Understanding Proteinuria: When to Stop Medication After Normal Results
Urinary protein has turned negative, doctor: You can stop the medication now? Hello, Doctor Wu: Over three months ago, during a routine check-up, I was found to have trace proteinuria with results of "PCR 189, uACR 54.8, creatinine 1.1, and urea nitrogen 7." The docto...
Dr. Wu Hongjie Reply:
A single urine test for protein is convenient and sufficiently accurate, but it is often best to use the first morning urine. If you want to accurately determine whether protein in the urine has completely disappeared, you may consider a 24-hour urine protein test. If the result ...[Read More] Understanding Proteinuria: When to Stop Medication After Normal Results
Understanding Proteinuria and Edema: Key Insights for Kidney Health
Proteinuria, edema Hello, I have recently experienced a rapid increase in weight, along with severe edema in both legs. Additionally, after holding my urine for two to three hours without drinking water, my first morning urine produced small bubbles, approximately the size of a s...
Dr. Ke Taiyuan Reply:
Thank you for your question. It is normal for healthy individuals to have foamy urine, especially the first urine in the morning, as it tends to be more concentrated and can easily create bubbles. If the foam persists for a long time, it may indicate proteinuria. Edema can be cau...[Read More] Understanding Proteinuria and Edema: Key Insights for Kidney Health
Assessing Kidney Function: Is Your Plasma Renin Activity Elevated?
Is the plasma renin activity elevated in renal function? Hello, doctor. I recently had a health check-up, and my lab results show a serum creatinine level of 1.3 mg/dL, a glomerular filtration rate (GFR) of 62.3 mL/min, a urine albumin test result of 30 mg/L, a urine specific gra...
Dr. Ke Taiyuan Reply:
Your kidney function index, creatinine level of 1.3, is approximately at the upper limit of the normal range (which may vary slightly between different medical institutions). A glomerular filtration rate (GFR) less than 60 sustained for more than three months indicates chronic ki...[Read More] Assessing Kidney Function: Is Your Plasma Renin Activity Elevated?
Rising BUN and Creatinine Levels: Should You Worry About Kidney Health?
If BUN and creatinine levels are continuously rising (but still within the normal range), does this indicate a problem with the kidneys? Hello Doctor: I had a blood test in November 2017, which showed a BUN of 6 and a creatinine level of 9. In August 2018, I had another blood tes...
Dr. Wu Hongjie Reply:
1. BUN and creatinine (CRE) have standard values established by each laboratory. As long as the values are within the normal range (e.g., CRE: 0.7-1.3), the results indicate that they fall within the normal limits. Fluctuations in these values can be significantly influenced by d...[Read More] Rising BUN and Creatinine Levels: Should You Worry About Kidney Health?
Understanding Low Urine Creatinine Levels and Kidney Function
Low urine creatinine levels? Hello, doctor: I have a history of iron deficiency anemia and hypothyroidism, and I tend to experience mild edema. Recently, I underwent a physical examination, which included blood tests showing BUN 10, Cr 0.8, and urine tests showing Protein (urine)...
Dr. Wu Jiyu Reply:
Renal function is assessed based on eGFR. According to the data you provided, eGFR = 81.718 ml/min/1.73 m², which indicates that renal function is still within the normal range for your age. Regarding your question about urine creatinine (21.5 mg/dl), it is used to correct protei...[Read More] Understanding Low Urine Creatinine Levels and Kidney Function
Foamy Urine in the Morning: Should You Be Concerned?
Foamy urine If you wake up in the morning and notice that your urine has foam that dissipates after about five minutes, but there are still bubbles that disappear when rinsed away, should you consider getting checked again? It has been six years since your last examination, which...
Dr. Hong Yuanbin Reply:
Hello, it is normal for urine to have bubbles that dissipate after a while. However, this phenomenon is not a reliable indicator of proteinuria. If you are concerned about proteinuria, it is still advisable to conduct a urine test for confirmation. Thank you for your question.[Read More] Foamy Urine in the Morning: Should You Be Concerned?
Understanding IgA Nephropathy: Key Questions and Concerns for Patients
Regarding IgA nephropathy? Hello Doctor, I recently went to see a physician due to proteinuria and hematuria. After several examinations, the doctor suspects I have IgA nephropathy. Since the test results are not yet available, I would like to ask a few questions in case I am dia...
Dr. Lin Wuxuan Reply:
Hello: Below are the responses to your questions. 1. IgA nephropathy can be well controlled with medication, but regular follow-up appointments are still necessary. Appropriate treatment can indeed reduce the risk of renal function deterioration leading to dialysis. 2. It is re...[Read More] Understanding IgA Nephropathy: Key Questions and Concerns for Patients
Understanding Kidney Issues: Blood Sugar, Proteinuria, and Hypertension Concerns
Kidney problems Doctor, I have a blood sugar level of 113, urine protein, creatinine level of 1.35, and a glomerular filtration rate of 56.7. Is this considered serious, and is there a possibility of recovery? Additionally, I have high blood pressure of 198/86. What should I be a...
Dr. Lin Wuxuan Reply:
Hello: Based on the information you provided, your kidney function is classified as stage 3 chronic kidney disease, and your blood pressure is significantly elevated. Additionally, it is unclear whether you have other chronic health issues. It is recommended that you visit a neph...[Read More] Understanding Kidney Issues: Blood Sugar, Proteinuria, and Hypertension Concerns
Understanding Immune System Disorders: Insights on Oral Ulcers and Lupus
Immune system Hello Doctor, I have been experiencing mouth ulcers, throat pain, and gum pain since last month, and they haven't improved. A doctor suggested that I see an immunologist. Below are my health check reports: the report from April this year [link] and the immunolo...
Dr. Lin Wuxuan Reply:
Hello: Based on the two blood test reports you provided, there are no abnormalities indicated, and the symptoms you described do not have any clear association with systemic lupus erythematosus. Generally speaking, different laboratories may have variations in measurement values ...[Read More] Understanding Immune System Disorders: Insights on Oral Ulcers and Lupus
Understanding Trace Protein in Urine: Should You Worry?
Both urine protein tests showed +/-? Hello Dr. Lin, I underwent a health check on April 18, and the report indicated trace hematuria and trace proteinuria, with increased lung markings; all other results were normal. Today, I conducted another test, and the abnormal or borderline...
Dr. Lin Wuxuan Reply:
Hello: This urine test report does indicate the presence of trace proteinuria. Generally, if proteinuria is initially detected, it is recommended to conduct two to three follow-up tests, preferably using the first urine sample collected in the morning. Additionally, women should ...[Read More] Understanding Trace Protein in Urine: Should You Worry?
Understanding Dizziness, Nausea, and Rapid Heartbeat After Intense Exercise
Dizziness, nausea, and rapid heartbeat? A few days ago, I went to exercise because I felt that the pressure from my studies had kept me from working out for a long time. While doing pull-ups, I pushed myself to do more until I couldn't continue, and I drank electrolyte bever...
Dr. Hong Yuanbin Reply:
Hello, excessive exercise may lead to rhabdomyolysis, which can cause acute kidney failure. However, based on your age and physical condition, the likelihood of this is probably low. Another more probable scenario is that some individuals may experience mild nephrotic syndrome, p...[Read More] Understanding Dizziness, Nausea, and Rapid Heartbeat After Intense Exercise
Understanding Kidney Health: Long-Term Effects of Medications and Monitoring
Kidney problems Hello, I would like to ask about my health history. When I was young, I had poor health and took a lot of medications, including both Western and traditional Chinese medicines, as well as some unknown herbal powders intermittently until I was around 18 years old. ...
Dr. Wu Jiyu Reply:
Based on your inquiry, it seems you are concerned about the potential kidney damage caused by aristolochic acid. If you took unknown herbal powders during childhood but had a normal kidney function test during your last routine blood check as an adult, there is likely no cause fo...[Read More] Understanding Kidney Health: Long-Term Effects of Medications and Monitoring
Understanding Proteinuria: What Your Health Check Results Mean
Health check-up: Proteinuria I have vasculitis and mild arrhythmia, and I am taking immunosuppressive medication, anti-inflammatory drugs, and anti-arrhythmic medication. I recently had a check-up, but I couldn't understand the report as the doctor was in a hurry and told me...
Dr. Wu Hongjie Reply:
If there are concerns about liver function, please consult a gastroenterologist. Urine protein is 1+, and it is recommended to visit a nephrologist for further testing. Wishing you good health and safety.[Read More] Understanding Proteinuria: What Your Health Check Results Mean
Understanding Kidney Health: Tests, Concerns, and Dietary Advice
Examination, health, and other related issues concerning having one less kidney? Doctor Wu: Hello, over the past ten years, I have undergone abdominal ultrasounds three times due to gastrointestinal issues, and three different physicians have been unable to locate my right kidney...
Dr. Wu Hongjie Reply:
1. The diagnostic rate of ultrasound has already reached a high level, and computed tomography (CT) can enhance diagnostic accuracy. However, it is recommended that if the results of a non-contrast scan indicate a single kidney, it should be classified as a Class A diagnosis. The...[Read More] Understanding Kidney Health: Tests, Concerns, and Dietary Advice
Understanding Bubbles in Urine: Causes and Concerns Explained
Bubbles in urine? Hello doctor, since mid-February, I have noticed that my urine has been consistently producing small clusters of dense bubbles. I visited the urology department at Taoyuan Hospital, where I underwent an X-ray and urinalysis. The doctor said everything was fine, ...
Dr. Wu Hongjie Reply:
The presence of bubbles in urine does not necessarily indicate proteinuria. Conditions such as fever, excessive exercise, consumption of high amounts of animal protein, hormonal influences, or other diseases causing abnormal protein production can also be contributing factors. Pr...[Read More] Understanding Bubbles in Urine: Causes and Concerns Explained
High Kappa Immunoglobulin Levels: Understanding Potential Health Risks
Elevated levels of immunoglobulin Kappa? Hello, I am a 48-year-old male, 166 cm tall and weighing 66 kg, with hereditary Mediterranean anemia. I had a urinary stone in 2012, but it passed naturally. I do not have hypertension (January 2018 readings: 122 mmHg systolic, 77 mmHg dia...
Dr. Wu Jiyu Reply:
Based on your inquiry, I can provide you with some recommendations: 1. The eGFR of 55 is slightly low, and the urine microalbumin/creatinine ratio of 303.4 mg/g is elevated; it is advisable to have long-term follow-up with a nephrologist. 2. Regarding the immunoglobulin levels, K...[Read More] High Kappa Immunoglobulin Levels: Understanding Potential Health Risks
Understanding Proteinuria: Kidney Health Concerns and Symptoms
Kidney proteinuria Hello, doctor. I have some questions I would like to ask you. Question 1: This week, I observed that my urine has a lot of bubbles and appears cloudy after each bathroom visit. I also experience pain in both sides of my lower back. Could this indicate protein...
Dr. Wu Hongjie Reply:
1. The presence of bubbles in urine does not necessarily indicate the presence of urinary albumin; actual conditions should be confirmed through testing. 2. To assess kidney function, it is essential to conduct relevant kidney function tests (creatinine, blood urea nitrogen, he...[Read More] Understanding Proteinuria: Kidney Health Concerns and Symptoms
Understanding Decreased Kidney Function: When to Adjust Diet and Exercise
Decreased renal function? Hello Dr. Wang, At the end of last year, my health check showed the following kidney function values: blood urea nitrogen (BUN) 18.0 mg/dL, creatinine 1.2 mg/dL, and glomerular filtration rate (GFR) 78 mL/min. Since mid-year, I have started exercising a...
Dr. Wang Weijie Reply:
Hello, due to your high-protein diet and long-term exercise habits, it is likely that your muscle mass has increased, which may result in elevated levels of creatinine and blood urea nitrogen in your bloodstream compared to the average person. This can lead to a decrease in the e...[Read More] Understanding Decreased Kidney Function: When to Adjust Diet and Exercise
Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
Kidney problems Hello, my sister is 29 years old and has a history of refractory epilepsy for 23 years, is a carrier of hepatitis B, and has been diagnosed with schizophrenia for 2 years. She was hospitalized on July 31 due to cellulitis and developed sepsis, requiring intubation...
Dr. Wu Jiyu Reply:
Based on the data you provided, this condition is classified as "acute kidney injury," which may be caused by cellulitis complicated by sepsis. The key point is that as the infection is brought under control, your kidney function will gradually improve. It is recommende...[Read More] Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
Understanding Edema Related to Kidney Issues: A Patient's Guide
Edema caused by kidney problems? Hello Dr. Wang, I have a question I would like to ask. About two and a half years ago, I was diagnosed with nephrotic syndrome, and since then I have been taking steroids and mycophenolate mofetil. During the process of tapering the medication, I ...
Dr. Wang Weijie Reply:
Hello, thank you for your message. Due to the complexity of your condition, I welcome you to consult with me at my outpatient clinic. The clinic hours are every Tuesday and Friday morning. Wishing you peace, health, and well-being. Sincerely, Dr. Wang Wei-Jie, Attending Physician...[Read More] Understanding Edema Related to Kidney Issues: A Patient's Guide