Understanding Persistent Foamy Urine: Is It a Sign of Proteinuria?
The first urine in the morning shows a slight foam that has not dissipated for a long time? Hello Doctor: Recently, I have started to pay attention to the issue of foamy urine, so I have been carefully observing the characteristics of each urination daily. Since I am currently wa...
Dr. Huang Yaoxuan Reply:
Hello Mr. Wang: The presence of bubbles in your urine may indicate proteinuria, but it could also be caused by other substances. Clinically, only proteinuria is known to affect health, so when we encounter bubbly urine, we typically conduct a test for urine protein. Urine protein...[Read More] Understanding Persistent Foamy Urine: Is It a Sign of Proteinuria?
Understanding Low CCR Levels: Do You Need a Low-Protein Diet?
Regarding the CCR (Creatinine Clearance Rate) renal function index? Hello, doctor. I would like to ask why my creatinine clearance (CCR) is low, even though my other test results are mostly normal. I have had several tests, and my CCR has consistently been between the low 50s and...
Dr. Wu Jiyu Reply:
Hello: The 24-hour creatinine clearance rate is clinically used as an indirect indicator of glomerular filtration rate. While its accuracy is relatively high, it can still be affected by urine collection methods, medication use, and testing errors, which may influence the results...[Read More] Understanding Low CCR Levels: Do You Need a Low-Protein Diet?
Understanding Glomerular Filtration Rate and Proteinuria: A Patient's Concerns
Hello, Dr. Wu. Could you please explain the relationship between glomerular filtration rate and proteinuria? Hello Dr. Wu, in my last hospital check-up report, my glomerular filtration rate (GFR) was highlighted in red at 83 mL/min/1.73 m², with a reference value of greater than ...
Dr. Wu Jiyu Reply:
Hello, the glomerular filtration rate (GFR) used by hospitals is estimated based on formulas derived from past research statistics on patients with chronic kidney disease. Factors such as age, weight, body composition, gender, and ethnicity can all influence the calculation of th...[Read More] Understanding Glomerular Filtration Rate and Proteinuria: A Patient's Concerns
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
Understanding Proteinuria, Hematuria, and GFR: When to Seek Medical Help
Proteinuria, hematuria, glomerular filtration rate? Hello Dr. Huang, I would like to ask about my last health check-up in January. The report indicated several areas in red: urine occult blood 1+, urine protein 30 mg/dL, and glomerular filtration rate (GFR) 83. Is this serious? W...
Dr. Huang Yaoxuan Reply:
1. It does not appear to be very serious; the glomerular filtration rate (GFR) is 83, with a normal range of approximately 90 (measured in ml/min/1.73m²). A higher value is better; urine occult blood is 1+, and urine protein is 30 mg/dl, both of which are mildly abnormal. 2. Re...[Read More] Understanding Proteinuria, Hematuria, and GFR: When to Seek Medical Help
Understanding Kidney Function: GFR vs. Creatinine in Health Concerns
Glomerular filtration rate and kidney disease issues? Hello Dr. Wu: I am 180 cm tall and weigh about 71 kg. Recently, for the past month, I have noticed persistent bubbles in my urine and have experienced increased urinary frequency (especially 2-3 hours after consuming sugary dr...
Dr. Wu Jiyu Reply:
Based on the data you provided, the physician's response is correct because the current formula for estimating glomerular filtration rate (GFR) is derived from international sources, while domestic scholars have been researching a formula specific to our population. In summa...[Read More] Understanding Kidney Function: GFR vs. Creatinine in Health Concerns
Understanding Kidney Function: GFR vs. Creatinine in Chronic Kidney Disease
Glomerular filtration rate and kidney disease issues? Hello Dr. Wu, I am 180 cm tall and weigh around 71 kg. Recently, for the past month, I have noticed persistent bubbles in my urine, and I feel that I have increased urinary frequency (especially 2-3 hours after consuming suga...
Dr. Wu Jiyu Reply:
Based on the data you provided, the physician's response is correct because the current formula for estimating glomerular filtration rate (GFR) is derived from international sources, while domestic scholars are researching a formula specific to our population. In summary, re...[Read More] Understanding Kidney Function: GFR vs. Creatinine in Chronic Kidney Disease
Understanding Glomerular Filtration Rate: What You Need to Know
Regarding the glomerular filtration rate (GFR) value? Hello, Dr. Hsiao. I have been experiencing fasting blood glucose levels between 102 and 112 for a long time. This time, I underwent tests, and my fasting blood glucose was 108, postprandial was 119, HbA1c was 5.6%, blood urea ...
Dr. Xiao Yongxun Reply:
According to a study published in The Lancet in 2008, it is estimated that 11.93% of adults in Taiwan have chronic kidney disease (CKD). The stages of severity are as follows: 1. Stage 1: Kidney damage with normal or increased GFR, GFR ≥ 90 ml/min/1.73 m². 2. Stage 2: Kidney dama...[Read More] Understanding Glomerular Filtration Rate: What You Need to Know
Understanding Elevated Creatinine Levels: Kidney Health Concerns Explained
This morning, I went for a fasting blood draw, and after receiving the report, I found that my creatinine level is slightly elevated? Hello Doctor, I submitted a question on October 12 (you replied on October 14). This morning, I went to the lab on an empty stomach to have blood ...
Dr. Huang Yaoxuan Reply:
Hello: Creatinine: 1.24, GFR 81.64, which is not far from the normal value of 90. This could be due to fluctuations in test results or may indicate a mild issue. It is recommended to have regular blood tests for monitoring (every six months or annually). Additionally, regarding y...[Read More] Understanding Elevated Creatinine Levels: Kidney Health Concerns Explained
Understanding Foamy Urine After Meals: Is It a Kidney Concern?
Foamy urine is more noticeable after meals? Hello, I previously had a record of urine protein ++ during a health check. This year, I visited a nephrologist who examined my urine and stated that there was no protein present, and my blood protein levels were also not lower than nor...
Dr. Huang Yaoxuan Reply:
There are many substances that can cause an increase in bubbles in urine, commonly referred to as foamy urine, among which protein is more closely related to body health. Therefore, physicians only need to determine if you have proteinuria for diagnosis. Normal individuals may oc...[Read More] Understanding Foamy Urine After Meals: Is It a Kidney Concern?
Understanding Kidney Issues: Proteinuria and Hematuria Concerns
Kidney problems Hello, Doctor: 1. Is a urine protein level of 180 mg/L considered normal? (The reference value is 150 mg/L.) 2. However, I have a urine occult blood result of 4+. Is this related to excessive masturbation? After drinking more water, the color of my urine became ...
Dr. Wu Jiyu Reply:
1. Is a urine protein level of 180 mg/L considered normal? (The reference value is 150 mg/gm. Since 180 > 150 mg/gm, it cannot be considered normal. However, this slightly elevated physiological urine protein may occur after intense exercise. It is recommended to retest later....[Read More] Understanding Kidney Issues: Proteinuria and Hematuria Concerns
Understanding Your Urine Test Results: Kidney Health Insights
Consult a physician? Hello Dr. Wu, I have received my health check report, and the urine biochemical analysis shows the following results: urine protein: 56.9, urine creatinine: 412.2, and urine protein/creatinine ratio: 138. Could this indicate a kidney issue? What treatment o...
Dr. Wu Jiyu Reply:
Ms. Wang: Hello, based on the situation you described, the urine protein level is 56.9 and the urine creatinine level is 412.2. Therefore, the urine protein/creatinine ratio is 56.9/412.2 = 138 mg/g, which indicates that the urine protein level is 138 mg/g, which is less than the...[Read More] Understanding Your Urine Test Results: Kidney Health Insights
Understanding Elevated Urea Nitrogen: Kidney Health Insights
Elevated blood urea nitrogen (BUN) levels! Dr. Chen, I would like to ask you about my recent company health check report. It shows urine protein at 1+, blood urea nitrogen at 22.9 (normal range 6.7-21.3), and serum creatinine at 1.1 (normal range 0.4-1.4). The elevated blood urea...
Dr. Chen Jianyu Reply:
1. Yes, there may be an issue with the kidneys. 2. Please identify the causes of abnormal proteinuria and blood urea nitrogen levels, and follow up with a nephrologist for treatment. Avoid taking medications indiscriminately in daily life. 3. I cannot answer regarding your skin m...[Read More] Understanding Elevated Urea Nitrogen: Kidney Health Insights
Understanding Kidney Health: The Impact of Protein and Nutrition on Urinary Issues
Kidneys and Urinary Protein Hello Doctor: During a recent health check-up, my report indicated that both my blood pressure and urine protein levels were too high (the doctor mentioned it could indicate glomerulonephritis). I also noticed that my urine is foamy almost every time I...
Dr. Wu Jiyu Reply:
1. Based on your statement that "both blood pressure and urine protein are too high," it is possible that you have "glomerulonephritis." General recommendations include: a. controlling blood pressure (<130/80 mmHg) b. following a "low" protein die...[Read More] Understanding Kidney Health: The Impact of Protein and Nutrition on Urinary Issues
Understanding Abnormal Kidney Function: What You Need to Know
Is there any abnormality in kidney function? Hello, Doctor. Last July, I had a urinalysis that showed hematuria and proteinuria, both positive. In August, I went to another hospital for another urine test, and again, there were reactions for hematuria and proteinuria. After blood...
Dr. Wu Jiyu Reply:
1. First, let's discuss the risk factors for kidney disease: the three highs (hypertension, hyperglycemia, and hyperlipidemia) and proteinuria. Based on the data you provided: Blood Pressure??? Blood Glucose (GLU AC) 89 mg/dL: OK; Lipid Profile Cholesterol 224 mg/dL: borderl...[Read More] Understanding Abnormal Kidney Function: What You Need to Know
Does Not Fasting Affect the Accuracy of Health Checkup Results?
Does undergoing a health check-up without fasting affect the interpretation of test results? Thank you? Hello Director Li, I would like to ask you some questions regarding the health check report. Our company is organizing a health check tour, but the hospital has scheduled the h...
Dr. Li Huixiong Reply:
Hello: Some laboratory test results can indeed be influenced by diet. Below, I will list the tests and examinations that are recommended to be fasting for at least eight hours due to dietary effects, for your reference: urine glucose (GLU), pH, total cholesterol (CHOL), triglycer...[Read More] Does Not Fasting Affect the Accuracy of Health Checkup Results?
Understanding Foamy Urine: Should You Be Concerned?
Urinary bubble issue? For over a month, I have noticed bubbles in my urine. Sometimes they disappear quickly, while other times they take several minutes. The first urine of the morning has a lot of bubbles. I have seen a doctor who conducted a one-time blood and urine protein te...
Dr. Wu Jiyu Reply:
This question can be answered in two parts: 1. Does foamy urine indicate proteinuria? The answer is not necessarily, but the issue that needs to be addressed is proteinuria. (Some unusual causes, such as having just undergone cystoscopy or having a bladder-rectal fistula, will ...[Read More] Understanding Foamy Urine: Should You Be Concerned?
Understanding Bilateral Renal Cysts: Concerns and Management Options
Bilateral renal cysts? Hello, Doctor. Around May, I underwent a health check-up due to frequent feelings of dizziness and lack of energy. An abdominal ultrasound revealed "bilateral renal cysts" and a "right lobe liver mass." Initially, my family medicine phys...
Dr. Wu Jiyu Reply:
Dear Tesuia: Based on your description (both kidneys are filled with various sizes of cysts), it is possible that you have "hereditary polycystic kidney disease." Fortunately, your blood test results for kidney function are normal, and the urine protein test is (±) pend...[Read More] Understanding Bilateral Renal Cysts: Concerns and Management Options
Managing Kidney Health: Understanding Diet and Function in Patients
Kidney disease management Hello Dr. Yang, I have a smaller left kidney (congenital, not due to atrophy) and during winter, I experience high blood pressure, increased urination, and nocturia. After visiting the hospital for follow-up examinations, my kidney function has remaine...
Dr. Yang Zhongwei Reply:
Hello: 1. Frequent urination (is it the frequency or the volume?) and nocturia are not necessarily indicative of kidney problems; it is advisable to consult a urologist to examine the bladder. 2. There is currently insufficient evidence to determine the effectiveness of a low-pro...[Read More] Managing Kidney Health: Understanding Diet and Function in Patients
Does High Protein Intake Affect Urine Protein Tests?
Issues with consuming high-protein powder? Hello, doctor. I usually have a fitness routine and after working out, I consume high-protein supplements, about 100 grams of protein per day (I weigh 61 kg). I have a health check-up coming up and I would like to know if this will affec...
Dr. Yang Zhongwei Reply:
Hello: The average protein requirement is about 1.2 grams per kilogram of body weight per day. For a person weighing 60 kilograms, this amounts to approximately 70 grams of protein per day. In Taiwan, a normal three-meal diet typically provides sufficient protein. During exercise...[Read More] Does High Protein Intake Affect Urine Protein Tests?