Am I at Risk for HIV After Unprotected Sex? Understanding Symptoms
Is this an HIV infection? On the third day of my period, I had intercourse with my boyfriend (who frequents nightclubs) without using a condom, and there was no ejaculation inside. That night and the next day, my knees were a bit sore, but then it went away. The following day, I ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the symptoms and incubation period do not strongly resemble HIV. However, it is advisable to consider a urinary tract infection. I recommend increasing your water intake and urinating frequently to alleviate the symptoms. If you continue to feel ...[Read More] Am I at Risk for HIV After Unprotected Sex? Understanding Symptoms
Understanding Back Pain and Elevated Creatinine Levels: Causes and Solutions
Lower back pain and blood tests? Hello Doctor: Recently, I have been experiencing persistent soreness in my right lower back, especially when I wake up, which tends to be particularly painful. The soreness usually lasts for a whole morning or even an entire day, but sometimes I d...
Dr. Hong Yuanbin Reply:
Hello, with right flank pain combined with elevated creatinine levels, the first thing to rule out is right kidney stones or obstruction. It is recommended to visit a family medicine or urology department for X-rays or ultrasound confirmation. If kidney tests are normal, another ...[Read More] Understanding Back Pain and Elevated Creatinine Levels: Causes and Solutions
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
Understanding Mild Chronic Kidney Dysfunction: Key Insights and Lifestyle Tips
Kidney function issues? Hello: In my recent health check-up in June, my serum creatinine (Cr) level was 1.01, blood urea nitrogen (BUN) was 10, and glomerular filtration rate (GFR) was 85. An ultrasound examination revealed a right renal cyst (0.7 cm) and bilateral renal calculi ...
Dr. Wang Weijie Reply:
Mr. Tsao: Hello, the glomerular filtration rate (GFR) is calculated based on your serum creatinine level along with your age, gender, and weight. Your value falls within stage 2 of chronic kidney disease (CKD). However, based on your description of the kidney ultrasound report an...[Read More] Understanding Mild Chronic Kidney Dysfunction: Key Insights and Lifestyle Tips
Understanding Creatinine Levels and Kidney Function in Health Checkups
Creatinine, Glomerular Filtration Rate, Health Checkup Issues? Hello, doctor. I apologize for bothering you, but I would like to ask a question. About two months ago, I went to a health check-up at a clinic. The doctor reviewed my report and said that my liver and kidney function...
Dr. Wu Jiyu Reply:
Hello Mr. Yang: "Creatinine 1.10, Glomerular Filtration Rate (GFR) 86.69" is only a single data point, making it difficult to assess the overall kidney function. Changes in kidney function need to be evaluated through multiple blood tests over time to understand the con...[Read More] Understanding Creatinine Levels and Kidney Function in Health Checkups
Understanding Creatinine Levels and Glomerular Filtration Rate Changes
Creatinine and Glomerular Filtration Rate (GFR) Hello Doctor, two weeks ago, the hospital came to the community to conduct free health check-ups. Today, when I went to review the report, the doctor informed me that my creatinine level is 1.05 mg/dL and my glomerular filtration ra...
Dr. Wu Jiyu Reply:
Hello Mr. Wang: Regarding your question, I will address it in two parts. (1) The changes in creatinine and glomerular filtration rate (GFR) should be evaluated based on their "trends." If you only have two data points for comparison, you can only determine whether the...[Read More] Understanding Creatinine Levels and Glomerular Filtration Rate Changes
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?
Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss
Could this indicate the possibility of diabetes? Hello, Doctor. In mid-May of this year, I had a blood test that showed a hemoglobin A1c of 5.0 and a fasting blood glucose level of 86. From the end of May until today, my height and weight changed from 160 cm/55 kg to 160 cm/52 kg...
Dr. Xiao Yongxun Reply:
Dear Ms. NN: 1. Zoloft® (Sertraline) is classified as a selective serotonin reuptake inhibitor (SSRI) because it specifically inhibits the reuptake of serotonin, exhibiting a selectivity for serotonin transporters that is 300 to 3000 times greater compared to norepinephrine tran...[Read More] Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss
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
Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients
Urinary protein and blood glucose? A few days ago, my father went to the clinic for a blood test, and the results are as follows: Urine protein 1+, fasting blood glucose 125 mg/dL (after fasting for just over 7 hours), total cholesterol 127 mg/dL, triglycerides 229 mg/dL, HDL 39....
Dr. Hong Yuanbin Reply:
Hello, In response to your father's concerns, here are my replies: First, regarding the protein in urine, the clinic report indicates a preliminary positive result. It is recommended to visit a larger hospital for a quantitative urine protein test, and possibly a 24-hour ...[Read More] Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients
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 Abnormal Glomerular Filtration Rate: Causes and Recovery
Issues with Glomerular Filtration Rate (GFR) Values Hello Doctor: I am currently 30 years old. Yesterday, my blood test results showed an abnormal glomerular filtration rate (GFR) of 81 ml/min and a creatinine level of 1.15 mg/dL, but my urine protein test results were normal. I ...
Dr. Wu Hongjie Reply:
Hello: The standard values for creatinine vary among different hospitals, typically ranging from 0.7 to 1.2. Since you have no urinary protein, further examination is recommended to determine the possibility of recovery. Regarding the medications you are taking, it is advisable t...[Read More] Understanding Abnormal Glomerular Filtration Rate: Causes and Recovery
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 Urinary Protein Levels: When to Seek Further Testing
Urinary protein issue? Hello Doctor: Recently, I received my health check-up report, and most items are normal. However, regarding kidney function, the urine protein and urine creatinine levels are highlighted in red. The urine routine shows: Urine Protein: (+) UProtein (random u...
Dr. Wu Jiyu Reply:
Regarding the interpretation of the proteinuria report: UProtein (urine protein, random urine): 22 mg/dL UCre (urine creatinine, random urine): 379 mg/dL UProtein/UCre ratio: 58 The key value to look at is the UProtein/UCre ratio of 58, which is calculated as (22/379) * ...[Read More] Understanding Urinary Protein Levels: When to Seek Further Testing
Understanding Chronic Lower Abdominal Pain: Causes and Insights
Lower abdominal pain? I have had this issue for about 5 to 6 years. When I was younger, I had a habit of holding in my urine, but I have changed that now. However, about 5 to 6 years ago, I started experiencing occasional pain just below the navel. This pain is particularly inten...
Dr. Hong Yuanbin Reply:
Based on your description, it seems that there is a higher likelihood of an abdominal muscle strain. I wonder if you often engage in activities that utilize your abdominal muscles, such as sit-ups, or if you experience constipation that requires straining. Typically, issues like ...[Read More] Understanding Chronic Lower Abdominal Pain: Causes and Insights
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 Increased Urination: Is It Normal After Hydration?
Experiencing a quick urge to urinate after drinking water, along with a total urine output that exceeds the amount of water consumed, can indicate a condition known as polyuria. This may be associated with various factors, including diabetes mellitus, excessive fluid intake, or c...
Dr. Wang Weijie Reply:
Hello, 1. Fluid intake includes both the water content in food and the amount of water consumed. Relying solely on water intake can lead to inaccuracies; it is advisable to check the specific gravity of urine and the presence of proteinuria to assess hydration status. 2. What...[Read More] Understanding Increased Urination: Is It Normal After Hydration?
Understanding Blood in Urine: Symptoms and Possible Causes
Hematuria issues Doctor, I have a fever, dizziness, and gastrointestinal discomfort today. I thought it was a cold, so I went to a small clinic to see a doctor. However, after taking the medication, I still haven't improved. I got up in the middle of the night to use the bat...
Dr. Liao Zhongxin Reply:
Dear readers: Response A regarding "Bright red urine": 1. There are many factors that can cause dark urine, so it is recommended to visit a relevant medical institution for examination to rule out any concerns. 2. Possible causes include: menstruation, inadequate hy...[Read More] Understanding Blood in Urine: Symptoms and Possible Causes
Understanding Abdominal and Lower Back Pain: Kidney Health Concerns
Pain around the abdomen and waist? Hello doctor, I have been experiencing a dull pain in my abdomen lately, which has affected my sleep quality. I also feel a lot of stress, and occasionally I experience soreness in my lower back. The first urine in the morning is foamy, with som...
Dr. Lin Peifeng Reply:
Dear Mr. Avi: Hello, regarding the issue you raised, we recommend that you visit the outpatient clinic for an examination. Hualien Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Abdominal and Lower Back Pain: Kidney Health Concerns
Can You Be Discharged Within Hours After Rhabdomyolysis?
Rhabdomyolysis Is it possible to be discharged in just a few hours? Can one feel completely fine the next day? Is this feasible?
Dr. Wang Weijie Reply:
Hello, "rhabdomyolysis" refers to the rapid and excessive damage to our skeletal muscles (striated muscles), leading to the destruction and necrosis of muscle cells. The affected muscles typically exhibit pain or tenderness, and there may be a decrease in muscle contrac...[Read More] Can You Be Discharged Within Hours After Rhabdomyolysis?