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 Prolonged Fever: Blood Test Insights and Concerns
Blood tests for fever lasting more than 6 days? Hello Doctor, I have been experiencing a fever for over 6 days (around 38 degrees Celsius). I visited the clinic twice (COVID-19 and influenza tests were negative). The clinic doctor recommended that I go to a large hospital for blo...
Dr. Li Jian Reply:
The inflammatory index is slightly elevated, and the glomerular filtration rate can be monitored by a nephrologist. Thank you for your inquiry.[Read More] Understanding Prolonged Fever: Blood Test Insights and Concerns
Understanding Lower Abdominal Pain: When to See a Urologist?
Lower abdominal tenderness inquiry? Hello Doctor, in the past week, I have experienced localized tenderness in my lower abdomen. Initially, it was located about one centimeter to the right of my navel, but later it appeared about eight centimeters to the left of my navel, while t...
Dr. Lin Wufu Reply:
Hello, bladder inflammation typically presents with urinary tract symptoms. Your tenderness may also be related to the abdominal wall muscle layer. It is advisable to observe for two to three days, as it often improves on its own. When visiting a urologist, a urinalysis will like...[Read More] Understanding Lower Abdominal Pain: When to See a Urologist?
Muscle Tremors and Abnormal Urinalysis: When to Seek Help?
Muscle tremors and abnormal urinalysis? Hello Doctor, I had a routine check-up last week, and the protein test result was (+/-). I initially thought it wasn't a big deal, but recently I've been experiencing involuntary muscle twitching all over my body, and I even had l...
Dr. Lin Wuxuan Reply:
Side effects of the yellow fever vaccine may include headache, muscle pain, and mild fever, resembling cold symptoms, which typically resolve within 1 to 2 days. It is recommended to consult your primary care physician or an internal medicine clinic at the original vaccination fa...[Read More] Muscle Tremors and Abnormal Urinalysis: When to Seek Help?
Understanding Chronic Pyelonephritis: Causes, Symptoms, and Risks
Chronic pyelonephritis Hello, Doctor: Three years ago, I had acute pyelonephritis (with high fever and severe pain) but did not get hospitalized for intravenous antibiotics; I only took the oral antibiotics prescribed by my doctor for 7 days. During that time, I had irregular fol...
Dr. Zhang Shixin Reply:
Hello Ms. Chen: 1. Chronic pyelonephritis is usually caused by recurrent acute infections. If a child has repeated urinary tract infections along with congenital issues (such as vesicoureteral reflux or renal hypoplasia), they are more likely to develop this condition. 2. A uri...[Read More] Understanding Chronic Pyelonephritis: Causes, Symptoms, and Risks
Chronic Lower Back Pain Without Diagnosis: What Are Your Options?
If you have been experiencing lower back pain for more than three months without a clear diagnosis, what should you do? Hello, Doctor Wu! I am here to inquire about a family member who is a 47-year-old male, working as a night shift operator for 25 years (his job does not require...
Dr. Wu Hongjie Reply:
It is recommended to see a large hospital's Immunology and Rheumatology department or Orthopedics. Wishing you well.[Read More] Chronic Lower Back Pain Without Diagnosis: What Are Your Options?
Understanding Urinalysis Results: What Your Doctor Didn't Explain
Urinalysis Hello Doctor: I recently went to the clinic for a health check-up, and the test results are as follows: 1. Albumin (urine protein) (semi-quantitative) 10 mg/dl 2. Creatinine (urine creatinine) (semi-quantitative) 10 mg/dl (reference range 10-300 mg/dl) 3. Protein (urin...
Dr. Wu Hongjie Reply:
UACR = 10/10 = 1 The report result is still normal.[Read More] Understanding Urinalysis Results: What Your Doctor Didn't Explain
Understanding Immune System Issues: Symptoms and Concerns Explained
Immune system issues Hello, Doctor Gao. I have a few questions to ask you, and I appreciate your help. 1. At the beginning of August, I developed a urinary tract infection and took antibiotics for two weeks. The symptoms disappeared, and I thought I was cured, so I didn't ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe there is a high possibility of reactive arthritis, especially considering your age and the occurrence of acute prostatitis along with unexplained joint effusion and swelling. I recommend that you consult a rheumatologist nearby. The Al...[Read More] Understanding Immune System Issues: Symptoms and Concerns Explained
Understanding the Risk of HIV Infection After Sexual Encounter
What is the likelihood of contracting the HIV virus? Hello Doctor: - I had contact with a sex worker on August 16: unprotected oral sex and protected vaginal intercourse. - About 3 to 4 days after the incident, I felt a slight tingling sensation on the glans and noticed white or...
Dr. Liao Zhongxin Reply:
According to data from the Centers for Disease Control (CDC) in Taiwan, there are three main transmission routes for the Human Immunodeficiency Virus (HIV): 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-in...[Read More] Understanding the Risk of HIV Infection After Sexual Encounter
Understanding Abnormal Urinalysis Results: CREA and Color Insights
Urinalysis report CREA(U) (semi-quantitative) 100 mg/dL (-) pH 7.5 Bilirubin negative Color Straw (yellow) Glucose negative Ketone negative MALB(U) (...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The difference between yellow and straw-colored urine is minimal, and if there are no other abnormalities in the urine test, I believe it is not a concern. As for urine creatinine, it is related to kidney function, but in young males who consum...[Read More] Understanding Abnormal Urinalysis Results: CREA and Color Insights
Understanding Proteinuria: When to Worry About Kidney Health
Response: Second diagnosis of kidney issues (proteinuria)? Hello, Doctor. I previously asked about the issue of suspected proteinuria, and your response was that vaccination and infections can trigger the production of antibodies to protect against foreign viral invasion. Antibod...
Dr. Wu Hongjie Reply:
Yes, wishing you health and safety.[Read More] Understanding Proteinuria: When to Worry About Kidney Health
Understanding Kidney Issues: Insights on Proteinuria and Cysts
Kidney problems Hello, Doctor! Last year, I visited the hospital due to a urinary tract infection. After reviewing my urinalysis report, the urologist indicated that my proteinuria was elevated and recommended follow-up with a nephrologist. Since then, I have had five urinalysis ...
Dr. Wu Hongjie Reply:
Question 1: With normal urine and blood reports but abnormal ultrasound indicating bilateral parenchymal kidney disease, does this indicate Stage 1 CKD or has kidney function already been gradually impaired? (The physician only mentioned to return in six months for urine testing ...[Read More] Understanding Kidney Issues: Insights on Proteinuria and Cysts
Understanding Subcutaneous Hemorrhages in the Context of COVID-19
Subcutaneous ecchymosis of the calf? Hello, I was diagnosed with COVID-19 on June 11, and around June 24, I noticed purpura and petechiae on my calves. I visited a dermatologist on June 26, where the doctor ordered blood tests including CBC, ESR, Creatinine, AST, ALT, and CRP. Th...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have researched that one type of vasculitis is classified as ANCA-associated, which can present with symptoms such as sinusitis. I have been diagnosed recently and occasionally experience yellow nasal discharge tha...[Read More] Understanding Subcutaneous Hemorrhages in the Context of COVID-19
Understanding Your Immune Report: What Do the Results Mean?
Immunology Report Issues Dear Dr. Gao, I recently received the following immunology report from my blood test: - Ro-52: (+) - OJ: (-) - EJ: (-) - PL-12: (-) - PL-7: (++) - SRP: (-) - Jo-1: (-) - PM-Scl75: (-) - PM-Scl100: (-) - Ku: (-) - SAE1: (-) - NXP2: (-) - MDA5: (-) - TIF1...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Some of the results do not have reference values, as different hospitals may use different testing machines and reference values, making interpretation difficult. The other results that can be somewhat assessed are as follows: Anti-dsDNA 30.8 WH...[Read More] Understanding Your Immune Report: What Do the Results Mean?
Understanding Urination Issues: Pain After Bathing and Hygiene Concerns
Urinary problems Hello doctor, recently after taking a shower, I have been feeling a bit of pain in my private area when I go to the bathroom, but it goes away after a while. Could this be due to excessive cleaning or a urinary tract infection? Also, if I wash my hands before usi...
Dr. Hong Yuanbin Reply:
Hello, 1. The condition you mentioned could indicate either excessive cleaning of the urethral opening or a urethral infection. A urinalysis may be necessary to differentiate between the two. It is recommended to consult a urologist or a family medicine physician for evaluation...[Read More] Understanding Urination Issues: Pain After Bathing and Hygiene Concerns
Understanding Urinary Tract Infections and Persistent Back Pain
Urinary tract infection and subsequent lower back pain follow-up? Hello, I have already gone to a large hospital for examination due to concerns about bacteremia. After blood tests, urinalysis, X-rays, and kidney ultrasounds, the doctor said there were no significant issues. Howe...
Dr. Hong Yuanbin Reply:
Hello, if these tests have been done, it will take some time to improve. It is recommended to drink plenty of water and get more rest. However, if you suddenly experience a fever or increased pain later on, you will need to return to a major hospital for a detailed examination. T...[Read More] Understanding Urinary Tract Infections and Persistent Back Pain
Understanding Urinary Tract Infections and Associated Back Pain
Urinary tract infection and subsequent lower back pain? Due to a urinary tract infection, I have been undergoing medication treatment for 12 days. The first 10 days included three medications: Paran (Panadol), Ikodin, and Urogen. However, since the treatment effects were limited,...
Dr. Hong Yuanbin Reply:
Hello, it's difficult to say that lower back pain is definitely due to a kidney infection, as muscle strains can also cause back pain. This aspect requires a physician's direct assessment for a more accurate diagnosis. If a urinary tract infection is accompanied by bact...[Read More] Understanding Urinary Tract Infections and Associated Back Pain
Understanding the Kidney Risks of Long-Term NSAID Use: Dosage Matters
The dosage of NSAIDs that can cause kidney damage? Hello, doctor. I would like to ask about the issue of long-term NSAID use and its impact on kidney health. What dosage would be considered harmful to the kidneys? If someone takes 2-3 tablets of ibuprofen (200 mg each) during men...
Dr. Huang Yaoxuan Reply:
Dear Evonne: It is well known that long-term use of NSAIDs may harm the kidneys; however, there are no clinical studies indicating the dosage of NSAIDs that could cause kidney damage in young, healthy adults (such as yourself at 28 years old). It is recommended that you first und...[Read More] Understanding the Kidney Risks of Long-Term NSAID Use: Dosage Matters
Understanding Urine Test Results: What Do Your Numbers Mean?
Urine test inquiry? Hello Doctor, I recently had a physical examination and I don't quite understand the following test results, so I would like to ask you: 1. Test Name: Creatinine (CRE) Result: 203.1 mg/dL 2. Microalbumin (Immunoturbidimetric Method) Result: 203.1 mg/dL...
Dr. Hong Yuanbin Reply:
Hello, these three values should be from a urinalysis, right? The presence of these three values suggests that you may have had proteinuria previously. The normal ranges for these values can vary depending on the testing methods used by different hospitals, so your report should ...[Read More] Understanding Urine Test Results: What Do Your Numbers Mean?
Understanding Elevated White Blood Cells and Platelets: What You Need to Know
Elevated white blood cell and platelet counts? Dear Doctor: Three years ago, my blood test showed a white blood cell count of 12,400 and a platelet count of 500,000. Recently, my test results indicated a white blood cell count of 13,900 and a platelet count of 550,000, but I do n...
Dr. Hong Yuanbin Reply:
Hello, an elevated white blood cell count typically indicates that the body is in an inflammatory state, which may be due to infection, injury, medication (such as steroids), or other factors causing inflammation. It is advisable to first examine the areas of the body that are un...[Read More] Understanding Elevated White Blood Cells and Platelets: What You Need to Know