Understanding Frequent Urination: Causes and Treatment Options
Frequent urination issues? Since early August, I have noticed an increase in my urination frequency, often feeling the need to urinate again shortly after just finishing. At its worst, I remember urinating three times within about an hour, and experiencing nocturia once. Recently...
Dr. Hong Yuanbin Reply:
Hello: Based on your description, it is indeed highly unlikely that you have benign prostatic hyperplasia due to your young age. The most probable causes for your symptoms are as follows: 1. Abnormalities in the urinary tract structure. However, theoretically, if it were a stru...[Read More] Understanding Frequent Urination: Causes and Treatment Options
Understanding Left-Sided Lower Back Pain: Causes and Next Steps
Left posterior flank pain? Hello Doctor: Recently, I have not been feeling well and have been experiencing physical and mental tension. Two weeks ago, I had a four-day episode of head pressure and dizziness (migraine), and I occasionally feel my heart racing. I visited an ENT spe...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the previous symptoms were indeed more indicative of a cold. However, considering the recent situation, it is highly suspected that you may have a urinary tract stone. I recommend that you consult a urologist, as you may need to undergo a urinaly...[Read More] Understanding Left-Sided Lower Back Pain: Causes and Next Steps
Understanding Bubbles in Urine: Causes and Concerns Explained
Bubbles in urine? Hello doctor, since mid-February, I have noticed that my urine has been consistently producing small clusters of dense bubbles. I visited the urology department at Taoyuan Hospital, where I underwent an X-ray and urinalysis. The doctor said everything was fine, ...
Dr. Wu Hongjie Reply:
The presence of bubbles in urine does not necessarily indicate proteinuria. Conditions such as fever, excessive exercise, consumption of high amounts of animal protein, hormonal influences, or other diseases causing abnormal protein production can also be contributing factors. Pr...[Read More] Understanding Bubbles in Urine: Causes and Concerns Explained
Understanding Decreased Kidney Function: When to Adjust Diet and Exercise
Decreased renal function? Hello Dr. Wang, At the end of last year, my health check showed the following kidney function values: blood urea nitrogen (BUN) 18.0 mg/dL, creatinine 1.2 mg/dL, and glomerular filtration rate (GFR) 78 mL/min. Since mid-year, I have started exercising a...
Dr. Wang Weijie Reply:
Hello, due to your high-protein diet and long-term exercise habits, it is likely that your muscle mass has increased, which may result in elevated levels of creatinine and blood urea nitrogen in your bloodstream compared to the average person. This can lead to a decrease in the e...[Read More] Understanding Decreased Kidney Function: When to Adjust Diet and Exercise
Understanding Acute HIV Infection: Symptoms and Diagnosis
Acute HIV infection phase? Hello Doctor, I started feeling unwell around August 29, experiencing fever and fatigue. On August 30, I had blood tests showing a CRP of 7.490 (all other biochemical parameters were normal), WBC of 12,870, Neutrophils 70.8%, Lymphocytes 19.9%, and Mono...
Dr. Liao Zhongxin Reply:
Dear readers: According to the Centers for Disease Control website (http://www.cdc.gov.tw), there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual ...[Read More] Understanding Acute HIV Infection: Symptoms and Diagnosis
Understanding Abnormal Urinalysis Results: When to Seek Medical Advice
Health examination report issues? Hello, I would like to inquire about a health check report. The urine test shows ketones at 3+ and protein at +/-; the blood test indicates neutrophil percentage at 76.2% and lymphocyte percentage at 18.4%, with the rest being normal. I'm un...
Dr. Wang Weijie Reply:
Dear Patty, Ketones are metabolites produced from fat utilization when there is a lack of insulin. They can appear positive in conditions such as diabetes, starvation, diarrhea, and vomiting. Ketones are formed when fat metabolism is incomplete; normally, there are no ketones in...[Read More] Understanding Abnormal Urinalysis Results: When to Seek Medical Advice
Understanding Creatinine Levels and Kidney Function Concerns
Creatinine and Kidney Function Related Issues Hello, Doctor. I apologize for the lengthy description of my issue. Here are the results from my blood and urine tests conducted at the clinic two weeks ago: Fasting blood glucose: 100 mg/dL (reference range: 70-100) Blood urea ni...
Dr. Wu Jiyu Reply:
Based on your description, your creatinine level is 1.34 mg/dL (reference range 0.7-1.5), and your glomerular filtration rate (GFR) is 66.9 (reference value > 60). Given your age, your GFR is slightly low, and the most common risk factors affecting kidney function are hyperten...[Read More] Understanding Creatinine Levels and Kidney Function Concerns
Understanding Right Kidney Pain: Causes and Concerns for Patients
Kidney problems Hello, Doctor Wu. I would like to ask, around noon today, I experienced pain in my right kidney. It hurts when I squat down and when I get back up. My job involves standing and squatting to pick things up. In mid-February of this year, the clinic conducted blood a...
Dr. Wu Hongjie Reply:
Hello: There are many issues related to lower back pain that can be referenced in the attached document or addressed at a hospital. Wishing you safety from bothersome back pain. In the United States, back pain is the second most common reason for seeking medical attention in inte...[Read More] Understanding Right Kidney Pain: Causes and Concerns for Patients
Low Lymphocyte Count: Could It Indicate HIV Infection?
A low lymphocyte count and a neutrophil count near the upper limit of normal could potentially indicate various conditions, including HIV. However, these findings alone are not definitive for an HIV diagnosis. It is important to consult a healthcare professional for further evalu...
Dr. Liao Zhongxin Reply:
Regarding <My Story>, the response is as follows: 1. I discovered painful urination and purulent discharge in mid-December last year and immediately sought medical attention at a clinic. However, there was no discharge during the examination. The doctor administered an in...[Read More] Low Lymphocyte Count: Could It Indicate HIV Infection?
Do You Need Regular Kidney Function Tests? Common Concerns Explained
Questions related to kidney examinations? Is it necessary to have regular kidney function tests? I do not have diabetes or hypertension, but I have congenital heart disease and have previously had urinary tract infections and pneumonia. I took a lot of traditional Chinese medicin...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Renal function monitoring is typically recommended for: 1. Patients with a history of chronic kidney disease (such as chronic nephritis, interstitial nephritis, or hydronephrosis); 2. Individuals with systemic chronic diseases such as diabetes, hypertension, gout...[Read More] Do You Need Regular Kidney Function Tests? Common Concerns Explained
Understanding Creatinine Levels and Kidney Health: A Patient's Inquiry
Kidney issues and creatinine? Hello Dr. Wu, I have a few questions that I hope you can help me with. I am 60 years old, 175 cm tall, and weigh 72 kg, giving me a BMI of 23.5. I have a habit of hiking every day. My serum creatinine levels are 1.6 to 1.7 mg/dL, and my glomerular f...
Dr. Wu Jiyu Reply:
Hello, based on the information you provided, you have mild chronic kidney disease, classified as stage 3 (mild). Patients with chronic kidney disease should indeed avoid nephrotoxic medications (such as nonsteroidal anti-inflammatory drugs), but not all medications adversely aff...[Read More] Understanding Creatinine Levels and Kidney Health: A Patient's Inquiry
Understanding Abnormal Urinalysis: Which Specialist to Consult?
Abnormal urinalysis? Due to insurance requirements, I was asked to undergo a general health check-up and was informed that my urine test results were abnormal. However, I was not provided with the report (the original report was sent directly to the insurance company). I would li...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question of whether to see a urologist or a nephrologist for a detailed examination to confirm any diseases: 1. In young women, abnormal urine findings are often due to urinary tract infections, which may show an increase in white blood cells, or bot...[Read More] Understanding Abnormal Urinalysis: Which Specialist to Consult?
Understanding Frequent Urination: Causes and Solutions for Your Symptoms
Frequent urination issues? Recently, I have been experiencing frequent urges to urinate, but the urine output is very low or even nonexistent. I went to the hospital for a urinalysis, and everything came back normal. However, the frequent urge to urinate has not improved. Could t...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the situation of frequently feeling the urge to urinate but having very little or no urine output, and after testing at the hospital showed normal urine results, is this a case of overactive bladder or related to anxiety? A: 1. If there is a history of s...[Read More] Understanding Frequent Urination: Causes and Solutions for Your Symptoms
Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Unexplained urethritis? Hello Dr. Wang, I have experienced a burning sensation during urination and pain at the urethral opening three times in the past two months. However, each time I have undergone urinalysis, the results have been normal, and no infection has been identified,...
Dr. Wang Weijie Reply:
Dear Ms. Wu, Thank you for your letter. A urinary tract infection (UTI) occurs when bacteria invade the urinary system, leading to infection. Common symptoms include: 1. A burning sensation, pain, difficulty urinating, frequent urination, nocturia, cloudy urine, or hematuria dur...[Read More] Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Frequent urination issues? Hello, Doctor. About a month ago, I was diagnosed with gastritis at a clinic and took medication for two weeks without improvement. I then went to Tzu Chi Hospital for an endoscopy, where the physician confirmed that I only had inflammation and no signi...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that you don't have much trouble during the day, although you do wake up several times at night to urinate, and each time the volume is quite large. The most common reason for this could be that you are drinking too much water in th...[Read More] Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
How to Address Multiple Symptoms After Urological Issues?
How should a series of symptoms be evaluated? Today, I have been experiencing a series of symptoms that started after I developed a urological condition. Initially, I had testicular pain due to frequent erections without proper relief during that time. After consulting a urologis...
Dr. Hong Yuanbin Reply:
1 & 2: Based on your symptom description, it is indeed most likely chronic prostatitis. However, there is concern about the possibility of complications such as prostatic abscess or urinary tract infection. You may want to consult an infectious disease specialist, urologist, ...[Read More] How to Address Multiple Symptoms After Urological Issues?
Understanding Persistent Left Lower Back Pain: Causes and Next Steps
Left flank pain? Hello, doctor. I have been experiencing soreness and pain in my left lower back for a while. Upon visual inspection, I notice a slight protrusion in the left lower back area. I consulted a nephrologist, and both X-rays and urinalysis came back normal, but the pai...
Dr. Wu Jiyu Reply:
If you are experiencing general left flank pain, many individuals often first seek help from a nephrologist. If you have undergone kidney ultrasound, X-rays, and urinalysis, and all results are normal, this indicates that the issue is not related to the kidneys. However, if the p...[Read More] Understanding Persistent Left Lower Back Pain: Causes and Next Steps
Understanding Left Kidney Pain: When to Seek Further Testing
Percussion of the left kidney causes pain? Hello Doctor: When I tap on the area of my left kidney, it hurts. This has been going on for a long time, so this year I went to the hospital for a kidney ultrasound, blood tests, and urinalysis, but the doctor said everything was fine. ...
Dr. Wu Hongjie Reply:
Dear Sender, The issue of left-sided lower back pain has many potential causes. If the pain radiates down the back to the thighs and calves, it may indicate nerve pain or compression. If it is related to kidney problems, such as stones or infections, it typically remains localiz...[Read More] Understanding Left Kidney Pain: When to Seek Further Testing
Understanding Creatinine Levels: What Does a Positive Result Mean?
Is creatinine normal? A normal blood urea nitrogen (BUN) level and a positive result for creatinine indicate that the creatinine level is elevated. This suggests that there may be an issue with kidney function, as elevated creatinine levels can indicate impaired renal function. I...
Dr. Wu Hongjie Reply:
Dear Correspondent, Creatinine is one of the commonly used indicators of kidney function, primarily related to body muscle mass (lean body mass). Due to variations in testing methods among different laboratories, reference values may differ. For example, our hospital's stan...[Read More] Understanding Creatinine Levels: What Does a Positive Result Mean?
Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
My urinary issues? Hello Dr. Wu, I previously experienced rapid weight loss due to taking Forxiga, dropping from 116 kg to 109 kg between March 30 and April 11. I stopped the medication on April 8. I was concerned about potential kidney issues, so I had blood tests done on April ...
Dr. Wu Jiyu Reply:
Hello, 1. First, it is essential to understand the dosage of Forxiga you are using and whether you are combining it with other weight loss medications or treatments. A weight loss of nearly seven kilograms in less than two weeks is considered too rapid and may pose potential ha...[Read More] Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss