Key Health Concerns and Obesity: Understanding Your Test Results
Issues I should be aware of regarding obesity? Examination Date Examination Item Result 01/13/112 Creatinine (U) 22.70 01/13/112 Urine Protein 4.00 01/13/112 Glucose (B) 98.00 01/13/112 HbA1c 6.20 01/13/112 GPT 64 01/13/112 HDL-C 45 01/13/112 LDL-C 82.00 01/13/112...
Dr. Li Jian Reply:
A hemoglobin A1c level of 6.2 indicates prediabetes, and it is important to implement dietary control and exercise to prevent the progression to diabetes in the future.[Read More] Key Health Concerns and Obesity: Understanding Your Test Results
The Relationship Between Proteinuria and Osteolytic Lesions: A Clinical Inquiry
The relationship between proteinuria and osteolytic lesions? Hello, Doctor Wu. Happy New Year. I have a question. At the end of April last year, I underwent a PET scan, which revealed two osteolytic lesions in my body. Here are the excerpts from the report: 1. There are two osteo...
Dr. Wu Hongjie Reply:
Hello: 1. I am curious about the reason for your positron emission tomography (PET) scan. If it is due to cancer with suspected bone metastasis, certain cancers can secrete various proteins, which may lead to increased urinary protein levels even in the absence of bone metastas...[Read More] The Relationship Between Proteinuria and Osteolytic Lesions: A Clinical Inquiry
Understanding Low Glomerular Filtration Rate: Testing and Insights
Reduced glomerular filtration rate (GFR)? I am 28 years old and have had two kidney function tests at the hospital, both showing an estimated glomerular filtration rate (eGFR) of around 80. In November 2020, my creatinine level was 1.06 with an eGFR of 89.76. In November 2021, my...
Dr. Huang Yaoxuan Reply:
Hello Mr. Yang: "Further precise" direct "verification of kidney function" >> I believe it is not as important as -- how to maintain (protect) kidney health (kidney function) >> Indeed, direct testing of kidney function is still not widely availabl...[Read More] Understanding Low Glomerular Filtration Rate: Testing and Insights
Do Bubbles in Urine Indicate Proteinuria? Understanding Your Kidney Health
If there is proteinuria, will there be bubbles every time you urinate? Hello, doctor. After my previous health check-up, my urine protein level was reported as (+/-)↑. The doctor mentioned that this value is quite common and advised me not to worry too much unless I wanted to pur...
Dr. Hong Yuanbin Reply:
Hello, the presence of bubbles in urine does not necessarily indicate proteinuria. For instance, when urine is more diluted, it may be harder to see bubbles. If you are still very concerned, you can purchase a urine protein test strip from a medical supply store, which would prov...[Read More] Do Bubbles in Urine Indicate Proteinuria? Understanding Your Kidney Health
Exploring the Link Between Low Albumin in Lupus and Pregnancy Outcomes
The correlation between low albumin levels in systemic lupus erythematosus (SLE) and pregnancy/abortion, along with proteinuria and the calculation method? Dear Dr. Gao, Thank you for your prompt response to my inquiry regarding #186219. I have another question related to lupus...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1) In 2017, starting from June, my proteinuria fluctuated between negative and positive, eventually showing ++ and +++. However, at that time, my albumin level was still at 4.2. There was a year when I did not undergo uri...[Read More] Exploring the Link Between Low Albumin in Lupus and Pregnancy Outcomes
Understanding Muscle Indentation Above the Tibia: Kidney Health Insights
Depression upon palpation of the muscles above the tibia in the lower leg? Hello Dr. Wu, I apologize for bothering you, but I would like to ask you a question. Recently, I suddenly noticed that when I press on the muscles around my tibia in both calves, they indent and do not bou...
Dr. Wu Jiyu Reply:
According to your inquiry, the report you provided shows that urine protein levels are at 568 mg/g, which exceeds the normal value (<150 mg/g). This may require a discussion with a nephrologist regarding treatment options and adherence to a low-protein diet. Regarding the inde...[Read More] Understanding Muscle Indentation Above the Tibia: Kidney Health Insights
Understanding Kidney Issues: The Significance of Proteinuria and Creatinine Levels
Kidney issues (proteinuria) Urine Creatinine: 93.4 mg/dL Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL) Urine Protein: 42.0 * mg/dL < 14 ACR: 275.16 * µg/mg Creatinine (<30) Protein/(Creatinine/1000): 449.68 mg/g Serum Creatinine: 1.07 Doctor, I have...
Dr. Huang Yaoxuan Reply:
Dear Mr. A-Mao, Regarding your concerns about proteinuria, kidney function, and kidney biopsy, here are some suggestions for your consideration: 1. You may want to discuss the benefits and drawbacks of a kidney biopsy with your physician. An excerpt from UpToDate states, "...[Read More] Understanding Kidney Issues: The Significance of Proteinuria and Creatinine Levels
Understanding Rising Urine Protein Levels: What You Need to Know
The urinary protein index has surged? Hello, Doctor. Below are the results from my visit to Hospital B on the evening of March 14 this year. The random urine test results were as follows: Urine Creatinine: 93.4 mg/dL; Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL); Uri...
Dr. Wu Hongjie Reply:
The presence of bubbles in urine does not necessarily indicate proteinuria; factors such as fever, excessive exercise, consumption of high animal protein, hormonal influences, or other diseases causing abnormal protein production can also be responsible. Even if tests do not show...[Read More] Understanding Rising Urine Protein Levels: What You Need to Know
Understanding Abnormal Urine Protein Test Results: What You Need to Know
Abnormal urine protein test? Hello doctor, I previously had a urine test at a clinic that showed a positive result for protein (+). Therefore, I went to the nephrology department at the hospital for a follow-up examination, and the report is as follows: Urine Creatinine 127.87, P...
Dr. Wu Jiyu Reply:
According to your inquiry, a Protein/Creatinine Ratio of 0.086 corresponds to 86 mg/g, which is less than 150 mg/g and falls within the normal range. Thank you for your question. The Nephrology Department at Changhua Hospital cares about your health.[Read More] Understanding Abnormal Urine Protein Test Results: What You Need to Know
Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels
Kidney problems On 03/19/2011, creatinine was 1.18, urine protein was 5, urine creatinine was 53.12, and urine protein-to-creatinine ratio (uPCR) was 94.12. On 10/09/2010, creatinine was 1.26, urine protein was 17, urine creatinine was 108.7, and uPCR was 156.11. On 11/03/200...
Dr. Wu Jiyu Reply:
According to your inquiry, although the serum creatinine levels show little variation (ranging between 60-70), the urinary protein levels are gradually increasing. In addition to pharmacological management of hypertension, diabetes, and hyperlipidemia, the prevention and treatmen...[Read More] Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels
Understanding Sudden Decline in Kidney Function: Causes and Concerns
Acute decline in renal function? At the end of the year, my health check revealed a blood urea nitrogen level of 13, creatinine level of 1.7, urine protein negative, specific gravity of 1.030, and blood pressure of 126/71. Over the past years, my health check results have remaine...
Dr. Wu Jiyu Reply:
According to your inquiry: 1. If the health check has confirmed low vitamin D levels, please proceed with vitamin D supplementation. 2. If you experienced diarrhea about a month prior to the health check, it is indeed possible that dehydration may have caused changes in kidney fu...[Read More] Understanding Sudden Decline in Kidney Function: Causes and Concerns
Understanding Sudden Decline in Kidney Function: Causes and Solutions
What could cause a sudden decline in kidney function? In mid-December last year, my health check revealed a blood urea nitrogen level of 13, creatinine level of 1.7, uric acid level of 6.9, pH of 6, urine protein negative, specific gravity of 1.030, and blood pressure of 126/71. ...
Dr. Wu Jiyu Reply:
1. The presence or absence of proteinuria is determined by testing, and your urine protein result is negative (-). If you are still concerned, you can ask your physician to check the urine protein to creatinine ratio next time. 2. In mid-December, your creatinine level was 1.7, ...[Read More] Understanding Sudden Decline in Kidney Function: Causes and Solutions
Understanding Microalbuminuria: Causes, Risks, and Treatment Options
Microalbumin Hello Doctor, During my health check on January 3rd, I found that my "urine microalbumin (UMA)" test result was 41.3 mg/L, with a normal range of 0-20 mg/L. Additionally, I have gallbladder polyps, prostatic calcifications, weakly positive urine ketones, ...
Dr. He Yonghe Reply:
Hello Mr. Li, Gallbladder polyps should be monitored at least once every six months, and urine protein should be tracked together. There's no need to worry; you can return to Taiwan for follow-up.[Read More] Understanding Microalbuminuria: Causes, Risks, and Treatment Options
Understanding Abnormal Urine Protein Levels: Causes and Concerns
Abnormal urine protein? Hello, Dr. Wu. During my health check-up two months ago, the urine tests showed normal results for pH, occult blood (OB), and glucose (Glu), but the protein level was at 4+. I wasn't menstruating that day and hadn't engaged in vigorous exercise; ...
Dr. Wu Jiyu Reply:
Based on your inquiry, if the urine test shows a proteinuria level of 4+ from the dipstick test, it is recommended to follow up with a nephrologist for a more accurate assessment of urine protein to clarify the issue. Regarding your question about the timing of the menstrual cycl...[Read More] Understanding Abnormal Urine Protein Levels: Causes and Concerns
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 Urination Issues: When to See a Doctor?
Urinary problems I would like to ask if it is necessary to see a doctor or to pay for an abdominal X-ray or ultrasound? Blood and urine tests have all come back normal, but I feel that there is a significant difference between the amount of water I drink and the amount I urinate....
Dr. Wu Jiyu Reply:
According to the data you provided, a serum creatinine level of 0.9 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range. Regarding your input/output from 9/18 to 9/21, with an intake of 8700 cc and an output of 3750 c...[Read More] Understanding Urination Issues: When to See a Doctor?
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 Foamy Urine: Causes, Concerns, and Kidney Health
Foamy urine? Hello Doctor, I am 32 years old. Recently, I noticed that my urine has bubbles, which dissipate within 5-10 minutes, but there are small persistent bubbles at the edge of the toilet, especially noticeable during the first urination in the morning, where the bubbles d...
Dr. Wu Hongjie Reply:
1. I would like to ask if my situation is considered abnormal. Is a normal eGFR value ideally around 100? The eGFR is an estimate and is related to factors such as gender, muscle mass, and age; a value above 60 is generally acceptable. To diagnose kidney disease, it must be accom...[Read More] Understanding Foamy Urine: Causes, Concerns, and Kidney Health
Managing Microalbuminuria in Diabetic Patients: Concerns and Treatments
The issue of microalbuminuria? Dear Doctor Wu, I was diagnosed with diabetes three years ago, and since then I have been controlling my diet and taking medication, maintaining my hemoglobin A1c below 6. My blood pressure before bed has been below 130. However, starting around No...
Dr. Wu Hongjie Reply:
ACR is used as a substitute for the 24-hour urine collection method to measure daily protein loss; the former is only an approximate estimation of the latter. Therefore, the accuracy of this estimation is inevitably not completely reliable. If ACR does not significantly increase,...[Read More] Managing Microalbuminuria in Diabetic Patients: Concerns and Treatments