Understanding Rhabdomyolysis: Symptoms, Risks, and When to Seek Help
Rhabdomyolysis Hello Dr. Wu, I would like to ask the following question. As an avid runner, I suspect that I might have rhabdomyolysis. I researched related symptoms online and my reasons for suspicion are as follows: Recently, I have been running and walking approximately 30 kil...
Dr. Wu Jiyu Reply:
Hello, RC: 1. "Because of hematuria, I visited the urology department at Mackay Memorial Hospital last week, and I have completed a urinalysis (which showed a positive reaction for blood)..." Here, "positive reaction for blood" refers to either the presence ...[Read More] Understanding Rhabdomyolysis: Symptoms, Risks, and When to Seek Help
Understanding Acute Pyelonephritis: Risks, Recovery, and Monitoring
Urinary tract infection (pyelonephritis) Hello Director Wu, my mother is 64 years old and experienced a mild stroke in early March 2014. She is currently making stable progress in her recovery. In March of this year, during her hospitalization for stroke treatment, she had a urin...
Dr. Wu Jiyu Reply:
Hello KK: First, let me explain some medical terms; "urinary tract infection" refers to an infection of the urinary tract system caused by pathogens (usually bacteria). The urinary tract system includes the kidneys, ureters, bladder, urethra, and in males, the prostate....[Read More] Understanding Acute Pyelonephritis: Risks, Recovery, and Monitoring
Chronic Pain in Groin and Thigh: Unraveling Possible Infections
Regarding infections? Hello Doctor, I previously had a risky encounter, and afterwards I experienced painful urination, which has since resolved. However, I have been suffering from persistent pain in my inner thighs and groin area, as well as a sore throat, for the past six mont...
Dr. Liao Zhongxin Reply:
Dear readers: 1. After experiencing abnormal sexual behavior, it is natural to worry and magnify existing symptoms, leading to doubts and suspicions about the possible motives and implications of all events. 2. Since you have already undergone screening for sexually transmitte...[Read More] Chronic Pain in Groin and Thigh: Unraveling Possible Infections
Understanding Excessive Urination: Causes and Concerns Explained
Regarding issues related to urine output? I often feel that I have a large urine output, with a daily intake of at least 1500 to 2500 cc and a drinking volume of about 2000 cc. I went to a urologist for a urinalysis, and aside from a urine specific gravity of 1.003, everything el...
Dr. Wu Jiyu Reply:
1. According to your description of "at least 1500 to 2500 cc per day" and "not urinating much if drinking little or no water," both are normal phenomena. 2. The human body has a self-regulating mechanism; more fluid intake leads to more urination, while less...[Read More] Understanding Excessive Urination: Causes and Concerns Explained
Can You Test Your Own Lead Levels? Understanding Symptoms and Home Testing
Dr. Hsiao, is it possible to test for lead levels on my own? Frequent urination at night with bubbles can be concerning.
Dr. Xiao Yongxun Reply:
The assessment of nocturia requires a comprehensive medical history and physical examination, and may even necessitate laboratory tests, urodynamic studies, or imaging examinations. The differential diagnosis must consider many factors, including overactive bladder, heart failure...[Read More] Can You Test Your Own Lead Levels? Understanding Symptoms and Home Testing
Understanding Gonorrhea: Symptoms, Diagnosis, and Treatment Options
About Gonorrhea Hello Doctor, I accidentally encountered a risky situation before, and afterwards I experienced painful urination. The pain during urination has resolved, but I have been experiencing persistent pain in my inner thigh and groin area for two months, and I have not ...
Dr. Liao Zhongxin Reply:
Dear readers, 1. First, let’s introduce gonorrhea based on information from the Centers for Disease Control: (A) Transmission: The primary mode of transmission for gonorrhea is through sexual intercourse. It can also be transmitted if an open wound comes into direct contact wi...[Read More] Understanding Gonorrhea: Symptoms, Diagnosis, and Treatment Options
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
Antibiotics and Grapefruit Juice: A Risky Combination?
Antibiotics + Grapefruit Juice A few days ago, I had a fever. I took antibiotics in the morning, and three and a half hours later, I drank grapefruit juice. Within a few minutes, I started experiencing abdominal pain and had two episodes of diarrhea. At that time, there were sign...
Dr. Wu Jiyu Reply:
Q1: A few days ago, I had a fever. After taking antibiotics in the morning, I started experiencing abdominal pain within a few minutes and had two episodes of diarrhea. At this point, there are signs of gastrointestinal inflammation. Additionally, I noticed inflammation at the ur...[Read More] Antibiotics and Grapefruit Juice: A Risky Combination?
Understanding Kidney Issues: Symptoms and Concerns Explained
Kidney problems Hello doctor, I previously asked a question regarding experiencing pain when turning over and feeling a lump, which seemed to be intermittent. My urination was normal at that time. Now, those issues have resolved, but I have noticed swelling in the kidney area, an...
Dr. Wu Jiyu Reply:
Regarding the swelling in the kidney area, if there are no palpable masses, it is still advisable to consult a physician for further evaluation. An ultrasound examination can be arranged for confirmation and peace of mind. Thank you for your inquiry. The Nephrology Department at ...[Read More] Understanding Kidney Issues: Symptoms and Concerns Explained
Understanding Kidney Issues: Pain and Symptoms Explained
Kidney problems Doctor, I have a question. When I turn over, I sometimes feel pain, but it comes and goes. When I touch the area, I can feel a lump that isn't very fixed, but it is always in a certain region. It's hard to locate it precisely, and my urination is normal....
Dr. Wu Jiyu Reply:
First, regarding your initial question: When you turn over, you feel pain for a moment, but sometimes you can feel a lump that is not very fixed, yet it is always in a specific area. It may be a subcutaneous lipoma, and it is unlikely to be related to kidney pain, nor is it indic...[Read More] Understanding Kidney Issues: Pain and Symptoms Explained
Kidney Health and Orthopedic Challenges After Severe Injury
Kidneys and Orthopedics After a severe car accident, my friend suffered a comminuted fracture in the lower leg, with the bone unable to be fully reconstructed, and there was damage to both blood vessels and nerves. Due to severe injuries in almost all limbs, a lot of medications ...
Dr. Wang Weijie Reply:
Dear Pin, Thank you for your message. The patient is currently hospitalized, and it is recommended to discuss the condition with the attending physician at the hospital. If you have any other questions, please feel free to reach out again. Wishing you safety and health, Dr....[Read More] Kidney Health and Orthopedic Challenges After Severe Injury
Understanding Urethritis: Symptoms, Treatment, and Kidney Concerns
Urethritis and lower back pain? Hello Doctor: Since last week, I have been experiencing painful urination and frequent urination, so I saw a doctor last Wednesday. The doctor prescribed me two medications: BAKTER (CHEMIX) and PYRIDIUM (UROPYRIN) to take twice a day for five days,...
Dr. Wang Weijie Reply:
Dear Lele, Symptoms of kidney inflammation include pain, anemia, muscle weakness, fatigue, nausea, vomiting, and loss of appetite. The use of medications like BAKTER may have side effects that vary from person to person, potentially causing crystallization and resulting in lower...[Read More] Understanding Urethritis: Symptoms, Treatment, and Kidney Concerns
Understanding Your Health: Morning Urine Bubbles and Other Symptoms
Health Consultation In the morning, my urine is foamy, and it is usually yellow and cloudy. I frequently feel the urge to urinate, have lower back pain, and feel fatigued.
Dr. Wang Weijie Reply:
Dear Aron, In the early stages of kidney disease, there are often no obvious symptoms. However, if you experience the following symptoms, it is crucial to seek medical attention promptly, especially for individuals with hypertension, hyperlipidemia, heart disease, or diabetes. R...[Read More] Understanding Your Health: Morning Urine Bubbles and Other Symptoms
Understanding Sudden Anuria and Swelling: Causes and Concerns
Sudden anuria? Hello, I usually exercise very little and spend most of my time indoors. Previously, when the temperature was high at 38 degrees Celsius, my feet suddenly swelled while walking outside. Both of my feet became edematous, and when I pressed on them, they would indent...
Dr. Wu Jiyu Reply:
Hello, Xiaoyu: Based on the information you provided, the acute kidney injury you experienced may be suspected to be caused by heat exhaustion or heat stroke due to walking outside in high temperatures of 38 degrees Celsius. However, since you adequately replenished fluids and re...[Read More] Understanding Sudden Anuria and Swelling: Causes and Concerns
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
Frequent Urination: Is It Normal to Urinate 12 Times a Day?
Frequent urination? Dr. Wu: I usually drink 3 bottles of water (1800 mL), but I often urinate twice an hour, averaging about 12 times a day (the color is light). However, if I don't drink a lot of water, I only go about 6-7 times. Is this normal?
Dr. Wu Jiyu Reply:
Q1: I usually drink 3 bottles of water (1800ML), but I often go to the bathroom (urinate) twice an hour, averaging about 12 times a day (the color is light). Answer: Drinking more water typically results in lighter urine; however, urinating about 12 times a day is considered exce...[Read More] Frequent Urination: Is It Normal to Urinate 12 Times a Day?
Exploring Online Claims of Kidney Disease Remedies: Fact or Fiction?
The internet is circulating information about dialysis therapy? Hello Dr. Wu, I came across a post online regarding a treatment for kidney disease that could allow patients to avoid dialysis. The original link is: https://www.facebook.com/photo.php?fbid=355286714492436&set=a....
Dr. Wu Jiyu Reply:
Dear Lawren: Regarding this widely circulated information, Dr. Wu has also received inquiries about the five principles of medication promotion by the Department of Health: 1. Do not listen to radio recommendations 2. Do not believe in miraculous effects 3. Do not buy from street...[Read More] Exploring Online Claims of Kidney Disease Remedies: Fact or Fiction?
Understanding Post-Void Dribbling: When to Seek Medical Attention
Post-void dribbling? Doctor, I would like to ask again, under what circumstances would it be considered serious? Because this situation seems to be something I haven't experienced before. Could it be a prostate issue? However, I do not have frequent urination or pain during ...
Dr. Wu Jiyu Reply:
Given your age, it is unlikely to be a prostate issue. It is recommended to consult a urologist to evaluate your condition in order to identify the cause. Changhua Hospital cares about you.[Read More] Understanding Post-Void Dribbling: When to Seek Medical Attention
Managing Kidney Disease: Dietary Tips for Optimal Health
Diet for Kidney Disease Hello Dr. Yang: A year ago, I inquired about dietary issues related to kidney disease. At that time, I was advised to follow a low-protein diet, but the doctor recommended a normal diet, so I increased my protein and caloric intake. However, my muscle mass...
Dr. Yang Zhongwei Reply:
Hello: Currently, the formulas used worldwide to estimate kidney function utilize four variables: serum creatinine levels, age, gender, and race. Therefore, kidney function tends to decline with age. However, the symptoms you described do not seem to be closely related to kidney ...[Read More] Managing Kidney Disease: Dietary Tips for Optimal Health
Understanding Post-Urination Dribbling: Causes and Solutions
Post-urination dribbling? Hello, doctor. In the past few days, I've noticed some residual dripping after urinating when sitting down or standing. There is no pain during urination, the flow is strong, and I do not experience frequent urination. What could be the issue? Thank...
Dr. Wu Jiyu Reply:
The male urethra is longer, and if there are a few drops of urine after urination, it is generally considered a normal phenomenon. However, if the situation is severe, it may indicate a structural abnormality (such as stones, trauma, etc.). In such cases, it is recommended to und...[Read More] Understanding Post-Urination Dribbling: Causes and Solutions