Understanding Kidney Issues: A Comprehensive Guide for Patients and Families
Kidney problems Hello Doctor, My family member (female, 29 years old) has long-term chronic health issues. She has been diagnosed with refractory epilepsy for 23 years and is currently taking the following medications: Depakote 700mg, Vimpat 100mg, Keppra 1000mg, and Lamictal 30...
Dr. Wu Hongjie Reply:
Hello: Currently, your family member's creatinine levels have returned to normal range. The recent decline in kidney function is likely due to acute kidney injury, but regular monitoring is still necessary. Dietary restrictions are not required at this time. The exact causes...[Read More] Understanding Kidney Issues: A Comprehensive Guide for Patients and Families
Understanding Creatinine Levels and Kidney Function: What You Need to Know
Creatinine and Glomerular Filtration Rate (GFR) Hello, doctor. During this year's company health check, all results were normal except for my creatinine level, which is 1.3 (normal range 0.7-1.2 mg/dL). There is no proteinuria or hematuria. I am 28 years old; does this mean ...
Dr. Wu Jiyu Reply:
According to the report you provided (creatinine 1.3), the estimated glomerular filtration rate (eGFR) is only 66 mL/min/1.73m², which is indeed low (normal is greater than 90 mL/min/1.73m²). This indicates stage 2 chronic kidney disease. It is recommended to consult a nephrologi...[Read More] Understanding Creatinine Levels and Kidney Function: What You Need to Know
Understanding Abnormal Urinalysis Results: When to Seek Medical Advice
Health examination report issues? Hello, I would like to inquire about a health check report. The urine test shows ketones at 3+ and protein at +/-; the blood test indicates neutrophil percentage at 76.2% and lymphocyte percentage at 18.4%, with the rest being normal. I'm un...
Dr. Wang Weijie Reply:
Dear Patty, Ketones are metabolites produced from fat utilization when there is a lack of insulin. They can appear positive in conditions such as diabetes, starvation, diarrhea, and vomiting. Ketones are formed when fat metabolism is incomplete; normally, there are no ketones in...[Read More] Understanding Abnormal Urinalysis Results: When to Seek Medical Advice
Understanding Mild Chronic Kidney Dysfunction: Key Insights and Lifestyle Tips
Kidney function issues? Hello: In my recent health check-up in June, my serum creatinine (Cr) level was 1.01, blood urea nitrogen (BUN) was 10, and glomerular filtration rate (GFR) was 85. An ultrasound examination revealed a right renal cyst (0.7 cm) and bilateral renal calculi ...
Dr. Wang Weijie Reply:
Mr. Tsao: Hello, the glomerular filtration rate (GFR) is calculated based on your serum creatinine level along with your age, gender, and weight. Your value falls within stage 2 of chronic kidney disease (CKD). However, based on your description of the kidney ultrasound report an...[Read More] Understanding Mild Chronic Kidney Dysfunction: Key Insights and Lifestyle Tips
Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients
Urinary protein and blood glucose? A few days ago, my father went to the clinic for a blood test, and the results are as follows: Urine protein 1+, fasting blood glucose 125 mg/dL (after fasting for just over 7 hours), total cholesterol 127 mg/dL, triglycerides 229 mg/dL, HDL 39....
Dr. Hong Yuanbin Reply:
Hello, In response to your father's concerns, here are my replies: First, regarding the protein in urine, the clinic report indicates a preliminary positive result. It is recommended to visit a larger hospital for a quantitative urine protein test, and possibly a 24-hour ...[Read More] Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients
Understanding Urinary Protein Levels: When to Seek Further Testing
Urinary protein issue? Hello Doctor: Recently, I received my health check-up report, and most items are normal. However, regarding kidney function, the urine protein and urine creatinine levels are highlighted in red. The urine routine shows: Urine Protein: (+) UProtein (random u...
Dr. Wu Jiyu Reply:
Regarding the interpretation of the proteinuria report: UProtein (urine protein, random urine): 22 mg/dL UCre (urine creatinine, random urine): 379 mg/dL UProtein/UCre ratio: 58 The key value to look at is the UProtein/UCre ratio of 58, which is calculated as (22/379) * ...[Read More] Understanding Urinary Protein Levels: When to Seek Further Testing
Understanding Increased Urination: Is It Normal After Hydration?
Experiencing a quick urge to urinate after drinking water, along with a total urine output that exceeds the amount of water consumed, can indicate a condition known as polyuria. This may be associated with various factors, including diabetes mellitus, excessive fluid intake, or c...
Dr. Wang Weijie Reply:
Hello, 1. Fluid intake includes both the water content in food and the amount of water consumed. Relying solely on water intake can lead to inaccuracies; it is advisable to check the specific gravity of urine and the presence of proteinuria to assess hydration status. 2. What...[Read More] Understanding Increased Urination: Is It Normal After Hydration?
Is It Safe to Monitor Chronic Kidney Disease with Just Urine Tests?
Chronic Kidney Disease Follow-up Issues! A family member has stage 3 chronic kidney disease, and their lab values have been stable over the past year during follow-up visits. However, during this visit, the doctor informed them that blood tests are no longer necessary, and only a...
Dr. Wang Weijie Reply:
Hello: In a stable condition, it is sufficient to perform a urine test to check for proteinuria. Urinary protein is the earliest indicator of kidney dysfunction... Wishing you safety and health, Deputy Director Wang Wei-Jie, Taoyuan General Hospital, Ministry of Health and Welfar...[Read More] Is It Safe to Monitor Chronic Kidney Disease with Just Urine Tests?
Do You Need Regular Kidney Function Tests? Common Concerns Explained
Questions related to kidney examinations? Is it necessary to have regular kidney function tests? I do not have diabetes or hypertension, but I have congenital heart disease and have previously had urinary tract infections and pneumonia. I took a lot of traditional Chinese medicin...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Renal function monitoring is typically recommended for: 1. Patients with a history of chronic kidney disease (such as chronic nephritis, interstitial nephritis, or hydronephrosis); 2. Individuals with systemic chronic diseases such as diabetes, hypertension, gout...[Read More] Do You Need Regular Kidney Function Tests? Common Concerns Explained
Should You Consider a Kidney Biopsy for Unexplained Proteinuria?
Should a kidney biopsy be performed? Hello, doctor. I am the patient who previously inquired about "unexplained proteinuria" (I have had persistent protein in my urine for 3-4 years and am currently managing it with Aprovel and Persantin). In the past year of follow-up ...
Dr. Wu Hongjie Reply:
The following are common reasons for performing a kidney biopsy: At onset: 1. Clinical pure proteinuria > 3 grams/day, along with suspicion of other possible lesions within the kidneys. 2. Nephrotic syndrome in non-pediatric patients (urinary protein > 3 grams/day). Inter...[Read More] Should You Consider a Kidney Biopsy for Unexplained Proteinuria?
Should You Consider a Kidney Biopsy for Unexplained Proteinuria?
Should a kidney biopsy be performed? Hello, doctor. I am the patient who previously inquired about "unexplained proteinuria" (I have had persistent protein in my urine for 3-4 years and am currently managing it with Aprovel and Persantin). Over the past year, during fol...
Dr. Wu Hongjie Reply:
The following are common reasons for performing a kidney biopsy: At onset: 1. Clinical pure proteinuria > 3 grams/day, along with suspicion of other possible lesions within the kidneys. 2. Nephrotic syndrome occurring outside of childhood (proteinuria > 3 grams/day). Inte...[Read More] Should You Consider a Kidney Biopsy for Unexplained Proteinuria?
Understanding Creatinine Levels and Kidney Health: A Patient's Inquiry
Kidney issues and creatinine? Hello Dr. Wu, I have a few questions that I hope you can help me with. I am 60 years old, 175 cm tall, and weigh 72 kg, giving me a BMI of 23.5. I have a habit of hiking every day. My serum creatinine levels are 1.6 to 1.7 mg/dL, and my glomerular f...
Dr. Wu Jiyu Reply:
Hello, based on the information you provided, you have mild chronic kidney disease, classified as stage 3 (mild). Patients with chronic kidney disease should indeed avoid nephrotoxic medications (such as nonsteroidal anti-inflammatory drugs), but not all medications adversely aff...[Read More] Understanding Creatinine Levels and Kidney Health: A Patient's Inquiry
Understanding Foamy Urine: Causes and Health Implications
Foamy urine? Hello, doctor. Five years ago, during my university entrance health check, I was found to have high urine protein levels. At that time, I had just moved into the dormitory, my living conditions were poor, and I was drinking very little water. My mother told me not to...
Dr. Wu Jiyu Reply:
Hello, due to the various components present in urine, when the urine concentration is higher (such as after drinking less water or the first urine in the morning) or when there are more impurities, it is possible to produce more bubbles. The presence of bubbles does not necessar...[Read More] Understanding Foamy Urine: Causes and Health Implications
Understanding Unexplained Proteinuria: Treatment Options and Management
Unexplained proteinuria? Hello, doctor. I do not have any high-risk factors for kidney disease (e.g., hypertension, diabetes, family history...), but I was diagnosed with proteinuria four years ago. Over the past few years, my protein levels have fluctuated between "+3 and n...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, You have reported proteinuria at 3+ for over four years. I am unsure if your physician has discussed the possibility of a kidney biopsy with you to confirm the diagnosis. If it is chronic glomerulonephritis, there are various treatment options available, such as ...[Read More] Understanding Unexplained Proteinuria: Treatment Options and Management
Understanding Kidney Function: Is Your GFR Too Low?
Kidney problems Hello, doctor! I recently received my health check report, which shows a serum creatinine level of 1.23 mg/dL and a glomerular filtration rate (GFR) of 77.51. There were no signs of hematuria or proteinuria. I would like to ask if my GFR is considered low, as I ha...
Dr. Wang Weijie Reply:
Hello: In healthy individuals without proteinuria, a glomerular filtration rate (eGFR) greater than 80 ml/min is considered normal. If there is foamy urine, it may indicate proteinuria, and it is recommended to follow up with a nephrologist. Chronic kidney disease is classified i...[Read More] Understanding Kidney Function: Is Your GFR Too Low?
Is Excessive Masturbation Causing My Back Pain and Urine Issues?
Is excessive masturbation a concern? Hello doctor, after masturbating last night, I felt a brief pain in my back muscles when stretching. I was worried all night and now I feel a bit fatigued. Could this be a kidney issue, or is it related to excessive masturbation (once a day)? ...
Dr. Wu Hongjie Reply:
Hello: Typically, pain in the kidney area is not located too high. If you are referring to pain that is at the level of the thoracic spine, it may not be related to kidney function issues. To determine if there is an infection, a urine test is recommended, as bubbles in the urine...[Read More] Is Excessive Masturbation Causing My Back Pain and Urine Issues?
Managing Chronic Kidney Disease: Tips for Diet and Medication
Chronic Kidney Failure Hello Doctor, my grandmother has issues with hypertension, diabetes, and anemia. Additionally, she was diagnosed this year with proteinuria and chronic kidney failure, but she has not yet started dialysis. Her reports show creatinine levels from June to Sep...
Dr. Wu Hongjie Reply:
Hello: Kalimate is an exchange resin that binds potassium ions for excretion from the body. The excretion of potassium ions (K+) decreases during renal function deterioration and end-stage renal disease, leading to hyperkalemia. Elevated potassium levels can cause arrhythmias and...[Read More] Managing Chronic Kidney Disease: Tips for Diet and Medication
Understanding Changes in Creatinine Levels and Kidney Function
Kidney function issues? Hello, I have a question to ask you. This year's company health check report has been released, and when compared to last year, last year's creatinine level was 1.0 (0.5 ~ 1.3), which corresponds to a GFR of 91. This year, the creatinine level is...
Dr. Wu Jiyu Reply:
The estimated glomerular filtration rate (eGFR) of 91 mL/min/1.73 m² or 79 mL/min/1.73 m² shows a difference, but it is not significant when viewed in the long-term trend. However, if you do not have hypertension, diabetes, proteinuria, or hematuria, and you maintain a controlled...[Read More] Understanding Changes in Creatinine Levels and Kidney Function
Understanding Proteinuria: Key Questions and Considerations
Proteinuria - Supplementary Questions Therefore, when urine protein is greater than 0.15 g/d, several issues need to be considered: 1. Is the urine protein primarily albumin? 2. Was the urine sample collected during a time when the daily urine volume was close to 1-1.5 liters? Ot...
Dr. Wu Hongjie Reply:
Hello: Albumin is just one component of proteinuria. In other words, if the urine protein level is 0.15 g/L, then the absolute amount of albumin in the urine is less than 0.15 g/d (at most, all protein could be albumin). Testing for microalbuminuria is more ideal, especially for ...[Read More] Understanding Proteinuria: Key Questions and Considerations
Understanding Proteinuria: What Does a 0.15g/l Urine Test Result Mean?
Proteinuria test Hello, staff of Taiwan e-Hospital. I am resending this content due to the need for additional test values from October 2, 2016. I hope this will not be deleted for being a repeated inquiry. Thank you for your hard work. Dear Dr. Wu, during a health check last y...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Proteinuria is one of the indicators of renal function deterioration leading to kidney disease. However, the actual measurement of proteinuria requires a 24-hour urine collection, which can be inconvenient. Therefore, an estimation method has been developed, usin...[Read More] Understanding Proteinuria: What Does a 0.15g/l Urine Test Result Mean?