Understanding Abnormal Urine and Blood Test Results: A Guide for Patients
Blood test issues Hello, Dr. Gao. During a urine test at an external laboratory, my kidney function test showed an abnormal urine protein-to-creatinine ratio of 30-300 (normal value is <30). In a blood test, one of the serum immunology tests, ANA (antinuclear antibody), showed...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. An ANA test result of 1:80 (+) is within the normal range. You only need to have the test results evaluated by a physician. The physician will determine whether further action is necessary based on any related symptoms you may have. The Allergy,...[Read More] Understanding Abnormal Urine and Blood Test Results: A Guide for Patients
Understanding Elevated Creatinine Levels: Causes and Concerns
Elevated creatinine levels? Hello, doctor. This year, during my health check-up, my kidney function test showed a creatinine level of 1.5 and a uric acid level of 4.31. Last year, my creatinine level was 1.4 and my uric acid level was 5.3. My BMI has been 22 for both years. I hav...
Dr. Wu Hongjie Reply:
Hello, regarding your elevated creatinine levels, it is recommended that you see a nephrologist for further examination and follow-up. Since your uric acid levels are normal, the cause of the renal dysfunction may require additional urine tests and blood tests to determine whethe...[Read More] Understanding Elevated Creatinine Levels: Causes and Concerns
Understanding Abnormal Urinalysis Results: When to Seek Medical Advice
Health examination report issues? Hello, I would like to inquire about a health check report. The urine test shows ketones at 3+ and protein at +/-; the blood test indicates neutrophil percentage at 76.2% and lymphocyte percentage at 18.4%, with the rest being normal. I'm un...
Dr. Wang Weijie Reply:
Dear Patty, Ketones are metabolites produced from fat utilization when there is a lack of insulin. They can appear positive in conditions such as diabetes, starvation, diarrhea, and vomiting. Ketones are formed when fat metabolism is incomplete; normally, there are no ketones in...[Read More] Understanding Abnormal Urinalysis Results: When to Seek Medical Advice
Is a Blood Sugar Level of 114 mg/dL a Sign of Early Diabetes?
Blood sugar issues? Hello doctor, I started fasting at 8:00 PM and had blood and urine tests at 10:00 AM the next day. The report showed a blood glucose level of 114 mg/dL. Does this mean I am in the early stages of diabetes? Thank you!
Dr. Li Zhiyao Reply:
Hello: Based on the values from your report, you can be classified as having "prediabetes" (not early-stage diabetes). If you could also test for "glycated hemoglobin" (also known as HbA1c) and postprandial blood glucose levels two hours after eating, it would...[Read More] Is a Blood Sugar Level of 114 mg/dL a Sign of Early Diabetes?
Understanding Creatinine Levels and Kidney Function Concerns
Creatinine and Kidney Function Related Issues Hello, Doctor. I apologize for the lengthy description of my issue. Here are the results from my blood and urine tests conducted at the clinic two weeks ago: Fasting blood glucose: 100 mg/dL (reference range: 70-100) Blood urea ni...
Dr. Wu Jiyu Reply:
Based on your description, your creatinine level is 1.34 mg/dL (reference range 0.7-1.5), and your glomerular filtration rate (GFR) is 66.9 (reference value > 60). Given your age, your GFR is slightly low, and the most common risk factors affecting kidney function are hyperten...[Read More] Understanding Creatinine Levels and Kidney Function Concerns
Unexplained Symptoms After Sexual Encounter: Seeking Medical Guidance
I don't know what this disease is. It seems like a rare condition? Hello Dr. Liao, I had sexual intercourse on October 2, 2016, with a male partner. I was the receptive partner, and he suddenly sat on me, which startled me, but there was no penetration. Later, we used a cond...
Dr. Liao Zhongxin Reply:
Dear readers: A. Regarding the response to "the most expensive urology clinic": Frotin, Cefspan, Doxynin, and Azithromycin are all antibiotics, differing in the sexually transmitted pathogens they cover. It is unclear if you have experienced any unusual symptoms after ...[Read More] Unexplained Symptoms After Sexual Encounter: Seeking Medical Guidance
Understanding Kidney Swelling from Excessive Water Intake
Kidney problems Hello, doctor! I would like to ask you a question. Recently, in a health education program, a medical expert mentioned that if a person drinks more than 1000cc (1 liter) of water in one go, it can show a state of renal edema on ultrasound imaging. I would like to ...
Dr. Wang Weijie Reply:
Hello: Kidney function needs to be assessed through examinations (blood tests, urine tests, imaging studies, etc.); there are many causes for kidney edema, which also require testing to determine. Drinking water is a natural act, but healthy hydration is also a science. It is adv...[Read More] Understanding Kidney Swelling from Excessive Water Intake
Understanding Elevated Blood Urea Nitrogen Levels: Causes and Implications
Elevated blood urea nitrogen (BUN) levels? Hello, doctor. I recently had a health check-up and found that my blood urea nitrogen (BUN) level is elevated at 24.9 mg/dL (normal range is 10-20 mg/dL), while my creatinine level is within the normal range. I am currently waiting for t...
Dr. Wu Hongjie Reply:
Hello: Based on your situation, the most likely cause of elevated BUN with normal creatinine is diarrhea and dehydration. It is recommended to wait for the diarrhea to improve and ensure adequate hydration before retesting. Other possible conditions include heart failure, effects...[Read More] Understanding Elevated Blood Urea Nitrogen Levels: Causes and Implications
Understanding Kidney Cysts: What to Do When Diagnosed
Renal cysts Hello Doctor, I am asking on behalf of my mother. She has been experiencing hematuria and visited a clinic where the doctor prescribed anti-inflammatory medication. However, after a week of taking the medication, there was no improvement. The doctor recommended that s...
Dr. Wang Weijie Reply:
Hello, renal cysts, commonly known as water bubbles or fluid tumors, are fluid-filled sacs that occur in the kidneys. Renal cysts can be classified into many types; some are hereditary while others are not. Some remain benign and do not affect the body. If you have any concerns, ...[Read More] Understanding Kidney Cysts: What to Do When Diagnosed
Understanding Right Kidney Pain: Causes and Concerns for Patients
Kidney problems Hello, Doctor Wu. I would like to ask, around noon today, I experienced pain in my right kidney. It hurts when I squat down and when I get back up. My job involves standing and squatting to pick things up. In mid-February of this year, the clinic conducted blood a...
Dr. Wu Hongjie Reply:
Hello: There are many issues related to lower back pain that can be referenced in the attached document or addressed at a hospital. Wishing you safety from bothersome back pain. In the United States, back pain is the second most common reason for seeking medical attention in inte...[Read More] Understanding Right Kidney Pain: Causes and Concerns for Patients
Is It Safe to Monitor Chronic Kidney Disease with Just Urine Tests?
Chronic Kidney Disease Follow-up Issues! A family member has stage 3 chronic kidney disease, and their lab values have been stable over the past year during follow-up visits. However, during this visit, the doctor informed them that blood tests are no longer necessary, and only a...
Dr. Wang Weijie Reply:
Hello: In a stable condition, it is sufficient to perform a urine test to check for proteinuria. Urinary protein is the earliest indicator of kidney dysfunction... Wishing you safety and health, Deputy Director Wang Wei-Jie, Taoyuan General Hospital, Ministry of Health and Welfar...[Read More] Is It Safe to Monitor Chronic Kidney Disease with Just Urine Tests?
Is It Safe to Skip Blood Tests for Stage 3 Kidney Disease?
Testing issues Dear Doctor Wu: A family member has stage 3 kidney disease and has been monitored for the past year with a serum creatinine level of 1.4, while other values are slightly elevated but stable. During the recent follow-up visit, the doctor mentioned that next time onl...
Dr. Wu Hongjie Reply:
In principle, patients with stage 3 chronic kidney disease should be monitored every three months. For stages 4 and 5, especially stage 5, it may be considered to monitor once a month. Regarding the monitoring items, the chronic kidney disease improvement plan includes specific p...[Read More] Is It Safe to Skip Blood Tests for Stage 3 Kidney Disease?
Do You Need Regular Kidney Function Tests? Common Concerns Explained
Questions related to kidney examinations? Is it necessary to have regular kidney function tests? I do not have diabetes or hypertension, but I have congenital heart disease and have previously had urinary tract infections and pneumonia. I took a lot of traditional Chinese medicin...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Renal function monitoring is typically recommended for: 1. Patients with a history of chronic kidney disease (such as chronic nephritis, interstitial nephritis, or hydronephrosis); 2. Individuals with systemic chronic diseases such as diabetes, hypertension, gout...[Read More] Do You Need Regular Kidney Function Tests? Common Concerns Explained
Understanding Foamy Urine: Causes and Health Implications
Foamy urine? Hello, doctor. Five years ago, during my university entrance health check, I was found to have high urine protein levels. At that time, I had just moved into the dormitory, my living conditions were poor, and I was drinking very little water. My mother told me not to...
Dr. Wu Jiyu Reply:
Hello, due to the various components present in urine, when the urine concentration is higher (such as after drinking less water or the first urine in the morning) or when there are more impurities, it is possible to produce more bubbles. The presence of bubbles does not necessar...[Read More] Understanding Foamy Urine: Causes and Health Implications
Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Chest pain associated with sarcoma? Hello Doctor: Last October, I experienced prolonged unexplained fever (38 degrees Celsius) and visited the infectious disease department multiple times for examinations. During this period, I also had night sweats, weight loss (3 kg in one mont...
Dr. Zeng Guosen Reply:
1. Sarcomatoid carcinoma is not a common disease, and it is recommended to seek medical attention at a medical center. 2. Bringing all relevant medical records can help the physician quickly understand your condition. Thank you for your inquiry.[Read More] Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Understanding Kidney Cysts: What to Know After Blood in Urine
Renal cysts Hello Doctor, I am inquiring on behalf of my mother. My mother has experienced blood in her urine twice within the past three months (she has had this issue before, but the occurrences were several years apart). Both times she visited a nearby clinic. The first time, ...
Dr. Wu Jiyu Reply:
Based on your question, the small renal cysts (commonly referred to as "water bubbles") are unlikely to be the cause of hematuria. Regular monitoring of kidney function and ultrasound is sufficient. However, regarding the hematuria issue, if there are no symptoms, a fol...[Read More] Understanding Kidney Cysts: What to Know After Blood in Urine
Is Excessive Masturbation Causing My Back Pain and Urine Issues?
Is excessive masturbation a concern? Hello doctor, after masturbating last night, I felt a brief pain in my back muscles when stretching. I was worried all night and now I feel a bit fatigued. Could this be a kidney issue, or is it related to excessive masturbation (once a day)? ...
Dr. Wu Hongjie Reply:
Hello: Typically, pain in the kidney area is not located too high. If you are referring to pain that is at the level of the thoracic spine, it may not be related to kidney function issues. To determine if there is an infection, a urine test is recommended, as bubbles in the urine...[Read More] Is Excessive Masturbation Causing My Back Pain and Urine Issues?
Understanding Abnormal Urinalysis: Which Specialist to Consult?
Abnormal urinalysis? Due to insurance requirements, I was asked to undergo a general health check-up and was informed that my urine test results were abnormal. However, I was not provided with the report (the original report was sent directly to the insurance company). I would li...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question of whether to see a urologist or a nephrologist for a detailed examination to confirm any diseases: 1. In young women, abnormal urine findings are often due to urinary tract infections, which may show an increase in white blood cells, or bot...[Read More] Understanding Abnormal Urinalysis: Which Specialist to Consult?
Understanding Changes in Creatinine Levels and Kidney Function
Kidney function issues? Hello, I have a question to ask you. This year's company health check report has been released, and when compared to last year, last year's creatinine level was 1.0 (0.5 ~ 1.3), which corresponds to a GFR of 91. This year, the creatinine level is...
Dr. Wu Jiyu Reply:
The estimated glomerular filtration rate (eGFR) of 91 mL/min/1.73 m² or 79 mL/min/1.73 m² shows a difference, but it is not significant when viewed in the long-term trend. However, if you do not have hypertension, diabetes, proteinuria, or hematuria, and you maintain a controlled...[Read More] Understanding Changes in Creatinine Levels and Kidney Function
Understanding Frequent Urination: Causes and Solutions for Your Symptoms
Frequent urination issues? Recently, I have been experiencing frequent urges to urinate, but the urine output is very low or even nonexistent. I went to the hospital for a urinalysis, and everything came back normal. However, the frequent urge to urinate has not improved. Could t...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the situation of frequently feeling the urge to urinate but having very little or no urine output, and after testing at the hospital showed normal urine results, is this a case of overactive bladder or related to anxiety? A: 1. If there is a history of s...[Read More] Understanding Frequent Urination: Causes and Solutions for Your Symptoms