Understanding Edema: Causes and Concerns for Kidney Patients
Edema of the legs? Hello Dr. Wu: I have chronic glomerulonephritis with proteinuria and hypertension, and I undergo blood tests every three months. My kidney function is within normal limits, although my creatinine level occasionally exceeds 1.4 slightly. The cardiologist suggest...
Dr. Wu Jiyu Reply:
1. If pressing on the foot causes a dent that lasts about 3-5 seconds (sometimes several minutes) before recovering, does this count as edema? Answer: Yes, this is considered edema. 2. Kidney function is within normal limits, but sometimes creatinine is slightly above 1.4. Answ...[Read More] Understanding Edema: Causes and Concerns for Kidney Patients
Defining Substantial Renal Pathology in Alternative Military Service Standards
The definition of substantial renal pathology during alternative military service suspension? I apologize for the inquiry, Dr. Wu, regarding the standards for alternative military service suspension. The criteria state "pathological examination of the kidneys shows significa...
Dr. Wu Jiyu Reply:
1. Based on the two reports you provided, which indicate "hematuria + proteinuria" in the urine and a serum creatinine level showing "glomerular filtration rate of 82-77 ml/min/1.7 m²," there is indeed a need to suspect the presence of significant renal pathol...[Read More] Defining Substantial Renal Pathology in Alternative Military Service Standards
Understanding Membranous Glomerulonephritis: Treatment, Prognosis, and Emotional Impact
Glomerulonephritis The biopsy report indicates membranous glomerulonephritis. Prior to the biopsy, the proteinuria was 1.25 grams, which increased to 2 grams after the biopsy. Following one month of steroid treatment, the proteinuria decreased to 1.3 grams. Due to significant sid...
Dr. Wu Jiyu Reply:
Membranous nephropathy is the most common cause of nephrotic syndrome in adults, with the majority of cases being of unknown origin, while a minority are associated with medications or infections (such as hepatitis B). Treatment and prognosis can be categorized into three types: ...[Read More] Understanding Membranous Glomerulonephritis: Treatment, Prognosis, and Emotional Impact
How to Lower Creatinine and Improve GFR: Expert Insights
Kidney function issues? Dr. Wang, how can I lower my creatinine level of 1.1 and improve my glomerular filtration rate (GFR) of 82.5? Thank you.
Dr. Wang Weijie Reply:
Mr. Chen: Hello, in general, individuals without proteinuria have a normal serum creatinine level of 0.4-1.2 mg/dL, and a glomerular filtration rate (eGFR) >80 ml/min is considered normal. Tips for protecting kidney function: ● Four "no's" and one "none&quo...[Read More] How to Lower Creatinine and Improve GFR: Expert Insights
Understanding Proteinuria in Teenagers: Causes and Concerns
Dear Doctor, why do I easily have proteinuria? Hello, I am a 17-year-old male. I have been experiencing proteinuria (+~++) for about a year. During this time, I have visited three major hospitals for diagnosis. I have undergone blood tests to assess kidney function and a 24-hour ...
Dr. Huang Yaoxuan Reply:
Hello, I am a nephrologist who relies on "tests (blood and urine tests, X-rays)" and "machines (dialysis machines)" to make a living... This is purely a joke (any resemblance is coincidental), but it does highlight the concerns of nephrologists and patients wi...[Read More] Understanding Proteinuria in Teenagers: Causes and Concerns
Understanding Foamy Urine After Meals: Is It a Kidney Concern?
Foamy urine is more noticeable after meals? Hello, I previously had a record of urine protein ++ during a health check. This year, I visited a nephrologist who examined my urine and stated that there was no protein present, and my blood protein levels were also not lower than nor...
Dr. Huang Yaoxuan Reply:
There are many substances that can cause an increase in bubbles in urine, commonly referred to as foamy urine, among which protein is more closely related to body health. Therefore, physicians only need to determine if you have proteinuria for diagnosis. Normal individuals may oc...[Read More] Understanding Foamy Urine After Meals: Is It a Kidney Concern?
Understanding Kidney Issues: Proteinuria and Hematuria Concerns
Kidney problems Hello, Doctor: 1. Is a urine protein level of 180 mg/L considered normal? (The reference value is 150 mg/L.) 2. However, I have a urine occult blood result of 4+. Is this related to excessive masturbation? After drinking more water, the color of my urine became ...
Dr. Wu Jiyu Reply:
1. Is a urine protein level of 180 mg/L considered normal? (The reference value is 150 mg/gm. Since 180 > 150 mg/gm, it cannot be considered normal. However, this slightly elevated physiological urine protein may occur after intense exercise. It is recommended to retest later....[Read More] Understanding Kidney Issues: Proteinuria and Hematuria Concerns
Understanding Foamy Urine: Is It a Sign of Kidney Issues?
Foamy urine? Hello Dr. Wu: Recently, I have noticed bubbles in my urine. Initially, they were small bubbles, but over the past two days, they have become slightly larger. I also feel more fatigued than usual, and I usually drink plenty of water. Could this indicate a kidney probl...
Dr. Wu Jiyu Reply:
The presence of bubbles in urine that do not dissipate over time may indicate the possibility of "proteinuria." You can visit a hospital for a urine screening to confirm this. (Note: Various components in urine can cause bubbles, but the one related to bodily diseases i...[Read More] Understanding Foamy Urine: Is It a Sign of Kidney Issues?
Understanding Elevated Urea Nitrogen: Kidney Health Insights
Elevated blood urea nitrogen (BUN) levels! Dr. Chen, I would like to ask you about my recent company health check report. It shows urine protein at 1+, blood urea nitrogen at 22.9 (normal range 6.7-21.3), and serum creatinine at 1.1 (normal range 0.4-1.4). The elevated blood urea...
Dr. Chen Jianyu Reply:
1. Yes, there may be an issue with the kidneys. 2. Please identify the causes of abnormal proteinuria and blood urea nitrogen levels, and follow up with a nephrologist for treatment. Avoid taking medications indiscriminately in daily life. 3. I cannot answer regarding your skin m...[Read More] Understanding Elevated Urea Nitrogen: Kidney Health Insights
Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained
Foamy urine and kidney issues? Hello Dr. Lee, I have high blood pressure (stopped medication for 3 months, currently 135/82 mmHg). Over the past few months, I have experienced increased urination with foamy urine. I underwent a physical examination, and the results showed no pro...
Dr. Li Zhiyao Reply:
Hello: The normal value for 24-hour urine epinephrine is < 22.4 µg/24hrs; please confirm the test results. As for the foamy urine, the test results showed no proteinuria, but you may consider performing a microalbuminuria quantitative test to confirm the absence of proteinuria...[Read More] Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained
Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
How can one determine if it is simple proteinuria? I previously asked some questions and still have a few more. I would appreciate your answers. I have had proteinuria for two months, with two different tests showing one result as 1+ and another 24-hour result as 791. I also visi...
Dr. Wu Jiyu Reply:
1. The 24-hour result is 791 mg, which has not yet reached the level of nephrotic syndrome, and there are no clinical symptoms (such as edema or hypertension); therefore, there is currently no necessity for a kidney biopsy. 2. When is a kidney biopsy necessary? It is recommended ...[Read More] Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
Understanding Proteinuria in Teenagers: Causes and Concerns
Hello, I am 15 years old, male, and I have been tested for proteinuria with a result of 791 mg/dL? Two months ago, I experienced frequent swelling and pain in the area above my right testicle (the pubic region). The pain was severe enough that movement in that area would cause sh...
Dr. Wu Jiyu Reply:
1. When checking for proteinuria, it is important to first rule out conditions such as exercise, infection, and fever, as these factors can lead to an increase in proteinuria and result in inaccurate readings. 2. It is recommended to repeat the test (remember that the first morn...[Read More] Understanding Proteinuria in Teenagers: Causes and Concerns
Understanding Frequent Dizziness: Causes and Concerns
Often feel lightheaded? I came here to ask questions yesterday and I have some additional concerns. I experienced chest tightness only yesterday, but for several weeks leading up to the basic skills test in May, I often felt dizzy and unsteady while studying in the mornings. This...
Dr. Zeng Guosen Reply:
Hello, internet user: There are many causes of dizziness, including issues related to neuromuscular disorders, otolaryngology problems, cardiovascular issues, medication side effects, and psychiatric conditions. If the cause cannot be identified, it is advisable to consult a neur...[Read More] Understanding Frequent Dizziness: Causes and Concerns
Understanding Abnormal Kidney Function: What You Need to Know
Is there any abnormality in kidney function? Hello, Doctor. Last July, I had a urinalysis that showed hematuria and proteinuria, both positive. In August, I went to another hospital for another urine test, and again, there were reactions for hematuria and proteinuria. After blood...
Dr. Wu Jiyu Reply:
1. First, let's discuss the risk factors for kidney disease: the three highs (hypertension, hyperglycemia, and hyperlipidemia) and proteinuria. Based on the data you provided: Blood Pressure??? Blood Glucose (GLU AC) 89 mg/dL: OK; Lipid Profile Cholesterol 224 mg/dL: borderl...[Read More] Understanding Abnormal Kidney Function: What You Need to Know
Can Kidney Disease Patients Safely Conceive and Have Children?
Can a patient with kidney disease become pregnant? Can kidney patients become pregnant? My daughter underwent dialysis for three years and has had a kidney transplant for fourteen years now. Her creatinine levels fluctuate, currently maintaining around 3 to 4 mg/dL. Is it possibl...
Dr. Wang Weijie Reply:
Dear Ms. Wang, Hello. Women who have successfully undergone kidney transplantation can often regain normal reproductive function, provided that their kidney function is stable, there is no rejection of the transplanted kidney, no proteinuria, no hypertension, and that immunosupp...[Read More] Can Kidney Disease Patients Safely Conceive and Have Children?
Understanding Foamy Urine: Should You Be Concerned?
Urinary bubble issue? For over a month, I have noticed bubbles in my urine. Sometimes they disappear quickly, while other times they take several minutes. The first urine of the morning has a lot of bubbles. I have seen a doctor who conducted a one-time blood and urine protein te...
Dr. Wu Jiyu Reply:
This question can be answered in two parts: 1. Does foamy urine indicate proteinuria? The answer is not necessarily, but the issue that needs to be addressed is proteinuria. (Some unusual causes, such as having just undergone cystoscopy or having a bladder-rectal fistula, will ...[Read More] Understanding Foamy Urine: Should You Be Concerned?
Managing Proteinuria: Dietary and Exercise Tips for Better Health
Proteinuria issues? This year during my health check-up, my proteinuria results were abnormal. What dietary and exercise adjustments should I make in my daily life?
Dr. Huang Yaoxuan Reply:
In daily life, avoid smoking and drinking alcohol, and do not stay up late. In terms of diet, limit salt intake, avoid excessive protein consumption, and refrain from binge eating (if there are conditions such as diabetes, hyperlipidemia, hyperuricemia, or chronic kidney disease,...[Read More] Managing Proteinuria: Dietary and Exercise Tips for Better Health
Foamy Urine and Yellow Color: What It Means and When to Seek Help
Foamy urine? Hello Dr. Wu, I have recently noticed that my urine is a darker yellow color and has a lot of foam. Could you please tell me what this might indicate? What tests should I undergo and which specialist should I consult? Thank you. QQ
Dr. Wu Jiyu Reply:
If you notice that your urine is yellow and has a lot of foam, it is advisable to have a urinalysis to clarify any issues related to proteinuria, as proteinuria can cause foamy urine. However, the presence of foam in urine does not necessarily indicate proteinuria; it can also be...[Read More] Foamy Urine and Yellow Color: What It Means and When to Seek Help
Understanding Bilateral Renal Cysts: Concerns and Management Options
Bilateral renal cysts? Hello, Doctor. Around May, I underwent a health check-up due to frequent feelings of dizziness and lack of energy. An abdominal ultrasound revealed "bilateral renal cysts" and a "right lobe liver mass." Initially, my family medicine phys...
Dr. Wu Jiyu Reply:
Dear Tesuia: Based on your description (both kidneys are filled with various sizes of cysts), it is possible that you have "hereditary polycystic kidney disease." Fortunately, your blood test results for kidney function are normal, and the urine protein test is (±) pend...[Read More] Understanding Bilateral Renal Cysts: Concerns and Management Options
Understanding Persistent Edema in Elderly Patients with Diabetes and Hypertension
Persistent edema Hello Dr. Lee: My mother is 78 years old and has a history of hypertension and diabetes. This year, she has experienced persistent edema in both legs for quite some time. She also gets up to urinate about 2 to 3 times during the night, with a large volume of urin...
Dr. Li Zhiyao Reply:
Tina: Hello, your mother has hypertension and diabetes, so it is important to consider whether there are any complications related to renal dysfunction. Additionally, low albumin levels due to malnutrition or diabetic nephropathy causing proteinuria may also lead to edema. I reco...[Read More] Understanding Persistent Edema in Elderly Patients with Diabetes and Hypertension