Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk
Weight loss In July of this year, after being diagnosed, I continued to have a poor appetite and trouble sleeping. In August, I started a new job that brought a lot of stress, and I had a persistent cough after the diagnosis, which only improved by the end of September. Before th...
Dr. Hong Yuanbin Reply:
Hello, regarding diabetes, a single blood glucose test is not sufficient to determine if there is a concern for diabetes. It is recommended to consult with a specialist in Metabolism or Family Medicine. As for weight loss, it is advisable to maintain a regular routine and engage ...[Read More] Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk
Understanding Abnormal Kidney Function: High Creatinine and Uric Acid Levels
Renal dysfunction Hello doctor, I am currently eighteen years old. In my health examination report, I found that my creatinine level is elevated (1.45) and my uric acid level is high (9.2). Additionally, there is protein in my urine. Could you please explain what issues this migh...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is likely that you have nephrotic syndrome. Given your age, most cases are benign conditions. I recommend visiting a nephrology clinic for further confirmation and examination. Thank you for your inquiry.[Read More] Understanding Abnormal Kidney Function: High Creatinine and Uric Acid Levels
Managing High Uric Acid and Liver Function: Best Specialist Options
What is the best way to manage high uric acid levels and elevated liver function tests? Thank you, doctor, for taking the time to address my concerns. I have recently received blood test results showing the following: height 165 cm, weight 70 kg. 1. Uric acid level: 8.9 mg/dL. 2....
Dr. Li Jian Reply:
High uric acid and fatty liver can benefit from consulting a nutritionist for education and guidance. Weight loss is essential; if dietary control is insufficient, consider seeking treatment from a metabolic specialist for medication.[Read More] Managing High Uric Acid and Liver Function: Best Specialist Options
Managing High Uric Acid and Liver Function: Best Specialist Options
What is the best way to manage high uric acid levels and elevated liver function tests? Thank you, doctor, for taking the time to address my concerns. I have recently received blood test results showing the following: height 165 cm, weight 70 kg. 1. Uric acid level is 8.9 mg/dL. ...
Dr. Li Jian Reply:
High uric acid levels and fatty liver can benefit from consultation with a nutritionist for education and guidance. Weight loss is essential; if dietary control is insufficient, consider seeking treatment from a metabolic specialist for medication management.[Read More] Managing High Uric Acid and Liver Function: Best Specialist Options
Managing High Uric Acid and Liver Function: Best Specialist Options
What is the best way to manage elevated uric acid levels and slightly elevated liver function indices? Thank you, doctor, for taking the time to address my concerns. I have recently received blood test results showing the following: height 165 cm, weight 70 kg. 1. Uric acid level...
Dr. Li Jian Reply:
High uric acid and fatty liver can benefit from consulting a nutritionist for education and guidance. Weight loss is essential; if dietary control is insufficient, consider seeking medication treatment from a metabolic specialist.[Read More] Managing High Uric Acid and Liver Function: Best Specialist Options
Understanding Your Blood Test Results: Are You at Risk for Diabetes?
Three high issues (referring to high blood pressure, high Hello Doctor: I recently had a basic blood test, and here are the results: eGFR: 80 (Is this low?), ALT: 12 (Does this indicate that my liver is healthy?), Uric Acid: 5.1 (Is this high?), TG (Triglycerides): 63 (I previous...
Dr. Li Jian Reply:
A hemoglobin A1c level of 6 indicates prediabetes, and regular monitoring is necessary. Currently, dietary control is recommended. Thank you for your inquiry.[Read More] Understanding Your Blood Test Results: Are You at Risk for Diabetes?
Understanding Kidney Function Tests: Interpreting Your Results
Kidney function tests Hello Dr. Wu, I had a general health check-up at a clinic in early May, and the report is as follows: - Blood Urea Nitrogen (BUN): 14.0 (normal range: 7-25) - Creatinine: 0.63 (normal range: 0.6-1.2) - Glomerular Filtration Rate (GFR): 115 (greater than 6...
Dr. Wu Jiyu Reply:
According to your inquiry, both reports indicate normal kidney function (as the glomerular filtration rate is greater than 60, and all urine tests are normal), which does not qualify as chronic kidney disease. For chronic kidney disease to be diagnosed, the glomerular filtration ...[Read More] Understanding Kidney Function Tests: Interpreting Your Results
Understanding Gout Symptoms: Normal Uric Acid Levels and Foot Discomfort
Regarding normal uric acid levels but slight discomfort in the big toe? Hello Director Gao, I apologize for disturbing you, but I would like to consult you regarding a patient. About ten years ago, the patient experienced sudden severe pain in the foot and was diagnosed with gou...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Can gout occur even with normal uric acid levels? For example, if someone suddenly consumes a large amount of seafood or red meat, or if they haven't been drinking enough water recently, could this trigger a mild...[Read More] Understanding Gout Symptoms: Normal Uric Acid Levels and Foot Discomfort
Understanding Rising Urine Protein Levels: What You Need to Know
The urinary protein index has surged? Hello, Doctor. Below are the results from my visit to Hospital B on the evening of March 14 this year. The random urine test results were as follows: Urine Creatinine: 93.4 mg/dL; Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL); Uri...
Dr. Wu Hongjie Reply:
The presence of bubbles in urine does not necessarily indicate proteinuria; factors such as fever, excessive exercise, consumption of high animal protein, hormonal influences, or other diseases causing abnormal protein production can also be responsible. Even if tests do not show...[Read More] Understanding Rising Urine Protein Levels: What You Need to Know
Understanding Gout Diagnosis: Symptoms, Treatment, and Management
Gout Diagnosis Thank you, doctor, for taking the time to respond to my questions. I really appreciate it! I am a 34-year-old male, 175 cm tall, weighing 93 kg. I do not drink alcohol but often stay up late. I have gastroesophageal reflux disease and a duodenal ulcer, for which I ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is swelling and redness always present in gout? I had pain in my knee at that time, but there was no swelling or redness; can that still be considered gout? --> Most of the time, yes, but some patients may not exhi...[Read More] Understanding Gout Diagnosis: Symptoms, Treatment, and Management
Understanding U-PCR and Urinary Protein: Implications for Kidney Health
The relationship between U-PCR (Urine Protein-to-Creatinine Ratio) and kidney function? Hello, doctor. I would like to ask about a recent health check-up for a 72-year-old male. The U-PCR result is 1336.47, indicating significant proteinuria (+++). Is this indicative of a problem...
Dr. Lin Wufu Reply:
Hello, U-PCR 1336.47 or urine bag protein 3+ are both indicators of proteinuria, which is most commonly associated with diabetes, but may also indicate other intrinsic kidney issues. Your overall kidney function is currently normal, but it is still recommended to schedule an appo...[Read More] Understanding U-PCR and Urinary Protein: Implications for Kidney Health
Understanding Sudden Decline in Kidney Function: Causes and Solutions
What could cause a sudden decline in kidney function? In mid-December last year, my health check revealed a blood urea nitrogen level of 13, creatinine level of 1.7, uric acid level of 6.9, pH of 6, urine protein negative, specific gravity of 1.030, and blood pressure of 126/71. ...
Dr. Wu Jiyu Reply:
1. The presence or absence of proteinuria is determined by testing, and your urine protein result is negative (-). If you are still concerned, you can ask your physician to check the urine protein to creatinine ratio next time. 2. In mid-December, your creatinine level was 1.7, ...[Read More] Understanding Sudden Decline in Kidney Function: Causes and Solutions
Understanding Gout: Duration, Symptoms, and Treatment Insights
Please ask some questions about gout? Hello, Doctor. My mother suddenly has difficulty walking on her right leg, and her right knee is very swollen, hot, and painful, although there are no visible signs of redness. After being hospitalized, it was found that there were bacteria i...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses to your inquiries: 1. Can gout symptoms last this long? I found online that gout usually comes and goes quickly, but my mother's symptoms have persisted for over a month. --> In terms of gout, this duration is ind...[Read More] Understanding Gout: Duration, Symptoms, and Treatment Insights
Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
The most recent test showed a significant decrease in glomerular filtration rate (GFR)? Hello, Doctor. I am currently 29 years old, 153 cm tall, and weigh 50 kg. Last year, during a company health check, I was found to have elevated fasting blood glucose levels (118), but my hemo...
Dr. He Yonghe Reply:
Hello Ms. Wang, drinking less water can also lead to a decrease in eGFR. Generally, 2500-3000 cc per day should be sufficient. If your cholesterol is elevated, dietary changes and exercise can help improve it. You may consider visiting an internal medicine specialist for further ...[Read More] Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Sought medical attention due to rapid heartbeat? Due to experiencing a rapid heartbeat and occasional lower back pain, a series of tests were conducted. Initially, it was thought to be a heart issue, but later it was found that the blood CR(B) level is 1.04, uric acid is 7.8, cho...
Dr. Wu Jiyu Reply:
Based on the data you provided, a serum creatinine level of 1.04 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range, and there is no need to worry about dialysis. As for your elevated uric acid and cholesterol levels...[Read More] Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Understanding Urine and Blood Test Results: Are They Normal?
I would like to inquire about the urine and blood test report? Hello Doctor, I have recently noticed small bubbles floating in my urine. I had urine and blood tests done this month, with results showing a creatinine level of 0.9, a glomerular filtration rate of 96.6, a uric acid ...
Dr. Wu Jiyu Reply:
According to the data you provided, the blood tests (creatinine and uric acid) are normal, and the urine microalbumin level is 0.6 mg/dL. Although there is no comparison with urine creatinine, it is evident that this value is normal. Despite the presence of bubbles observed visua...[Read More] Understanding Urine and Blood Test Results: Are They Normal?
Understanding Stiff and Swollen Finger Joints: Causes and Solutions
Stiffness and swelling in the finger joints? Hello Doctor: Last year in late autumn, I noticed stiffness in my finger joints upon waking up, but it was mild, so I didn't pay much attention to it. Recently, however, the frequency has increased, and almost every day my fingers...
Dr. Zeng Guosen Reply:
Hello, experiencing stiffness in the finger joints upon waking, pain in the index finger, swelling in the fingers, positive urine occult blood test, and hair loss should not be ignored, but there is no need to panic. Please seek medical evaluation, as there are many potential cau...[Read More] Understanding Stiff and Swollen Finger Joints: Causes and Solutions
Understanding Kidney Function Tests: What Your eGFR Results Mean
Kidney function tests Hello, doctor. During my health check-up last May, tests for urine protein, urine glucose, urine blood, kidney ultrasound, blood sugar, and blood pressure showed no abnormalities. My blood urea nitrogen was 12.0 mg/dL, creatinine was 0.79 mg/dL, and uric aci...
Dr. Su Zhehong Reply:
Currently, the test results are normal, and there is no need to limit protein and potassium intake. Focus on a balanced diet and regular exercise. For health supplements, use well-known and certified brands.[Read More] Understanding Kidney Function Tests: What Your eGFR Results Mean
Managing Fluctuating Creatinine Levels: Causes and Solutions
What should be done if creatinine levels fluctuate and increase over a short period? In January 2020, the urea nitrogen level was 0.88, in July 2020 it was 1.22, in January 2021 it was 1.14, in February 2021 it was 0.98, and in April 2021 it was 1.26. There was foamy urine, but t...
Dr. Wu Jiyu Reply:
Based on the data you provided, the calculated e-GFR (estimated Glomerular Filtration Rate) values are 95, 66, 70, 84, and 63, which indeed show some variation. Recommendations are as follows: 1. If there is no proteinuria, a low-protein diet is not necessary at this time, but a ...[Read More] Managing Fluctuating Creatinine Levels: Causes and Solutions
Recurring Left Upper Abdominal Pain and Associated Symptoms: What to Do?
Abdominal pain lasting over three months, accompanied by swelling and pain in the left upper chest and axilla, as well as soreness in the middle and ring fingers of the hands? Hello, doctor. About four months ago, I started experiencing pain in my left upper abdomen, which feels ...
Dr. Zeng Guosen Reply:
Hello, based on your description of left upper abdominal pain that feels like pressure when eating, along with swelling and pain under the left chest and armpit, it is advisable to consult a gastroenterologist. Currently, you are experiencing soreness in your hands, specifically ...[Read More] Recurring Left Upper Abdominal Pain and Associated Symptoms: What to Do?