Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?
Regarding the recent cold weather, I have been experiencing a feeling of heaviness in my big toe, which previously had gout, upon waking up in the morning. However, after urinating, the sensation decreases significantly? Hello, Director Gao! I apologize for bothering you, but I h...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. If your uric acid levels remain consistently normal, I don't believe this is a gout attack. Joints that have previously experienced arthritis may leave some residual effects, making them more sensitive to changes in humidity and climate. Y...[Read More] Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?
Understanding Recurring Ankle Swelling: Possible Causes and Solutions
Repeated mild swelling and subsiding of the ankle in a short period of time? Hello, Doctor. Let me summarize my condition. On the evening of October 18, I experienced pain in the left heel while walking, and my ankle was slightly swollen that night. On October 19, I felt a sharp ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 2. Recently, I have also noticed that after experiencing coldness in my hands and feet, I feel a sharp pain on the inner side of my left ankle. Is this related to gout or other diseases? --> It should not be related....[Read More] Understanding Recurring Ankle Swelling: Possible Causes and Solutions
Dietary Concerns for Patients with Hereditary Polycystic Kidney Disease
Genetic polycystic kidney disease raises concerns regarding dietary supplements such as protein powder? Hello Doctor, I would like to inquire about my situation. I have a family history of polycystic kidney disease, and my recent health check results are as follows: Blood Urea Ni...
Dr. Wu Hongjie Reply:
A low-protein diet is defined as 0.6-0.8 grams of protein per kilogram of body weight. Currently, it has shown benefits only for patients with a glomerular filtration rate (GFR) below 60; the effects for those with a GFR above 60 are unclear. Unless there are special requirements...[Read More] Dietary Concerns for Patients with Hereditary Polycystic Kidney Disease
Managing Edema: Concerns About Diuretics and Rising Uric Acid Levels
Discontinuation of diuretics can lead to edema? Hello, Doctor. About a month ago, I visited a clinic due to lower limb edema, and the doctor prescribed Rasitol 40 mg, one tablet daily. After taking it, the diuretic effect was quite good, and the edema improved. However, once I st...
Dr. Wu Hongjie Reply:
There are many causes of edema. Please visit the relevant specialty clinic to identify the underlying cause. Self-medicating with diuretics will not address the root issue. There are various types of diuretics; for example, thiazide diuretics can lead to elevated uric acid levels...[Read More] Managing Edema: Concerns About Diuretics and Rising Uric Acid Levels
Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?
The medical examination report indicates urine ketones at 3+? Hello doctor, in April of this year, I experienced redness, swelling, and pain in my left foot, and a doctor at a clinic diagnosed it as gout (without blood tests). I have a history of gout and usually manage my diet, ...
Dr. Li Jian Reply:
The production of urine ketones is usually related to prolonged fasting. Please consult a metabolic specialist. Thank you for your inquiry.[Read More] Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?
Understanding Urinary Hematuria and Glomerular Filtration Rate Changes
Urinary occult blood. Glomerular filtration rate? Hello Dr. Lin, I would like to ask about the significance of my urine occult blood test results. Initially, it was 4+, and after 4 months, it changed to 5. Is this an improvement or a worsening for my kidneys? I have a history of ...
Dr. Lin Wuxuan Reply:
Please take the medication as prescribed and follow up regularly. If you have any concerns, please return to the clinic to discuss them with your attending physician. Thank you.[Read More] Understanding Urinary Hematuria and Glomerular Filtration Rate Changes
Post-Surgery Diet: Can You Continue Drinking Clam Extract?
Postoperative Diet for Kidney Stones I usually consume commercially available clam essence. After undergoing surgery, can I continue to use it, or is it a product that may contribute to stone formation and should be used sparingly?
Dr. Huang Yaoxuan Reply:
Three meals a day are normal, with low oil and low salt. Clam extract can be used sparingly. There are many types of kidney stones, one of which is uric acid stones, making it even more unsuitable to consume foods high in purines.[Read More] Post-Surgery Diet: Can You Continue Drinking Clam Extract?
Understanding Elevated Creatinine and Triglycerides: Key Insights for Patients
Both creatinine and triglycerides are elevated? Question: I visited my family medicine doctor on Sunday because I previously had high cholesterol issues (last year it was 236). The doctor asked if I could have blood drawn to track my levels today. I replied that I had just gone h...
Dr. Lin Jianliang Reply:
Hello, Xiaohua: To measure triglycerides, you should fast for 8-10 hours. The values can be affected by diet, so it is recommended to fast for 8-10 hours and avoid vigorous exercise before the test.[Read More] Understanding Elevated Creatinine and Triglycerides: Key Insights for Patients
Understanding Your Health Issues: Symptoms and Solutions for Better Wellness
Recently, I have been experiencing a lot of health issues? Hello Doctor, since the beginning of this summer, I have been feeling excessively hot and sweating profusely even with slight exercise. I have also been experiencing recurrent infections in my intimate area (itching and d...
Dr. Li Jian Reply:
Due to the symptoms involving multiple organ systems, it is recommended to visit a large hospital and consult with a family medicine specialist for a systematic examination. Thank you for your inquiry.[Read More] Understanding Your Health Issues: Symptoms and Solutions for Better Wellness
Understanding Uric Acid Levels and Their Impact on Knee Pain
Regarding uric acid and knee problems? Hello, doctor: I would like to ask about my knee pain issue that hasn't improved. The orthopedic doctor suggested I test my uric acid levels, and the result was 5 (tested after dinner). The doctor said that 5 is considered slightly high...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Different hospitals or clinics may have varying normal ranges for test results due to the different testing machines or units of measurement they use. Generally, most hospitals will use testing machines that establish the normal range for uric ...[Read More] Understanding Uric Acid Levels and Their Impact on Knee Pain
Is Febuxostat a Better Alternative to Allopurinol for High Uric Acid?
Consultation on Uric Acid Lowering Medications Hello Doctor, I have been taking allopurinol for a long time due to high uric acid levels. Recently, during a company-mandated health check at a designated clinic, the physician there mentioned that allopurinol places a greater burde...
Dr. Zeng Guosen Reply:
As long as it can lower uric acid and has no side effects, it's considered a good medication. Currently, there is no research indicating that Febuxostat is better than Allopurinol. If uric acid levels are stable, it is advisable to continue the current medication without swi...[Read More] Is Febuxostat a Better Alternative to Allopurinol for High Uric Acid?
Understanding Finger Joint Pain: Causes, Diagnosis, and Treatment Options
Finger joint pain This year, I suddenly experienced pain in the second joint of my right middle finger, so I went to the hospital to see an orthopedic doctor. After an X-ray, the doctor said there was no issue and prescribed anti-inflammatory medication, but there was no improvem...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. It is recommended to follow up with the rheumatology outpatient clinic. Some types of arthritis cannot be diagnosed with just one visit; they require observation over a period of time, and blood tests may need to be repeated if necessary. Additi...[Read More] Understanding Finger Joint Pain: Causes, Diagnosis, and Treatment Options
Is Long-Term Benzbromarone Use Safe for Kidney Health?
Hello, doctor. I would like to inquire about kidney issues? I would like to consult a physician. My height is 160 cm and my weight is 75 kg, with a uric acid level of approximately 8 or higher. If I take benzbromarone long-term to control my uric acid levels, will it cause any ha...
Dr. Lin Wufu Reply:
Hello, basically it shouldn't be a problem! However, be cautious about the possibility of developing uric acid stones. It's recommended to have regular follow-up visits at the outpatient clinic.[Read More] Is Long-Term Benzbromarone Use Safe for Kidney Health?
Managing High Creatinine Levels: Hydration and Dietary Choices
Elevated creatinine levels? A month ago, I visited a doctor due to gout, and after blood and urine tests, I was found to have a high uric acid level of 9.9 and a creatinine level of 1.2. The doctor advised me to drink more water. After increasing my water intake, I started drinki...
Dr. Li Jian Reply:
In addition to excessive meat intake, consuming beverages high in fructose can also lead to elevated uric acid levels, so it is advisable to limit the intake of sugary drinks.[Read More] Managing High Creatinine Levels: Hydration and Dietary Choices
Dietary Recommendations for Elderly Patients with Diabetes, Hypertension, and Kidney Issues
For patients with chronic kidney dysfunction, diabetes, and hypertension, it is important to follow a diet that helps manage these conditions. Here are some dietary recommendations: 1. **Limit Sodium Intake**: Reduce salt consumption to help control blood pressure. Aim for less ...
Dr. Lin Wuxuan Reply:
Hello, it is recommended to first take the elderly person to an outpatient clinic for examination and evaluation, and then consult a nutritionist for dietary advice. Thank you.[Read More] Dietary Recommendations for Elderly Patients with Diabetes, Hypertension, and Kidney Issues
Can Gout Recur Days After First Attack in Patients with No History?
Is it possible for someone with no history of gout to experience a recurrence of symptoms just a few days after the first attack? Hello Doctor, thank you for taking the time to answer my questions. My mother, who is 72 years old, has high blood pressure and her height is 153 cm w...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Gout can indeed have recurrent attacks in a short period of time. Gout attacks typically present with redness and heat, so the absence of these symptoms does lower the likelihood. Eating shiitake mushrooms is fine, and consuming fish is also ac...[Read More] Can Gout Recur Days After First Attack in Patients with No History?
Understanding Low Glomerular Filtration Rate: Testing and Insights
Reduced glomerular filtration rate (GFR)? I am 28 years old and have had two kidney function tests at the hospital, both showing an estimated glomerular filtration rate (eGFR) of around 80. In November 2020, my creatinine level was 1.06 with an eGFR of 89.76. In November 2021, my...
Dr. Huang Yaoxuan Reply:
Hello Mr. Yang: "Further precise" direct "verification of kidney function" >> I believe it is not as important as -- how to maintain (protect) kidney health (kidney function) >> Indeed, direct testing of kidney function is still not widely availabl...[Read More] Understanding Low Glomerular Filtration Rate: Testing and Insights
Do Bubbles in Urine Indicate Proteinuria? Understanding Your Kidney Health
If there is proteinuria, will there be bubbles every time you urinate? Hello, doctor. After my previous health check-up, my urine protein level was reported as (+/-)↑. The doctor mentioned that this value is quite common and advised me not to worry too much unless I wanted to pur...
Dr. Hong Yuanbin Reply:
Hello, the presence of bubbles in urine does not necessarily indicate proteinuria. For instance, when urine is more diluted, it may be harder to see bubbles. If you are still very concerned, you can purchase a urine protein test strip from a medical supply store, which would prov...[Read More] Do Bubbles in Urine Indicate Proteinuria? Understanding Your Kidney Health
Understanding High Creatinine and Uric Acid Levels in Young Adults
Elevated creatinine levels? Hello doctor, I am currently 18 years old, 170 cm tall, and weigh 47 kg. During a health check-up, I found that my creatinine level is elevated (1.45) and my uric acid level is also high (9.2). Additionally, protein was detected in my urine. Is my kidn...
Dr. Wu Hongjie Reply:
Based on your body type, it appears that you do not have a physique characterized by high muscle mass. The elevated creatinine levels suggest a need for further evaluation at a clinic. Wishing you health and safety.[Read More] Understanding High Creatinine and Uric Acid Levels in Young Adults
Understanding Abnormal Kidney Function Tests: Causes and Next Steps
Abnormal kidney function tests? The health examination report indicates elevated creatinine levels (1.45 mg/dL) and high uric acid levels (9.2 mg/dL), along with the presence of protein in the urine. Should I undergo further testing? What could be the causes of these abnormalitie...
Dr. Huang Yaoxuan Reply:
Hello, Asong: It is recommended that you consult a nephrology outpatient clinic to monitor the elevated creatinine levels and protein in your urine. For high uric acid levels, you may follow up with a rheumatology outpatient clinic. Thank you![Read More] Understanding Abnormal Kidney Function Tests: Causes and Next Steps