Managing Fluctuating Creatinine Levels: Causes and Solutions
What should be done if creatinine levels fluctuate and increase over a short period? In January 2020, the urea nitrogen level was 0.88, in July 2020 it was 1.22, in January 2021 it was 1.14, in February 2021 it was 0.98, and in April 2021 it was 1.26. There was foamy urine, but t...
Dr. Wu Jiyu Reply:
Based on the data you provided, the calculated e-GFR (estimated Glomerular Filtration Rate) values are 95, 66, 70, 84, and 63, which indeed show some variation. Recommendations are as follows: 1. If there is no proteinuria, a low-protein diet is not necessary at this time, but a ...[Read More] Managing Fluctuating Creatinine Levels: Causes and Solutions
Can You Take Supplements with Proteinuria? A Guide for Kidney Health
Can I take this health supplement if I have protein in my urine? I have a proteinuria issue, and three months ago my test showed 4XX. Six months ago, my kidney function tests showed a creatinine level of 1.02 and an eGFR of 89.4. Is this vitamin supplement suitable for me? Supp...
Dr. Su Zhehong Reply:
Yes, do not exceed one tablet per day. Nutrient supplementation is possible if there is a deficiency, but currently, there is no evidence indicating that supplementing these nutrients is beneficial for proteinuria. The underlying cause of proteinuria should be identified, and it ...[Read More] Can You Take Supplements with Proteinuria? A Guide for Kidney Health
High Urea Nitrogen: Should You Monitor or Seek Immediate Medical Attention?
If blood urea nitrogen (BUN) levels are elevated, should I monitor it regularly or seek immediate medical attention? 1. If you wish to continue a high-protein (both animal and plant-based) and low-carbohydrate diet while also increasing your water intake, it is generally acceptab...
Dr. Su Zhehong Reply:
If creatinine levels remain unchanged and there is no proteinuria, but only elevated blood urea nitrogen (BUN), it may be related to a high-protein diet and not necessarily indicate worsening kidney function. Increasing water intake can lead to more urine output, which may help e...[Read More] High Urea Nitrogen: Should You Monitor or Seek Immediate Medical Attention?
Understanding Urine Tests: What High Protein Levels Mean for Kidney Health
Urinalysis for renal function assessment? Doctor, I visited the clinic due to anxiety-related hypertension and underwent a urinalysis, which revealed proteinuria at 20.51 mg/dL (normal range 0-20 mg/dL) and creatinine at 26.60 mg/dL (normal range 0-250 mg/dL). However, the ratio ...
Dr. Wu Jiyu Reply:
In the past, testing for proteinuria required a 24-hour urine collection, but this is no longer necessary. Now, a single urine sample can be tested for protein and creatinine to provide a rough estimate. For example, (20.51/26.6)*1000=771, which is greater than the normal value o...[Read More] Understanding Urine Tests: What High Protein Levels Mean for Kidney Health
Understanding Creatinine Levels: Impact of Exercise and Hydration
Creatinine: Differences Before and After Exercise Hello Doctor, during the company health check, my creatinine level was found to be 1.38 mg/dL, and my glomerular filtration rate (GFR) was 63.9 mg/dL. My cholesterol level was 205 mg/dL. I am a carrier of hepatitis B, obese, and h...
Dr. Su Zhehong Reply:
Intense exercise or an increase in muscle mass can cause a slight rise in creatinine levels, which does not necessarily indicate a decline in kidney function. If the levels are not continuously rising or accompanied by proteinuria, it is generally acceptable to monitor the situat...[Read More] Understanding Creatinine Levels: Impact of Exercise and Hydration
Understanding Declining GFR: When to See a Nephrologist?
The glomerular filtration rate (GFR) has been continuously declining? I would like to inquire about my health check report. My glomerular filtration rate (GFR) is 78, creatinine is 1.09, blood urea nitrogen (BUN) is 13.2, and uric acid is 4.9. All other reports are normal, and th...
Dr. Wu Hongjie Reply:
Hello: The glomerular filtration rate (GFR) is a variable value. If the GFR is <60 ml/min and persists for more than three months, the likelihood of a diagnosis of renal failure is high. If the GFR is >60 and there are no other pathological findings (such as renal biopsy), ...[Read More] Understanding Declining GFR: When to See a Nephrologist?
Understanding Urinary Protein, Hematuria, and Copper Levels: A Guide
Urinary protein, urinary occult blood, and copper body? Hello Doctor, due to a recent health check required by my company, the report showed: occult blood 4+, urine protein 3+, copper body 2+, red blood cells 3-5, and bacteria positive. I have previously visited the hospital to m...
Dr. Su Zhehong Reply:
Persistent proteinuria and mild hematuria may warrant testing for dysmorphic red blood cells to determine if there are abnormal red blood cells in the urine. If the result is positive, it is important to consider the possibility of glomerulonephritis, and further investigations s...[Read More] Understanding Urinary Protein, Hematuria, and Copper Levels: A Guide
Understanding Creatinine Levels and eGFR Changes: What You Need to Know
Creatinine and Glomerular Filtration Rate (GFR) Hello Doctor, I have a few questions regarding my blood test reports. I am currently 35 years old and had surgery a while ago. Before the surgery, I had a blood test, and the report showed an estimated glomerular filtration rate (eG...
Dr. Wu Hongjie Reply:
The estimated glomerular filtration rate (eGFR) is not a fixed value at any given time. Chronic kidney disease (CKD) is defined as an eGFR of less than 60 ml/min/1.73 m² for a duration of three months, meaning that both the eGFR three months ago and today must be less than 60 to ...[Read More] Understanding Creatinine Levels and eGFR Changes: What You Need to Know
Understanding Foamy Urine: When to Worry About Kidney Health
I would like to ask the doctor about the issue of foamy urine? Hello, doctor. Recently, I noticed that there are always bubbles in my urine. I searched for some information online, but I'm not sure if it's accurate. Some articles suggest that the first urine in the morn...
Dr. Wu Hongjie Reply:
Hello: Whether or not there is foamy urine, please go to the hospital for testing to ensure accuracy. Creatinine (cre): 1.01; it is necessary to calculate the estimated Glomerular Filtration Rate (eGFR) which should be eGFR <60 ml/min/1.73m²; and it must remain so when compare...[Read More] Understanding Foamy Urine: When to Worry About Kidney Health
Understanding Your Health Check: Urine Protein and Kidney Concerns
Health Examination Report I recently received my health check-up report, which shows urine protein +/- occult blood 1+, blood urea nitrogen 7.4, and a few bacteria. My menstrual period ended about ten days ago before the check-up. Should I schedule an appointment with a nephrolog...
Dr. Wu Hongjie Reply:
Hello: The bacteria may not have completely disappeared, which could result in incomplete recovery from the infection, causing persistent proteinuria. Hematuria may also be present for the same reason. It is recommended to follow up with urine tests. Confirm the resolution of the...[Read More] Understanding Your Health Check: Urine Protein and Kidney Concerns
Managing Diabetes: Concerns About High Potassium and Urinary Protein
Diabetes mellitus with concerns of hyperkalemia and proteinuria? Hello Doctor, I have encountered some issues recently and would like to ask for your advice. Thank you for taking the time to read this. During my recent follow-up for diabetes, my blood test results showed a hemogl...
Dr. Lin Jianliang Reply:
First of all, I would like to tell you that proteinuria can be an early indicator of kidney disease, reflecting the severity of the current kidney condition and predicting the prognosis of kidney disease. However, there are many causes of proteinuria, such as infections, inflamma...[Read More] Managing Diabetes: Concerns About High Potassium and Urinary Protein
Understanding Proteinuria and Hematuria in Kidney Health: Key Insights
Proteinuria Hematuria Question 1: I do not have diabetes, and my UACR results were normal according to my doctor, and my blood tests were also normal. However, shouldn't I undergo a UPCR test to definitively determine if there is proteinuria? Question 2: I do not have chron...
Dr. Chen Jianyu Reply:
Symptoms may vary for each individual during each episode. If there are any abnormal values, please consult a hospital for a follow-up examination.[Read More] Understanding Proteinuria and Hematuria in Kidney Health: Key Insights
Does Hydration Affect Serum Creatinine Levels in Chronic Kidney Disease?
Factors affecting elevated creatinine levels? I have chronic kidney disease and have been undergoing regular follow-ups. However, the results of my kidney function tests have shown significant fluctuations this year (ranging from the 50s to the 30s). Therefore, I would like to as...
Dr. Wu Jiyu Reply:
Based on the data you provided, it falls within the range of stage 3 chronic kidney disease. Sometimes, we monitor kidney function by looking at a broader range and trends over several years, rather than just comparing the most recent outpatient visit with the previous one. In yo...[Read More] Does Hydration Affect Serum Creatinine Levels in Chronic Kidney Disease?
Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Proteinuria Kidney 1. I do not have diabetes, and after undergoing a Urine Albumin-to-Creatinine Ratio (UACR) test, the doctor said the results were normal. However, shouldn't a Urine Protein-to-Creatinine Ratio (UPCR) test be performed to confirm the presence of proteinuria...
Dr. Huang Yaoxuan Reply:
Hello Mr. AC: 1. You can consult the physician who arranged your UACR test to discuss what I believe is crucial: "how to take care of your kidneys." Arranging tests (such as blood tests for creatinine and urine tests for UACR or UPCR) is just one method. Don't fo...[Read More] Understanding Proteinuria and Its Implications in Chronic Kidney Disease
UACR vs UPCR: Which Test is Better for Detecting Proteinuria?
Which is better for assessing proteinuria: UACR or UPCR? (Urine Protein and Creatinine Ratio, hereafter referred to as UPCR) ≥ 150 mg/gm UACR ≥ 30 mg/gm proteinuria. Which is better, UACR or UPCR? Or is it sufficient to test UACR to determine the presence of proteinuria? Can both...
Dr. Wu Jiyu Reply:
For diabetic patients, using UACR (Urine Albumin-to-Creatinine Ratio) as an early diagnostic criterion is recommended. For other chronic kidney disease patients (without diabetes), UPCR (Urine Protein-to-Creatinine Ratio) should be the primary focus. Thank you for your inquiry, a...[Read More] UACR vs UPCR: Which Test is Better for Detecting Proteinuria?
Managing Edema: Effective Strategies Beyond Diuretics for Relief
Systemic lupus erythematosus (SLE) Currently, I have edema affecting only the left side of my body, including the chest, arm, and lower extremities. After a hospital examination, the following causes were identified: (1) kidney disease - proteinuria or nephrotic syndrome in the u...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Please first confirm with your physician whether proteinuria and hypothyroidism are currently being treated with medication. If so, discuss with your physician the reasons why the edema is not improving. Generally, treatment requires some time ...[Read More] Managing Edema: Effective Strategies Beyond Diuretics for Relief
Understanding Elevated Anti-DNA Levels in Lupus Patients: Key Insights
Systemic lupus erythematosus (SLE) Anti-DNA Hello, Doctor. I have a history of systemic lupus erythematosus (SLE) for about 10 years, with my last flare affecting my kidneys three years ago. Since then, my condition has been stable, and for the past few months, my proteinuria has...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Anti-dsDNA levels are associated with disease activity in lupus. When assessing the activity of lupus, in addition to evaluating the patient's symptoms, we also refer to blood and urine test results. The indicators we examine include white...[Read More] Understanding Elevated Anti-DNA Levels in Lupus Patients: Key Insights
Understanding Proteinuria: Key Insights for Kidney Health Management
Urinary protein issue? Hello, doctor. I was born with one kidney, and recently I noticed bubbles in my urine, so I went to a nearby clinic for blood and urine tests. A few days later, when I reviewed the results, the doctor informed me that I had mild proteinuria (+30 mg/dL), whi...
Dr. Wu Hongjie Reply:
Hello: 1. It is recommended to conduct tests outside of the menstrual period. 2. Microalbuminuria and urinary protein levels are both higher than normal; if this is confirmed again after three months, it is classified as stage one chronic kidney disease. "Chronic" indic...[Read More] Understanding Proteinuria: Key Insights for Kidney Health Management
Understanding Elevated Creatinine Levels: Should You Worry?
Elevated creatinine levels? Hello Doctor, I am 30 years old. In recent years, my health check-ups have shown elevated creatinine levels twice, around 1.2 or 1.3. My glomerular filtration rate (GFR) has been in the 60s or 70s, but there is no protein or blood in my urine. I do not...
Dr. Wu Jiyu Reply:
Regarding your first question, a creatinine level of 1.2 or 1.3 roughly corresponds to a current estimated glomerular filtration rate (eGFR) of about 75 or 68, which is slightly low for your age. However, you mentioned that you do not have proteinuria or hematuria, nor do you hav...[Read More] Understanding Elevated Creatinine Levels: Should You Worry?
Is It Normal to Have Bubbles in Urine During Menstruation?
Is it normal to have bubbles in urine during menstruation? Recently, I have noticed that when I menstruate, my urine has a lot of bubbles, and the bubbles are very fine. Normally, my urine does not have bubbles. Should I get this checked?
Dr. Huang Yaoxuan Reply:
Hello: Bubbles in urine may indicate proteinuria, or it could be a normal occurrence (other components may cause bubbles but do not affect health; in such cases, we do not need to identify the specific component, and we will only check for proteinuria). Recommendations: 1. Visit ...[Read More] Is It Normal to Have Bubbles in Urine During Menstruation?