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
Do All Ankylosing Spondylitis Patients Experience Morning Stiffness?
Do all patients with ankylosing spondylitis experience morning stiffness? Hello Doctor: I would like to confirm something with you regarding a question I asked yesterday (<a href="https://adoctor.tw/article/182368">#182368</a>, details below). I am attaching...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Morning stiffness is not related to the condition of the L4-5 vertebrae. Morning stiffness is associated with inflammation of the joints, tendons, and ligaments. The reason some individuals experience morning stiffne...[Read More] Do All Ankylosing Spondylitis Patients Experience Morning Stiffness?
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 Your ANA Test Results: Do They Indicate Lupus?
Is it systemic lupus erythematosus? This is my second follow-up report, and the ANA titer is still 1:640, the same as the first time. All other further examination indices are normal. The doctor said that my two 640 results are quite high, which suggests that I likely have system...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The diagnosis of lupus erythematosus involves not only the antinuclear antibody (ANA) test but also the evaluation of other clinical symptoms and laboratory indicators. In addition to your current test results, you may discuss with your physici...[Read More] Understanding Your ANA Test Results: Do They Indicate Lupus?
Understanding Abnormal Urinalysis: Protein and Leukocytes Explained
The health examination report shows issues with urinary protein and urinary white blood cells? Hello, currently my urine protein is protein*15(+/-)(mg/dL) and leukocyte*70(1+)(cell/uL), while all other urine tests are within normal ranges. Only the two items above are highlighted...
Dr. Wu Jiyu Reply:
If the physical examination shows urine protein at protein*15(+/-)(mg/dL), it cannot be definitively determined that there is proteinuria. It is recommended to consult a nephrologist for further evaluation to clarify the condition. Regarding leukocyte esterase at leukocyte*70(1+)...[Read More] Understanding Abnormal Urinalysis: Protein and Leukocytes Explained
Understanding Hematospermia: Treatment Success and Ongoing Symptoms
The success of treatment for hematospermia (blood in semen) depends on the underlying cause. It is important to conduct a thorough evaluation, including a medical history, physical examination, and appropriate diagnostic tests? Hello Doctor, I discovered blood in my semen in mid-...
Dr. Hong Yuanbin Reply:
Hello, 1. It is possible that the metabolites of hemoglobin may still appear reddish-brown, but the fecal occult blood test will be negative. 2. It is recommended to refrain from masturbation and observe the color of the urine; usually, bleeding should stop within 2-3 weeks. I...[Read More] Understanding Hematospermia: Treatment Success and Ongoing Symptoms
Concerns About Diabetes: Symptoms and When to Seek Medical Advice
Suspected diabetes mellitus? Hello Doctor: I recently discovered that I have a problem with excessive drinking, but I don't urinate often. I also feel sleepy after eating. A few weeks ago, I had blood tests and a urinalysis to check my blood sugar, but only the fasting blood...
Dr. Lin Jianliang Reply:
Hello: It is advisable to consult a physician again and provide them with detailed information about your condition.[Read More] Concerns About Diabetes: Symptoms and When to Seek Medical Advice
Understanding Bladder Discomfort: Symptoms and Possible Causes
Urination, urinary issues? Hello doctor, when I press on my abdomen over the bladder, I feel the urge to urinate. Sometimes there is a slight aching pain in the lower left abdomen, but my urination is normal and not infrequent. I have had a urinary tract infection before, but thi...
Dr. Hong Yuanbin Reply:
Hello, the sensation of bloating and pain you mentioned could indeed be related to cystitis, constipation, bloating, or ovarian and uterine conditions. It's important to determine if you are experiencing frequent urination or fever; if so, the likelihood of a urinary tract i...[Read More] Understanding Bladder Discomfort: Symptoms and Possible Causes
Severe Stenosis or Occlusion of Femoral and Popliteal Arteries in Elderly
Severe stenosis or occlusion of the femoral artery and popliteal artery? Hello Doctor, my mother is 90 years old and accidentally fell while walking. She has been lying in bed for some time now and is currently experiencing coolness and pain in her lower limbs for the past 50 hou...
Dr. Hong Yuanbin Reply:
Hello, this condition is indeed a dilemma because the surgical risks are very high. Even if the surgery is successful, the wound may not heal well. However, if surgery is not performed, it is anticipated that the left leg will gradually deteriorate. Cell death can produce many to...[Read More] Severe Stenosis or Occlusion of Femoral and Popliteal Arteries in Elderly
Understanding Proteinuria: Causes, Concerns, and Testing Accuracy
Regarding proteinuria? Hello Doctor: I have recently noticed that my urine has bubbles that slowly dissipate within 5-10 minutes, leaving a small amount that does not disperse. This condition is most pronounced in the first morning urine (the bubbles dissipate slowly, and there i...
Dr. Lin Wuxuan Reply:
Hello: Regarding the causes of foamy urine, in addition to proteinuria, the presence of glucose in the urine and inflammatory conditions can also lead to the production of foamy urine. If proteinuria is negative and other parameters in the routine urinalysis are within normal ran...[Read More] Understanding Proteinuria: Causes, Concerns, and Testing Accuracy
Understanding Fever Symptoms: When to Seek Medical Attention
Fever symptoms Hello Dr. Hong: I started experiencing chills and high fever ranging from 38.5 to 40.1 degrees Celsius on February 14. Therefore, I went to the outpatient department for hospitalization on February 17, where I underwent the following tests: blood tests (including c...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed difficult to determine the cause of the fever of unknown origin. There are a few points to consider: First, rheumatological and immunological issues may be a concern, which is likely why your physician has suspected this and prescr...[Read More] Understanding Fever Symptoms: When to Seek Medical Attention
Understanding Kidney Injury: Insights on Hematoma, Function, and Recovery
Renal hemorrhagic atrophy? Hello, doctor. I was injured in a car accident at the end of July last year, which affected my left kidney and caused bleeding. The hematoma was approximately 10 cm at that time. I underwent two CT scans in the emergency room (one without contrast and o...
Dr. Wu Jiyu Reply:
1. The current estimated glomerular filtration rate (eGFR) is calculated based on serum creatinine levels. When eGFR is above 60, even a slight change in creatinine can lead to differences in eGFR, so regular follow-up is recommended. 2. Hematomas have the potential to decrease ...[Read More] Understanding Kidney Injury: Insights on Hematoma, Function, and Recovery
Understanding Testicular Pain: Diagnosis and Treatment Options
Abdominal issues? On December 8, I visited a clinic in Tainan due to left testicular pain. The doctor prescribed medication, but after three days of taking it, there was no improvement. On December 12, during a follow-up visit, I asked the doctor if it could be a varicocele. The ...
Dr. Lin Wuxuan Reply:
Hello: Based on your description, your abdominal symptoms seem to be more indicative of gastrointestinal motility disorders. It is recommended that you visit a gastroenterology specialist for further evaluation. Additionally, regarding your inquiry about whether surgery for varic...[Read More] Understanding Testicular Pain: Diagnosis and Treatment Options
Is It Safe to Take Expired Tetracycline? Understanding the Risks
Tetracycline that has expired for several years? Hello, doctor. I took a tetracycline that expired several years ago. After researching online, I found out that it could be toxic. Is it possible to reach a toxic dose by taking just one pill? Do I need to seek medical attention? T...
Dr. Wu Hongjie Reply:
Hello: Poisoning refers to a situation where the dosage of a toxic substance is too high or interacts with other medications, causing harm to the human body. In your case, the dosage is neither too high nor too low, and there are no other medications being taken concurrently. Ins...[Read More] Is It Safe to Take Expired Tetracycline? Understanding the Risks
Understanding Urine Tests: What High Protein Levels Mean for Kidney Health
Urinalysis for renal function assessment? Doctor, I visited the clinic due to anxiety-related hypertension and underwent a urinalysis, which revealed proteinuria at 20.51 mg/dL (normal range 0-20 mg/dL) and creatinine at 26.60 mg/dL (normal range 0-250 mg/dL). However, the ratio ...
Dr. Wu Jiyu Reply:
In the past, testing for proteinuria required a 24-hour urine collection, but this is no longer necessary. Now, a single urine sample can be tested for protein and creatinine to provide a rough estimate. For example, (20.51/26.6)*1000=771, which is greater than the normal value o...[Read More] Understanding Urine Tests: What High Protein Levels Mean for Kidney Health
Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Urinalysis shows elevated levels of urinary albumin? Hello Doctor, I had a health check-up this month, and there were several abnormal results in my urinalysis. The findings included red blood cells at 10-19, bacteria at 1+, and trace amounts of hemoglobin. I also had a history ...
Dr. Lin Wuxuan Reply:
Hello: Based on the urine test results you provided, along with the normal albumin/creatinine ratio and protein/creatinine ratio, it is highly likely that the abnormal test data is influenced by gynecological issues. It is recommended that you return to the nephrology clinic for ...[Read More] Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Understanding Persistent Foot Swelling: Causes and Solutions
Dorsal foot edema issue? Hello, doctor. I have been experiencing swelling on the dorsum of my left foot for the past five to six weeks. Occasionally, the swelling decreases a bit, but then it suddenly becomes swollen again. When the swelling is more pronounced, it is accompanied ...
Dr. Chen Jianyu Reply:
Your issue is quite complex and requires a detailed consultation. It is recommended that you visit a hospital for further evaluation.[Read More] Understanding Persistent Foot Swelling: Causes and Solutions
Understanding Dry Tongue: Possible Links to Stomach Ulcers and Diabetes
Regarding dry tongue? Hello Doctor, let me describe my condition: Two and a half years ago, during a newborn health check, my fasting blood glucose was 75 mg/dL, with no diabetes, and everything else was normal. About one to two years ago, I experienced two episodes of dry mouth ...
Dr. Hong Yuanbin Reply:
Hello, regarding your question about dry mouth, it is likely not caused by other underlying diseases. Typically, a healthy young person should consume around 2000-3000 cc of fluids (including water) per day, especially in hot weather when fluid loss is rapid. It is advisable to m...[Read More] Understanding Dry Tongue: Possible Links to Stomach Ulcers and Diabetes
Unexplained Fever, Nausea, and Loss of Appetite: When to Seek Further Medical Help
Fever of unknown origin, nausea, and loss of appetite? Hello Doctor, I have been measuring my ear temperature between 37.3 and 37.6 degrees Celsius for the past few months, and I feel a heavy sensation in my head similar to having a fever. I often feel nauseous in the morning and...
Dr. Lin Wufu Reply:
Hello, it is recommended to visit a family medicine clinic for an examination and to perform a urinalysis to confirm whether there is a urinary tract infection. Bloating itself can cause a feeling of nausea, which may not necessarily be related to a urinary tract infection or fev...[Read More] Unexplained Fever, Nausea, and Loss of Appetite: When to Seek Further Medical Help
Understanding Unexplained Fever: Insights and Recommendations for Patients
Consultation for Fever of Unknown Origin Hello, doctor. Recently, from the beginning of this month until now, I have measured my ear temperature to be between 37.1 and 38.5 degrees Celsius (my usual ear temperature is around 36 to 36.2 degrees). At the beginning of the month, I v...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding body temperature, different devices and measurement sites can yield varying results. It is advisable to refer to the baseline values provided by the device (usually found in the user manual). Body temperature should be assessed in relation to these baseline ...[Read More] Understanding Unexplained Fever: Insights and Recommendations for Patients