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
Understanding Kidney Function and Glomerular Filtration Rate Issues
Glomerular and renal function issues? Hello doctor, I would like to ask a question. I am 35 years old, and my glomerular filtration rate (GFR) has not exceeded 90 for the past seven years. I do not have hypertension or diabetes. In my most recent urine test, the protein level was...
Dr. Wu Jiyu Reply:
Based on the data you provided, the following is the calculation of the health examination results: Year Age Serum Creatinine Glomerular Filtration Rate (GFR) 2010 29 1.2 mg/dL 72 mL/min 2011 30 1.3 mg/dL 65 mL/min 2012 31 ...[Read More] Understanding Kidney Function and Glomerular Filtration Rate Issues
Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Unexplained urethritis? Hello Dr. Wang, I have experienced a burning sensation during urination and pain at the urethral opening three times in the past two months. However, each time I have undergone urinalysis, the results have been normal, and no infection has been identified,...
Dr. Wang Weijie Reply:
Dear Ms. Wu, Thank you for your letter. A urinary tract infection (UTI) occurs when bacteria invade the urinary system, leading to infection. Common symptoms include: 1. A burning sensation, pain, difficulty urinating, frequent urination, nocturia, cloudy urine, or hematuria dur...[Read More] Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Understanding Proteinuria: Key Questions and Considerations
Proteinuria - Supplementary Questions Therefore, when urine protein is greater than 0.15 g/d, several issues need to be considered: 1. Is the urine protein primarily albumin? 2. Was the urine sample collected during a time when the daily urine volume was close to 1-1.5 liters? Ot...
Dr. Wu Hongjie Reply:
Hello: Albumin is just one component of proteinuria. In other words, if the urine protein level is 0.15 g/L, then the absolute amount of albumin in the urine is less than 0.15 g/d (at most, all protein could be albumin). Testing for microalbuminuria is more ideal, especially for ...[Read More] Understanding Proteinuria: Key Questions and Considerations
Understanding Proteinuria: What Does a 0.15g/l Urine Test Result Mean?
Proteinuria test Hello, staff of Taiwan e-Hospital. I am resending this content due to the need for additional test values from October 2, 2016. I hope this will not be deleted for being a repeated inquiry. Thank you for your hard work. Dear Dr. Wu, during a health check last y...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Proteinuria is one of the indicators of renal function deterioration leading to kidney disease. However, the actual measurement of proteinuria requires a 24-hour urine collection, which can be inconvenient. Therefore, an estimation method has been developed, usin...[Read More] Understanding Proteinuria: What Does a 0.15g/l Urine Test Result Mean?
Understanding Acute Kidney Failure Recovery: Key Insights and Timeline
Recovery from renal failure Hello Dr. Wu, in May of this year, I underwent blood tests due to feeling unwell. The first test results showed BUN: in the 120s and Cr: around 5.5 (with no proteinuria present). Two days later, I had another blood test, and the results were BUN: in th...
Dr. Wu Jiyu Reply:
Hello: Based on the information you provided, if kidney function was normal during the previous year's health check and has suddenly deteriorated this year, the clinical course should primarily be considered as acute kidney injury. However, acute kidney injury can lead to va...[Read More] Understanding Acute Kidney Failure Recovery: Key Insights and Timeline
Is It a Kidney Issue? Understanding Bladder and Urinary Symptoms
Is it a kidney problem? Hello doctor, two months ago I experienced severe symptoms of cystitis, including fever, nausea, vomiting, chills, frequent urination, and painful urination. An ultrasound revealed a benign cyst on my kidney. A few weeks ago, I experienced frequent urinati...
Dr. Wu Jiyu Reply:
Based on your inquiry, it seems that you may have a urinary tract infection. If you have completed the necessary treatment but are still experiencing discomfort, it is advisable to follow up with a urologist or nephrologist. If necessary, consider undergoing a urine culture. Addi...[Read More] Is It a Kidney Issue? Understanding Bladder and Urinary Symptoms
Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Frequent urination issues? Hello, Doctor. About a month ago, I was diagnosed with gastritis at a clinic and took medication for two weeks without improvement. I then went to Tzu Chi Hospital for an endoscopy, where the physician confirmed that I only had inflammation and no signi...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that you don't have much trouble during the day, although you do wake up several times at night to urinate, and each time the volume is quite large. The most common reason for this could be that you are drinking too much water in th...[Read More] Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Understanding Employee Health Check Results: When to See a Nephrologist?
Employee health check issues Hello, doctor. I would like to ask about my annual employee health check. The report came out on May 3rd. I am a 26-year-old male, and my results show a GFR of 86, serum creatinine of 1.1 mg/dL, serum uric acid of 8.5 mg/dL, blood urea nitrogen of 15 ...
Dr. Lin Peifeng Reply:
A urine specific gravity of 1.024 indicates concentrated urine; therefore, a urine protein level of 1+ does not necessarily indicate a kidney issue. Additionally, it is important to consider whether the individual has hypertension or diabetes, as well as any family history of chr...[Read More] Understanding Employee Health Check Results: When to See a Nephrologist?
Do You Need Annual Kidney Check-Ups After Past Urinary Issues?
Kidney problems Is it necessary for a physician who had a history of urethritis over a decade ago and has taken a large amount of traditional Chinese medicine, but has had normal health values twice in recent years, to undergo regular annual check-ups? The physician has a congeni...
Dr. Wu Jiyu Reply:
Hello, based on the information you provided, not all traditional Chinese medicines cause renal dysfunction. Although you have taken a large amount of herbal medicine, it does not necessarily mean that your kidney function is impaired. However, early renal dysfunction may not pre...[Read More] Do You Need Annual Kidney Check-Ups After Past Urinary Issues?
High Ketones in Urine: What Further Tests Are Needed?
High ketone bodies in urine? Hello Dr. Hsiao, I recently had two urine ketone tests in April and mid-July, both showing positive results. I also regularly monitor my blood glucose and hemoglobin A1c levels, which are normal. Previously, I underwent an ERCP due to bile duct stones...
Dr. Xiao Yongxun Reply:
Dear Miss Lin: The increase of ketones in the urine, unless caused by high blood sugar leading to diabetic ketoacidosis, is generally due to prolonged fasting or starvation, which triggers the breakdown of fats and results in an increase of ketones in the blood and urine. Of cour...[Read More] High Ketones in Urine: What Further Tests Are Needed?
Could Your Diet and Dehydration Be Causing Kidney Pain?
Drinking insufficient water and experiencing lower back pain after consuming certain foods may indicate a potential issue with the kidneys? Hello Doctor: I have noticed that whenever I eat certain specific foods (like Angelica duck noodles or braised dishes), I experience sorenes...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Regarding your symptoms, there are several possible scenarios: 1. The pain in your elbows and knees may be related to gout. I recommend visiting a hospital for a blood test to check your uric acid levels. 2. A high-sodium diet can lead to increased fluid intake...[Read More] Could Your Diet and Dehydration Be Causing Kidney Pain?
Understanding Kidney Pain: Common Causes and Concerns
Kidney pain Doctor Wang, why does my mother often experience kidney pain?
Dr. Wang Weijie Reply:
Hello, the kidneys are located in the retroperitoneal space, and approximately 97% of the causes of pain in most individuals are due to mechanical factors (including muscle strains, sprains, and spinal issues). Among these, over 70% are attributed to lumbar strains, while 4% are ...[Read More] Understanding Kidney Pain: Common Causes and Concerns
Am I Normal? Understanding Itchy Skin and Kidney Health Concerns
Am I normal? I have recently been experiencing frequent itching on my calves, but I haven't noticed any mosquito bites. Sometimes there are small bumps (most of the time there aren't), but they disappear quickly. I came across information stating that uremia can cause s...
Dr. Xiao Yongxun Reply:
Dear Miss 123: 1. Uremia can indeed cause skin pigmentation and the deposition of metabolic products, leading to a darker skin color and even a sensation of itching. However, it should not be localized solely to the calves as you described. There are many possible reasons for s...[Read More] Am I Normal? Understanding Itchy Skin and Kidney Health Concerns
Understanding Upper Right Abdominal Pain: Causes and Solutions
Regarding sharp pain in the right upper abdomen? Hello, Dr. Hsiao. I have been experiencing a sudden feeling of hunger shortly after meals, which feels somewhat like an empty stomach sensation without the typical stomach growling. If I eat too quickly, I might even feel hungry ha...
Dr. Xiao Yongxun Reply:
Dear Mr. Shi: 1. Regarding your upper right abdominal pain, I believe it may be what is commonly referred to as side stitch, as mentioned in my response on June 27, 2016. Therefore, I recommend that you consult a coach to learn proper breathing techniques while running to avoid ...[Read More] Understanding Upper Right Abdominal Pain: Causes and Solutions
Understanding Left Kidney Pain: When to Seek Further Testing
Percussion of the left kidney causes pain? Hello Doctor: When I tap on the area of my left kidney, it hurts. This has been going on for a long time, so this year I went to the hospital for a kidney ultrasound, blood tests, and urinalysis, but the doctor said everything was fine. ...
Dr. Wu Hongjie Reply:
Dear Sender, The issue of left-sided lower back pain has many potential causes. If the pain radiates down the back to the thighs and calves, it may indicate nerve pain or compression. If it is related to kidney problems, such as stones or infections, it typically remains localiz...[Read More] Understanding Left Kidney Pain: When to Seek Further Testing
Understanding Persistent Foamy Urine: Is It a Sign of Proteinuria?
The first urine in the morning shows a slight foam that has not dissipated for a long time? Hello Doctor: Recently, I have started to pay attention to the issue of foamy urine, so I have been carefully observing the characteristics of each urination daily. Since I am currently wa...
Dr. Huang Yaoxuan Reply:
Hello Mr. Wang: The presence of bubbles in your urine may indicate proteinuria, but it could also be caused by other substances. Clinically, only proteinuria is known to affect health, so when we encounter bubbly urine, we typically conduct a test for urine protein. Urine protein...[Read More] Understanding Persistent Foamy Urine: Is It a Sign of Proteinuria?
Understanding Low CCR Levels: Do You Need a Low-Protein Diet?
Regarding the CCR (Creatinine Clearance Rate) renal function index? Hello, doctor. I would like to ask why my creatinine clearance (CCR) is low, even though my other test results are mostly normal. I have had several tests, and my CCR has consistently been between the low 50s and...
Dr. Wu Jiyu Reply:
Hello: The 24-hour creatinine clearance rate is clinically used as an indirect indicator of glomerular filtration rate. While its accuracy is relatively high, it can still be affected by urine collection methods, medication use, and testing errors, which may influence the results...[Read More] Understanding Low CCR Levels: Do You Need a Low-Protein Diet?
Understanding Glomerular Filtration Rate and Proteinuria: A Patient's Concerns
Hello, Dr. Wu. Could you please explain the relationship between glomerular filtration rate and proteinuria? Hello Dr. Wu, in my last hospital check-up report, my glomerular filtration rate (GFR) was highlighted in red at 83 mL/min/1.73 m², with a reference value of greater than ...
Dr. Wu Jiyu Reply:
Hello, the glomerular filtration rate (GFR) used by hospitals is estimated based on formulas derived from past research statistics on patients with chronic kidney disease. Factors such as age, weight, body composition, gender, and ethnicity can all influence the calculation of th...[Read More] Understanding Glomerular Filtration Rate and Proteinuria: A Patient's Concerns
Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
My urinary issues? Hello Dr. Wu, I previously experienced rapid weight loss due to taking Forxiga, dropping from 116 kg to 109 kg between March 30 and April 11. I stopped the medication on April 8. I was concerned about potential kidney issues, so I had blood tests done on April ...
Dr. Wu Jiyu Reply:
Hello, 1. First, it is essential to understand the dosage of Forxiga you are using and whether you are combining it with other weight loss medications or treatments. A weight loss of nearly seven kilograms in less than two weeks is considered too rapid and may pose potential ha...[Read More] Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss