Lower back, Internal Medicine FAQ

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...

Understanding Lymphedema in Dialysis Patients: Causes and Treatment Options

Lymphedema caused by dialysis? Hello Doctor: My father has a long history of dialysis due to a family history of hereditary diseases. As a result of the dialysis, he frequently experiences various side effects (such as weight loss, dizziness, low blood pressure, nausea, diarrhea,...

Dr. Wu Jiyu Reply:
Due to the lack of direct examination of the patient, it is difficult to distinguish what you refer to as "lymphedema" from the "general edema" seen in dialysis patients. If it is general edema in dialysis patients, enhancing dehydration should resolve the iss...

Understanding Abdominal Muscle Pain After Nausea: Causes and Remedies

Abdominal muscles Hello, today I suddenly experienced a dry heaving sensation after drinking water, and I’m not sure if it was too forceful. I felt a sharp, cramp-like pain in my abdomen, specifically near the right side of my navel, lasting about 10 seconds, although it subsided...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed due to vomiting that caused abdominal muscle strain. Applying a warm compress may provide some relief, and you can also use topical analgesic ointments from the rehabilitation department. Thank you for your inquiry.

Can Ankylosing Spondylitis Cause Stomach Pain? Exploring the Connection

Does ankylosing spondylitis accompany stomach pain? During my military service, I tested positive for a blood test and was diagnosed, but I haven't seen a specialist in this area for the past ten years. The pain I experience is located in the center of my lower back, along t...

Dr. Zeng Guosen Reply:
Hello, a positive HLA-B27 test does not necessarily indicate that you have ankylosing spondylitis. The most important factors for diagnosis are: 1. Do your symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not directly related to stomach pai...

Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection

Dr. Zeng Guosen Reply:
Hello, a positive HLA-B27 blood test does not necessarily indicate that you have ankylosing spondylitis. The most important factors for diagnosis are: 1. Do the symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not directly related to stomac...

Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection

Dr. Zeng Guosen Reply:
Hello, the presence of HLA-B27 positivity in a blood test does not necessarily indicate that one has ankylosing spondylitis. The most important factors for diagnosis are: 1. Do the symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not direct...

Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection

Dr. Zeng Guosen Reply:
Hello, having a positive HLA-B27 test does not necessarily mean you have ankylosing spondylitis. The most important factors for diagnosis are: 1. Do the symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not directly related to stomach pain, ...

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...

Understanding Bruises and Pain: When to See a Doctor

Please ask your question, doctor? Hello doctor, after taking a shower and drying off, I noticed some pain in my lower back. Upon inspection, I found some yellow-green discoloration that was a bit painful to touch, and there were also some purple spots that looked like small dots....

Dr. Hong Yuanbin Reply:
Based on your description and the photos, it is most likely a simple bruise, which may have occurred due to an accidental bump or strain. Typically, the body will heal itself over time, so there is no need for concern. As for the purpura you mentioned, it is a type of autoimmune ...

Understanding Left Side Waist Pain: Causes and When to Seek Help

There is a slight pain in the left side of the lower back? Hello doctor, for the past couple of days, I've experienced a sudden mild pain in the flesh above the bone on my left lower back near the waist. However, it has eased after I twisted my waist. My family says it might...

Dr. Hong Yuanbin Reply:
Hello, the appendix is located on the right side, so it is unlikely to be the left kidney. While acute kidney inflammation typically accompanies fever and urinary discomfort, based on your description, it seems you do not have these symptoms. The most likely speculation is a musc...

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 ...

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 ...

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...

Understanding SLE Symptoms: Low Fever, Fatigue, and Skin Issues

It seems like your message is incomplete. Could you please provide Hello, Doctor Gao. I am the one who inquired about SLE a week ago. Recently, I have been experiencing low-grade fevers, weakness, loss of appetite, and about ten oral ulcers. I have also noticed a few red spots, a...

Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The presence of a rash on the skin, along with mouth ulcers and a mild fever, may indicate disease activity. We do not solely rely on blood test results to assess whether a disease is active; clinical symptoms remain very important. Please sched...

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. ...

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...

Morning Back Pain: Causes and Solutions for a Better Start

Lower back pain upon waking up? I have been experiencing lower back pain after sleeping for a while. It improves somewhat after I stretch upon waking up. The pain radiates from the lumbar spine to the pelvis on both sides in a linear pattern, but it hasn't reached the lower ...

Dr. Hong Yuanbin Reply:
Hello, based on your description, the most likely issue is a musculoskeletal problem, possibly a strain or due to long-term poor posture. It is advisable to rest more. If the symptoms persist, it may be necessary to consider spinal issues, such as degenerative arthritis. You migh...

Understanding Right Lower Chest Pain: Possible Causes and Next Steps

There is a dull pain in the lower right area of the chest, and there is tenderness upon palpation? Hello Dr. Hong, Since May of last year, I have been experiencing a dull pain in the lower right side of my chest (approximately to the right of the xiphoid process) that lasts for...

Dr. Hong Yuanbin Reply:
Hello, the location you described is indeed at the junction of the heart, lungs, stomach, liver, gallbladder, and pancreas. Many diseases need to be considered. According to your description, the chest X-ray is normal, so the most likely issue is gastritis. It is recommended to f...

Understanding Muscle Soreness: Causes, Concerns, and Treatment Options

Muscle soreness Three weeks ago, I initially only had lower back pain, and then the following week, I started experiencing soreness in both thighs, which has continued until now. It's just soreness; there is no pain or weakness, and my lower back pain has resolved. I also vi...

Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based solely on the symptoms you described, it is difficult to provide a definitive answer. In making a differential diagnosis, we not only consider the symptoms described by the patient but also need to conduct a physical examination. However, ...

Could Your Symptoms Indicate Ankylosing Spondylitis?

What is the likelihood of ankylosing spondylitis? Hello, Doctor Gao. At the beginning of April this year, I woke up one day with pain and stiffness in my shoulders and neck, making it almost impossible to turn my head normally. This lasted for more than a week, but then it gradua...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. Based on your symptoms, the likelihood of you having ankylosing spondylitis is very low, so there is no need to worry; I believe your travel plans should not be affected. However, the issue of night sweats and fever still needs to be addressed....

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