Proteinuria, Internal Medicine FAQ

Understanding White Particles in Urine During Bowel Movements

excuse me? Hello Dr. Yang: I would like to ask about the small white objects that appear when I urinate and have a bowel movement at the same time. The size of these objects is about 0.5 cm or less. I would like to know what they are. When I only urinate, there are no white objec...

Dr. Yang Weishun Reply:
It is recommended that you perform a urine screening at least 5 to 7 days after your menstrual cycle ends to check for hematuria, proteinuria, or crystals. If the urine test results are normal, you may consider a stool screening, as your description does not clarify whether the s...

Understanding Rapid Creatinine Rise: Kidney Health Concerns

Kidney disease Hello, Doctor: In October 2009, my creatinine level was 1.1, and in September 2010, it increased to 1.3. Is my creatinine rising too quickly? Is there a problem with my kidneys? Thank you.

Dr. Wu Jiyu Reply:
A change in creatinine levels from 1.1 to 1.3 suggests that it is advisable to first determine if there are any underlying risk factors (such as hypertension, hyperglycemia, or hyperlipidemia). Following this, it is recommended to consult a nephrologist to check for any proteinur...

Understanding Elevated Creatinine Levels: Causes and Concerns

Creatinine issues? The health examination report indicates that there are no signs of hematuria or proteinuria, and the blood urea nitrogen level is normal. However, the creatinine level is 1.34 mg/dL. The doctor advised to follow up in three months. Given that I had surgery for ...

Dr. Yang Zhongwei Reply:
Most medical centers have a normal serum creatinine level up to 1.4 mg/dL. If urine tests show no proteinuria or hematuria and serum creatinine is less than 1.4 mg/dL, we consider kidney function to be normal. To assess whether both kidneys are functioning properly, an ultrasound...

Managing Kidney Health: Understanding Diet and Function in Patients

Kidney disease management Hello Dr. Yang, I have a smaller left kidney (congenital, not due to atrophy) and during winter, I experience high blood pressure, increased urination, and nocturia. After visiting the hospital for follow-up examinations, my kidney function has remaine...

Dr. Yang Zhongwei Reply:
Hello: 1. Frequent urination (is it the frequency or the volume?) and nocturia are not necessarily indicative of kidney problems; it is advisable to consult a urologist to examine the bladder. 2. There is currently insufficient evidence to determine the effectiveness of a low-pro...

Understanding Causes of Foamy Urine Beyond Proteinuria

In addition to proteinuria, other causes of foamy urine include dehydration, urinary tract infections, kidney disease, and the presence of excess sugar or fat in the urine? Hello, doctor. I have noticed bubbles in my urine for a while, but it's not present every time. Howeve...

Dr. Yang Weishun Reply:
Dear Schulman, The presence of foamy urine does not necessarily equate to proteinuria. If the foam dissipates after standing for a while, it may not indicate proteinuria. Typically, proteinuria is often present for most of the day, especially in the first morning urine, so colle...

Understanding Proteinuria: Causes, Concerns, and Kidney Health

Concerns about proteinuria? Hello, doctor. My brother recently had a urinalysis, which showed 2+ proteinuria. He had consumed a lot of high-protein foods before the test. The doctor advised him to return for follow-up after some time, and the results showed that both the urinalys...

Dr. Yang Zhongwei Reply:
Hello: 1. There is currently no clear answer regarding the direct relationship between high-protein foods and proteinuria. 2. Certain conditions can cause transient proteinuria, such as fever, intense exercise, or infections, but these usually resolve to normal. 3. Ultrasound is ...

Understanding Urine Color Changes After Acute Hepatitis: Kidney Health Concerns

Liver disease, urine, kidney issues? Hello Doctor, I am 28 years old. A month ago, I was in the acute phase of hepatitis B, with liver enzymes exceeding 2000, but they have now approached normal levels, with values of 40 and 60. I am currently taking Betaloc. My daily routine is ...

Dr. Yang Weishun Reply:
Dear Mr. TT, Indeed, the color of urine is related to the amount of water you drink and your urine output. In cases of diabetes insipidus, the urine output is often greater than the amount of water consumed, with at least 3000 cc of urine produced in a day being a consideration ...

Understanding Blood in Urine: Causes and Concerns for Kidney Health

Hematuria Hello Dr. Yang, I have been feeling like I have a slight fever these past few days, and I noticed that I have visible hematuria. It shouldn't be the new flu, right? My kidneys have not been in good condition; I have had hematuria (not visible) since childhood. Abou...

Dr. Yang Weishun Reply:
To confirm whether it is indeed IgA nephropathy, the most reliable method is to perform a kidney biopsy for diagnosis. IgA nephropathy can indeed present with visible hematuria following respiratory infections, but it is also possible to detect microscopic hematuria during asympt...

Concerns About Kidney Health: Understanding Atrophy and Function Tests

Concerned about needing dialysis? I underwent an ultrasound examination in 1999, which revealed left kidney atrophy. I have been having regular health check-ups every two years, and my left kidney measures approximately 6 centimeters. I have also had detailed examinations at a ma...

Dr. Yang Zhongwei Reply:
Hello: 1. A person only needs one normal kidney to manage bodily functions, so in your case, even though only the right kidney is functioning normally, your blood test results for kidney function and urinalysis are normal. 2. The presence of foam in the urine without proteinuria ...

Understanding Urine Test Results: Protein and Blood Levels Explained

Regarding urine reports? Dr. Yang: I would like to ask a few questions. I have been experiencing issues with proteinuria and hematuria for some time. Recently, I underwent a routine check-up, and the report showed: proteinuria at 1.85, but the physician there said the normal rang...

Dr. Yang Zhongwei Reply:
Hello: Currently, proteinuria refers to the detection of albumin in urine using a dipstick test, where a level exceeding the detectable limit of 30 mg/dL is indicated. If it exceeds this limit, it will be expressed as 1+ to 4+ or in numerical values. Regarding the values of 1.85 ...

Understanding Kidney Health: Tests, Symptoms, and Vitamin Concerns

Kidney problems Hello: 1. What tests should be performed to diagnose all types of kidney diseases? 2. My urine has foam and it takes a long time to dissipate. My parents say they also have foamy urine. Does foamy urine indicate the presence of proteinuria? 3. Is it true that ex...

Dr. Wang Weijie Reply:
The symptoms of primary kidney disease can be detected through urine screening. Urinalysis can reveal signs of kidney damage by checking for proteinuria, hematuria, red blood cells, white blood cells, and ketones. If you have concerns, you can visit relevant hospitals, clinics, o...

Does High Protein Intake Affect Urine Protein Tests?

Issues with consuming high-protein powder? Hello, doctor. I usually have a fitness routine and after working out, I consume high-protein supplements, about 100 grams of protein per day (I weigh 61 kg). I have a health check-up coming up and I would like to know if this will affec...

Dr. Yang Zhongwei Reply:
Hello: The average protein requirement is about 1.2 grams per kilogram of body weight per day. For a person weighing 60 kilograms, this amounts to approximately 70 grams of protein per day. In Taiwan, a normal three-meal diet typically provides sufficient protein. During exercise...

Preventing Dialysis: Key Causes and Health Tips for Kidney Care

How to prevent dialysis? 1. What are the causes of dialysis? 2. How can one maintain health to avoid the need for dialysis? 3. I have been using a nasal spray containing Oxymetazoline Hydrochloride for over two years. The pharmacist advised me to use it for six days and then ...

Dr. Yang Weishun Reply:
1. The most common chronic diseases include diabetes and hypertension, along with chronic glomerulonephritis, kidney stones, and urinary tract obstruction, among others. 2. It is important to monitor for hypertension or hyperglycemia, as well as the presence of proteinuria. Avo...

Long-Term Medication Use: Risks and Kidney Health Protection Tips

The effects of long-term medication use on the body? Hello: I have heard that long-term medication use may lead to dialysis. May I ask: 1. Is it true that long-term medication use can potentially lead to dialysis? 2. Besides dialysis, what other issues can long-term medication us...

Dr. Wang Weijie Reply:
Hello: Drug metabolism occurs through the liver and kidneys, which eliminate waste from the body. Why is long-term medication necessary? What types of medications are involved? The degree of impact varies. The misuse of antibiotics, pain relievers, and unverified traditional Chin...

Understanding Kidney Atrophy: Causes, Risks, and Diagnosis Explained

Renal atrophy I experienced lower back pain six months ago, and upon examining my kidneys, it was found that my left kidney measures 9 cm while my right kidney measures 12.2 cm. Both blood and urine tests were normal. The doctor was uncertain whether the left kidney atrophy was c...

Dr. Wang Weijie Reply:
Hello, the normal size of a kidney is approximately 10-12 centimeters, and its shape resembles that of a fava bean. Your left kidney is indeed smaller in size. Distinguishing whether this is due to congenital atrophy or acquired atrophy is quite challenging. It may be caused by c...

Can You Drink Milk with Proteinuria? Understanding Dietary Restrictions

Can I drink milk if I have proteinuria? Hello, doctor! I have kidney issues and have been hospitalized multiple times. Recently, several tests have shown proteinuria, and my urine often appears foamy like soap. I also frequently experience pain in my right lower back. Could you p...

Dr. Yang Zhongwei Reply:
Hello: The test conducted on your urine is for albumin, which should normally not be detectable in urine. If you consistently show proteinuria in your urine tests, it may indicate an issue with your renal glomeruli, and further examination is necessary. As for your lower back pai...

Unexplained Swelling in Legs: Causes and When to Seek Help

Unexplained edema? Hello, doctor: My mother is currently 51 years old and has a history of hypertension. She has been taking medication regularly to control her blood pressure. However, for the past two weeks, she has been experiencing swelling in both legs, and when pressed, the...

Dr. Yang Zhongwei Reply:
Hello! The main causes of bilateral leg edema include the following: 1. Renal origin: This includes nephrotic syndrome and chronic kidney failure. Urinalysis should be performed to check for proteinuria, and blood tests to assess kidney function are necessary. 2. Hepatic origin: ...

Understanding Diabetes: Navigating Family History and Health Concerns

Diabetes mellitus? Hello doctor, my family has a history of hereditary diabetes, and I had protein in my urine when I was younger. I visited various doctors until one time when I tested negative for protein in my urine and thought I was cured, so I stopped paying attention. Durin...

Dr. Xiao Yongxun Reply:
Hello: I would like to respond as follows: 1. According to the "Physical Classification Standards" published by the Ministry of National Defense on December 31, 2007, individuals diagnosed with diabetes are classified as unfit for military service. However, this diagno...

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. ...

Managing Proteinuria: Dietary Tips and Potassium Intake Guidance

Proteinuria Hello Doctor: Currently, kidney function is normal, but proteinuria is above 500, with 24-hour urine protein at 9 grams. Should potassium intake be reduced? Besides a low-sodium diet, what other dietary considerations should be taken into account?

Dr. Wu Jiyu Reply:
1. This is classified as nephrotic syndrome, and it is necessary to consult a nephrologist for treatment and medication management. 2. If the medication (such as steroids) is ineffective, a kidney biopsy should be considered to identify the underlying cause. 3. In terms of di...

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