritable bowel syndrome. In recent years, she has been diag...


Dr. Ke Zhengchang Reply:
Hello Ms. Tsai: Sjögren's syndrome is an autoimmune disease characterized by symptoms such as chronic dry eyes, dry mouth, keratoconjunctivitis, and difficulty swallowing (due to reduced saliva), as well as bilateral parotid gland enlargement. It often coexists with other au...

[Read More] Understanding Shogren's Syndrome: Symptoms, Diagnosis, and Treatment Options


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