Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?
The medical examination report indicates urine ketones at 3+? Hello doctor, in April of this year, I experienced redness, swelling, and pain in my left foot, and a doctor at a clinic diagnosed it as gout (without blood tests). I have a history of gout and usually manage my diet, ...
Dr. Li Jian Reply:
The production of urine ketones is usually related to prolonged fasting. Please consult a metabolic specialist. Thank you for your inquiry.[Read More] Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?
Understanding Abnormal Urinalysis Results: CREA and Color Insights
Urinalysis report CREA(U) (semi-quantitative) 100 mg/dL (-) pH 7.5 Bilirubin negative Color Straw (yellow) Glucose negative Ketone negative MALB(U) (...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The difference between yellow and straw-colored urine is minimal, and if there are no other abnormalities in the urine test, I believe it is not a concern. As for urine creatinine, it is related to kidney function, but in young males who consum...[Read More] Understanding Abnormal Urinalysis Results: CREA and Color Insights
Understanding Foamy Urine: Causes, Concerns, and Kidney Health
Foamy urine issue Hello, Doctor: For the past month or so, I have noticed small bubbles in my urine (sometimes a whole patch when it's severe), most of which disperse and disappear within five minutes, but sometimes a little bit remains for a long time. Additionally, I have ...
Dr. Huang Yaoxuan Reply:
Hello Ms. Huang: The normal value for urinary protein is less than or equal to 150 mg per day. The report for urinary protein can be presented in two ways: one is as a concentration value, such as 100 mg/dL, and the other is as a number of "+" signs, such as "2+&qu...[Read More] Understanding Foamy Urine: Causes, Concerns, and Kidney Health
Exploring Alternative Diagnoses Beyond SLE: A Patient's Journey
Systemic lupus erythematosus (SLE) Four months ago, the patient developed a rash on the skin and underwent numerous immunological tests. The results showed C1q 24.2, C1c 24.2, C3 73, PL-12 (++), WBC 3600, platelet count 129,000, and urine tests were negative. ANA, dsDNA, pANCA, a...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The examination data you provided is insufficient, so I cannot offer any recommendations based on these results. However, I believe that a negative ANA (antinuclear antibody) test reduces the likelihood of systemic lupus erythematosus and increa...[Read More] Exploring Alternative Diagnoses Beyond SLE: A Patient's Journey
Sudden Spike in Urinary Protein: Possible Autoimmune Causes?
Sudden increase in urinary protein levels? Hello Doctor, my urine protein levels skyrocketed from below 30 to 106 between June 7 and July 11, along with increases in microalbumin and urine albumin-to-creatinine ratio, while other urine tests remained normal. I was hospitalized in...
Dr. Lin Wuxuan Reply:
If you experience any discomfort, please schedule an earlier appointment and discuss it with your attending physician. Thank you.[Read More] Sudden Spike in Urinary Protein: Possible Autoimmune Causes?
Understanding Symptoms and Management of Vasculitis: A Patient's Guide
Vasculitis symptoms issues? Doctor, I am the previous patient who inquired about vasculitis. It has been confirmed that my skin condition is not ANCA-related and has improved. However, I am unsure why this afternoon I experienced some abdominal discomfort and lower back pain. Aft...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe the symptoms you described are not specific, but if you are concerned, you can schedule an earlier follow-up appointment for tests. A simple urine test can help determine if there are any issues with your kidneys. The Allergy, Immunolo...[Read More] Understanding Symptoms and Management of Vasculitis: A Patient's Guide
Understanding Abnormal Creatinine Levels: When to Seek Further Kidney Evaluation
Abnormal creatinine levels in health check-ups? Hello Doctor, during my health check last month, my creatinine level was abnormal (0.58), blood urea nitrogen was 11, and the urine test showed normal values except for urine ketones at 1+. I had a poor appetite that month due to st...
Dr. Lin Wuxuan Reply:
It is recommended to bring your health check report to a consultation with a family medicine or nephrology outpatient clinic. Thank you.[Read More] Understanding Abnormal Creatinine Levels: When to Seek Further Kidney Evaluation
Understanding Vasculitis: Post-COVID Immune Response and Concerns
Vasculitis issues I was diagnosed with COVID-19 on June 11, and around June 24, I noticed purpura and petechiae on my calves. On June 26, I visited a dermatologist who ordered blood tests including CBC, ESR, creatinine, AST, ALT, and CRP. The urine test results were all normal. A...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The ANCA test performed at a general laboratory can initially determine the presence of ANCA, and there is usually no need to specifically test for c-ANCA and p-ANCA unless the ANCA result is positive, at which point differentiation is necessary...[Read More] Understanding Vasculitis: Post-COVID Immune Response and Concerns
Understanding Kidney Issues: Insights on Proteinuria and Cysts
Kidney problems Hello, Doctor! Last year, I visited the hospital due to a urinary tract infection. After reviewing my urinalysis report, the urologist indicated that my proteinuria was elevated and recommended follow-up with a nephrologist. Since then, I have had five urinalysis ...
Dr. Wu Hongjie Reply:
Question 1: With normal urine and blood reports but abnormal ultrasound indicating bilateral parenchymal kidney disease, does this indicate Stage 1 CKD or has kidney function already been gradually impaired? (The physician only mentioned to return in six months for urine testing ...[Read More] Understanding Kidney Issues: Insights on Proteinuria and Cysts
Understanding Subcutaneous Hemorrhages in the Context of COVID-19
Subcutaneous ecchymosis of the calf? Hello, I was diagnosed with COVID-19 on June 11, and around June 24, I noticed purpura and petechiae on my calves. I visited a dermatologist on June 26, where the doctor ordered blood tests including CBC, ESR, Creatinine, AST, ALT, and CRP. Th...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have researched that one type of vasculitis is classified as ANCA-associated, which can present with symptoms such as sinusitis. I have been diagnosed recently and occasionally experience yellow nasal discharge tha...[Read More] Understanding Subcutaneous Hemorrhages in the Context of COVID-19
Understanding Urine Changes: When to Seek Medical Advice
Urinary issues and proteinuria? Hello, doctor. On the evening of May 2nd, I visited a traditional Chinese medicine practitioner and explained that my urine in the morning was darker yellow, with a lot of bubbles that lasted longer than ten minutes. Aside from the first morning ur...
Dr. Lin Wuxuan Reply:
Hello: There are many causes of foamy urine, including disease-related factors (such as proteinuria) and general physiological states (such as higher urea concentration in the first morning urine). This phenomenon serves as a preliminary assessment tool for individuals to evaluat...[Read More] Understanding Urine Changes: When to Seek Medical Advice
Managing High Creatinine Levels: Hydration and Dietary Choices
Elevated creatinine levels? A month ago, I visited a doctor due to gout, and after blood and urine tests, I was found to have a high uric acid level of 9.9 and a creatinine level of 1.2. The doctor advised me to drink more water. After increasing my water intake, I started drinki...
Dr. Li Jian Reply:
In addition to excessive meat intake, consuming beverages high in fructose can also lead to elevated uric acid levels, so it is advisable to limit the intake of sugary drinks.[Read More] Managing High Creatinine Levels: Hydration and Dietary Choices
Understanding Fluctuating Urine Sugar Levels: What Do They Mean?
Inquiry Consultation Dear Dr. Lee, I would like to ask you a question. When I was 18 years old, I underwent a health check-up. The urine test (dipstick test) showed an abnormal glucose (Glu) level of ++. However, being young at the time, I did not pay much attention to the resul...
Dr. Li Jian Reply:
If fasting is not observed before the health check, it may lead to the presence of glucose in the urine. Fasting blood tests are more accurate. Thank you for your inquiry.[Read More] Understanding Fluctuating Urine Sugar Levels: What Do They Mean?
Understanding Lower Back Pain and Related Symptoms: A Comprehensive Guide
Lower back pain? Lower back pain, numbness in hands, slight pinkish blood when wiping after urination, sometimes present and sometimes absent, generalized abdominal pain without a specific location, occasional decreased urine output which may be due to hot weather and sweating, d...
Dr. Lin Wufu Reply:
Hello, urinary tract infection should be ruled out first, as it can cause hematuria and abdominal pain. If there is also kidney inflammation, it may lead to lower back pain. It is recommended to consult an infectious disease specialist or a urologist for a urine test and further ...[Read More] Understanding Lower Back Pain and Related Symptoms: A Comprehensive Guide
Understanding the Link Between Proteinuria and Osteolytic Lesions
The relationship between proteinuria and osteolytic lesions? Hello, Doctor Wu. Happy Day Six of the Lunar New Year. Following up on my previous question, I will be undergoing a PET scan. I have been diagnosed with stage I papillary thyroid carcinoma (currently no longer classifie...
Dr. Wu Hongjie Reply:
Your question is too complex; please discuss it with your nephrologist. Thank you.[Read More] Understanding the Link Between Proteinuria and Osteolytic Lesions
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
Which Test is Best for Detecting Heavy Metal Poisoning: Hair, Blood, or Urine?
To determine if there is heavy metal poisoning, one should check hair, blood, or urine. Which one is appropriate? Hello, doctor. I have frequently been exposed to various strange pigments in the past, which contained heavy metals, but I have not been exposed for a long time. If I...
Dr. Lin Wuxuan Reply:
Hello: Generally speaking, different heavy metals have different detection methods, but most can be assessed through blood tests and urine tests to determine their levels.[Read More] Which Test is Best for Detecting Heavy Metal Poisoning: Hair, Blood, or Urine?
Could Fluctuating ESR Levels Indicate Cancer in Ankylosing Spondylitis?
Could my ESR condition be caused by cancer? Hello Doctor, I am a patient with ankylosing spondylitis, 22 years old, and I have been diagnosed for 2 years and 3 months. About 2 years ago, blood tests and MRI confirmed my diagnosis of ankylosing spondylitis. During my first blood t...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Indeed, there are other reasons that can cause an elevated ESR, including cancer. However, the diagnosis of cancer is not based solely on ESR; it should be considered alongside other related symptoms and regular health check-ups. You are still ...[Read More] Could Fluctuating ESR Levels Indicate Cancer in Ankylosing Spondylitis?
Frequent Bloating and Diarrhea: What Could Be the Cause?
Frequent bloating and diarrhea? In recent months, I have frequently experienced bloating in the lower left abdomen and diarrhea, which improves for a few days only to return again. A few days ago, my urine appeared brownish, but it has not been brown in the last two days, althoug...
Dr. Hong Yuanbin Reply:
Based on your description, it is likely that your symptoms are not caused by the same disease. Blood tests, urine tests, and stool tests may be necessary to determine the underlying conditions. I recommend that you first schedule an appointment with a family medicine clinic for e...[Read More] Frequent Bloating and Diarrhea: What Could Be the Cause?
Understanding Urine Test Results: What Do Your Numbers Mean?
Urine test inquiry? Hello Doctor, I recently had a physical examination and I don't quite understand the following test results, so I would like to ask you: 1. Test Name: Creatinine (CRE) Result: 203.1 mg/dL 2. Microalbumin (Immunoturbidimetric Method) Result: 203.1 mg/dL...
Dr. Hong Yuanbin Reply:
Hello, these three values should be from a urinalysis, right? The presence of these three values suggests that you may have had proteinuria previously. The normal ranges for these values can vary depending on the testing methods used by different hospitals, so your report should ...[Read More] Understanding Urine Test Results: What Do Your Numbers Mean?