Is 2000cc of Daily Water Intake Safe for a Single Kidney?
Unilateral kidney issues? Hello doctor, I was born with only one kidney, which functions normally. I would like to ask, for someone with only one kidney, is drinking 2000cc of water per day a burden on the kidney? Thank you.
Dr. Wu Jiyu Reply:
If you only have one kidney, it has to bear the workload of two kidneys, so it's important to take good care of it. This includes staying well-hydrated (such as drinking at least 1500cc to 2000cc of water per day), monitoring and controlling the three highs (hypertension, hi...[Read More] Is 2000cc of Daily Water Intake Safe for a Single Kidney?
Understanding Fluctuating Hematuria and Proteinuria in Young Adults
Hello, why is it that urine tests sometimes detect hematuria and proteinuria, and at other times do not? I am currently an 18-year-old male with intermittent proteinuria, which has been monitored for three years. My nephrologist has advised to continue monitoring. In early Februa...
Dr. Wu Jiyu Reply:
1. There are many causes of occult blood, and orchitis can be one of them; further follow-up may be needed. 2. As for the multiple inflammatory conditions (otitis media, orchitis, and paronychia), they are likely not related. If inflammation occurs frequently in the future, it i...[Read More] Understanding Fluctuating Hematuria and Proteinuria in Young Adults
Understanding Stage 1 Chronic Kidney Disease: Symptoms and Concerns
Chronic Kidney Disease Stage 1 Hello, doctor... I have had mild proteinuria since high school. During a company health check, the urine test showed proteinuria intermittently (+/-). About six years ago, I underwent a 24-hour urine test, and the results were within the normal rang...
Dr. Wu Jiyu Reply:
1. Chronic Kidney Disease Stage 1 is defined as a glomerular filtration rate (GFR) of 90 mL/min/1.73 m² or higher, accompanied by proteinuria, hematuria, or abnormal kidney morphology. Based on your description of "24-hour urine test results within normal range," this d...[Read More] Understanding Stage 1 Chronic Kidney Disease: Symptoms and Concerns
Understanding Acute Pyelonephritis: Risks, Recovery, and Monitoring
Urinary tract infection (pyelonephritis) Hello Director Wu, my mother is 64 years old and experienced a mild stroke in early March 2014. She is currently making stable progress in her recovery. In March of this year, during her hospitalization for stroke treatment, she had a urin...
Dr. Wu Jiyu Reply:
Hello KK: First, let me explain some medical terms; "urinary tract infection" refers to an infection of the urinary tract system caused by pathogens (usually bacteria). The urinary tract system includes the kidneys, ureters, bladder, urethra, and in males, the prostate....[Read More] Understanding Acute Pyelonephritis: Risks, Recovery, and Monitoring
Understanding Left Lower Abdominal Pain: Causes and Concerns
Left lower abdominal pain/bloating/nausea? Hello Dr. Chen: I am a transportation industry worker and would like to ask you about the left lower abdominal pain I started experiencing last Sunday afternoon. I visited the gastroenterology department at National Taiwan University Hos...
Dr. Chen Jianyu Reply:
You should see a doctor; it's advisable to consult a gastroenterologist first. Wishing you good health.[Read More] Understanding Left Lower Abdominal Pain: Causes and Concerns
Understanding Urine Test Results: RBC, WBC, and Epithelial Cells Explained
Urine (red blood cells, white blood cells, epithelial cells) related issues? Hello Director Hsiao, my mother is 64 years old. Recently, she underwent blood and urine health examinations. Among the urine test results, three items were noted: red blood cells (RBC) were 0-1, white b...
Dr. Xiao Yongxun Reply:
Urinalysis specimen collection is typically performed by the patient, who collects urine in a test tube. After centrifugation, the laboratory technician extracts the sediment and examines it under high power field (HPF, approximately 400X) microscopy. Red blood cells (RBC) 0-1:...[Read More] Understanding Urine Test Results: RBC, WBC, and Epithelial Cells Explained
Understanding Gonorrhea: Symptoms, Diagnosis, and Treatment Options
About Gonorrhea Hello Doctor, I accidentally encountered a risky situation before, and afterwards I experienced painful urination. The pain during urination has resolved, but I have been experiencing persistent pain in my inner thigh and groin area for two months, and I have not ...
Dr. Liao Zhongxin Reply:
Dear readers, 1. First, let’s introduce gonorrhea based on information from the Centers for Disease Control: (A) Transmission: The primary mode of transmission for gonorrhea is through sexual intercourse. It can also be transmitted if an open wound comes into direct contact wi...[Read More] Understanding Gonorrhea: Symptoms, Diagnosis, and Treatment Options
Understanding Right Flank Pain: When to Consult a Nephrologist
It is unclear whether this phenomenon is related to renal pathology? Hello, I have been experiencing a dull ache and discomfort in my right lower back every morning upon waking up for the past week. I do not have any urgency to urinate or any other urinary symptoms. I'm unsu...
Dr. Wang Weijie Reply:
Dear You-Hsin, Hello. The causes of low back pain (also known as lumbago) are approximately 97% due to mechanical factors, including muscle strains, sprains, and spinal issues. Among these, over 70% are due to lumbar sprains, 4% are due to herniated discs, and 1% are due to non-...[Read More] Understanding Right Flank Pain: When to Consult a Nephrologist
Understanding Moon Facies: Possible Causes and Diagnostic Approaches
What diseases can cause an unusually round and swollen face (similar to a full moon face)? I am a 22-year-old male, and recently while organizing old photos, I noticed that my face appears disproportionately swollen compared to my BMI. I am 175 cm tall and weigh 80 kg. I collecte...
Dr. Huang Yaoxuan Reply:
Hello Mr. Kobayashi: 1. Regarding kidney diseases, blood tests and urinalysis can be used for screening, and sometimes additional imaging studies such as ultrasound may be performed to assist in diagnosis and treatment. If, as you mentioned, you only have kidney stones (and ele...[Read More] Understanding Moon Facies: Possible Causes and Diagnostic Approaches
Understanding Proteinuria in Teenagers: Causes and Concerns
Dear Doctor, why do I easily have proteinuria? Hello, I am a 17-year-old male. I have been experiencing proteinuria (+~++) for about a year. During this time, I have visited three major hospitals for diagnosis. I have undergone blood tests to assess kidney function and a 24-hour ...
Dr. Huang Yaoxuan Reply:
Hello, I am a nephrologist who relies on "tests (blood and urine tests, X-rays)" and "machines (dialysis machines)" to make a living... This is purely a joke (any resemblance is coincidental), but it does highlight the concerns of nephrologists and patients wi...[Read More] Understanding Proteinuria in Teenagers: Causes and Concerns
Understanding Your Urine Test Results: Kidney Health Insights
Consult a physician? Hello Dr. Wu, I have received my health check report, and the urine biochemical analysis shows the following results: urine protein: 56.9, urine creatinine: 412.2, and urine protein/creatinine ratio: 138. Could this indicate a kidney issue? What treatment o...
Dr. Wu Jiyu Reply:
Ms. Wang: Hello, based on the situation you described, the urine protein level is 56.9 and the urine creatinine level is 412.2. Therefore, the urine protein/creatinine ratio is 56.9/412.2 = 138 mg/g, which indicates that the urine protein level is 138 mg/g, which is less than the...[Read More] Understanding Your Urine Test Results: Kidney Health Insights
Understanding Elevated White Blood Cells in Urinalysis Results
Urinalysis Hello doctor, during my health check-up, my urine test showed 8-10 white blood cells, while everything else was normal. I'm not sure what this means. Thank you.
Dr. Wu Jiyu Reply:
During a health check-up, if the urine test shows 8-10 white blood cells and there are no symptoms of urethritis, treatment is not necessary. It is recommended to follow up later. Thank you for your inquiry. This is a message from the Nephrology Department of Changhua Hospital, c...[Read More] Understanding Elevated White Blood Cells in Urinalysis Results
Understanding Mild Hydronephrosis: Should You Be Concerned?
Hydronephrosis issue I am 32 years old and have been experiencing lower back pain due to prolonged sitting. Concerned that it might be a kidney issue, I visited a urologist. However, the doctor indicated that the location and symptoms of my pain are more consistent with a musculo...
Dr. Wang Weijie Reply:
Dear Jenny: Hello, if other kidney function tests (blood and urine tests) are normal, it is recommended to follow up with a kidney ultrasound every six months to a year. If there is persistent severe hydronephrosis, further examinations such as pyelography and computed tomography...[Read More] Understanding Mild Hydronephrosis: Should You Be Concerned?
Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
How can one determine if it is simple proteinuria? I previously asked some questions and still have a few more. I would appreciate your answers. I have had proteinuria for two months, with two different tests showing one result as 1+ and another 24-hour result as 791. I also visi...
Dr. Wu Jiyu Reply:
1. The 24-hour result is 791 mg, which has not yet reached the level of nephrotic syndrome, and there are no clinical symptoms (such as edema or hypertension); therefore, there is currently no necessity for a kidney biopsy. 2. When is a kidney biopsy necessary? It is recommended ...[Read More] Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
Understanding Abnormal Kidney Function: What You Need to Know
Is there any abnormality in kidney function? Hello, Doctor. Last July, I had a urinalysis that showed hematuria and proteinuria, both positive. In August, I went to another hospital for another urine test, and again, there were reactions for hematuria and proteinuria. After blood...
Dr. Wu Jiyu Reply:
1. First, let's discuss the risk factors for kidney disease: the three highs (hypertension, hyperglycemia, and hyperlipidemia) and proteinuria. Based on the data you provided: Blood Pressure??? Blood Glucose (GLU AC) 89 mg/dL: OK; Lipid Profile Cholesterol 224 mg/dL: borderl...[Read More] Understanding Abnormal Kidney Function: What You Need to Know
Understanding Foamy Urine: Should You Be Concerned?
Urinary bubble issue? For over a month, I have noticed bubbles in my urine. Sometimes they disappear quickly, while other times they take several minutes. The first urine of the morning has a lot of bubbles. I have seen a doctor who conducted a one-time blood and urine protein te...
Dr. Wu Jiyu Reply:
This question can be answered in two parts: 1. Does foamy urine indicate proteinuria? The answer is not necessarily, but the issue that needs to be addressed is proteinuria. (Some unusual causes, such as having just undergone cystoscopy or having a bladder-rectal fistula, will ...[Read More] Understanding Foamy Urine: Should You Be Concerned?
Understanding Bilateral Renal Cysts: Concerns and Management Options
Bilateral renal cysts? Hello, Doctor. Around May, I underwent a health check-up due to frequent feelings of dizziness and lack of energy. An abdominal ultrasound revealed "bilateral renal cysts" and a "right lobe liver mass." Initially, my family medicine phys...
Dr. Wu Jiyu Reply:
Dear Tesuia: Based on your description (both kidneys are filled with various sizes of cysts), it is possible that you have "hereditary polycystic kidney disease." Fortunately, your blood test results for kidney function are normal, and the urine protein test is (±) pend...[Read More] Understanding Bilateral Renal Cysts: Concerns and Management Options
Understanding White Particles in Urine During Bowel Movements
excuse me? Hello Dr. Yang: I would like to ask about the small white objects that appear when I urinate and have a bowel movement at the same time. The size of these objects is about 0.5 cm or less. I would like to know what they are. When I only urinate, there are no white objec...
Dr. Yang Weishun Reply:
It is recommended that you perform a urine screening at least 5 to 7 days after your menstrual cycle ends to check for hematuria, proteinuria, or crystals. If the urine test results are normal, you may consider a stool screening, as your description does not clarify whether the s...[Read More] Understanding White Particles in Urine During Bowel Movements
Managing High Blood Sugar and Cholesterol: What You Need to Know
I'm sorry, but I need more context to provide a translation. Could you please provide additional information or content? I went to the hospital for an examination and found that I have high blood sugar and high total cholesterol levels. The 24-hour urine test results are unk...
Dr. Qiu Zhengbin Reply:
Hello; you have undergone examinations at the hospital and found that you have high blood sugar and elevated total cholesterol levels, which may indicate the possibility of diabetes and dyslipidemia. The rapid weight gain may be related to the psychiatric medications you are taki...[Read More] Managing High Blood Sugar and Cholesterol: What You Need to Know
Understanding Rapid Creatinine Rise: Kidney Health Concerns
Kidney disease Hello, Doctor: In October 2009, my creatinine level was 1.1, and in September 2010, it increased to 1.3. Is my creatinine rising too quickly? Is there a problem with my kidneys? Thank you.
Dr. Wu Jiyu Reply:
A change in creatinine levels from 1.1 to 1.3 suggests that it is advisable to first determine if there are any underlying risk factors (such as hypertension, hyperglycemia, or hyperlipidemia). Following this, it is recommended to consult a nephrologist to check for any proteinur...[Read More] Understanding Rapid Creatinine Rise: Kidney Health Concerns