Understanding Normal Blood and Urine Test Values: A Guide for Patients
One question from the health examination form? Doctor: Hello, I previously underwent a comprehensive physical examination at your hospital due to military service. What are the normal values for white blood cells and urine specific gravity? (My white blood cell count is 10.1; uri...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. According to the reference values listed by our laboratory, the normal range for white blood cells is 4,800 to 10,800 cells/ml, and the normal range for urine specific gravity is 1.005 to 1.030. The test values you provided are still withi...[Read More] Understanding Normal Blood and Urine Test Values: A Guide for Patients
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
Understanding Elevated Immunoglobulin Levels and Kidney Health Risks
Elevated immunoglobulin levels? Doctor: Hello! Recently in April, I went to the hospital due to shortness of breath and chest tightness, where cardiac examinations showed no issues, and it was later diagnosed as autonomic nervous system dysfunction. However, the urine tests revea...
Dr. Yao Quan Reply:
Dear Ms. Kiki, Hello. There are five types of immunoglobulins: IgG, IgA, IgM, IgD, and IgE, each with different normal value ranges. Your letter mentions elevated immunoglobulin levels (approximately 440), but it is unclear which specific immunoglobulin is elevated. The normal r...[Read More] Understanding Elevated Immunoglobulin Levels and Kidney Health Risks
Frequent Urination with Low Volume: Understanding Possible Causes
Frequent urination with low urine volume? Hello, doctor. My mother was diagnosed with diabetes earlier this year. She exercises regularly, and her blood sugar levels are well-controlled, typically ranging from 80 to 120 mg/dL (she measures her blood sugar after exercising). Howev...
Dr. Shi Guangzhong Reply:
Your mother has recently been diagnosed with diabetes, and exercise can be very helpful in controlling blood sugar levels. If her fasting blood glucose level is between 80-120 mg/dL, that is acceptable; however, it is also recommended that she monitor her postprandial blood gluco...[Read More] Frequent Urination with Low Volume: Understanding Possible Causes
Understanding Fever: Could It Indicate a Different Illness?
Fever I have had a continuous fever for three days. I went to the hospital for an examination. I had blood and urine tests; the blood test results were normal, but they found an elevated white blood cell count in my urine, which suggests there might be some inflammation, leading ...
Dr. Lin Mingfeng Reply:
To identify the cause of fever, the easiest approach is to start with accompanying symptoms. Aside from pyuria (indicating an excess of white blood cells in the urine), no other accompanying symptoms were mentioned in the problem. However, statistically, a urinary tract infection...[Read More] Understanding Fever: Could It Indicate a Different Illness?
Understanding Proteinuria: Should You See a Nephrologist?
Urinary protein Hello Doctor, during this year's employee health check, I found (+) urine protein and (+/-) occult blood. I have had similar test results in the past, but after several rechecks, they disappeared. However, I occasionally test positive again, and sometimes my ...
Dr. Yang Jun Reply:
Hello: In response to your question, the presence of proteinuria can be classified into functional proteinuria and pathological proteinuria. Functional proteinuria may occur due to urinary tract infections, fever, infections, or during a woman's menstrual period, and it typi...[Read More] Understanding Proteinuria: Should You See a Nephrologist?
Understanding Abnormal Amorphous Phosphate in Urine: Causes and Implications
I would like to inquire about the abnormalities related to "amorphous phosphate." In March 2005, a health check was conducted, and the urine test showed an abnormal result of "amorphous phosphate (+)." I would like to ask: 1. What is amorphous phosphate? 2. Wh...
Dr. Chen Jingwen Reply:
Hello Jenny, amorphous phosphates refer to phosphates, including calcium phosphate. Under normal circumstances, phosphates are produced from food metabolism and combine with calcium and other elements, then are excreted through the kidneys in urine. This is a normal metabolic pro...[Read More] Understanding Abnormal Amorphous Phosphate in Urine: Causes and Implications
Understanding Right Side Discomfort: When to See a Specialist
Discomfort on the right side? Dr. Tsai: After consulting you about the pressure sensation in my right upper abdomen (what could be the cause of discomfort in the right upper abdomen on 12/28), I have noticed that the discomfort has spread to my right flank, lower back, and right ...
Dr. Cai Zonglong Reply:
Hello, based on your symptoms and examination, it is unlikely that there is a problem with your liver. However, it would be more accurate to perform a blood test to check liver function. Additionally, your symptoms may be caused by your daily work or lifestyle habits, which may n...[Read More] Understanding Right Side Discomfort: When to See a Specialist
Understanding Kidney Function Tests: Interpreting Abnormal Results
Kidney function tests I recently received my health check report. Kidney examination: BUN=13 is normal, but creatinine=2.4 indicates an abnormal condition. Gallbladder examination: total bilirubin (T-bil)=1.6 is abnormal, while direct bilirubin (d-bil)=0.3 is normal. Urinalysis: ...
Dr. Cai Zonglong Reply:
Hello, a creatinine level of 2.4 indicates abnormal kidney function. There are many causes for kidney dysfunction, but your normal urine test results help rule out glomerulonephritis and interstitial nephritis. The remaining differential diagnoses primarily include: 1. Residual r...[Read More] Understanding Kidney Function Tests: Interpreting Abnormal Results
Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management
Type A globulin glomerulonephritis Hello Doctor, I have had microscopic hematuria for a year. Last year, I underwent examinations in the nephrology department, including blood tests, urine tests, and imaging X-rays. Aside from 4+ occult blood, I sometimes had proteinuria and some...
Dr. Yang Jun Reply:
Hello: In response to your question... Persistent microscopic hematuria and occasional proteinuria are indicative of glomerulonephritis. Generally, type A alpha globulin nephritis is more common. An IgA level of 380 is elevated, which further supports the high likelihood of type ...[Read More] Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management
Understanding Back Pain: Is It Related to Kidney Issues?
Could you please provide more details about the issue of back pain? Hello Doctor, 1. Last night before going to bed, I felt a slight soreness in my right upper back. In the past, I would usually wake up feeling sore, but this time I was suddenly awakened by the pain in my back ...
Dr. Yang Jun Reply:
Hello: In response to your question... Based on the symptoms and examination results you described, the back pain may not be related to kidney disease. It is necessary to seek further evaluation from a rehabilitation or orthopedic specialist to determine if the pain is caused by ...[Read More] Understanding Back Pain: Is It Related to Kidney Issues?
Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Swelling of the fingers and toes? Hello Dr. Yang: My child is currently 14 years old and experienced swelling in the hands and feet (fingers and toes) around the age of 9, which was accompanied by pain. I forgot what the doctor said at that time. It occurred occasionally, but for...
Dr. Yang Jun Reply:
Hello: In response to your question... The possible causes of edema in the hands and feet, aside from kidney disease leading to proteinuria, include heart disease, liver disease, and metabolic disorders (such as hypothyroidism, etc.). It is recommended to visit a nephrologist for...[Read More] Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Understanding Chronic Back Pain: Key Medical Insights and Tests Explained
Unresolved issues? Hello Doctor: I have been experiencing chronic lower back pain and have a history of injury. Recent test results show the following (urinalysis): hematuria reaction is +/- (normal reference is negative), urinary tract inflammation indicator is 1+ (normal refere...
Dr. Tang Jieru Reply:
Hello Ah-Gui: A urine test must be conducted using midstream urine for the results to be of reference value. The determination of whether it is midstream urine is based on the number of epithelial cells present. Your report shows a count of 10-15, which is considered too high, in...[Read More] Understanding Chronic Back Pain: Key Medical Insights and Tests Explained
Understanding Urine Test Results: Hematuria and Bacteria Levels Explained
Urinalysis shows hematuria +2 and bacteriuria +2? In a health check-up, if the urine test shows blood +2 and bacteria +2, what precautions should be taken, and which specialty should be consulted?
Dr. Zhao Chongliang Reply:
You should consult a nephrologist or a urologist. The urine analysis in a health check should only include qualitative tests using dipsticks. If there are issues, it is necessary to follow up with these specialists to evaluate the quantitative results of the urine sediment. Regar...[Read More] Understanding Urine Test Results: Hematuria and Bacteria Levels Explained
Understanding Kidney Health: Interpreting Abnormal Urine Test Results
Renal pathology Hello Dr. Yang, I have been undergoing health check-ups for many years and frequently have abnormal results for urine occult blood (++) and urine protein (++). I have previously consulted a urologist, but there hasn't been much improvement. My blood urea nitr...
Dr. Yang Jun Reply:
Hello: In response to your question, the urine test shows the presence of proteinuria and hematuria, along with elevated kidney function indices (blood urea nitrogen and creatinine), indicating chronic renal failure. It is essential to consult a nephrologist for further evaluatio...[Read More] Understanding Kidney Health: Interpreting Abnormal Urine Test Results
Understanding Abnormal Urinalysis Results: What They Mean for Your Health
In the health check report I recently had a health check-up, and there were several abnormal findings in my urine report. I would like the physician to clarify the following: (1) My specific gravity was 1.031, which is elevated, as the reference range is 1.015 to 1.030. (2) The q...
Dr. Yang Jun Reply:
Hello: In response to your questions, three issues were raised: First, the elevated urine specific gravity may be caused by urine concentration; second, the presence of a positive protein reaction could indicate kidney disease or a transient response during a urinary tract infect...[Read More] Understanding Abnormal Urinalysis Results: What They Mean for Your Health
Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Management
Kidney function Hello, Director Yang: 1. What is acute renal failure? 2. I was hospitalized on September 6 due to swelling in my left knee (I had been taking anti-inflammatory pain medication from Chang Gung Memorial Hospital for some time prior, and my kidney function was norma...
Dr. Yang Jun Reply:
Hello: In response to your question, acute renal failure refers to a rapid decline in kidney function due to factors such as medications, infections, urinary obstruction, sepsis, or other influences on renal function, resulting in elevated kidney function indices (BUN and creatin...[Read More] Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Management
Could It Be Kidney Stones? Understanding Symptoms and Diagnosis
Is it a kidney stone? An eighteen-year-old girl experienced severe pain on the left side of her lower back starting in the early morning of August 30. She was taken to the emergency department of Taichung Dali Renai Hospital, where she underwent urine tests, blood tests, abdomina...
Dr. Yu Xianneng Reply:
You can visit the urology outpatient clinic for X-ray and ultrasound examinations to check for kidney stones. It is possible that the kidney stones are too small and may pass out of the body on their own.[Read More] Could It Be Kidney Stones? Understanding Symptoms and Diagnosis
Understanding Leg Indentation: Causes and When to Seek Medical Help
It will indent when pressed? Hello, doctor. My mother is 41 years old, weighs 60 kg, and is 165 cm tall. She has a history of chronic gastritis and allergic rhinitis, and she often suffers from migraines. In recent months, she has noticed that when she presses down on her calves,...
Dr. Chen Fuquan Reply:
Dear Mr. Ku, As you mentioned, your aunt has been experiencing noticeable edema in her lower legs and feelings of fatigue over the past few months. I have a few questions regarding her condition: 1. **Liver Issues**: Has your aunt been a carrier of Hepatitis B or C for many yea...[Read More] Understanding Leg Indentation: Causes and When to Seek Medical Help
Understanding Occasional Back Pain and Urine Ketones in Young Patients
Occasional lower back pain? Hello, Director Yang. My daughter has disliked drinking plain water since she was little, which has led to some abnormalities found during her health check-ups. I would like your help in clarifying a few things. Her pH levels are slightly higher than t...
Dr. Yang Jun Reply:
Hello: In response to your question, the urine test indicated the presence of OB (+) and slightly elevated WBC, which may suggest a urinary tract infection, potentially causing fever. At this time, proteinuria may occur, but this type of proteinuria is referred to as "functi...[Read More] Understanding Occasional Back Pain and Urine Ketones in Young Patients