Can Membranous Nephropathy Be Cured or Just Managed with Medications?
Glomerulonephritis Can membranous nephropathy be cured, or is continuous medication necessary for management? I have been on medication for nearly two years. Currently, I am taking Cyclosporine 200 mg and Mycophenolate Mofetil 360 mg. My most recent lab results show an albumin/cr...
Dr. Chen Jianyu Reply:
Membranous nephropathy can be managed effectively with regular medication adherence and follow-up. I hope you receive excellent care at your nephrologist's office.[Read More] Can Membranous Nephropathy Be Cured or Just Managed with Medications?
Understanding Glomerular Filtration Rate: What You Need to Know
Regarding the glomerular filtration rate (GFR) value? Hello, Dr. Hsiao. I have been experiencing fasting blood glucose levels between 102 and 112 for a long time. This time, I underwent tests, and my fasting blood glucose was 108, postprandial was 119, HbA1c was 5.6%, blood urea ...
Dr. Xiao Yongxun Reply:
According to a study published in The Lancet in 2008, it is estimated that 11.93% of adults in Taiwan have chronic kidney disease (CKD). The stages of severity are as follows: 1. Stage 1: Kidney damage with normal or increased GFR, GFR ≥ 90 ml/min/1.73 m². 2. Stage 2: Kidney dama...[Read More] Understanding Glomerular Filtration Rate: What You Need to Know
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
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 Normal Serum Creatinine Levels and Kidney Function
Normal test values The normal range for serum creatinine concentration is typically 0.6 to 1.2 mg/dL in adults, not 3.5 to 5 mg/dL. Therefore, even if a patient's serum creatinine level falls within a certain range, it does not necessarily indicate normal kidney function. Th...
Dr. Wu Jiyu Reply:
The normal values for serum creatinine, based on our hospital's laboratory results, are as follows: for males, 0.7-1.2 mg/dL, and for females, 0.4-1.0 mg/dL. Although there may be some variations among different hospitals, values will not reach 3.5 to 5 mg/dL. Currently, whe...[Read More] Understanding Normal Serum Creatinine Levels and Kidney Function
Understanding Your Urine Test Results: Kidney Health Insights
Consult a physician? Hello Dr. Wu, I have received my health check report, and the urine biochemical analysis shows the following results: urine protein: 56.9, urine creatinine: 412.2, and urine protein/creatinine ratio: 138. Could this indicate a kidney issue? What treatment o...
Dr. Wu Jiyu Reply:
Ms. Wang: Hello, based on the situation you described, the urine protein level is 56.9 and the urine creatinine level is 412.2. Therefore, the urine protein/creatinine ratio is 56.9/412.2 = 138 mg/g, which indicates that the urine protein level is 138 mg/g, which is less than the...[Read More] Understanding Your Urine Test Results: Kidney Health Insights
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 Creatinine Levels and Kidney Function in Fitness Enthusiasts
Creatinine levels Hello, during a recent company health check-up, my serum creatinine level was 1.1. I am 38 years old, and the doctor mentioned that my kidney function is not very good. This has made me a bit worried, especially since Taiwan is known as a dialysis kingdom. I rea...
Dr. Chen Jianyu Reply:
1. A creatinine level of 1.1 is still within the normal range. 2. Having a high muscle mass does not impose a burden on the kidneys. 3. If there are any concerns, it is still recommended to visit an outpatient clinic for examination. Thanks, Chen Jianyu, March 28, 101.[Read More] Understanding Creatinine Levels and Kidney Function in Fitness Enthusiasts
Dietary Guidelines for Pre-Dialysis Kidney Patients: What to Know
I would like to ask about dietary issues for dialysis patients? I'm sorry to hear about your mother's condition. Here are some dietary adjustments that can help: 1. Yes, you can use reduced-sodium salt when cooking. It's important to limit sodium intake to help ma...
Dr. Wu Jiyu Reply:
1. The most appropriate course of action is to visit a nephrology outpatient clinic (if you regularly see a nephrologist, consult with your usual physician or dietitian) to discuss in detail with the physician or dietitian (including the arrangement of subsequent treatment plans,...[Read More] Dietary Guidelines for Pre-Dialysis Kidney Patients: What to Know
Understanding Headaches and Eye Pressure: Cholesterol Concerns Explained
Headache and eye pressure? Hello Director Lin: Happy New Year and best wishes for prosperity. Please help me with some guidance, thank you. (Since I am temporarily working in Malaysia, the doctors here only mentioned that my cholesterol is high and advised me to watch my diet wit...
Dr. Lin Shunfa Reply:
Ms. Anqi: Hello!! According to the data, you have two high conditions (hypertension and hyperlipidemia). Proper blood pressure control can reduce the risk of new vascular diseases by 20 to 30%. Clearly, your blood pressure is ideally controlled at 130/80. High cholesterol is the ...[Read More] Understanding Headaches and Eye Pressure: Cholesterol Concerns Explained
Understanding Diabetes and Kidney Disease: Key Questions Answered
Diabetes and Kidney Disease Dr. Huang, I would like to ask: My mother is 82 years old and her blood test results show (1) a fasting blood glucose level of 160. Does this indicate typical diabetes? Should she start medication? (2) An eGFR value of 47 indicates chronic kidney disea...
Dr. Huang Yaoxuan Reply:
1. Fasting blood glucose is 160 mg/dL. It may be necessary to measure fasting blood glucose 1-2 more times; if it consistently exceeds 116 mg/dL, diabetes (likely type 2 diabetes) should be considered. It is recommended to consult an endocrinologist for follow-up and to discuss w...[Read More] Understanding Diabetes and Kidney Disease: Key Questions Answered
Understanding Abnormal Health Check Results: A Guide for Patients
Health Check Report Hello, doctor. I have a lab report for my father, which shows some abnormal test values, and I would like to consult with you. Thank you. (My father is a carrier of hepatitis B.) Red blood cells: 4.06 Hemoglobin: 11.6 Blood urea nitrogen: 29 Creatinine: 1...
Dr. Wu Jiyu Reply:
1. Serum creatinine: 1.4 corresponds to an estimated glomerular filtration rate (eGFR) of approximately stage 3 chronic kidney disease. 2. Risk factors for preventing chronic kidney disease: hypertension, hyperglycemia, and hyperlipidemia. 3. Regular check-ups every 3 months....[Read More] Understanding Abnormal Health Check Results: A Guide for Patients
Managing Kidney Disease: Dietary Tips for Optimal Health
Diet for Kidney Disease Hello Dr. Yang: A year ago, I inquired about dietary issues related to kidney disease. At that time, I was advised to follow a low-protein diet, but the doctor recommended a normal diet, so I increased my protein and caloric intake. However, my muscle mass...
Dr. Yang Zhongwei Reply:
Hello: Currently, the formulas used worldwide to estimate kidney function utilize four variables: serum creatinine levels, age, gender, and race. Therefore, kidney function tends to decline with age. However, the symptoms you described do not seem to be closely related to kidney ...[Read More] Managing Kidney Disease: Dietary Tips for Optimal Health
Understanding Elevated Creatinine Levels: Causes and Concerns
Creatinine issues? The health examination report indicates that there are no signs of hematuria or proteinuria, and the blood urea nitrogen level is normal. However, the creatinine level is 1.34 mg/dL. The doctor advised to follow up in three months. Given that I had surgery for ...
Dr. Yang Zhongwei Reply:
Most medical centers have a normal serum creatinine level up to 1.4 mg/dL. If urine tests show no proteinuria or hematuria and serum creatinine is less than 1.4 mg/dL, we consider kidney function to be normal. To assess whether both kidneys are functioning properly, an ultrasound...[Read More] Understanding Elevated Creatinine Levels: Causes and Concerns
Understanding Fluctuating Serum Creatinine Levels: A Clinical Perspective
Elevated creatinine levels issue? In 2009, I had a serum creatinine level of 1.9 at one hospital. After receiving treatment for hypertension and cataracts at another hospital in October 2009, my serum creatinine level was 1.5. Both the creatinine clearance and kidney ultrasound w...
Dr. Yang Weishun Reply:
Based on your creatinine levels and age, the estimated glomerular filtration rate (GFR), which is a similar indicator of kidney function to creatinine clearance, indicates that your kidneys are clearing between 32 to 50 milliliters of blood per minute, regardless of whether the c...[Read More] Understanding Fluctuating Serum Creatinine Levels: A Clinical Perspective
Managing Kidney Health: Understanding Diet and Function in Patients
Kidney disease management Hello Dr. Yang, I have a smaller left kidney (congenital, not due to atrophy) and during winter, I experience high blood pressure, increased urination, and nocturia. After visiting the hospital for follow-up examinations, my kidney function has remaine...
Dr. Yang Zhongwei Reply:
Hello: 1. Frequent urination (is it the frequency or the volume?) and nocturia are not necessarily indicative of kidney problems; it is advisable to consult a urologist to examine the bladder. 2. There is currently insufficient evidence to determine the effectiveness of a low-pro...[Read More] Managing Kidney Health: Understanding Diet and Function in Patients
Understanding Low Creatinine Levels: Symptoms and Improvement Strategies
Low creatinine levels in the liver, how to improve? Hello Dr. Yang, I recently received my health check report, and one of the special tests indicated a creatinine level of 0.65 (the report states that the normal reference range is F: 0.6–1.5; M: 0.9–1.5). As I am male, my resul...
Dr. Yang Weishun Reply:
Creatinine levels are typically not affected by protein intake. Creatinine is a metabolic byproduct of muscle metabolism and is excreted by the kidneys. Muscle wasting (in individuals with low muscle mass) results in decreased creatinine production, leading to lower serum creatin...[Read More] Understanding Low Creatinine Levels: Symptoms and Improvement Strategies
Managing Diet and Activity for Moderate Kidney Disease Patients
Moderate kidney disease patients GFR 50 mL/min/1.73m² (moderate) Serum creatinine 2.3 (normal range 0.6–1.4) Serum potassium 6.0 (normal range 3.5–5.0) Serum phosphorus 5.2 (normal range 2.5–4.5) Presence of edema Age: 20 years Gender: Male Height: 160 cm Weight: ...
Dr. Yang Zhongwei Reply:
Hello: If someone is 20 years old and has stage 3 chronic kidney disease, they really need to take extra care! Do they have hypertension or diabetes? If so, it is crucial to manage these conditions strictly, as they can accelerate the decline of kidney function. Additionally, con...[Read More] Managing Diet and Activity for Moderate Kidney Disease Patients
Understanding Elevated BUN Levels and Foamy Urine: Kidney Health Insights
Elevated BUN levels and foamy urine during a health check-up..? Hello Dr. Wu, I have some questions I would like to ask you! Recently, I have noticed bubbles in my urine, and there are quite a few. In September of this year, I underwent a simple blood test and urinalysis. The te...
Dr. Wu Jiyu Reply:
First of all, thank you for your question. Based on your inquiry, I will explain in three parts: 1. The blood test indices (serum urea nitrogen and creatinine) typically begin with an assessment of the creatinine level, which has a normal range of approximately 0.7-1.3 mg/dL (t...[Read More] Understanding Elevated BUN Levels and Foamy Urine: Kidney Health Insights
Understanding Chronic Glomerulonephritis and Military Exemption Criteria
Chronic glomerulonephritis Conditions for various types of nephritis include one of the following: 1. Chronic renal impairment confirmed by examination, with serum creatinine greater than 2 mg/dL and creatinine clearance less than 50 mL/min. 2. Histopathological examination of th...
Dr. Wu Jiyu Reply:
1. Minimal change disease is curable. 2. Urine tests and blood tests should be redone. 3. If necessary, a kidney biopsy should be performed again.[Read More] Understanding Chronic Glomerulonephritis and Military Exemption Criteria