Lower back, Internal Medicine FAQ

Understanding Left Abdominal and Back Pain: Possible Kidney Issues?

Low back pain Since last week, I have been experiencing mild bloating and pain in my left abdomen. Due to a long history of gastrointestinal issues, I initially thought it was related to my digestive system. However, the pain has now extended to my left flank and lower back, acco...

Dr. Yao Quan Reply:
Dear Mr. Kay77 329X, Hello. The dull pain and tightness from the left lower back to the posterior waist may be indicative of a musculoskeletal disorder; however, renal or other urinary tract issues cannot be ruled out. Therefore, it would be appropriate to consult specialists in...

Signs of Kidney Issues: Understanding Symptoms and Early Warnings

Are there any issues with the kidneys? Recently, I've been feeling pain in the middle of my back on the left side, and my dark circles under the eyes have become more pronounced and unnatural. A friend mentioned that this might be concerning, so I would like to know what ear...

Dr. Wang Weijie Reply:
Early screening for kidney disease can be determined through urine tests to check for proteinuria, hematuria, and glucose in the urine. The most common cause of lower back pain is poor posture, followed by conditions that may cause back pain, such as kidney stones or infections. ...

Understanding Frequent Urination: When to See a Urologist or Nephrologist

Frequent urination Hello Doctor: Recently, I have been going to the bathroom every 40-60 minutes. Sometimes I experience pain in my left lower back. I drink very little water, but after urinating, I still feel the urge to urinate, yet I cannot. Generally, the volume of urine is n...

Dr. Wu Jiyu Reply:
1. Either urology or nephrology is acceptable. 2. Generally, a urinalysis is required first to check for inflammation or stones. 3. Additionally, a renal ultrasound examination can be arranged.

Understanding Persistent Health Issues: Seeking Answers for Common Symptoms

Many questions, please take the time to clarify, thank you! I am 29 years old, 165 cm tall, and weigh 50 kg. In recent years, I have frequently experienced the following symptoms: 1. I suffer from insomnia and vivid dreams every day, with poor sleep quality. Despite feeling ver...

Dr. Yang Hongzhi Reply:
Hello: Based on your symptoms, it is difficult to determine if there is any specific disease. Generally, when FT4 is elevated, TSH tends to decrease; your results are atypical and may warrant further monitoring. ANA is an indicator of autoimmune diseases, and a positive reaction ...

Understanding High Uric Acid Levels: Causes, Treatments, and Lifestyle Tips

Regarding the issue of high uric acid levels? I would like to consult a doctor. I have a condition of elevated uric acid levels, with values between 11 and 12. Is the normal value 7? I discovered this issue three years ago when I suddenly experienced severe lower back pain and wa...

Dr. Wang Weijie Reply:
Hello, Ayou: The uric acid level should be maintained below 7.0 mg/dL. The most common sites affected by gout are the joints, particularly the interphalangeal and metatarsophalangeal joints (especially the big toe). During an acute attack, colchicine is typically administered alo...

Understanding Right Side Abdominal Pain: Causes and Solutions

The location of my pain is 20 centimeters to the right of the navel? The area of pain is located 20 centimeters to the right of the navel (waist size 31 inches, weight 61 kg) in the lower back. I have been experiencing this for 10 months. I underwent acupuncture with traditional ...

Dr. Yao Quan Reply:
Mr. Jeff: Hello. You have been experiencing right-sided lower back pain for the past 10 months, and despite treatment from both traditional Chinese medicine and Western medicine (rehabilitation and orthopedic specialists), it has not been completely resolved. Based on your sympto...

Effective Remedies for Persistent Lower Back Pain: When to Seek Help

Lower back pain? Hello. This morning when I woke up, I felt some soreness in my back and lower back. The symptoms persisted until I finished work. By around 10 PM, the soreness in my lower back turned into pain. Any position I tried caused unbearable pain. The lower back pain pre...

Dr. Wang Weijie Reply:
There are many causes of lower back pain. It is recommended that you first consult a urologist or nephrologist to determine if there are any issues with the urinary system. If it is confirmed that there are no problems with the urinary system, you may then see an orthopedic speci...

Understanding Lower Back Pain: Is It a Kidney Issue?

Lower back pain? Hello Dr. Wang: My husband has been experiencing frequent lower back pain. Could this indicate a problem with his kidneys or kidney inflammation? Thank you, Dr. Wang.

Dr. Wang Weijie Reply:
1. To determine whether there is kidney inflammation or infection, a urine test is necessary to check for the presence of white blood cells and bacteria. 2. Common causes of lower back pain include poor posture, which accounts for 85% of cases, while other possible causes include...

Understanding Sleep Disruptions: Is Your Kidney Health at Risk?

Lower back pain causing difficulty sleeping? Hello Doctor: In the past year, when I sleep on my right side at night, I often wake up around 3-4 AM due to a strong urge to urinate and lower back pain. Each time, the volume of urine is quite large, over 500cc. After waking up, I fr...

Dr. Wu Jiyu Reply:
Check/Precautions: 1. Please monitor your blood pressure first. 2. Then arrange for urine and kidney function tests. 3. Lower back pain, aside from the kidneys (such as infections or stones), is often due to inflammation of the muscles and tendons alongside the spine, and may not...

Understanding Kidney Stones: Symptoms, Pain Relief, and Hydration Tips

Kidney problems Hello doctor, during a recent health check, I discovered that I have two kidney stones in my right kidney. After examination, it was determined that these stones were caused by my childhood habit of not drinking enough water. The doctor advised that surgery is not...

Dr. Wu Jiyu Reply:
Hello: First, it is important to confirm whether the pain is caused by kidney stones. "Gently tapping the lower back can elicit severe pain"—this symptom is very similar to pain caused by kidney stones; additionally, a kidney infection can also cause lower back pain. Se...

Persistent Back Pain at Night: Possible Causes and Solutions

Persistent back pain during sleep at night? Hello, Doctor. I have been troubled by back pain for a long time. Since one night in May of last year, I have been waking up with back pain, which occurs only at night while I sleep. The pain is located between my shoulders and lower ba...

Dr. Zeng Guosen Reply:
There are many causes of back pain, and it is not possible to determine the true reason from your email content. If ankylosing spondylitis is suspected, you should see a rheumatologist for an "HLA-B27" blood test and an X-ray of the sacroiliac joints in the lower back f...

Which Specialist to See for Abdominal Swelling and Discomfort?

Should I see a general internist or a urologist? I have had a slight swelling in the area just above my left reproductive organ since middle school when I exert myself, but it hasn't interfered with my daily life, so I didn't pay much attention to it. Now that I am 26, ...

Dr. Lin Mingfeng Reply:
Based on the described symptoms, it may be a hernia. It is recommended to first consult a urologist.

Understanding Low Platelet Count: Causes, Treatments, and Concerns

A low platelet count, confirmed by bone marrow examination, indicates a viral infection? Hello Doctor: On December 27, 2006, I visited a dermatologist due to purple spots and some bruising on my body. The doctor suggested that I go to the hospital for a blood test, suspecting tha...

Dr. Liao Zhongxin Reply:
Dear readers, 1. Regarding the low platelet count and accompanying purpura and bruising observed on December 27, 1995, common causes include liver dysfunction (cirrhosis), kidney dysfunction (dialysis), infections (viral infections, such as upper respiratory infections), hematol...

Managing Small Kidney Stones: What You Need to Know

Questions about kidney stones? Hello Doctor, I would like to ask about the two kidney stones measuring 0.25 cm that were discovered during my company's health check last week. I would like to know how I should proceed with this. I'm feeling a bit worried. Thank you.

Dr. Wu Jiyu Reply:
First, check if you have any symptoms such as lower back pain, hematuria, or urinary tract infection (fever, chills, frequent urination, or painful urination). If you do, you should consult a urologist. If not, based on the size of your stone (0.25 cm) and your age (20-39 years),...

Understanding Fatigue and Lower Back Pain: Causes and Solutions

(Worried about) lower back pain and easy fatigue? Recently, I have been feeling easily fatigued and experiencing some lower back pain. What could be the cause of this? I am quite worried and would appreciate the doctor's insight. Thank you!

Dr. Yao Quan Reply:
Hello: The issue of easy fatigue can be considered from many angles. It may be due to high work stress, anxiety, or a diagnosis of chronic fatigue syndrome. If there are physical abnormalities, it is advisable to check for diseases related to the liver, heart, or endocrine system...

Understanding Left Side Lower Back Pain: Causes and Solutions

Left lumbar region Doctor, I have been experiencing pain in the upper left side of my lower back for some time now, especially when riding my motorcycle or sitting. Previously, I would have pain in my back or lower back, but now it is only the left side that feels a dull ache tha...

Dr. Wu Jiyu Reply:
Regarding left-sided lower back pain, most people tend to think it is a kidney issue. However, after examination, it is often found to be merely inflammation of the muscles or tendons. It is recommended that you visit a nephrology clinic to arrange for urine tests and ultrasound ...

Understanding Left-Sided Lower Back Pain: Possible Kidney Issues?

Lower back pain? I have pain on the left side of my lower back extending at a 45-degree angle to my spine. I feel soreness in certain positions, but the right side is fine. Recently, I noticed some swelling. Four months ago, I had a record of high protein in my urine. I would lik...

Dr. Wang Weijie Reply:
Hello: To determine if there is kidney disease, a urinalysis can provide the necessary information. The cause of low back pain is often related to poor posture, resulting in neuromuscular pain. Correcting posture and the use of analgesics can lead to improvement. Another cause is...

Understanding Lipomas: When to Worry About Pain and New Growths

Lipoma There is a pre-existing lipoma on the left posterior side of the lower back, approximately 2 cm in diameter, which has been present for over a decade. It causes slight pain when compressed, but its size has remained unchanged, and its color is normal skin tone. In the past...

Dr. Cai Yaozhou Reply:
Lipomas are quite common benign tumors located in the subcutaneous tissue, composed of fat. Typically, lipomas are surrounded by a thin fibrous capsule that separates them from the surrounding normal tissue. However, sometimes this fibrous layer may be absent, making it difficult...

Can Allergic Purpura Appear on Thighs? Symptoms and Treatment Insights

Purpura can appear on the thighs? Hello, doctor. I would like to ask if allergic purpura can appear on the thighs and the inner thighs? The symptoms are as follows: occasional abdominal pain, lower back pain, and knee pain when walking. The spots are painful when pressed. Will th...

Dr. Yao Quan Reply:
Hello, Miss Sandy. Allergic purpura primarily appears on the lower extremities and can occur on the thighs. Some patients may also have purpura on the trunk. The following photo is from the British Journal of Dermatology, 149(6):1282-5, December 2003. Allergic purpura is a type o...

Understanding Itchy Coccyx and Groin: Causes and Solutions

Itching in the coccygeal area and the groin? Hello Doctor: In the past two weeks, I have experienced intense itching in the area of my coccyx and on both sides of my groin. There is no redness, swelling, or any signs of rash or insect bites. Sometimes the itching extends from the...

Dr. Wang Fangli Reply:
It is most likely localized urticaria, which is an allergic reaction. It can be treated with oral antihistamines for 5-7 days, followed by observation. God bless you, Jesus loves you.

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