Understanding Cloudy Tea-Colored Urine: Causes and Concerns
Cloudy tea-colored urine? Hello Doctor, I have a hereditary issue that causes my uric acid levels to be consistently high, and I have experienced multiple gout attacks. I have been taking Benzobromarone 50 mg once daily for four months to manage this condition. This morning, I no...
Dr. Wu Jiyu Reply:
Based on your inquiry (this morning's first urine was found to be cloudy and tea-colored, while the second urine returned to clear), it is not possible to determine whether Benzobromarone has caused hepatotoxicity. Generally, the first urine in the morning is darker because ...[Read More] Understanding Cloudy Tea-Colored Urine: Causes and Concerns
Managing Diabetes: Key Questions on Blood Sugar and Diet
Revisiting Diabetes Mellitus? Hello Dr. Hsiao, First of all, thank you for your response last time. Yesterday, I visited the cardiology department to review my blood test results. My fasting blood glucose was 96 mg/dL and my HbA1c was 5.5% (three months ago, my fasting blood glu...
Dr. Xiao Yongxun Reply:
Question 1: Should I still strictly control my intake of starches and sugars? Answer: Strictly controlling the intake of starches and sugars can indeed lower blood glucose and glycated hemoglobin levels, thereby improving conditions such as diabetes or glucose intolerance. In f...[Read More] Managing Diabetes: Key Questions on Blood Sugar and Diet
Understanding Moon Facies: Possible Causes and Diagnostic Approaches
What diseases can cause an unusually round and swollen face (similar to a full moon face)? I am a 22-year-old male, and recently while organizing old photos, I noticed that my face appears disproportionately swollen compared to my BMI. I am 175 cm tall and weigh 80 kg. I collecte...
Dr. Huang Yaoxuan Reply:
Hello Mr. Kobayashi: 1. Regarding kidney diseases, blood tests and urinalysis can be used for screening, and sometimes additional imaging studies such as ultrasound may be performed to assist in diagnosis and treatment. If, as you mentioned, you only have kidney stones (and ele...[Read More] Understanding Moon Facies: Possible Causes and Diagnostic Approaches
Understanding Elevated Creatinine Levels: Kidney Health Concerns Explained
This morning, I went for a fasting blood draw, and after receiving the report, I found that my creatinine level is slightly elevated? Hello Doctor, I submitted a question on October 12 (you replied on October 14). This morning, I went to the lab on an empty stomach to have blood ...
Dr. Huang Yaoxuan Reply:
Hello: Creatinine: 1.24, GFR 81.64, which is not far from the normal value of 90. This could be due to fluctuations in test results or may indicate a mild issue. It is recommended to have regular blood tests for monitoring (every six months or annually). Additionally, regarding y...[Read More] Understanding Elevated Creatinine Levels: Kidney Health Concerns Explained
Managing Stage 3 Chronic Kidney Disease: Treatment and Dietary Concerns
Kidney disease issues? Dr. Chen: Hello, I have a question. My father is 82 years old and has been diagnosed with stage 3 chronic kidney disease (moderate). The doctor hasn't prescribed much medication for him, only some uric acid-lowering drugs. Is this treatment appropriate...
Dr. Chen Jianyu Reply:
1. The key focus in managing stage 3 chronic kidney disease is to monitor renal function and effectively control the patient's hypertension, diabetes, and other chronic conditions. 2. There are no medical research reports confirming that herbal decoctions can treat kidney ...[Read More] Managing Stage 3 Chronic Kidney Disease: Treatment and Dietary Concerns
Understanding the Link Between Hyperparathyroidism and Urinary Calcium
Hypercalciuria and Parathyroid Glands I would like to inquire about the relationship between the parathyroid glands and hypercalciuria. How does the body differentiate between calcium and calcium ions, and what is the connection between these and kidney stones?
Dr. Gao Jiankai Reply:
Hello, regarding your question, it is best to consult a physician specializing in metabolism (endocrinology), as the parathyroid glands, like the thyroid gland, are endocrine organs in the body. Here are some brief answers to your questions: 1. The relationship between the parat...[Read More] Understanding the Link Between Hyperparathyroidism and Urinary Calcium
Understanding High Uric Acid: Gout, Genetics, and Long-Term Treatment
Uric acid and metabolism issues? Hello Dr. Hsiao, Question 1: Around the age of 20, I was diagnosed with high uric acid levels, approximately double the normal range, which led to gout (in my toe). The doctor mentioned it might be hereditary, but my family members do not exhibit...
Dr. Xiao Yongxun Reply:
Question 1: The definition of hyperuricemia is a serum uric acid concentration greater than 7.0 mg/dL in men and greater than 6.0 mg/dL in women. Uric acid is a risk factor for the development of gout; however, the relationship between hyperuricemia and acute gout remains unclear...[Read More] Understanding High Uric Acid: Gout, Genetics, and Long-Term Treatment
Understanding Biochemical Reports: Managing Diabetes and Kidney Health
Family's biochemical report Hello Dr. Wu, I consulted with you in February this year, and today I am attaching more biochemical report data for your explanation. My father is 60 years old today and has been suffering from diabetes and kidney stones for a long time. He was or...
Dr. Wu Jiyu Reply:
My father is 60 years old today and has long been troubled by diabetes and kidney stones. He has been seeing a family medicine doctor, but for some reason, his case has been referred to a nephrologist. I have attached the examination reports from February of this year to the pres...[Read More] Understanding Biochemical Reports: Managing Diabetes and Kidney Health
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 Prednisolone Use for Gout: Dosage, Safety, and Alternatives
Prednisolone My father (85 years old) has gout and visited an orthopedic doctor who prescribed him prednisolone (2 tablets in the morning and 2 tablets in the evening, each 5 mg). He has been taking it for over a month, and I recently found out that it is a corticosteroid. Is thi...
Dr. Li Zhiyao Reply:
Hello: The main anti-inflammatory and analgesic medications used to treat acute gouty arthritis include three types: nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine, and corticosteroids. The choice among these medications should depend on whether the patient has any con...[Read More] Understanding Prednisolone Use for Gout: Dosage, Safety, and Alternatives
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
Does Not Fasting Affect the Accuracy of Health Checkup Results?
Does undergoing a health check-up without fasting affect the interpretation of test results? Thank you? Hello Director Li, I would like to ask you some questions regarding the health check report. Our company is organizing a health check tour, but the hospital has scheduled the h...
Dr. Li Huixiong Reply:
Hello: Some laboratory test results can indeed be influenced by diet. Below, I will list the tests and examinations that are recommended to be fasting for at least eight hours due to dietary effects, for your reference: urine glucose (GLU), pH, total cholesterol (CHOL), triglycer...[Read More] Does Not Fasting Affect the Accuracy of Health Checkup Results?
Impact of Diet on Blood Test Results for Prediabetes
Prediabetes Hello Dr. Lee: Today, the hospital's blood test report shows fasting blood glucose: 117, glycated hemoglobin: 5.8, triglycerides: 193, cholesterol: normal, and uric acid: normal. I consumed a large amount of soda (5 bottles) and ate fried chicken nuggets (4 piece...
Dr. Li Zhiyao Reply:
Hello: Based on what you mentioned, I recommend that you pay attention to the following three points: 1. Correct your dietary habits. 2. You are at high risk for diabetes: as your glycated hemoglobin (HbA1c) is greater than 5.7; please note that glycated hemoglobin is not affecte...[Read More] Impact of Diet on Blood Test Results for Prediabetes
Understanding the Referral from Family Medicine to Nephrology for Diabetes Patients
The family medicine physician referred the case of my father to the nephrology department? Hello, my father has been suffering from diabetes and kidney stones for a long time. He was originally seeing a family medicine doctor, but for some reason, his case has been referred to a ...
Dr. Wu Jiyu Reply:
Sugar (Glycosuria): 1+ (-) HbA1c: 7.8% Uric Acid: 4.2 mg/dl Cholesterol Total: 219* mg/dl Q1: Attached is the examination report from February 7th. I noticed that there are no kidney function indices in the report. Can I request this test during my next outpatient visit? Answer1:...[Read More] Understanding the Referral from Family Medicine to Nephrology for Diabetes Patients
Understanding High Uric Acid Levels: Causes and Management Tips
Hello, Dr. Hsiao? Hello Dr. Hsiao, I have a habit of donating blood, and the blood donation center also checks some health parameters for us. One of these is the uric acid level, which is 7.1. It shows that the normal range for males is 3.5 to 7.2! It is clearly close to being ...
Dr. Xiao Yongxun Reply:
Hello: In response to your question regarding serum uric acid levels, hyperuricemia is defined as a level greater than 7.0 mg/dL in men and greater than 6.0 mg/dL in women. The deposition of monosodium urate crystals in joint synovial fluid or other tissues leads to symptoms know...[Read More] Understanding High Uric Acid Levels: Causes and Management Tips
Understanding the Link Between Thyroid Issues and Persistent Dizziness
Persistent dizziness and the thyroid? Hello Doctor: In recent months, I have been experiencing persistent dizziness (similar to the feeling after drinking alcohol), and sometimes my face feels a bit numb. A few weeks ago, I visited a doctor for a cold, and they mentioned that my ...
Dr. Yang Hongzhi Reply:
Hello: High uric acid levels and thyroid enlargement are not expected to be directly related to dizziness and facial numbness. If there is indeed thyroid enlargement, you may visit the endocrinology clinic for evaluation. If the dizziness and facial numbness persist, consider con...[Read More] Understanding the Link Between Thyroid Issues and Persistent Dizziness
Can a Vegetarian Diet Help Reduce Gout Symptoms and Uric Acid Levels?
Gout issues Hello, doctor. I would like to ask if a vegetarian diet can help gout patients in eliminating crystals and lowering uric acid levels.
Dr. Ke Zhengchang Reply:
1. A vegetarian diet will not eliminate uric acid crystals in gout. 2. Lowering uric acid levels can reduce the frequency of gout attacks. 3. A vegetarian diet often relies heavily on legumes, which can also raise uric acid levels. If eggs and dairy are still considered veget...[Read More] Can a Vegetarian Diet Help Reduce Gout Symptoms and Uric Acid Levels?
Managing High Uric Acid Levels: Dietary Changes vs. Medication
Hyperuricemia Hello, doctor. I learned from my health check report at school that my uric acid level is high at 10.2. How can I prevent this? Additionally, my MCV is also low at about 77.2. Regarding the uric acid, I believe it may be due to genetic factors. Should I consider med...
Dr. Ke Zhengchang Reply:
Hello: Elevated uric acid levels in the blood can be influenced by genetic factors as well as dietary habits, such as the consumption of high-purine foods like organ meats, seafood, meat broth, hot pot, alcohol, mushrooms, and legumes, all of which can increase uric acid levels. ...[Read More] Managing High Uric Acid Levels: Dietary Changes vs. Medication
Understanding Finger Joint Pain: Gout or Rheumatoid Arthritis?
Finger joint soreness and numbness? Hello Doctor: I have a history of gout for about 10 years, and I haven't had an acute attack for over 6 years. This month, my blood test showed a uric acid level of 8.6. I would like to ask about an incident from early last year when I sud...
Dr. Zeng Guosen Reply:
Hello, the symptoms you are experiencing do not appear to be acute gout, but chronic gout cannot be ruled out. It is recommended that you visit a hospital for further examination. The sudden sensation of numbness and tingling in the joint of your right little finger and palm, alo...[Read More] Understanding Finger Joint Pain: Gout or Rheumatoid Arthritis?
Understanding Low Uric Acid Levels: Risks and Health Implications
Uric acid Hello Doctor: I previously had a uric acid test, and my level was 9.3, which is too high. After seeing a doctor, he prescribed medication to lower my uric acid. Recently, my level was tested at 2.9! The standard range is 3 to 6. What complications can arise from having ...
Dr. Ke Zhengchang Reply:
Hello: High uric acid levels pose a risk for gout attacks and may lead to kidney dysfunction. After treatment, if uric acid levels decrease and return to normal, medication may no longer be necessary, provided that adequate hydration is maintained and foods high in uric acid are ...[Read More] Understanding Low Uric Acid Levels: Risks and Health Implications