Is It Safe to Take Expired Tetracycline? Understanding the Risks
Tetracycline that has expired for several years? Hello, doctor. I took a tetracycline that expired several years ago. After researching online, I found out that it could be toxic. Is it possible to reach a toxic dose by taking just one pill? Do I need to seek medical attention? T...
Dr. Wu Hongjie Reply:
Hello: Poisoning refers to a situation where the dosage of a toxic substance is too high or interacts with other medications, causing harm to the human body. In your case, the dosage is neither too high nor too low, and there are no other medications being taken concurrently. Ins...[Read More] Is It Safe to Take Expired Tetracycline? Understanding the Risks
Understanding Blood Test Results After Organic Solvent Poisoning
Blood tests after organic solvent poisoning? Recently, I experienced poisoning due to organic solvents and felt unwell the next day, so I went to the hospital for an examination. Blood and urine samples were taken, and the report showed several abnormal values highlighted in red:...
Dr. Su Zhehong Reply:
Excessive exposure to organic solvents may lead to liver damage, but this blood test report shows that the levels of AST and ALT have not increased more than twofold. It is recommended to first consult a gastroenterologist for further evaluation to rule out other causes of liver ...[Read More] Understanding Blood Test Results After Organic Solvent Poisoning
Understanding Urine Tests: What High Protein Levels Mean for Kidney Health
Urinalysis for renal function assessment? Doctor, I visited the clinic due to anxiety-related hypertension and underwent a urinalysis, which revealed proteinuria at 20.51 mg/dL (normal range 0-20 mg/dL) and creatinine at 26.60 mg/dL (normal range 0-250 mg/dL). However, the ratio ...
Dr. Wu Jiyu Reply:
In the past, testing for proteinuria required a 24-hour urine collection, but this is no longer necessary. Now, a single urine sample can be tested for protein and creatinine to provide a rough estimate. For example, (20.51/26.6)*1000=771, which is greater than the normal value o...[Read More] Understanding Urine Tests: What High Protein Levels Mean for Kidney Health
Understanding HIV Infection Risks in Everyday Situations
HIV infection Hello, Doctor: I would like to ask about using a sit-down toilet in a public restroom. Before having a bowel movement, I forgot to check if the previous user had flushed the toilet, and when I used it, water splashed onto my anal area. Is there a possibility of infe...
Dr. Hong Yuanbin Reply:
Hello, the three situations you described are not routes of HIV infection. Thank you for your question.[Read More] Understanding HIV Infection Risks in Everyday Situations
Concerns About Using Public Squat Toilets and Infection Risks
Using the restroom outside? Today, while using a squat toilet outside, I was unsure if my sanitary pad had come into contact with the toilet water while squatting. When I was changing it, I accidentally touched my vagina or anus. I would like to know if, in this situation, if the...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the chances of contracting a sexually transmitted infection (STI) are very low because STIs are primarily transmitted through sexual intercourse. General everyday contact is unlikely to result in STI transmission. Thank you for your question.[Read More] Concerns About Using Public Squat Toilets and Infection Risks
Understanding Blood Sugar and Kidney Health: Key Insights for Patients
Regarding blood sugar and the kidneys? Hello, doctor. At the end of last month, I visited a nearby clinic due to a urinary tract infection. My postprandial blood glucose was measured at 217 (more than one hour after eating). After a blood test, my hemoglobin A1c was found to be 5...
Dr. Chen Jianyu Reply:
Your situation is complex, and it is difficult to convey through text, which may lead to misunderstandings. It is recommended to seek assistance from a specialist in endocrinology, nephrology, or urology. Thank you. 109.12.24[Read More] Understanding Blood Sugar and Kidney Health: Key Insights for Patients
Understanding Creatinine Levels: Impact of Exercise and Hydration
Creatinine: Differences Before and After Exercise Hello Doctor, during the company health check, my creatinine level was found to be 1.38 mg/dL, and my glomerular filtration rate (GFR) was 63.9 mg/dL. My cholesterol level was 205 mg/dL. I am a carrier of hepatitis B, obese, and h...
Dr. Su Zhehong Reply:
Intense exercise or an increase in muscle mass can cause a slight rise in creatinine levels, which does not necessarily indicate a decline in kidney function. If the levels are not continuously rising or accompanied by proteinuria, it is generally acceptable to monitor the situat...[Read More] Understanding Creatinine Levels: Impact of Exercise and Hydration
Understanding Declining GFR: When to See a Nephrologist?
The glomerular filtration rate (GFR) has been continuously declining? I would like to inquire about my health check report. My glomerular filtration rate (GFR) is 78, creatinine is 1.09, blood urea nitrogen (BUN) is 13.2, and uric acid is 4.9. All other reports are normal, and th...
Dr. Wu Hongjie Reply:
Hello: The glomerular filtration rate (GFR) is a variable value. If the GFR is <60 ml/min and persists for more than three months, the likelihood of a diagnosis of renal failure is high. If the GFR is >60 and there are no other pathological findings (such as renal biopsy), ...[Read More] Understanding Declining GFR: When to See a Nephrologist?
Understanding Urinary Protein, Hematuria, and Copper Levels: A Guide
Urinary protein, urinary occult blood, and copper body? Hello Doctor, due to a recent health check required by my company, the report showed: occult blood 4+, urine protein 3+, copper body 2+, red blood cells 3-5, and bacteria positive. I have previously visited the hospital to m...
Dr. Su Zhehong Reply:
Persistent proteinuria and mild hematuria may warrant testing for dysmorphic red blood cells to determine if there are abnormal red blood cells in the urine. If the result is positive, it is important to consider the possibility of glomerulonephritis, and further investigations s...[Read More] Understanding Urinary Protein, Hematuria, and Copper Levels: A Guide
Understanding Sudden Abdominal Pain: When to Seek Medical Help
Lumbar issues Hello Doctor, I apologize for bothering you. Today, while using the restroom, I suddenly experienced a sharp pain on the left side of my back (approximately at the kidney area) halfway through. After finishing, the pain improved somewhat, but I still feel a lingeri...
Dr. Wu Jiyu Reply:
Based on your description, it is possible that you are experiencing an episode of kidney stones. You may want to schedule an appointment with a urologist for further evaluation to clarify your condition. Thank you for your inquiry. The Nephrology Department at Changhua Hospital i...[Read More] Understanding Sudden Abdominal Pain: When to Seek Medical Help
Understanding Urine Odor: Causes and Dietary Influences
The odor of urine? Hello Doctor, I would like to ask if urine generally has a smell. Recently, I have been staying up late until dawn occasionally, and I notice that my urine has a stronger odor the next day after some DIY activities. Drinking more water helps alleviate this. How...
Dr. Hong Yuanbin Reply:
Hello, the odor of urine is primarily related to food intake and hydration levels; however, a strong urine odor does not necessarily indicate a problem. Further examination is still needed. Your blood test results for kidney function are indeed normal. Maintaining a regular routi...[Read More] Understanding Urine Odor: Causes and Dietary Influences
Understanding Infection Risks: Common Concerns and Misconceptions
Infection concerns? 1. Today, I stepped on an unidentified substance on the road that resembled bird droppings. Is there a risk of splatter causing an infection with any unknown diseases? Can animal feces transmit any diseases? 2. My face and mouth came into contact with an iden...
Dr. Hong Yuanbin Reply:
Hello, 1. The highest risk of avian infection typically occurs through close contact with birds; the chance of infection through splatter, as you described, is low. 2. The likelihood of contracting HIV through the contact you described is very low. 3. None of these contacts w...[Read More] Understanding Infection Risks: Common Concerns and Misconceptions
Understanding HIV Infection Risks from Urine and Blood Splash
Urinary blood splatter? 1. If urine containing HIV splashes onto your vaginal mucosa, there is a risk of infection. However, HIV is primarily transmitted through direct contact with infected bodily fluids, such as blood, semen, vaginal fluids, or breast milk. The risk of transmis...
Dr. Hong Yuanbin Reply:
Hello, 1. The amount of HIV in urine is very low, so the exposure to urine you described would not result in HIV infection. 2. Blood can only transmit HIV if it enters the bloodstream through transfusion or injection; the exposure situation you described is unlikely to result in ...[Read More] Understanding HIV Infection Risks from Urine and Blood Splash
Understanding Urinary Concerns: When to Seek Medical Advice
I would like to ask a question to the doctor? Hello, I have some questions for the doctor. Sometimes after urinating, I feel like I might drip onto my underwear, or when I wake up, it seems like I might have had a nocturnal emission. There are times when I change my underwear fou...
Dr. Hong Yuanbin Reply:
Hello, the government has been promoting that ketamine can cause bladder fibrosis, leading to frequent urination, so it's understandable that your family members might overreact. However, nocturnal emissions are a normal physiological phenomenon, and changing underwear the n...[Read More] Understanding Urinary Concerns: When to Seek Medical Advice
Understanding High Urinary Protein Levels: Causes and Concerns
Feeling scared due to high levels of protein in urine? Urine analysis shows the following results: - Creatinine (CRE): 189.40 mg/dL (normal range: 14-26 mg/dL) - Protein/Creatinine Ratio (P/C Ratio): 1558 (normal range: below 200) - Urine Total Protein: 295.0 mg/dL (normal rang...
Dr. Huang Yaoxuan Reply:
Hello Jack: "Urine 3+ and below are the contents of the urine. On 10/19, CRE (creatinine) was 189.40, with a standard range of 14-26. P/C Ratio was 1558, with a standard of below 200. Urine Total Protein was 295.0, with a standard of below 15." Among these urine test it...[Read More] Understanding High Urinary Protein Levels: Causes and Concerns
Understanding Nighttime Urination Issues: Health Implications and Solutions
Urinary issues Doctor, sometimes I wake up to find my pants damp. At first, I thought it was the start of my menstrual period, but I researched online and found that menstrual issues typically don't have any odor, let alone a urine-like smell. Is this harmful to my health? T...
Dr. Su Zhehong Reply:
For an 11-year-old, it is advisable to consult a pediatrician. It appears to be a urological issue, but it could also potentially be a gynecological problem.[Read More] Understanding Nighttime Urination Issues: Health Implications and Solutions
Understanding Foamy Urine: When to Worry About Kidney Health
I would like to ask the doctor about the issue of foamy urine? Hello, doctor. Recently, I noticed that there are always bubbles in my urine. I searched for some information online, but I'm not sure if it's accurate. Some articles suggest that the first urine in the morn...
Dr. Wu Hongjie Reply:
Hello: Whether or not there is foamy urine, please go to the hospital for testing to ensure accuracy. Creatinine (cre): 1.01; it is necessary to calculate the estimated Glomerular Filtration Rate (eGFR) which should be eGFR <60 ml/min/1.73m²; and it must remain so when compare...[Read More] Understanding Foamy Urine: When to Worry About Kidney Health
Understanding Unexplained Fever: Causes and When to Seek Help
Fever of unknown origin? Hello, doctor. Last October, I was hospitalized for a week due to a fever. At that time, I had no other symptoms, just persistent fever, chills, and muscle weakness in my limbs. My temperature was around 38 degrees Celsius, and despite undergoing rapid te...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed necessary to conduct a detailed examination regarding the fever. Routine health check-ups may not necessarily identify the cause. I recommend consulting an infectious disease specialist at a major hospital for a fever workup. If no c...[Read More] Understanding Unexplained Fever: Causes and When to Seek Help
Understanding Your Health Check: Urine Protein and Kidney Concerns
Health Examination Report I recently received my health check-up report, which shows urine protein +/- occult blood 1+, blood urea nitrogen 7.4, and a few bacteria. My menstrual period ended about ten days ago before the check-up. Should I schedule an appointment with a nephrolog...
Dr. Wu Hongjie Reply:
Hello: The bacteria may not have completely disappeared, which could result in incomplete recovery from the infection, causing persistent proteinuria. Hematuria may also be present for the same reason. It is recommended to follow up with urine tests. Confirm the resolution of the...[Read More] Understanding Your Health Check: Urine Protein and Kidney Concerns
Can Splashing Toilet Water Lead to HIV Infection?
Toilet water splashed? If you used a public restroom and the toilet water splashed onto your vagina while urinating, and if the previous user was an HIV carrier who did not flush, the risk of HIV transmission in this scenario is extremely low. HIV is primarily transmitted through...
Dr. Hong Yuanbin Reply:
Hello, based on your description, there have been no documented cases of HIV infection from being splashed by toilet water, so it is unlikely that you would be infected. Thank you for your inquiry.[Read More] Can Splashing Toilet Water Lead to HIV Infection?