Understanding Lower Back Pain: When to Seek Medical Attention
Pain in the lower back, noticeable when turning over and walking? Two days ago, while I was sleeping, I turned over and felt a sharp pain in my lower back. I initially thought it was due to sitting too long at work during the day. However, the next morning, the pain persisted, an...
Dr. Wang Weijie Reply:
Dear Miss Peggy: Your symptoms appear to be indicative of acute pyelonephritis, which is characterized by fever, flank pain, dysuria, burning sensation, and increased urinary frequency. Symptoms can vary from person to person, and a correct diagnosis requires urine analysis and u...[Read More] Understanding Lower Back Pain: When to Seek Medical Attention
Understanding Persistent Left-Sided Lower Back Pain: When to Seek Further Evaluation
Chronic low back pain Hello Doctor, I have been experiencing lower back pain for two months now. The pain is particularly noticeable on the left side, but it is not unbearable and does not worsen significantly with sitting or lying down. However, there have been two instances whe...
Dr. Wang Weijie Reply:
Common examinations for low back pain in nephrology: 1. Urinalysis: This can initially determine whether the low back pain is caused by a disease. The presence of red blood cells in the urine may indicate kidney or ureteral stones, and in rare cases, tumors; the presence of white...[Read More] Understanding Persistent Left-Sided Lower Back Pain: When to Seek Further Evaluation
Can Diabetes-Related Frequent Urination Cause Constipation?
Can diabetes-related polyuria cause constipation? Dr. Yang: Hello! My husband has been taking medication for hypertension for a long time. He usually urinates a lot, but recently he has lost weight rapidly and feels extremely thirsty. After testing his blood sugar two hours after...
Dr. Yang Hongzhi Reply:
Hello: Diabetes medications may cause gastrointestinal discomfort; sometimes reducing the dosage can help, and other times the body may gradually adapt. If discomfort persists, it may be necessary to adjust the medication. Constipation caused by diabetes medications is relatively...[Read More] Can Diabetes-Related Frequent Urination Cause Constipation?
Understanding Frequent Urination: When to See a Urologist or Nephrologist
Frequent urination Hello Doctor: Recently, I have been going to the bathroom every 40-60 minutes. Sometimes I experience pain in my left lower back. I drink very little water, but after urinating, I still feel the urge to urinate, yet I cannot. Generally, the volume of urine is n...
Dr. Wu Jiyu Reply:
1. Either urology or nephrology is acceptable. 2. Generally, a urinalysis is required first to check for inflammation or stones. 3. Additionally, a renal ultrasound examination can be arranged.[Read More] Understanding Frequent Urination: When to See a Urologist or Nephrologist
Understanding Persistent Health Issues: Seeking Answers for Common Symptoms
Many questions, please take the time to clarify, thank you! I am 29 years old, 165 cm tall, and weigh 50 kg. In recent years, I have frequently experienced the following symptoms: 1. I suffer from insomnia and vivid dreams every day, with poor sleep quality. Despite feeling ver...
Dr. Yang Hongzhi Reply:
Hello: Based on your symptoms, it is difficult to determine if there is any specific disease. Generally, when FT4 is elevated, TSH tends to decrease; your results are atypical and may warrant further monitoring. ANA is an indicator of autoimmune diseases, and a positive reaction ...[Read More] Understanding Persistent Health Issues: Seeking Answers for Common Symptoms
Understanding Pediatric Urticaria: Causes, Symptoms, Treatment, and Prevention
Pediatric Urticaria Urticaria, commonly known as hives, can be caused by various factors, including allergic reactions, infections, stress, and certain medications. The severity of symptoms can vary from mild itching and redness to more severe reactions, such as angioedema or ana...
Dr. Wang Weijie Reply:
Dear Mr. Ke, (1) Urticaria, commonly known as hives, is characterized by raised, itchy red welts that often have distinct snake-like borders, with a central area that may fade. The size of the welts can vary, and many people have experienced urticaria at some point. (2) The cau...[Read More] Understanding Pediatric Urticaria: Causes, Symptoms, Treatment, and Prevention
Understanding Diabetes Symptoms: What You Need to Know
Doctor, I'm quite scared... What should I do? What are the symptoms of diabetes? I grew up drinking sugary beverages! My friends often tell me to "be careful of diabetes," and I'm very worried because I've heard that people with diabetes tend to die earli...
Dr. Xiao Jingqin Reply:
Diabetes is characterized by three "polys": polyphagia (increased hunger), polydipsia (increased thirst), and polyuria (increased urination). Drinking beverages does not directly cause diabetes unless there is an underlying issue with insulin secretion from the pancreas...[Read More] Understanding Diabetes Symptoms: What You Need to Know
Managing Small Kidney Stones: What You Need to Know
Questions about kidney stones? Hello Doctor, I would like to ask about the two kidney stones measuring 0.25 cm that were discovered during my company's health check last week. I would like to know how I should proceed with this. I'm feeling a bit worried. Thank you.
Dr. Wu Jiyu Reply:
First, check if you have any symptoms such as lower back pain, hematuria, or urinary tract infection (fever, chills, frequent urination, or painful urination). If you do, you should consult a urologist. If not, based on the size of your stone (0.25 cm) and your age (20-39 years),...[Read More] Managing Small Kidney Stones: What You Need to Know
Understanding Temporary High Blood Sugar Levels: What You Need to Know
Hyperglycemia Today, we conducted an experiment and found that my blood sugar level was approximately 270 mg/dL. However, I had breakfast that day, and I did not experience symptoms such as excessive thirst, frequent urination, or increased appetite. Could this be temporary? Than...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, a patient is diagnosed with diabetes if the results of two tests conducted at different times meet one of the following three criteria: (1) Fasting plasma glucose level >= 126 mg/dL after fasting for at least 8 hours. (2) Clinical symptoms ...[Read More] Understanding Temporary High Blood Sugar Levels: What You Need to Know
Understanding Fatigue and Lower Back Pain: Causes and Solutions
(Worried about) lower back pain and easy fatigue? Recently, I have been feeling easily fatigued and experiencing some lower back pain. What could be the cause of this? I am quite worried and would appreciate the doctor's insight. Thank you!
Dr. Yao Quan Reply:
Hello: The issue of easy fatigue can be considered from many angles. It may be due to high work stress, anxiety, or a diagnosis of chronic fatigue syndrome. If there are physical abnormalities, it is advisable to check for diseases related to the liver, heart, or endocrine system...[Read More] Understanding Fatigue and Lower Back Pain: Causes and Solutions
Is Weight Loss a Key Indicator of Diabetes Symptoms?
Symptoms of diabetes? Hello doctor, is weight loss an important indicator of diabetes? My friend noticed that I have increased thirst, excessive eating, and frequent urination (especially noticeable). One day, I recorded that I go to the bathroom every class (about once an hour),...
Dr. Shi Guangzhong Reply:
There are many reasons for abnormal weight loss. In addition to diabetes, conditions such as hyperthyroidism and malignant tumors should also be considered. You are 18 years old, and your body mass index (BMI) is 26.8 kg/m², which classifies you as overweight but not yet obese (B...[Read More] Is Weight Loss a Key Indicator of Diabetes Symptoms?
Understanding Left-Sided Lower Back Pain: Possible Kidney Issues?
Lower back pain? I have pain on the left side of my lower back extending at a 45-degree angle to my spine. I feel soreness in certain positions, but the right side is fine. Recently, I noticed some swelling. Four months ago, I had a record of high protein in my urine. I would lik...
Dr. Wang Weijie Reply:
Hello: To determine if there is kidney disease, a urinalysis can provide the necessary information. The cause of low back pain is often related to poor posture, resulting in neuromuscular pain. Correcting posture and the use of analgesics can lead to improvement. Another cause is...[Read More] Understanding Left-Sided Lower Back Pain: Possible Kidney Issues?
Understanding Kidney Function and Health Risks: A Patient's Guide
Kidney Disease Consultation I previously underwent a health check at a laboratory, and my test results showed cholesterol: 230 mg/dL, creatinine: 1.7 mg/dL, uric acid: 8.5 mg/dL, potassium: 2.9 mmol/L, and urine protein: ++. I would like to ask the doctor how much kidney function...
Dr. Yang Jun Reply:
Hello: In response to your question, the tests listed in your inquiry can diagnose chronic kidney disease, hyperlipidemia, hyperuricemia, hypokalemia, and hypertension. Kidney disease is related to hypertension, and additionally, diet, medications, systemic diseases, and autoimmu...[Read More] Understanding Kidney Function and Health Risks: A Patient's Guide
Severe Pain in the Back: Difficulty Breathing and Movement Issues
Pain in the right rear side of the body!! Difficulty breathing? I have severe pain in my back, around the area behind my ribs. It's hard to breathe, and even slight movements cause sharp pain, almost like something is stabbing me. Even standing up straight hurts. What could ...
Dr. Xie Yonghui Reply:
Based on the symptoms described in your letter, it is recommended that you first consult an orthopedic specialist. If you also experience painful urination, frequent urination, or difficulty urinating, you should see a urologist.[Read More] Severe Pain in the Back: Difficulty Breathing and Movement Issues
Understanding Chronic Lower Back Pain: Kidney Issues or Circulation Problems?
Frequent lower back pain? Hello: One day, I suddenly experienced severe pain in my right lower back, which radiated down to my leg, making it difficult for me to stand up. I have undergone physical therapy, but there has been no improvement, and I am worried that there might be a...
Dr. Wang Weijie Reply:
Hello, if you are concerned about kidney disease, it is advisable to visit a hospital for a blood test to check kidney function, specifically BUN and creatinine levels, which are indicators of renal function. In outpatient settings, common causes of lower back pain in young women...[Read More] Understanding Chronic Lower Back Pain: Kidney Issues or Circulation Problems?
Am I at Risk for Diabetes? Understanding Symptoms and Concerns
Am I suffering from diabetes? Hello Doctor: I am 13 years old, 162 cm tall, and weigh 52 kg. Whenever I wipe with tissue after noticing vaginal discharge (or female secretions, which have a stronger fishy odor), there are many ants that come to crawl and linger. We have a lot of ...
Dr. Wang Fangli Reply:
Please visit a medical facility for testing, which should include fasting blood glucose after 10 hours, postprandial blood glucose after 2 hours, and glycated hemoglobin (HbA1c) testing to determine if diabetes is present.[Read More] Am I at Risk for Diabetes? Understanding Symptoms and Concerns
Understanding Persistent High Body Temperature and Its Causes
Unusual elevated body temperature? Hello Doctor: Since I was young, I often experience an increase in body temperature upon waking up, along with a pale complexion and very red lips. Recently, this has been happening quite frequently during the summer vacation. I visited my famil...
Dr. Lin Mingfeng Reply:
In response to the reported increase in body temperature, the first priority is to determine the actual temperature. Please accurately record the temperature for the physician's reference. The previously diagnosed urinary tract infection (UTI) generally requires clinical sym...[Read More] Understanding Persistent High Body Temperature and Its Causes
Understanding Thigh and Hip Pain: Possible Causes and When to Seek Help
There is a feeling of soreness from the left thigh to the hip area? I often experience the symptoms mentioned above, and I frequently have the sensation of needing to urinate for a long time before I actually do. This feeling could be a symptom of frequent urination, right? I...
Dr. Yang Jun Reply:
Hello: In response to your question, frequent urination refers to the increased frequency of urination, which typically does not cause pain unless there is a urinary tract infection, in which case there may be discomfort in the urethra or bladder during urination. As for the sore...[Read More] Understanding Thigh and Hip Pain: Possible Causes and When to Seek Help
Why Am I Experiencing Delayed Urination at 30?
It takes a long time to urinate? I have a question: why do I have to wait a long time when I urinate, and it feels like I have no strength? I'm only 30 years old. Can someone help me with this? Thank you.
Dr. Zhao Chongliang Reply:
At this age, urinary difficulties are unlikely to be caused by benign prostatic hyperplasia. Possible causes include neurogenic bladder dysfunction, the presence of stones, foreign bodies, or tumors within the bladder, as well as urethral stricture. If there is a history of spina...[Read More] Why Am I Experiencing Delayed Urination at 30?
Understanding Recurrent Fever and Urinary Retention in Parkinson's Patients
Urinary retention causing recurrent fever? Director Lin: Hello, my father is 65 years old and has had Parkinson's disease for 19 years. Recently, for the past month, he has frequently felt the urge to urinate but is unable to produce much urine or urinate at all. On June 21,...
Dr. Lin Mingfeng Reply:
The patient experienced three episodes of fever. The first two episodes resolved after catheterization and medication, but the details of the first episode are incomplete. The results of the urinalysis are closely related to whether antibiotics were used, and the urine culture re...[Read More] Understanding Recurrent Fever and Urinary Retention in Parkinson's Patients