Understanding Abnormal Urine Protein Levels: Kidney Health Insights
Abnormal urine protein test? Hello, doctor. Three months ago, an ultrasound examination revealed that I have kidney stones, all measuring less than 0.5 cm. At that time, the doctor prescribed potassium citrate (K citrate), with a dosage of two tablets in the morning and two in th...
Dr. Lin Wuxuan Reply:
Chronic kidney disease (CKD) is defined as kidney damage lasting for more than three months, resulting in structural or functional abnormalities that cannot return to normal. Whether a condition qualifies as CKD must be determined by a specialist based on your glomerular filtrati...[Read More] Understanding Abnormal Urine Protein Levels: Kidney Health Insights
Understanding Kidney Function Tests: What Your Results Mean
Kidney function tests Hello doctor, I had a health check-up in September 2023, and the results showed a urine specific gravity of 1.002, a uric acid level of 8.5, a blood urea nitrogen (BUN) of 6.5, a creatinine level of 0.88, a uric acid (UA) of 4.3, and an estimated glomerular ...
Dr. Yan Qitai Reply:
Hello, if your kidney function index is within the normal range and there is no proteinuria, there currently appears to be no evidence of kidney disease. It is recommended to monitor your condition or consult a nephrologist for further evaluation.[Read More] Understanding Kidney Function Tests: What Your Results Mean
Understanding Kidney Function: GFR, Proteinuria, and Health Concerns
Glomerular filtration rate and urinary protein issues? I am currently 42 years old and would like to inquire about some health concerns. I had a health check-up last October, and during this year's company health screening, I noticed that some values have significantly dropp...
Dr. Li Jian Reply:
Regarding the issues of proteinuria and glomerular filtration rate, please consult a nephrologist for further evaluation. Thank you for your inquiry.[Read More] Understanding Kidney Function: GFR, Proteinuria, and Health Concerns
Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics
Glomerular filtration rate (GFR) Hello Dr. Chang, I am a diabetes patient. Recently, my blood test report showed the following: estimated glomerular filtration rate (eGFR): 143, creatinine: 0.65, urine microalbumin-to-creatinine ratio: 84, urine occult blood: 1+. Is a higher glom...
Dr. Zhang Shixin Reply:
Hello: 1. Regarding the glomerular filtration rate, if your blood pressure and blood sugar are well-controlled, it is recommended to monitor the trends. 2. Diabetic nephropathy is usually accompanied by proteinuria; therefore, maintaining stable blood sugar and blood pressure is ...[Read More] Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics
Understanding Proteinuria: What Your Kidney Health Tests Mean
Proteinuria testing Hello Doctor, I am 22 years old. Recently, I underwent a health check-up, and the report indicated that my glomerular filtration rate (GFR) is around 83. Is this a bit low for my age? Can drinking more water and exercising help restore it to above 100? I also ...
Dr. Zhang Shixin Reply:
Good morning! The definition of chronic kidney disease (CKD) is a glomerular filtration rate (eGFR) of less than 60 mL/min for more than three months, or the presence of proteinuria, hematuria, or structural abnormalities of the kidneys. Your eGFR is greater than 60, and there is...[Read More] Understanding Proteinuria: What Your Kidney Health Tests Mean
Understanding Kidney Health: Concerns About eGFR and Bilirubin Levels
Kidney-related issues? Hello Doctor, I recently felt inspired to undergo a health check-up, and after receiving the results, I am a bit concerned. My estimated Glomerular Filtration Rate (eGFR) is only 81.25, but my urine protein level is negative (<30). I have been monitoring...
Dr. Zhang Shixin Reply:
Hello, the definition of chronic kidney disease (CKD) is a glomerular filtration rate (eGFR) of less than 60 mL/min for more than three months, or the presence of proteinuria, hematuria, or structural abnormalities of the kidneys. Your eGFR is greater than 60 and there is no prot...[Read More] Understanding Kidney Health: Concerns About eGFR and Bilirubin Levels
Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained
Renal dysfunction Hello Doctor: I would like to ask about my recent health check report. My serum creatinine is 1.35, urine creatinine is 110.76, glomerular filtration rate (GFR) is 62.53, hemoglobin A1c is 5.4, fasting blood glucose is 90, uric acid is 7.2, urine protein is 9, a...
Dr. Lin Wuxuan Reply:
Urine or blood tests can determine the presence of hematuria, proteinuria, or any abnormalities in kidney function, which is typically assessed using the glomerular filtration rate (GFR). It is recommended that you bring your test results to a nephrology outpatient clinic at a re...[Read More] Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained
Managing Lupus-Related Kidney Disease: Symptoms, Treatments, and Lifestyle Tips
Systemic lupus erythematosus complicated by class IV lupus nephritis? My husband was diagnosed with systemic lupus erythematosus (SLE) and developed class IV lupus nephritis after a biopsy last October. The rheumatologist recommended hospitalization for treatment. Initially, he h...
Dr. Lin Wuxuan Reply:
Please follow the medical advice provided. If new symptoms or other concerns arise, please return for consultation with the attending physician in the Rheumatology and Immunology department. Thank you.[Read More] Managing Lupus-Related Kidney Disease: Symptoms, Treatments, and Lifestyle Tips
Understanding Proteinuria: Does Position Affect Foamy Urine?
Proteinuria issues? Hello doctor, can you please tell me if foamy urine caused by proteinuria occurs regardless of whether one is urinating while standing or sitting? Or is it that sitting down to urinate does not produce foam?
Dr. Li Jian Reply:
Proteinuria is not related to posture. Thank you for your inquiry.[Read More] Understanding Proteinuria: Does Position Affect Foamy Urine?
Understanding Positive Urinary Protein: When to Seek Further Evaluation
Urinary protein issue? Hello Dr. Huang, I recently underwent a general health check-up, which included blood and urine tests. When I received the report, the nurse mentioned that everything was normal, but I noticed that my urine protein was positive at 1+, while all other result...
Dr. Huang Yaoxuan Reply:
Hello, a urine protein result of 1+ does not necessarily indicate a problem. If you are concerned, you may want to schedule an appointment with a nephrologist (remember to bring your health check report). Additionally, postural proteinuria is a condition where "normal indivi...[Read More] Understanding Positive Urinary Protein: When to Seek Further Evaluation
Understanding SLE: Symptoms, Diagnosis, and Treatment Options
SLE (Systemic Lupus Erythematosus) Hello, Director Gao. I am 33 years old and have been experiencing various illnesses and unexplained pains over the past few years, but no cause has been identified. I have also consulted a psychiatrist and taken medication without improvement (s...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. A slight fever can still be concerning, and I recommend visiting a rheumatologist. Based on the information you provided, it is not possible to confirm whether there is an issue with your immune system, so it would be best for a physician to exa...[Read More] Understanding SLE: Symptoms, Diagnosis, and Treatment Options
Understanding Kidney Function Decline in Healthy Aging Adults
Kidney problems Hello, doctor. I have come to inquire about some related issues that my friends and family have been experiencing. The patient is a 55-year-old female who maintains a healthy diet (primarily whole foods, with minimal intake of refined, high-sugar, and high-fat foo...
Dr. Wu Hongjie Reply:
eGFR 60-70, with no proteinuria, kidney function decline may be attributed to age factors. A low-phosphorus diet currently benefits those in stage 3 (GFR < 60) and it remains inconclusive whether implementing it earlier has advantages.[Read More] Understanding Kidney Function Decline in Healthy Aging Adults
Understanding Glomerular Filtration Rate and Hematuria Changes in Kidney Health
The glomerulus and occult blood? Hello, doctor. I would like to ask about a glomerular filtration rate (GFR) of 64.6, with the standard being greater than 60. Two years ago, it was 84. Does this indicate a decline in kidney function? Additionally, the urine occult blood test has ...
Dr. Wu Hongjie Reply:
Occult blood testing is different from hematuria; it may be caused by recent infections, kidney stones, medications, or excessive exercise. The filtration rate can vary with fluid intake, renal function deterioration, and increased body weight. It is advisable to assess the prese...[Read More] Understanding Glomerular Filtration Rate and Hematuria Changes in Kidney Health
Understanding the Link Between Creatinine Levels and Hypertension Management
Hypertension and Elevated Creatinine Levels Dear Dr. Lin, Last December, my serum creatinine level was 0.78 mg/dL, with a glomerular filtration rate (GFR) of 122.6 mL/min. I weighed 64 kg and was 170 cm tall. This October, my serum creatinine increased to 0.9 mg/dL, and my micro...
Dr. Lin Wuxuan Reply:
Please take the medication as prescribed and follow up regularly. If you have any concerns, it is advisable to schedule an earlier consultation. Thank you.[Read More] Understanding the Link Between Creatinine Levels and Hypertension Management
Understanding Foamy Urine: Causes, Concerns, and Kidney Health
Foamy urine issue Hello, Doctor: For the past month or so, I have noticed small bubbles in my urine (sometimes a whole patch when it's severe), most of which disperse and disappear within five minutes, but sometimes a little bit remains for a long time. Additionally, I have ...
Dr. Huang Yaoxuan Reply:
Hello Ms. Huang: The normal value for urinary protein is less than or equal to 150 mg per day. The report for urinary protein can be presented in two ways: one is as a concentration value, such as 100 mg/dL, and the other is as a number of "+" signs, such as "2+&qu...[Read More] Understanding Foamy Urine: Causes, Concerns, and Kidney Health
Understanding Kidney Function: The Impact of Heavy Lifting on Creatinine Levels
Renal dysfunction and proteinuria issues? In March, I underwent a medical examination due to my job (lifting heavy objects) and was found to have proteinuria (500 mg/dL), a glomerular filtration rate (GFR) of 50 mL/min, and a creatinine level of 1.6 mg/dL. I have been receiving t...
Dr. Lin Wuxuan Reply:
It is recommended to consult your attending physician during your follow-up appointment. Thank you.[Read More] Understanding Kidney Function: The Impact of Heavy Lifting on Creatinine Levels
Understanding Proteinuria: When to Worry About Kidney Health
Response: Second diagnosis of kidney issues (proteinuria)? Hello, Doctor. I previously asked about the issue of suspected proteinuria, and your response was that vaccination and infections can trigger the production of antibodies to protect against foreign viral invasion. Antibod...
Dr. Wu Hongjie Reply:
Yes, wishing you health and safety.[Read More] Understanding Proteinuria: When to Worry About Kidney Health
Scleroderma and Microalbuminuria: Understanding the Connection and Next Steps
Scleroderma and Urinary Microalbumin Hello, in April of this year, I went to the rheumatology and immunology department due to hand pain and found the following abnormalities: ANA 1:160 (AC-10) Nucleolar punctate, Anti-Scl-70 16 (-) reference value (120 au/ml), Anti-Sm 9 (-), Ant...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The results from your rheumatology examination are mostly negative, with some results falling into a gray area, making it indeed difficult to draw conclusions based on the current test results. The diagnosis of scleroderma can sometimes be confi...[Read More] Scleroderma and Microalbuminuria: Understanding the Connection and Next Steps
Concerns About Kidney Health After Second Diagnosis: Understanding Proteinuria
Second diagnosis of kidney issues (proteinuria)? Hello, doctor. I was diagnosed for the second time about two weeks ago (one year after my first diagnosis). Although I tested negative by the fifth day, I noticed that I have been experiencing foamy urine since then. I found some a...
Dr. Wu Hongjie Reply:
Glomerular filtration rate (GFR) increased from 108 to 112, both within the normal range, showing no signs of sudden impairment. Vaccination and infections can trigger the production of antibodies to protect against foreign viral invasions. Antibodies are a type of protein, and i...[Read More] Concerns About Kidney Health After Second Diagnosis: Understanding Proteinuria
Understanding Kidney Issues: Insights on Proteinuria and Cysts
Kidney problems Hello, Doctor! Last year, I visited the hospital due to a urinary tract infection. After reviewing my urinalysis report, the urologist indicated that my proteinuria was elevated and recommended follow-up with a nephrologist. Since then, I have had five urinalysis ...
Dr. Wu Hongjie Reply:
Question 1: With normal urine and blood reports but abnormal ultrasound indicating bilateral parenchymal kidney disease, does this indicate Stage 1 CKD or has kidney function already been gradually impaired? (The physician only mentioned to return in six months for urine testing ...[Read More] Understanding Kidney Issues: Insights on Proteinuria and Cysts