Understanding Abnormal Urine Protein Levels: Kidney Health Insights
Abnormal urine protein test? Hello, doctor. Three months ago, an ultrasound examination revealed that I have kidney stones, all measuring less than 0.5 cm. At that time, the doctor prescribed potassium citrate (K citrate), with a dosage of two tablets in the morning and two in th...
Dr. Lin Wuxuan Reply:
Chronic kidney disease (CKD) is defined as kidney damage lasting for more than three months, resulting in structural or functional abnormalities that cannot return to normal. Whether a condition qualifies as CKD must be determined by a specialist based on your glomerular filtrati...[Read More] Understanding Abnormal Urine Protein Levels: Kidney Health Insights
Understanding Joint and Muscle Pain: Causes, Symptoms, and Management
Joint and muscle pain Hello Doctor, I would like to ask you a few questions. 1. Initially, I experienced pain in my right knee and went to an orthopedic clinic where an ultrasound revealed inflammation and swelling. The doctor suggested a possible meniscus injury. However, afte...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Initially, I experienced pain in my right knee and visited an orthopedic clinic where an ultrasound revealed inflammation and swelling. The doctor suggested a possible meniscus injury. After a follow-up visit with no i...[Read More] Understanding Joint and Muscle Pain: Causes, Symptoms, and Management
Understanding Kidney Function Test Results: What Do They Mean?
Blood Test Report Hello doctor, I had a health check-up in September 2023, and some of the results related to my kidneys were highlighted in red. The values were as follows: urine specific gravity 1.002, uric acid 8.5, blood urea nitrogen 6.5, creatinine 0.88, uric acid 4.3, glom...
Dr. Lin Wuxuan Reply:
Hello, general practitioners will conduct a comprehensive assessment based on all examination data and provide recommendations on whether outpatient follow-up is necessary and how often it should occur. It is advisable to complete this year's examinations first and then take...[Read More] Understanding Kidney Function Test Results: What Do They Mean?
Understanding Kidney Function Tests: What Your Results Mean
Kidney function tests Hello doctor, I had a health check-up in September 2023, and the results showed a urine specific gravity of 1.002, a uric acid level of 8.5, a blood urea nitrogen (BUN) of 6.5, a creatinine level of 0.88, a uric acid (UA) of 4.3, and an estimated glomerular ...
Dr. Yan Qitai Reply:
Hello, if your kidney function index is within the normal range and there is no proteinuria, there currently appears to be no evidence of kidney disease. It is recommended to monitor your condition or consult a nephrologist for further evaluation.[Read More] Understanding Kidney Function Tests: What Your Results Mean
Does Eating Seafood Affect Urine Uric Acid Levels Before Testing?
Uric acid-related issues? I would like to ask if eating a lot of seafood the night before a urine test will affect the uric acid levels in the urine test?
Dr. Lin Wuxuan Reply:
When assessing the levels of uric acid in the body, in addition to urine tests, blood test values will also be taken into consideration. Thank you.[Read More] Does Eating Seafood Affect Urine Uric Acid Levels Before Testing?
Understanding Kidney Function Test Results: What Do They Mean?
Follow-up Questions Regarding Kidney Function Hello, doctor. Previously, during a health check-up, I had elevated levels of blood urea nitrogen at 23, uric acid at 7.3, glomerular filtration rate at 78, and urine protein at 15 (+/-). My creatinine level was 1.1, which is normal. ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your information is incomplete, as it lacks the reference ranges for various indicators, making it difficult to provide an accurate response. However, regarding the result of the P/C Ratio, it should be acceptable. The Allergy, Immunology, and R...[Read More] Understanding Kidney Function Test Results: What Do They Mean?
Understanding Kidney Function: GFR, Proteinuria, and Health Concerns
Glomerular filtration rate and urinary protein issues? I am currently 42 years old and would like to inquire about some health concerns. I had a health check-up last October, and during this year's company health screening, I noticed that some values have significantly dropp...
Dr. Li Jian Reply:
Regarding the issues of proteinuria and glomerular filtration rate, please consult a nephrologist for further evaluation. Thank you for your inquiry.[Read More] Understanding Kidney Function: GFR, Proteinuria, and Health Concerns
Understanding Your Kidney Function Test Results: When to Seek Further Care
Questions about kidney function test report? Hello Dr. Huang, I am a 29-year-old male. In my previous health check-ups, my creatinine levels have always been slightly elevated (around 1.1). In my latest health check-up report from last week, my creatinine was 1.17 mg/dL and my eG...
Dr. Huang Yaoxuan Reply:
You can visit the outpatient clinic for consultation.[Read More] Understanding Your Kidney Function Test Results: When to Seek Further Care
Understanding RA Factor Changes and Related Health Concerns
Rheumatoid Arthritis - Inquiry about Rheumatoid Factor and Other Related Data? Hello, Doctor Gao. I apologize for the lengthy message. Here are my health examination data from three tests conducted at the same laboratory: - Date: 2023/11/11, 2024/6/15, (2024/4/30) - ALT/SGPT (L...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. I underwent tests related to immune system diseases at a regional hospital in December 2023, and my rheumatoid arthritis (RA) factor was less than 5 at that time. Additionally, the measurement taken on April 30, 2024,...[Read More] Understanding RA Factor Changes and Related Health Concerns
Understanding Right Arm Pain: Possible Causes and Solutions
Right lower arm pain and joint pain? On May 9th, I ate a lemon tart containing almond flour, and immediately felt pain in my lower right arm. This pain has now persisted as joint pain in my right arm, making it difficult to open a water bottle cap and my motorcycle key lock. I ha...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. If the pain has persisted since May 9, it is advisable to have a physician evaluate the situation. We need to properly assess the condition of the joint pain. Vitamin B12 does not have analgesic effects, and high cholesterol is less likely to ca...[Read More] Understanding Right Arm Pain: Possible Causes and Solutions
Understanding Your First Gout Attack: Symptoms, Treatment, and Management
First gout attack? Hello Doctor, I visited the clinic at the beginning of April due to ankle pain. At that time, I had been lifting heavy objects for half a day due to work. The next day, my ankle became red, swollen, hot, and painful, so I went back to the clinic where the docto...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. If I understand correctly, both (Probenecid and Allopurinol) are medications used to lower uric acid levels. Generally, we prescribe only one uric acid-lowering medication, and we only consider combining them in patients who are more difficult ...[Read More] Understanding Your First Gout Attack: Symptoms, Treatment, and Management
Understanding Test Results: Concerns About Tumor Risk and Further Examinations
Please inquire about the test results? Hello, doctor. Recently, my father experienced swelling in his throat and left hand due to stress, prompting him to visit a rheumatology and immunology specialist. Based on his condition, the doctor ordered the following tests (the items lis...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. The attending physician did not inform us about the location of the tumor, nor did they provide a detailed explanation to my father regarding which specific values were problematic for the diagnosis. Could you please ...[Read More] Understanding Test Results: Concerns About Tumor Risk and Further Examinations
Concerns About Starting Uric Acid-Lowering Medication
Questions Before Taking Uric Acid Lowering Medication I have had high uric acid levels for several years. My uric acid level was around 7 during high school, and after starting work, it increased to 8. Recently, during a company health check, it rose to 9. When I go back for my n...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. When starting uric acid-lowering medication, we often combine it with colchicine to prevent gout attacks. Once the uric acid levels have been maintained within the normal range for a period of time, we can gradually discontinue colchicine. This...[Read More] Concerns About Starting Uric Acid-Lowering Medication
Understanding Uric Acid Levels: Insights on Gout and Health Management
Interpretation of Uric Acid Levels Hello, Doctor. I am 175 cm tall and weigh 97 kg. I have had high blood pressure since I was 16 years old. I do not drink alcohol but often stay up late. On March 15, I sprained my left ankle; at the time, there was no pain or swelling. However, ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have been losing weight for over a month, with my weight dropping from 104 kg to 97 kg. I would like to know if my lowest uric acid level in my life, which is 5.6 mg/dL, is due to dietary control or because I previ...[Read More] Understanding Uric Acid Levels: Insights on Gout and Health Management
From Sprained Ankle to High Uric Acid: Understanding Your Symptoms
Visiting an orthopedic specialist for a sprain turned out to be primarily due to high uric acid levels? Hello, Doctor. I am 175 cm tall and weigh 99 kg, with a history of hypertension but no other health issues. I am currently on a weight loss program and have lost 5 kg in the fi...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. For now, I recommend applying ice for one day and suggest that you consult a rheumatologist. The Allergy, Immunology, and Rheumatology Department at Changhua Hospital, Ministry of Health and Welfare, is here to assist you.[Read More] From Sprained Ankle to High Uric Acid: Understanding Your Symptoms
Do You Need to Fast for Uric Acid Tests? Understanding Urine Odor Changes
Is fasting required for uric acid testing? Hello, Doctor Gao: I have the following questions: 1. For a simple uric acid test without any other tests, is fasting required? 2. Over the past year, I have noticed that my urine has a different smell, resembling onion water, every time...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is fasting required for a simple uric acid test without any other tests? --> Fasting is not necessary for measuring uric acid levels in the blood. 2. Over the past year, I have noticed that my urine has a differe...[Read More] Do You Need to Fast for Uric Acid Tests? Understanding Urine Odor Changes
Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained
Renal dysfunction Hello Doctor: I would like to ask about my recent health check report. My serum creatinine is 1.35, urine creatinine is 110.76, glomerular filtration rate (GFR) is 62.53, hemoglobin A1c is 5.4, fasting blood glucose is 90, uric acid is 7.2, urine protein is 9, a...
Dr. Lin Wuxuan Reply:
Urine or blood tests can determine the presence of hematuria, proteinuria, or any abnormalities in kidney function, which is typically assessed using the glomerular filtration rate (GFR). It is recommended that you bring your test results to a nephrology outpatient clinic at a re...[Read More] Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained
Understanding Low Complement C3 Levels: Causes and Concerns
Low complement C3 levels? Hello, I would like to ask you about my previous emergency department lab report. Date: 10/21/112 - Hemoglobin: 13.6 - MCH: 29.8 - MCHC: 31.7 - MCV: 93.9 - Platelets: 239 - RBC: 4.57 - RDW: 11.8 - WBC: 6.8 - Basophil: 0.7 - Eosinophil: 1.0 - Lymphocyte...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Is it possible for an average person to have low C3 levels, or is low C3 always abnormal and related to autoimmune diseases? --> Yes, it is possible. Low C3 levels do not necessarily indicate an autoimmune disease. ...[Read More] Understanding Low Complement C3 Levels: Causes and Concerns
Can Stage 3a Chronic Kidney Disease Be Reversed? Medications and Tests Explained
Can stage 3a chronic kidney disease be reversed? What medications are available? The patient has diabetes with a glycated hemoglobin (HbA1c) level maintained at 6.5%. Triglycerides are at 110 mg/dL, uric acid at 4.6 mg/dL, low-density lipoprotein (LDL) cholesterol at 88.2 mg/dL, ...
Dr. Huang Yaoxuan Reply:
Hello Ms. Paul, your creatinine level is 135 mg/dL, and the glomerular filtration rate (GFR) is listed as 1.35 mg/dL, which seems to be incorrect. Please provide the correct values, thank you! (The unit for glomerular filtration rate is ml/min/1.73 m², not mg/dL.) Additionally, a...[Read More] Can Stage 3a Chronic Kidney Disease Be Reversed? Medications and Tests Explained
Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?
Regarding the recent cold weather, I have been experiencing a dull sensation in my big toe, which has a history of gout, upon waking up in the morning. However, after urinating, the discomfort significantly decreases? Hello, Director Gao! I apologize for bothering you, but I have...
Dr. Gao Jiankai Reply:
Hello, this question has been asked before, so I will repost my response. If your uric acid levels remain consistently normal, I don't believe it is a gout attack. Previously affected joints from arthritis may leave some residual effects, making them more sensitive to change...[Read More] Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?