Understanding Proteinuria: Should You See a Nephrologist?
Urinary protein Hello Doctor, during this year's employee health check, I found (+) urine protein and (+/-) occult blood. I have had similar test results in the past, but after several rechecks, they disappeared. However, I occasionally test positive again, and sometimes my ...
Dr. Yang Jun Reply:
Hello: In response to your question, the presence of proteinuria can be classified into functional proteinuria and pathological proteinuria. Functional proteinuria may occur due to urinary tract infections, fever, infections, or during a woman's menstrual period, and it typi...[Read More] Understanding Proteinuria: Should You See a Nephrologist?
Is Excess Protein Intake During Development Harmful? Understanding Foamy Urine
Protein Is excessive protein intake during the developmental stage harmful to the body if it causes foamy urine?
Dr. Yang Hongzhi Reply:
Hello: Consuming a higher amount of protein does not lead to proteinuria, and the presence of foam in urine does not indicate proteinuria.[Read More] Is Excess Protein Intake During Development Harmful? Understanding Foamy Urine
Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management
Type A globulin glomerulonephritis Hello Doctor, I have had microscopic hematuria for a year. Last year, I underwent examinations in the nephrology department, including blood tests, urine tests, and imaging X-rays. Aside from 4+ occult blood, I sometimes had proteinuria and some...
Dr. Yang Jun Reply:
Hello: In response to your question... Persistent microscopic hematuria and occasional proteinuria are indicative of glomerulonephritis. Generally, type A alpha globulin nephritis is more common. An IgA level of 380 is elevated, which further supports the high likelihood of type ...[Read More] Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management
Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Swelling of the fingers and toes? Hello Dr. Yang: My child is currently 14 years old and experienced swelling in the hands and feet (fingers and toes) around the age of 9, which was accompanied by pain. I forgot what the doctor said at that time. It occurred occasionally, but for...
Dr. Yang Jun Reply:
Hello: In response to your question... The possible causes of edema in the hands and feet, aside from kidney disease leading to proteinuria, include heart disease, liver disease, and metabolic disorders (such as hypothyroidism, etc.). It is recommended to visit a nephrologist for...[Read More] Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Understanding Frequent Urination and Kidney Pain: What You Need to Know
Regarding the kidneys? I have a question for the doctor. Right now, if I drink half a bottle or a full bottle of mineral water, I feel the urge to go to the bathroom in less than 20 to 30 minutes. I am experiencing frequent urination, which I didn't have before. Drinking bev...
Dr. Yang Jun Reply:
Hello: In response to your question, if you are experiencing frequent urination, it may be caused by a urinary tract infection. However, certain beverages with diuretic effects can also lead to frequent urination. If you notice foamy urine, it is important to consider the possibi...[Read More] Understanding Frequent Urination and Kidney Pain: What You Need to Know
Understanding Kidney Health: Interpreting Abnormal Urine Test Results
Renal pathology Hello Dr. Yang, I have been undergoing health check-ups for many years and frequently have abnormal results for urine occult blood (++) and urine protein (++). I have previously consulted a urologist, but there hasn't been much improvement. My blood urea nitr...
Dr. Yang Jun Reply:
Hello: In response to your question, the urine test shows the presence of proteinuria and hematuria, along with elevated kidney function indices (blood urea nitrogen and creatinine), indicating chronic renal failure. It is essential to consult a nephrologist for further evaluatio...[Read More] Understanding Kidney Health: Interpreting Abnormal Urine Test Results
Understanding Leg Indentation: Causes and When to Seek Medical Help
It will indent when pressed? Hello, doctor. My mother is 41 years old, weighs 60 kg, and is 165 cm tall. She has a history of chronic gastritis and allergic rhinitis, and she often suffers from migraines. In recent months, she has noticed that when she presses down on her calves,...
Dr. Chen Fuquan Reply:
Dear Mr. Ku, As you mentioned, your aunt has been experiencing noticeable edema in her lower legs and feelings of fatigue over the past few months. I have a few questions regarding her condition: 1. **Liver Issues**: Has your aunt been a carrier of Hepatitis B or C for many yea...[Read More] Understanding Leg Indentation: Causes and When to Seek Medical Help
Do I Have Diabetes Symptoms? Understanding Urine Bubbles and Health Concerns
Do I have symptoms of diabetes? Dear Doctor: I am a sophomore in college, and for the past three to four years, I have noticed that my urine often has bubbles, sometimes covering a large area in the toilet, and occasionally it is completely bubbly. This usually happens more in th...
Dr. Shi Guangzhong Reply:
Normal urine contains various nitrogenous waste products and minerals, and its concentration varies depending on individual hydration levels. The first urine in the morning is more likely to have bubbles, so it is normal for urine to appear bubbly. Moreover, since your health che...[Read More] Do I Have Diabetes Symptoms? Understanding Urine Bubbles and Health Concerns
Managing Kidney Failure: Tips for Reducing Creatinine and Frequent Urination
Renal failure Frequent urination at night, dry mouth, presence of protein in urine, BUN 40, creatinine 4.1. What measures can be taken to control the rise in creatinine levels and improve frequent urination and dry mouth? Currently taking Ketosteril (an amino acid supplement), is...
Dr. Yang Jun Reply:
Hello: In response to your question, it is noted that kidney function has deteriorated to the level of chronic kidney failure, which can lead to symptoms such as frequent urination, nocturia, and proteinuria. At this stage, it is essential to regularly follow up with a nephrologi...[Read More] Managing Kidney Failure: Tips for Reducing Creatinine and Frequent Urination
Understanding Occasional Back Pain and Urine Ketones in Young Patients
Occasional lower back pain? Hello, Director Yang. My daughter has disliked drinking plain water since she was little, which has led to some abnormalities found during her health check-ups. I would like your help in clarifying a few things. Her pH levels are slightly higher than t...
Dr. Yang Jun Reply:
Hello: In response to your question, the urine test indicated the presence of OB (+) and slightly elevated WBC, which may suggest a urinary tract infection, potentially causing fever. At this time, proteinuria may occur, but this type of proteinuria is referred to as "functi...[Read More] Understanding Occasional Back Pain and Urine Ketones in Young Patients
Understanding Chest Pain and Swallowing Difficulties in Kidney Patients
Chest tightness/pain and abnormal swallowing sensation? 1. I am a patient with horseshoe kidney, where my left kidney is connected to the right kidney. The symptoms I experience include hematuria, proteinuria, and stabbing pain in the left abdomen. After examination, I was diagno...
Dr. Yang Jun Reply:
Hello: In response to your question, the text describes that since last winter solstice, there have been three episodes of fainting accompanied by convulsions, which may indicate symptoms of epilepsy. It is essential to have a neurologist arrange for an electroencephalogram (EEG)...[Read More] Understanding Chest Pain and Swallowing Difficulties in Kidney Patients
Understanding Hematuria in Children: Concerns and Next Steps
Hematuria Dear Dr. Yang, Hello. In late December of 2002, my child, Xiaodi Zhan, discovered blood in his urine. He subsequently visited a teaching hospital where he underwent urinalysis, blood tests, and an ultrasound. The results indicated mild kidney inflammation, accompanied ...
Dr. Yang Jun Reply:
Hello: In response to your question, the text mentions that hematuria and mild proteinuria were discovered in December 2002 and have been monitored and treated. In general, when hematuria is found, nephrologists will first rule out the possibility of urinary tract stones or urolo...[Read More] Understanding Hematuria in Children: Concerns and Next Steps
Frequent Urination and Abdominal Pain: Possible Causes and Solutions
Frequent urination, abdominal pain? Hello Doctor: In the past one to two years, I have noticeably experienced an increase in the frequency of urination. Whenever I consume any liquid food or beverages, I need to use the restroom two to four times within one to two hours. Addition...
Dr. Yang Jun Reply:
Hello: In response to your question, the phenomenon of frequent urination mentioned in your message should first consider the possibility of a urinary tract infection. It is advisable to visit a nephrology clinic for examination to confirm the diagnosis. Regarding the issue of lo...[Read More] Frequent Urination and Abdominal Pain: Possible Causes and Solutions
Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions
Panic Hello, Doctor Yang. A few days ago, I had a health check-up and found my HB: 9.8, MCV: 76, HT: 34, MCH: 24.9. I later tested for thalassemia and iron deficiency anemia, but the results showed no thalassemia. However, the data regarding iron deficiency is quite strange... Ir...
Dr. Yang Jun Reply:
Hello: In response to your question, the reported HB is 9.8 and MCV is 76, which indicates microcytic anemia (normal MCV values range from 80-100). It is necessary to consider thalassemia and iron deficiency anemia. Subsequent tests ruled out thalassemia, and with a TIBC of 487 a...[Read More] Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions
Is Your Kidney Function at Risk? Understanding Health Check Results
Is there a problem with kidney function? Hello Dr. Yang, I would like to ask if my father's recent health check-up report indicates any issues with his kidney function. Does he need further testing? Blood Pressure: 140/100 mmHg Blood Urea Nitrogen (BUN): 26 mg/dL (norm...
Dr. Yang Jun Reply:
Hello: In response to your inquiry, your father's blood pressure is 140/100 mmHg, indicating elevated diastolic pressure. It is necessary to measure blood pressure multiple times to confirm whether he has hypertension. Although the blood urea nitrogen (BUN) level is above no...[Read More] Is Your Kidney Function at Risk? Understanding Health Check Results
Managing Diabetes: Risks of Poor Diet and Alcohol Consumption
Diabetes mellitus Hello Dr. Ke: I hope it's not too presumptuous to ask you a few questions. Question 1: My father has been suffering from diabetes for about a year and takes diabetes medication daily, but he hasn't been very careful with his diet and has a habit of dri...
Dr. Ke Zhengchang Reply:
The treatment for diabetes includes diet, medication, exercise, and a healthy lifestyle, along with monitoring blood glucose and other metabolic parameters. Simply taking medication is not sufficient; if dietary habits are not considered, blood glucose levels may remain poorly co...[Read More] Managing Diabetes: Risks of Poor Diet and Alcohol Consumption
What to Do If Your Urinalysis Shows Abnormal Results?
What should I do if the results of my urine test report are abnormal? In the health check report, the urine test results show the following abnormalities highlighted in red for the first time: PRO (protein) is +, OB (urine occult blood) is 3+, BIL (urine bilirubin) is +, and WBC ...
Dr. Yang Jun Reply:
Hello: In response to your question, the urinalysis indicated the presence of proteinuria, hematuria, and pyuria, which may be caused by hemorrhagic cystitis due to a lower urinary tract infection. If there are no symptoms of fever or flank pain, it suggests that the infection ha...[Read More] What to Do If Your Urinalysis Shows Abnormal Results?
Understanding Leg Indentation: Signs of Kidney Issues and Other Causes
The calf sinks when pressure is applied? Hello doctor, I have been feeling fatigued lately, and when I press down on my calves, they seem to indent as if it could be a sign of kidney disease. Are there other possible causes for this? Could you please provide some examples and sug...
Dr. Yang Jun Reply:
Hello: In response to your question, the document mentions that there is a pitting edema in the lower extremities, which is a manifestation of edema. There are many causes for lower extremity edema, including (1) kidney diseases - such as proteinuria or nephrotic syndrome. (2) He...[Read More] Understanding Leg Indentation: Signs of Kidney Issues and Other Causes
Understanding Moduretic: Effects, Concerns, and Patient Safety
Moduretic is a combination medication that contains amiloride and hydrochlorothiazide. It is primarily used to treat high blood pressure (hypertension) and Dear Director Yang, My mother is 72 years old and has osteoporosis, diabetes (with a blood sugar level of 130), hypertensio...
Dr. Yang Jun Reply:
Hello, in response to your inquiry regarding your mother, who is 72 years old and has diabetes, hypertension, and a long-term history of dizziness, currently being treated with a diuretic (Moduretic), here are the answers to your questions: 1. Diuretics are a class of medication...[Read More] Understanding Moduretic: Effects, Concerns, and Patient Safety
Sudden Weight Gain in Seniors: Causes and Concerns to Consider
Sudden weight gain..? Hello: My father is 60 years old, and his weight has usually been around 54 to 55 kilograms. However, in the past few days, his weight suddenly increased to 57 kilograms. Additionally, in the last couple of days, he has noticed some swelling under his eyes, ...
Dr. Zheng Shuxing Reply:
Hello! Weight gain and edema may have the following possibilities: 1. Kidney disease and proteinuria 2. Hyperaldosteronism 3. Side effects of steroids. Please advise him to go to a major hospital for examination. Best wishes for health, Dr. Cheng Shu-Hsiang, Infectious Disease De...[Read More] Sudden Weight Gain in Seniors: Causes and Concerns to Consider