Understanding Cold Medications: Amoxicillin and Safety Precautions
Inquiry about cold medications? Hello doctor, the day before yesterday I think I caught a cold from a friend. I went to see a general practitioner who said it was a mild cold and prescribed an antibiotic called Amoxicillin. I noticed that after taking it, my urine seems to have a...
Dr. Hong Yuanbin Reply:
Hello, 1. It is normal for urine to have a medication odor after taking medication, so please don't worry. 2. Given the current pandemic situation, it is still recommended to wear a mask to protect yourself and others, unless you are alone and have no contact with others. Th...[Read More] Understanding Cold Medications: Amoxicillin and Safety Precautions
Understanding Cold Medications and Antibiotics: Your Questions Answered
Inquiry about cold medications? Hello doctor, it seems that I caught a cold from a friend the day before yesterday. I went to see a general practitioner who said it was a mild cold and prescribed an antibiotic called Amoxicillin. I noticed that after taking it, my urine has a cer...
Dr. Hong Yuanbin Reply:
Hello, 1. It is normal for urine to have a medication odor after taking medication, so please don't worry. 2. Given the current pandemic situation, unless you are alone, it is still recommended to wear a mask to protect yourself and others. Thank you for your question.[Read More] Understanding Cold Medications and Antibiotics: Your Questions Answered
Managing Diabetes: Concerns About High Potassium and Urinary Protein
Diabetes mellitus with concerns of hyperkalemia and proteinuria? Hello Doctor, I have encountered some issues recently and would like to ask for your advice. Thank you for taking the time to read this. During my recent follow-up for diabetes, my blood test results showed a hemogl...
Dr. Lin Jianliang Reply:
First of all, I would like to tell you that proteinuria can be an early indicator of kidney disease, reflecting the severity of the current kidney condition and predicting the prognosis of kidney disease. However, there are many causes of proteinuria, such as infections, inflamma...[Read More] Managing Diabetes: Concerns About High Potassium and Urinary Protein
Managing Kidney Medication Issues in Heart Failure Patients
Medication Issues in Renal Management for Heart Failure Patients Dear Doctor, My father is suffering from moderate to severe heart failure, and due to severe leg edema, he needs to limit his fluid intake. He has been on diuretics for 14 consecutive months, which has resulted in ...
Dr. Huang Yaoxuan Reply:
Dear Ms. Lin, Regarding your father's condition, it is recommended that you consult with a nephrologist to discuss his situation. Additionally, if you are concerned about kidney function, you may want to know about kidney care methods that are applicable regardless of wheth...[Read More] Managing Kidney Medication Issues in Heart Failure Patients
Understanding Compensatory Hypertrophy in Kidney Function: What It Means
Renal compensatory mechanisms疑惑 Hello, doctor. I would like to ask if the phenomenon of compensatory hypertrophy in one kidney indicates that the other kidney has completely lost its function in medical terms? Will the smaller kidney still have function? One kidney measures 12 cm...
Dr. Huang Yaoxuan Reply:
Hello Mr. A Shui: First, I would like to confirm your kidney sizes, "one is 12 cm and the other is 9 cm." Were these measurements obtained from an ultrasound examination? The following information is based on the ultrasound findings. Normal kidney size is approximately ...[Read More] Understanding Compensatory Hypertrophy in Kidney Function: What It Means
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
UACR vs UPCR: Which Test is Better for Detecting Proteinuria?
Which is better for assessing proteinuria: UACR or UPCR? (Urine Protein and Creatinine Ratio, hereafter referred to as UPCR) ≥ 150 mg/gm UACR ≥ 30 mg/gm proteinuria. Which is better, UACR or UPCR? Or is it sufficient to test UACR to determine the presence of proteinuria? Can both...
Dr. Wu Jiyu Reply:
For diabetic patients, using UACR (Urine Albumin-to-Creatinine Ratio) as an early diagnostic criterion is recommended. For other chronic kidney disease patients (without diabetes), UPCR (Urine Protein-to-Creatinine Ratio) should be the primary focus. Thank you for your inquiry, a...[Read More] UACR vs UPCR: Which Test is Better for Detecting Proteinuria?
Managing Edema: Effective Strategies Beyond Diuretics for Relief
Systemic lupus erythematosus (SLE) Currently, I have edema affecting only the left side of my body, including the chest, arm, and lower extremities. After a hospital examination, the following causes were identified: (1) kidney disease - proteinuria or nephrotic syndrome in the u...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Please first confirm with your physician whether proteinuria and hypothyroidism are currently being treated with medication. If so, discuss with your physician the reasons why the edema is not improving. Generally, treatment requires some time ...[Read More] Managing Edema: Effective Strategies Beyond Diuretics for Relief
Understanding Dry Tongue: Possible Links to Stomach Ulcers and Diabetes
Regarding dry tongue? Hello Doctor, let me describe my condition: Two and a half years ago, during a newborn health check, my fasting blood glucose was 75 mg/dL, with no diabetes, and everything else was normal. About one to two years ago, I experienced two episodes of dry mouth ...
Dr. Hong Yuanbin Reply:
Hello, regarding your question about dry mouth, it is likely not caused by other underlying diseases. Typically, a healthy young person should consume around 2000-3000 cc of fluids (including water) per day, especially in hot weather when fluid loss is rapid. It is advisable to m...[Read More] Understanding Dry Tongue: Possible Links to Stomach Ulcers and Diabetes
Understanding Rhabdomyolysis: When Urine Color Signals Concern
Rhabdomyolysis and Urine Color Issues Hello Dr. Wu, I have previously read your article on rhabdomyolysis that you posted on September 1, 2014. Today, I visited an orthopedic department at a hospital (the front desk recommended me to go there) because I experienced severe thigh...
Dr. Wu Jiyu Reply:
One of the diagnostic tests for rhabdomyolysis is the measurement of serum creatine phosphokinase (CPK) levels. If the test results are normal and the pain subsequently decreases, with normal urine color, there is no need for concern. It is important to maintain a regular exercis...[Read More] Understanding Rhabdomyolysis: When Urine Color Signals Concern
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
Concerns About Using Empagliflozin for Type 2 Diabetes Management
Regarding the use of the diabetes medication - Empagliflozin film-coated tablets? Hello Dr. Lin, I have type 2 diabetes and have been taking the extended-release metformin prescribed by my endocrinologist for many years. Earlier this year, my doctor recommended switching to empa...
Dr. Lin Jianliang Reply:
Empagliflozin in Jardiance Duo causes glucose to be excreted in the urine, which is why there is sugar in the urine. When taking this medication, it is important to be aware of potential side effects such as hypoglycemia, ketoacidosis, urinary tract infections, genital fungal inf...[Read More] Concerns About Using Empagliflozin for Type 2 Diabetes Management
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 Unexplained Fever: Insights and Recommendations for Patients
Consultation for Fever of Unknown Origin Hello, doctor. Recently, from the beginning of this month until now, I have measured my ear temperature to be between 37.1 and 38.5 degrees Celsius (my usual ear temperature is around 36 to 36.2 degrees). At the beginning of the month, I v...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding body temperature, different devices and measurement sites can yield varying results. It is advisable to refer to the baseline values provided by the device (usually found in the user manual). Body temperature should be assessed in relation to these baseline ...[Read More] Understanding Unexplained Fever: Insights and Recommendations for Patients
Understanding Elevated Creatinine Levels: Should You Worry?
Elevated creatinine levels? Hello Doctor, I am 30 years old. In recent years, my health check-ups have shown elevated creatinine levels twice, around 1.2 or 1.3. My glomerular filtration rate (GFR) has been in the 60s or 70s, but there is no protein or blood in my urine. I do not...
Dr. Wu Jiyu Reply:
Regarding your first question, a creatinine level of 1.2 or 1.3 roughly corresponds to a current estimated glomerular filtration rate (eGFR) of about 75 or 68, which is slightly low for your age. However, you mentioned that you do not have proteinuria or hematuria, nor do you hav...[Read More] Understanding Elevated Creatinine Levels: Should You Worry?
Is It Normal to Have Bubbles in Urine During Menstruation?
Is it normal to have bubbles in urine during menstruation? Recently, I have noticed that when I menstruate, my urine has a lot of bubbles, and the bubbles are very fine. Normally, my urine does not have bubbles. Should I get this checked?
Dr. Huang Yaoxuan Reply:
Hello: Bubbles in urine may indicate proteinuria, or it could be a normal occurrence (other components may cause bubbles but do not affect health; in such cases, we do not need to identify the specific component, and we will only check for proteinuria). Recommendations: 1. Visit ...[Read More] Is It Normal to Have Bubbles in Urine During Menstruation?
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?