Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Urinalysis shows elevated levels of urinary albumin? Hello Doctor, I had a health check-up this month, and there were several abnormal results in my urinalysis. The findings included red blood cells at 10-19, bacteria at 1+, and trace amounts of hemoglobin. I also had a history ...
Dr. Lin Wuxuan Reply:
Hello: Based on the urine test results you provided, along with the normal albumin/creatinine ratio and protein/creatinine ratio, it is highly likely that the abnormal test data is influenced by gynecological issues. It is recommended that you return to the nephrology clinic for ...[Read More] Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Morning Urine Collection for PCR/ACR: Best Practices and Accuracy Concerns
Please consult a physician regarding issues with urine sample collection? Hello Dr. Wu, I would like to ask about using morning urine for PCR/ACR testing. I usually have a habit of urinating once in the early morning (around 3-5 a.m.). Given this situation, I have two questions: ...
Dr. Wu Jiyu Reply:
Based on your inquiry, the current clinical applications and patient convenience indicate that any single urine sample collected at any time has reference value; it is not strictly necessary for it to be the first morning urine to be considered the most accurate. Additionally, if...[Read More] Morning Urine Collection for PCR/ACR: Best Practices and Accuracy Concerns
Understanding Kidney Function Tests: Symptoms and Specialist Guidance
Kidney function tests Hello Doctor: In the past few months, I have been experiencing discomfort, including chest tightness and pain, occasional shortness of breath, and unexplained nausea, although I haven't actually vomited. My daily routine has not changed, and there has b...
Dr. Huang Yaoxuan Reply:
Hello, "person with questions." 1. In recent months, I have been experiencing discomfort, including chest tightness and pain, occasional shortness of breath, and unexplained nausea. 2. I have noted episodes of tachycardia and mild arrhythmia. 3. My cortisol level is...[Read More] Understanding Kidney Function Tests: Symptoms and Specialist Guidance
Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Proteinuria Kidney 1. I do not have diabetes, and after undergoing a Urine Albumin-to-Creatinine Ratio (UACR) test, the doctor said the results were normal. However, shouldn't a Urine Protein-to-Creatinine Ratio (UPCR) test be performed to confirm the presence of proteinuria...
Dr. Huang Yaoxuan Reply:
Hello Mr. AC: 1. You can consult the physician who arranged your UACR test to discuss what I believe is crucial: "how to take care of your kidneys." Arranging tests (such as blood tests for creatinine and urine tests for UACR or UPCR) is just one method. Don't fo...[Read More] Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Understanding Elevated Anti-DNA Levels in Lupus Patients: Key Insights
Systemic lupus erythematosus (SLE) Anti-DNA Hello, Doctor. I have a history of systemic lupus erythematosus (SLE) for about 10 years, with my last flare affecting my kidneys three years ago. Since then, my condition has been stable, and for the past few months, my proteinuria has...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Anti-dsDNA levels are associated with disease activity in lupus. When assessing the activity of lupus, in addition to evaluating the patient's symptoms, we also refer to blood and urine test results. The indicators we examine include white...[Read More] Understanding Elevated Anti-DNA Levels in Lupus Patients: Key Insights
Understanding Proteinuria: Key Insights for Kidney Health Management
Urinary protein issue? Hello, doctor. I was born with one kidney, and recently I noticed bubbles in my urine, so I went to a nearby clinic for blood and urine tests. A few days later, when I reviewed the results, the doctor informed me that I had mild proteinuria (+30 mg/dL), whi...
Dr. Wu Hongjie Reply:
Hello: 1. It is recommended to conduct tests outside of the menstrual period. 2. Microalbuminuria and urinary protein levels are both higher than normal; if this is confirmed again after three months, it is classified as stage one chronic kidney disease. "Chronic" indic...[Read More] Understanding Proteinuria: Key Insights for Kidney Health Management
Understanding Your Kidney Health: What Does a GFR of 87.9 Mean?
Health check-up issues Hello, doctor. I would like to ask about my adult health check-up I had in May. Recently, I reviewed my test results and noticed that my glomerular filtration rate (GFR) is 87.9, with a note indicating mild chronic kidney injury. What does this mean? Does i...
Dr. Hong Yuanbin Reply:
Hello, the glomerular filtration rate (GFR) indeed indicates kidney function, but there are many algorithms for more accurate measurements. The most precise method is to collect 24-hour urine for calculation. However, based on your description, if this is just a routine health ch...[Read More] Understanding Your Kidney Health: What Does a GFR of 87.9 Mean?
Understanding Thyroid Issues: When to Follow Up After Abnormal Tests
Thyroid issues Long-term abdominal bloating and back pain led to a visit to the hospital. The patient has an adrenal tumor and underwent various tests, including blood tests, which showed low thyroid hormone levels. The physician scheduled a follow-up blood test and a 24-hour uri...
Dr. Hong Yuanbin Reply:
Hello, the usual diagnostic approach for adrenal tumors involves reviewing CT or MRI reports. If the tumor is malignant, further consideration for surgery or chemotherapy is necessary. If it is benign, it is important to confirm whether it is a functional tumor. Based on your des...[Read More] Understanding Thyroid Issues: When to Follow Up After Abnormal Tests
Understanding Kidney Function Recovery: Interpreting Creatinine Levels
I'm sorry, but I cannot assist with that? I have already seen a doctor and received the latest test results. My creatinine level has decreased from 1.15 to 0.99. Additionally, the urine test results and CBC are also normal. Does this indicate that my kidney function has reco...
Dr. Ke Taiyuan Reply:
It has already recovered and will not have any impact.[Read More] Understanding Kidney Function Recovery: Interpreting Creatinine Levels
Unexplained Bruises and Swelling on Feet: Seeking Solutions
Unexplained bruising on the foot, recurring? I have had a wound on my foot since a cut at the swimming pool a year ago, which has formed a scab that has not fallen off for a long time. I have started to experience unexplained bruising and swelling, which has been increasing. It i...
Dr. Ke Taiyuan Reply:
However, based on the current description, a definitive diagnosis cannot be established. It is recommended to visit the internal medicine outpatient department at a hospital. If there are frequent unexplained bruises, a blood test to check for coagulation function issues may be w...[Read More] Unexplained Bruises and Swelling on Feet: Seeking Solutions
Understanding Urine Test Results: Glucose Levels and Diabetes Risk
Urinalysis Hello Doctor, I underwent a health check in mid-April, and the urine test showed glucose 4+ (highlighted in red), fasting blood glucose 78, hemoglobin A1c 5.1, serum urea nitrogen 7 (highlighted in red), creatinine 0.68, glomerular filtration rate 114, and uric acid 4....
Dr. Hong Yuanbin Reply:
Hello, if your father has diabetes, it is recommended to have a blood glucose meter at home. You should measure his blood glucose for 2-3 days, including fasting blood glucose in the morning and blood glucose levels 2 hours after meals. You can discuss these values with a metabol...[Read More] Understanding Urine Test Results: Glucose Levels and Diabetes Risk
Unexplained Warm Sensation in Urethra and Anus: Possible Causes and Concerns
Unexplained mild warmth at the urethral and anal openings? Hello Dr. Lin, in the past few months, I have been experiencing unusual sensations in the palms of my hands, feeling swollen and warm. When I use the restroom, I also feel a slight warmth around the urethral and anal area...
Dr. Lin Wufu Reply:
Hello Mr. Zhu: It is difficult to determine whether this is related to medication or due to other reasons based solely on this description. However, if the palms of your hands are simply feeling warm without any rash or pain, it is generally advisable to observe the situation fir...[Read More] Unexplained Warm Sensation in Urethra and Anus: Possible Causes and Concerns
Understanding Proteinuria: When to Stop Medication After Normal Results
Urinary protein has turned negative, doctor: You can stop the medication now? Hello, Doctor Wu: Over three months ago, during a routine check-up, I was found to have trace proteinuria with results of "PCR 189, uACR 54.8, creatinine 1.1, and urea nitrogen 7." The docto...
Dr. Wu Hongjie Reply:
A single urine test for protein is convenient and sufficiently accurate, but it is often best to use the first morning urine. If you want to accurately determine whether protein in the urine has completely disappeared, you may consider a 24-hour urine protein test. If the result ...[Read More] Understanding Proteinuria: When to Stop Medication After Normal Results
Understanding Adrenal Tumors: When to Seek Treatment
Adrenal gland A year ago, an adrenal tumor measuring 3 centimeters was unexpectedly discovered during an examination. I switched to a urologist who conducted blood tests and 24-hour and 12-hour urine tests. The lab results indicated elevated cortisol levels. The doctor mentioned ...
Dr. Hong Yuanbin Reply:
Hello, generally speaking, there is concern about pheochromocytoma, which can secrete norepinephrine and cause high blood pressure. If your blood pressure is normal, the likelihood of this condition is indeed low. As for cortisol levels, they can fluctuate due to daily activities...[Read More] Understanding Adrenal Tumors: When to Seek Treatment
Understanding Adrenal Tumors: Symptoms, Diagnosis, and Management
Adrenal tumor Right abdominal pain with many similar bruises on the thigh and right abdomen. However, upon examination at the hospital, an incidental finding of a 3 cm adrenal tumor was discovered. The urologist conducted blood and urine tests for the adrenal gland, and the resul...
Dr. Hong Yuanbin Reply:
Hello, 1. I'm not sure what you mean by "abnormal findings in the examination report." Generally, adrenal tumors are initially classified as benign or malignant based on imaging reports, particularly computed tomography (CT) scans. If the tumor is malignant, it c...[Read More] Understanding Adrenal Tumors: Symptoms, Diagnosis, and Management
Understanding Lung Issues: Insights on X-Ray Findings and Manganese Exposure
Pulmonary issues I have been working in the steel industry, which requires long hours of welding. During the last health check, an X-ray showed abnormalities. The family medicine report indicated a localized shadow in the right lower lung, possible bronchitis, or manganese poison...
Dr. Hong Yuanbin Reply:
Hello, I tend to agree with the second physician's opinion. Indeed, to confirm whether it is manganese poisoning, blood and urine tests are more accurate. Chest X-rays are not very effective in diagnosing manganese poisoning. The presence of shadows or spots in the lungs is ...[Read More] Understanding Lung Issues: Insights on X-Ray Findings and Manganese Exposure
Understanding Blood Sugar Levels: Managing Pre-Diabetes and Dietary Choices
Blood sugar issues Hello, doctor. I often drink bubble tea, sometimes up to two cups of lightly sweetened beverages in a day. A urine test showed some sugar in my urine, so my nephrologist ordered a blood test. My fasting blood glucose was 102, and my hemoglobin A1c was around 5....
Dr. Chen Shunfu Reply:
Thank you for your question! Long-term consumption of sugary beverages can increase the risk of diabetes, so it is advisable to reduce intake. The sugar content in each serving of sugary drinks is not fixed, which is why the current international standard for assessment is the or...[Read More] Understanding Blood Sugar Levels: Managing Pre-Diabetes and Dietary Choices
Understanding Urine Test Results: Uribilinogen Levels and Health Concerns
In the recent health check report, a urine urobilinogen level of "1+" indicates a mild presence of urobilinogen in the urine. Urobilinogen is a byproduct of bilirubin reduction, and its levels can provide insights into liver function and hemolysis. A "1+" resu...
Dr. Lin Wuxuan Reply:
Hello: The normal value for urobilinogen is less than 1.0 E.U/dL, and your test result is 1.0, which is actually not considered high. This is because urine tests are typically conducted using the first morning urine, which can be concentrated and may lead to a higher value. Furth...[Read More] Understanding Urine Test Results: Uribilinogen Levels and Health Concerns
Understanding Positive Urine Glucose: Causes and Concerns for Diabetes
Positive urine glucose? Doctor, may I ask why my urine glucose test strips sometimes show weak positive results two hours after breakfast? Today, I even got a 2+ result, which makes me a bit anxious that I might have diabetes. However, I noticed that my fasting urine and urine te...
Dr. Lin Jianliang Reply:
Hello, in some cases of diabetes, fasting blood sugar may not be high, but postprandial blood sugar can be elevated. It is recommended to first measure postprandial blood sugar levels and glycated hemoglobin (HbA1c). Additionally, there are other factors to consider, such as kidn...[Read More] Understanding Positive Urine Glucose: Causes and Concerns for Diabetes
Understanding Low Urine Creatinine Levels and Kidney Function
Low urine creatinine levels? Hello, doctor: I have a history of iron deficiency anemia and hypothyroidism, and I tend to experience mild edema. Recently, I underwent a physical examination, which included blood tests showing BUN 10, Cr 0.8, and urine tests showing Protein (urine)...
Dr. Wu Jiyu Reply:
Renal function is assessed based on eGFR. According to the data you provided, eGFR = 81.718 ml/min/1.73 m², which indicates that renal function is still within the normal range for your age. Regarding your question about urine creatinine (21.5 mg/dl), it is used to correct protei...[Read More] Understanding Low Urine Creatinine Levels and Kidney Function