Understanding Chest Pain and Swallowing Difficulties in Kidney Patients
Chest tightness/pain and abnormal swallowing sensation? 1. I am a patient with horseshoe kidney, where my left kidney is connected to the right kidney. The symptoms I experience include hematuria, proteinuria, and stabbing pain in the left abdomen. After examination, I was diagno...
Dr. Yang Jun Reply:
Hello: In response to your question, the text describes that since last winter solstice, there have been three episodes of fainting accompanied by convulsions, which may indicate symptoms of epilepsy. It is essential to have a neurologist arrange for an electroencephalogram (EEG)...[Read More] Understanding Chest Pain and Swallowing Difficulties in Kidney Patients
Understanding Hematuria During Pregnancy: Causes and Management
Hematuria Dear Dr. Yang, A year ago, when I was pregnant with my first child, I experienced hematuria. After being treated with antibiotics by my physician, the symptoms improved. Three months postpartum, I noticed small blood clots in my urine and went to the hospital for exami...
Dr. Yang Jun Reply:
Hello: In response to your question. A year ago, you experienced hematuria during pregnancy, which improved after antibiotic treatment, likely due to hemorrhagic cystitis. After delivery, blood clots were found in your urine, and tests including urine cytology, X-ray, and renal u...[Read More] Understanding Hematuria During Pregnancy: Causes and Management
Understanding Hematuria in Children: Concerns and Next Steps
Hematuria Dear Dr. Yang, Hello. In late December of 2002, my child, Xiaodi Zhan, discovered blood in his urine. He subsequently visited a teaching hospital where he underwent urinalysis, blood tests, and an ultrasound. The results indicated mild kidney inflammation, accompanied ...
Dr. Yang Jun Reply:
Hello: In response to your question, the text mentions that hematuria and mild proteinuria were discovered in December 2002 and have been monitored and treated. In general, when hematuria is found, nephrologists will first rule out the possibility of urinary tract stones or urolo...[Read More] Understanding Hematuria in Children: Concerns and Next Steps
Understanding Lymph Node Swelling in Children: Causes and Concerns
Lymph node Yesterday, my third-grade son suddenly discovered a small hard lump above his groin (which is not painful). I was very anxious and immediately took him to see his family doctor. The doctor initially diagnosed it as lymphadenopathy and prescribed anti-inflammatory medic...
Dr. Zhao Chongliang Reply:
The inflamed area may not be very obvious. For example, when bitten by a mosquito while sleeping at night, one might unknowingly scratch the itch, transferring bacteria from under the fingernails into the bite wound. By morning, the redness and swelling caused by the bite may hav...[Read More] Understanding Lymph Node Swelling in Children: Causes and Concerns
Frequent Urination and Abdominal Pain: Possible Causes and Solutions
Frequent urination, abdominal pain? Hello Doctor: In the past one to two years, I have noticeably experienced an increase in the frequency of urination. Whenever I consume any liquid food or beverages, I need to use the restroom two to four times within one to two hours. Addition...
Dr. Yang Jun Reply:
Hello: In response to your question, the phenomenon of frequent urination mentioned in your message should first consider the possibility of a urinary tract infection. It is advisable to visit a nephrology clinic for examination to confirm the diagnosis. Regarding the issue of lo...[Read More] Frequent Urination and Abdominal Pain: Possible Causes and Solutions
Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions
Panic Hello, Doctor Yang. A few days ago, I had a health check-up and found my HB: 9.8, MCV: 76, HT: 34, MCH: 24.9. I later tested for thalassemia and iron deficiency anemia, but the results showed no thalassemia. However, the data regarding iron deficiency is quite strange... Ir...
Dr. Yang Jun Reply:
Hello: In response to your question, the reported HB is 9.8 and MCV is 76, which indicates microcytic anemia (normal MCV values range from 80-100). It is necessary to consider thalassemia and iron deficiency anemia. Subsequent tests ruled out thalassemia, and with a TIBC of 487 a...[Read More] Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions
Understanding Kidney Pain: Causes and Concerns for Your Health
Kidney issues? Hello Dr. Yang: I've been experiencing a dull ache around my right kidney area for the past few days. Is there something wrong with my kidney?
Dr. Yang Jun Reply:
Hello: In response to your question, the causes of the right flank pain that has persisted for several days may include the following: 1. Kidney diseases: Most people would first consider potential kidney issues, including renal or urinary tract stones, acute pyelonephritis, and,...[Read More] Understanding Kidney Pain: Causes and Concerns for Your Health
Understanding Positive Amorphous Urates: Implications and Lifestyle Tips
Non-crystalline urate Hello Dr. Yang: During a recent health check-up, one of the tests for amorphous urates returned a positive result (+), while the normal reference value is negative (-). What does this mean? Is there any issue that requires further treatment? Additionally, ar...
Dr. Yang Jun Reply:
Hello: In response to your question, the urine test results show a positive reaction for non-crystalline uric acid, indicating that there is an elevated level of uric acid in the urine. This may suggest hyperuricemia, which increases the likelihood of developing uric acid stones ...[Read More] Understanding Positive Amorphous Urates: Implications and Lifestyle Tips
Understanding Left Side Abdominal Pain and Blood in Urine
There is occasional dull pain in the left flank? There is a dull pain in the left side of the lower back, and today there was blood in the urine.
Dr. Chen Jingwen Reply:
Based on the description, if it is not during the menstrual period, there are two likely possibilities: (1) acute right-sided pyelonephritis, for which urine tests and abdominal ultrasound are recommended. (2) right kidney stones, for which the same tests as (1) are suggested, al...[Read More] Understanding Left Side Abdominal Pain and Blood in Urine
What to Do If Your Urinalysis Shows Abnormal Results?
What should I do if the results of my urine test report are abnormal? In the health check report, the urine test results show the following abnormalities highlighted in red for the first time: PRO (protein) is +, OB (urine occult blood) is 3+, BIL (urine bilirubin) is +, and WBC ...
Dr. Yang Jun Reply:
Hello: In response to your question, the urinalysis indicated the presence of proteinuria, hematuria, and pyuria, which may be caused by hemorrhagic cystitis due to a lower urinary tract infection. If there are no symptoms of fever or flank pain, it suggests that the infection ha...[Read More] What to Do If Your Urinalysis Shows Abnormal Results?
Which Specialist to See for Skin Moles and Kidney Pain?
Which department should I consult? I recently noticed that I have been developing moles on my body. I have heard people say that this is a sign of "cancer." Which department should I consult? Additionally, I often experience sharp pain in the area of my kidneys. Could t...
Dr. Yang Jun Reply:
Hello: In response to your inquiry regarding the mole on your body and concerns about potential malignant changes, it is advisable to consult a dermatologist for further diagnosis and management. The kidneys are located on both sides of the lower back; if there is pain in that ar...[Read More] Which Specialist to See for Skin Moles and Kidney Pain?
Managing Kidney Issues in Elderly Patients: Treatment Options and Considerations
Kidney problems Consulting a physician: My father is 80 years old and regularly takes medication for hypertension, diabetes, and gout. Recently, due to urine test results indicating an infection, a kidney ultrasound was performed, revealing deteriorating kidney function and a 0.6...
Dr. Yang Jun Reply:
Hello, in response to your inquiry: Your father is 80 years old and has a history of hypertension, diabetes, and gout. The urinalysis shows signs of infection, which may be caused by prostatitis or benign prostatic hyperplasia leading to urinary difficulties, and it is not necess...[Read More] Managing Kidney Issues in Elderly Patients: Treatment Options and Considerations
Understanding Your Health Check Results: Insights from Dr. Yang
Please consult a physician regarding some health examination data? Last year, at the beginning of the school year, our school conducted a health check-up, and some related medical data indicated that my kidney function might not be good. However, I would like to ask Dr. Yang for ...
Dr. Yang Jun Reply:
Hello: In response to your inquiry about participating in a health check-up, it is commendable to be concerned about your health, as bodily diseases often begin with subtle changes. The data mentioned in your correspondence regarding blood and kidney function are within normal ra...[Read More] Understanding Your Health Check Results: Insights from Dr. Yang
How Long Does MDMA Stay in Your System? Testing and Detox Tips
I'm sorry, but I need specific content to translate Hello Doctor... Recently, a friend of mine returned from military service and, out of curiosity, took ecstasy (MDMA). He will have to undergo a urine test soon. How long does it take for the drug to be undetectable in urine...
Dr. Yang Jun Reply:
Hello: In response to your question, after taking ecstasy, residual substances can be detected for a long time as they are metabolized by the body. Drinking more water or milk does not help in eliminating the toxins. Therefore, the fundamental approach is to refuse and avoid taki...[Read More] How Long Does MDMA Stay in Your System? Testing and Detox Tips
Strong Urine Odor: What Does It Mean for Your Health?
Urination Dear Doctor, my urine has a strong uric acid smell, and the bathroom always has an odor after I urinate. Is there something wrong? Thank you.
Dr. Wang Fangli Reply:
Hello KK: The presence of a uric acid odor in urine does not necessarily indicate a significant issue. It is best to have the first morning urine tested at the hospital. Internal Medicine, Dr. Wang Fangli.[Read More] Strong Urine Odor: What Does It Mean for Your Health?
Managing Edema in Elderly Patients with Multiple Health Conditions
Edema My father is 78 years old and has a history of hypertension, heart disease, diabetes, and gout, for which he has been on long-term medication. Currently, he is experiencing severe edema in both feet, palms, and forearms. Blood and urine tests indicate malnutrition, proteinu...
Dr. Yang Jun Reply:
Hello: In response to your question regarding the causes of edema, it is primarily due to conditions such as heart failure, nephrotic syndrome, cirrhosis, or malnutrition. This occurs because of a decrease in albumin levels or excess fluid in the body. Your father suffers from hy...[Read More] Managing Edema in Elderly Patients with Multiple Health Conditions
Understanding Cushing's Syndrome: Diagnosis and Treatment Options
Cushing's syndrome I have been experiencing continuous weight gain, facial swelling, and the development of acne and buffalo hump over the past four to five months. After visiting the hospital for examination, it seems that I may have Cushing's syndrome and a tumor in t...
Dr. Yang Hongzhi Reply:
Cushing's syndrome is caused by excessive secretion of adrenal corticosteroids. To diagnose this condition, it is essential to confirm that there is indeed an overproduction of adrenal corticosteroids. Typically, a high dose of dexamethasone is administered to assess whether...[Read More] Understanding Cushing's Syndrome: Diagnosis and Treatment Options
Understanding Foot Pain Upon Waking: Causes and Solutions
Sore feet? I am a college student who exercises frequently and generally has good health. However, I have been experiencing a concern lately: every time I get out of bed in the morning and step onto the floor, the soles of my feet feel very sore, but the discomfort goes away afte...
Dr. Yang Jun Reply:
Hello: In response to your question, there are no specific kidney diseases that solely cause foot pain. Generally, kidney diseases may present with symptoms such as hematuria, proteinuria, edema, and fatigue. If kidney function is suspected to be an issue, it is advisable to cons...[Read More] Understanding Foot Pain Upon Waking: Causes and Solutions
Understanding Right-Sided Back Pain: Causes and When to Seek Help
Back pain Hello, doctor: I have been experiencing significant pain on the right side of my back near the spine (approximately at the level just below the rib cage) for the past couple of days. It is quite painful when pressed, and there is discomfort even without pressure, althou...
Dr. Wang Yiming Reply:
The area you are referring to is precisely the location of the right kidney, and any issues with the kidney could potentially manifest these symptoms. It is advisable for you to consult a nephrologist or urologist at a hospital and have your urine tested, as it can provide us wit...[Read More] Understanding Right-Sided Back Pain: Causes and When to Seek Help
Understanding Urine Test Results: What Does ob+ Mean?
Regarding small questions about health check-ups? Recently, I had a general health check-up, and in the report, the urine section showed ob+. What does this mean?
Dr. Wang Fangli Reply:
Hello, Miss Cloud: OB refers to occult blood, which means there is blood in the urine that is not visible to the naked eye. The presence of occult blood may indicate kidney issues, urinary tract infections, or stones, or it could be due to your menstrual period not being complete...[Read More] Understanding Urine Test Results: What Does ob+ Mean?