Lower back, Internal Medicine FAQ - Page 5

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Understanding Left-Sided Lower Back Pain: Causes and Next Steps

Left posterior flank pain? Hello Doctor: Recently, I have not been feeling well and have been experiencing physical and mental tension. Two weeks ago, I had a four-day episode of head pressure and dizziness (migraine), and I occasionally feel my heart racing. I visited an ENT spe...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the previous symptoms were indeed more indicative of a cold. However, considering the recent situation, it is highly suspected that you may have a urinary tract stone. I recommend that you consult a urologist, as you may need to undergo a urinaly...

[Read More] Understanding Left-Sided Lower Back Pain: Causes and Next Steps


Is Vasculitis Serious? Understanding Risks and Implications for Young Patients

Is vasculitis serious? I previously experienced frequent lower back pain and visited a rheumatologist who mentioned it was similar to ankylosing spondylitis. Later, due to other health issues, I underwent blood tests again, and the doctor diagnosed me with vasculitis. He mentione...


Dr. Zeng Guosen Reply:
Hello, it seems that you have a positive result for cold agglutinin IgM (1+), which is abnormal. There are many types of vasculitis, and the severity depends on the symptoms and the extent of organ involvement. It is advisable to seek medical attention for a comprehensive underst...

[Read More] Is Vasculitis Serious? Understanding Risks and Implications for Young Patients


Understanding Proteinuria: Kidney Health Concerns and Symptoms

Kidney proteinuria Hello, doctor. I have some questions I would like to ask you. Question 1: This week, I observed that my urine has a lot of bubbles and appears cloudy after each bathroom visit. I also experience pain in both sides of my lower back. Could this indicate protein...


Dr. Wu Hongjie Reply:
1. The presence of bubbles in urine does not necessarily indicate the presence of urinary albumin; actual conditions should be confirmed through testing. 2. To assess kidney function, it is essential to conduct relevant kidney function tests (creatinine, blood urea nitrogen, he...

[Read More] Understanding Proteinuria: Kidney Health Concerns and Symptoms


Is Morning Stiffness Always a Sign of Arthritis? Understanding the Causes

Is morning stiffness always caused by arthritis? Hello, Doctor Gao. Recently, over the past week or two, I've suddenly noticed that when I wake up in the morning (this has happened for three consecutive days, but also occurred once or twice last week), my hand joints feel st...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. The definition of morning stiffness is joint stiffness and pain lasting more than one hour. Therefore, if your morning joint stiffness lasts only 5 minutes, it does not meet the criteria for morning stiffness. However, even if your morning join...

[Read More] Is Morning Stiffness Always a Sign of Arthritis? Understanding the Causes


Understanding Sacroiliitis: Symptoms, Diagnosis, and Management Options

Sacroiliitis Hello Dr. Tseng, I have been experiencing symptoms for about three to four years now. I have loved playing basketball since elementary school, and I still do. I had grade II vesicoureteral reflux around the fourth grade, so I thought my lower back pain was due to spo...


Dr. Zeng Guosen Reply:
There are many reasons for back pain. A CT scan shows sacroiliitis and elevated inflammatory markers, so it is recommended to consult a rheumatologist for differential diagnosis. The physician should provide further recommendations. Thank you for your question.

[Read More] Understanding Sacroiliitis: Symptoms, Diagnosis, and Management Options


Understanding Ankylosing Spondylitis: Is It Considered a Major Disability?

Is ankylosing spondylitis considered a major illness or disability? Hello, doctor. I am a female patient with ankylosing spondylitis (AS), diagnosed 12 years ago in my first year of high school. Both prolonged standing and sitting exacerbate my discomfort, and my lower back pain ...


Dr. Zeng Guosen Reply:
1. Major illnesses are defined by specific diagnoses, and ankylosing spondylitis is not included, regardless of severity. 2. Disability is determined by the degree of functional impairment, regardless of the diagnosis. If ankylosing spondylitis affects spinal fusion and limits m...

[Read More] Understanding Ankylosing Spondylitis: Is It Considered a Major Disability?


Lower Back Pain After Flu Vaccine: Is It a Side Effect?

Experiencing lower back pain after receiving the flu vaccine? Hello doctor, I received the flu vaccine on Friday afternoon, and since then my lower back has been very sore. Is this a side effect of the vaccine? I need to take care of my child, and especially after sitting in the ...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question "<Is back pain after receiving the flu vaccine a side effect of the vaccine?>", here is the response: I. Please refer to the CDC's Q&A: http://www.cdc.gov.tw/qa.aspx? Q1: Is the flu vaccine safe? What side effects m...

[Read More] Lower Back Pain After Flu Vaccine: Is It a Side Effect?


Understanding Kidney Issues: Insights on Recovery and Dietary Considerations

Kidney problems Hello, my sister is 29 years old and has a history of refractory epilepsy for 23 years, is a carrier of hepatitis B, and has been diagnosed with schizophrenia for 2 years. She was hospitalized on July 31 due to cellulitis and developed sepsis, requiring intubation...


Dr. Wu Jiyu Reply:
Based on the data you provided, this condition is classified as "acute kidney injury," which may be caused by cellulitis complicated by sepsis. The key point is that as the infection is brought under control, your kidney function will gradually improve. It is recommende...

[Read More] Understanding Kidney Issues: Insights on Recovery and Dietary Considerations


Assessing Potential Kidney or Spleen Injury After a Back Impact

Impact injury to the left lower back? Hello Doctor: Today while playing with friends, one of them accidentally hit my left lower back with a pillow quite hard (although the pillow is relatively soft). At that moment, there was swelling on my left lower back due to the zipper on t...


Dr. Xiao Yongxun Reply:
Dear Mr. Q: 1. Given the left lower back pain due to external impact, it is indeed necessary to consider potential injuries to the kidneys, spleen, mesentery, ureters, intestines, and other related structures. 2. In your case, although there is a skin wound, the absence of hemat...

[Read More] Assessing Potential Kidney or Spleen Injury After a Back Impact


Understanding Abdominal Pain and Lower Back Discomfort: Causes and Solutions

Abdominal pain and lower back pain? Hello, doctor! Recently, I have been experiencing abdominal pain that feels like nerve pain for two consecutive weeks, and my lower back is extremely sore. At first, during the first week, I thought it was a strain from exercising and stretchin...


Dr. Xiao Yongxun Reply:
Dear Miss Troubles: There are many common causes of lower abdominal pain, including acute appendicitis, ectopic pregnancy, hernia, hip joint diseases, inflammatory bowel disease, ischemic bowel disease, mesenteric lymphadenitis, terminal ileitis, ovarian torsion, diverticulitis,...

[Read More] Understanding Abdominal Pain and Lower Back Discomfort: Causes and Solutions


Is It Kidney Pain or Lower Back Pain? Understanding Your Symptoms

Is it kidney pain or lower back pain? Hello doctor, this morning when I got up, I noticed pain in my right lower back, specifically in the right posterior area. I don't feel any pain when standing up, but it hurts when I intentionally twist my waist. Could this be related to...


Dr. Hong Yuanbin Reply:
A relatively simple way to differentiate is that if it is kidney inflammation, there will likely be pain regardless of the position, and it may be accompanied by symptoms such as fever and burning during urination. Based on your description, it seems more likely to be muscle sore...

[Read More] Is It Kidney Pain or Lower Back Pain? Understanding Your Symptoms


Understanding Back Pain and Elevated Creatinine Levels: Causes and Solutions

Lower back pain and blood tests? Hello Doctor: Recently, I have been experiencing persistent soreness in my right lower back, especially when I wake up, which tends to be particularly painful. The soreness usually lasts for a whole morning or even an entire day, but sometimes I d...


Dr. Hong Yuanbin Reply:
Hello, with right flank pain combined with elevated creatinine levels, the first thing to rule out is right kidney stones or obstruction. It is recommended to visit a family medicine or urology department for X-rays or ultrasound confirmation. If kidney tests are normal, another ...

[Read More] Understanding Back Pain and Elevated Creatinine Levels: Causes and Solutions


Chest Tightness and Mid-Back Pain: Understanding Symptoms and Causes

Chest tightness and mid-back pain? Symptoms: Chest tightness and pain, mid-back pain, which is relieved for about 2 hours after running, but then the pain returns. Duration: Six months or even longer. Examination: 1. Chest X-ray normal, compared with last year's film from Au...


Dr. Hong Yuanbin Reply:
Based on your description, it seems less likely to be caused by a tumor. If the rheumatology and immunology department has already evaluated you, there is a higher chance of inflammation in the bones or muscles. It is recommended that you consult an orthopedic specialist or a fam...

[Read More] Chest Tightness and Mid-Back Pain: Understanding Symptoms and Causes


Understanding Ankylosing Spondylitis: Diagnosis and Treatment Options

Medications for Ankylosing Spondylitis Currently, I have pain in the middle back extending to the chest (not lower back pain), which is localized to the left side and has not improved for several months. I went to a large hospital for an examination, and the X-ray results indicat...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. 1. Being gene-negative does not rule out ankylosing spondylitis. The diagnosis of ankylosing spondylitis relies heavily on clinical symptoms and X-ray findings; the presence or absence of the gene is only an auxiliary diagnostic tool. Proper ...

[Read More] Understanding Ankylosing Spondylitis: Diagnosis and Treatment Options


Understanding Increased Urination: Is It Normal After Hydration?

Experiencing a quick urge to urinate after drinking water, along with a total urine output that exceeds the amount of water consumed, can indicate a condition known as polyuria. This may be associated with various factors, including diabetes mellitus, excessive fluid intake, or c...


Dr. Wang Weijie Reply:
Hello, 1. Fluid intake includes both the water content in food and the amount of water consumed. Relying solely on water intake can lead to inaccuracies; it is advisable to check the specific gravity of urine and the presence of proteinuria to assess hydration status. 2. What...

[Read More] Understanding Increased Urination: Is It Normal After Hydration?


Understanding Abdominal and Lower Back Pain: Kidney Health Concerns

Pain around the abdomen and waist? Hello doctor, I have been experiencing a dull pain in my abdomen lately, which has affected my sleep quality. I also feel a lot of stress, and occasionally I experience soreness in my lower back. The first urine in the morning is foamy, with som...


Dr. Lin Peifeng Reply:
Dear Mr. Avi: Hello, regarding the issue you raised, we recommend that you visit the outpatient clinic for an examination. Hualien Hospital, Ministry of Health and Welfare, cares about you.

[Read More] Understanding Abdominal and Lower Back Pain: Kidney Health Concerns


Understanding Right Kidney Pain: Causes and Concerns for Patients

Kidney problems Hello, Doctor Wu. I would like to ask, around noon today, I experienced pain in my right kidney. It hurts when I squat down and when I get back up. My job involves standing and squatting to pick things up. In mid-February of this year, the clinic conducted blood a...


Dr. Wu Hongjie Reply:
Hello: There are many issues related to lower back pain that can be referenced in the attached document or addressed at a hospital. Wishing you safety from bothersome back pain. In the United States, back pain is the second most common reason for seeking medical attention in inte...

[Read More] Understanding Right Kidney Pain: Causes and Concerns for Patients


Understanding Left-Sided Lower Back Pain: Causes and Remedies

Left-sided lower back pain? Hello doctor, recently when I wake up and get out of bed, I notice that my lower back is very sore and feels warm. The pain is on one side, and I've been rubbing it to try to relieve the soreness, which has caused a slight swelling. I usually work...


Dr. Zeng Guosen Reply:
A netizen has experienced acute back pain for two days. Possible issues could stem from the internal organs, kidneys, urinary system, spine, or soft tissues in the back. Simply sitting for too long should not cause swelling or warmth. It is recommended to seek medical attention f...

[Read More] Understanding Left-Sided Lower Back Pain: Causes and Remedies


Understanding Inflammatory Back Pain: Is It Ankylosing Spondylitis?

Ankylosing Spondylitis Hello doctor, about a week ago I suddenly experienced a sharp pain in my lower back, similar to a strain. Moving my back causes pain, but after a day or two, the pain only occurs at night when I get up to use the bathroom and in the morning when I wake up. ...


Dr. Zeng Guosen Reply:
Hello, the condition you mentioned, ankylosing spondylitis, is classified as chronic inflammatory back pain. Since it has only been occurring for about a week, I recommend monitoring the situation. If the symptoms do not improve or worsen, it would be advisable to see a doctor. A...

[Read More] Understanding Inflammatory Back Pain: Is It Ankylosing Spondylitis?


Is Right Lower Back Pain Linked to Kidney Issues?

Is the frequent soreness in the lower right back and right flank related to the kidneys? Hello Doctor: In the past two months, I have frequently felt soreness in my right lower back and right flank, especially after standing for about half an hour, when the discomfort becomes mor...


Dr. Wu Hongjie Reply:
Based on your symptoms, it seems that issues related to the muscles and joints in the lower back are the most likely cause. However, to rule out other problems, I recommend that you visit a hospital for further evaluation. Attached is an article for your reference. Wishing you go...

[Read More] Is Right Lower Back Pain Linked to Kidney Issues?


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