Understanding the Link Between Hyperparathyroidism and Urinary Calcium
Hypercalciuria and Parathyroid Glands I would like to inquire about the relationship between the parathyroid glands and hypercalciuria. How does the body differentiate between calcium and calcium ions, and what is the connection between these and kidney stones?
Dr. Gao Jiankai Reply:
Hello, regarding your question, it is best to consult a physician specializing in metabolism (endocrinology), as the parathyroid glands, like the thyroid gland, are endocrine organs in the body. Here are some brief answers to your questions: 1. The relationship between the parat...[Read More] Understanding the Link Between Hyperparathyroidism and Urinary Calcium
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 Foamy Urine: Is It a Sign of Kidney Issues?
Foamy urine? Hello Dr. Wu: Recently, I have noticed bubbles in my urine. Initially, they were small bubbles, but over the past two days, they have become slightly larger. I also feel more fatigued than usual, and I usually drink plenty of water. Could this indicate a kidney probl...
Dr. Wu Jiyu Reply:
The presence of bubbles in urine that do not dissipate over time may indicate the possibility of "proteinuria." You can visit a hospital for a urine screening to confirm this. (Note: Various components in urine can cause bubbles, but the one related to bodily diseases i...[Read More] Understanding Foamy Urine: Is It a Sign of Kidney Issues?
Understanding Your Health: Morning Urine Bubbles and Other Symptoms
Health Consultation In the morning, my urine is foamy, and it is usually yellow and cloudy. I frequently feel the urge to urinate, have lower back pain, and feel fatigued.
Dr. Wang Weijie Reply:
Dear Aron, In the early stages of kidney disease, there are often no obvious symptoms. However, if you experience the following symptoms, it is crucial to seek medical attention promptly, especially for individuals with hypertension, hyperlipidemia, heart disease, or diabetes. R...[Read More] Understanding Your Health: Morning Urine Bubbles and Other Symptoms
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 Low Morning Urine Output and Swelling: Causes and Concerns
Decreased urine output upon waking? Hello doctor, I would like to ask, if I sleep for a longer duration of 8 to 9 hours, sometimes I wake up with very little urine, and my face is puffy and my hands feel tight. The swelling goes down after about 1 to 2 hours. Could this be relate...
Dr. Wu Jiyu Reply:
Dear Mary: 1. Based on your description, it is possible that during prolonged sleep, urine formation naturally becomes concentrated (which is why you do not frequently need to use the restroom), leading to a perception of oliguria. This is not indicative of urinary reflux and ty...[Read More] Understanding Low Morning Urine Output and Swelling: Causes and Concerns
Understanding Sudden Anuria and Swelling: Causes and Concerns
Sudden anuria? Hello, I usually exercise very little and spend most of my time indoors. Previously, when the temperature was high at 38 degrees Celsius, my feet suddenly swelled while walking outside. Both of my feet became edematous, and when I pressed on them, they would indent...
Dr. Wu Jiyu Reply:
Hello, Xiaoyu: Based on the information you provided, the acute kidney injury you experienced may be suspected to be caused by heat exhaustion or heat stroke due to walking outside in high temperatures of 38 degrees Celsius. However, since you adequately replenished fluids and re...[Read More] Understanding Sudden Anuria and Swelling: Causes and Concerns
Understanding Elevated Urea Nitrogen: Kidney Health Insights
Elevated blood urea nitrogen (BUN) levels! Dr. Chen, I would like to ask you about my recent company health check report. It shows urine protein at 1+, blood urea nitrogen at 22.9 (normal range 6.7-21.3), and serum creatinine at 1.1 (normal range 0.4-1.4). The elevated blood urea...
Dr. Chen Jianyu Reply:
1. Yes, there may be an issue with the kidneys. 2. Please identify the causes of abnormal proteinuria and blood urea nitrogen levels, and follow up with a nephrologist for treatment. Avoid taking medications indiscriminately in daily life. 3. I cannot answer regarding your skin m...[Read More] Understanding Elevated Urea Nitrogen: Kidney Health Insights
Understanding Biochemical Reports: Managing Diabetes and Kidney Health
Family's biochemical report Hello Dr. Wu, I consulted with you in February this year, and today I am attaching more biochemical report data for your explanation. My father is 60 years old today and has been suffering from diabetes and kidney stones for a long time. He was or...
Dr. Wu Jiyu Reply:
My father is 60 years old today and has long been troubled by diabetes and kidney stones. He has been seeing a family medicine doctor, but for some reason, his case has been referred to a nephrologist. I have attached the examination reports from February of this year to the pres...[Read More] Understanding Biochemical Reports: Managing Diabetes and Kidney Health
Understanding Kidney Health: The Impact of Protein and Nutrition on Urinary Issues
Kidneys and Urinary Protein Hello Doctor: During a recent health check-up, my report indicated that both my blood pressure and urine protein levels were too high (the doctor mentioned it could indicate glomerulonephritis). I also noticed that my urine is foamy almost every time I...
Dr. Wu Jiyu Reply:
1. Based on your statement that "both blood pressure and urine protein are too high," it is possible that you have "glomerulonephritis." General recommendations include: a. controlling blood pressure (<130/80 mmHg) b. following a "low" protein die...[Read More] Understanding Kidney Health: The Impact of Protein and Nutrition on Urinary Issues
Understanding Pain Near the Bladder: Possible Kidney Issues?
Pain occurs when pressure or pulling is applied to both sides of the bladder? Hello Doctor: I recently noticed that if I curl my body or stretch backward, I experience pain on both sides of my bladder, which should be around the kidney area. However, it’s strange because the pain...
Dr. Wu Jiyu Reply:
Dear Kay: 1. Regarding the pain when pressing or pulling on both sides of the bladder, it is important to note that this is not related to the kidneys, as the kidneys are located in the retroperitoneal space. If there were pain, it would be felt in the back, not the front. 2....[Read More] Understanding Pain Near the Bladder: Possible Kidney Issues?
Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained
Foamy urine and kidney issues? Hello Dr. Lee, I have high blood pressure (stopped medication for 3 months, currently 135/82 mmHg). Over the past few months, I have experienced increased urination with foamy urine. I underwent a physical examination, and the results showed no pro...
Dr. Li Zhiyao Reply:
Hello: The normal value for 24-hour urine epinephrine is < 22.4 µg/24hrs; please confirm the test results. As for the foamy urine, the test results showed no proteinuria, but you may consider performing a microalbuminuria quantitative test to confirm the absence of proteinuria...[Read More] Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained
Understanding Left Lower Back Pain: Causes and When to Seek Help
Hello doctor, I am experiencing pain in my left lower back? Hello, Doctor Hsiao. Recently, I have been actively trying to lose weight and visited a traditional Chinese medicine clinic where I was prescribed herbal medicine for weight loss, reducing excessive heat in the body, and...
Dr. Xiao Yongxun Reply:
There are many factors related to the content you mentioned. If you are already committed to a weight loss program at a traditional Chinese medicine clinic, please follow the advice and treatment of your TCM practitioner. If you suspect there may be an underlying medical issue an...[Read More] Understanding Left Lower Back Pain: Causes and When to Seek Help
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 Proteinuria in Teenagers: Causes and Concerns
Hello, I am 15 years old, male, and I have been tested for proteinuria with a result of 791 mg/dL? Two months ago, I experienced frequent swelling and pain in the area above my right testicle (the pubic region). The pain was severe enough that movement in that area would cause sh...
Dr. Wu Jiyu Reply:
1. When checking for proteinuria, it is important to first rule out conditions such as exercise, infection, and fever, as these factors can lead to an increase in proteinuria and result in inaccurate readings. 2. It is recommended to repeat the test (remember that the first morn...[Read More] Understanding Proteinuria in Teenagers: Causes 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
Does Not Fasting Affect the Accuracy of Health Checkup Results?
Does undergoing a health check-up without fasting affect the interpretation of test results? Thank you? Hello Director Li, I would like to ask you some questions regarding the health check report. Our company is organizing a health check tour, but the hospital has scheduled the h...
Dr. Li Huixiong Reply:
Hello: Some laboratory test results can indeed be influenced by diet. Below, I will list the tests and examinations that are recommended to be fasting for at least eight hours due to dietary effects, for your reference: urine glucose (GLU), pH, total cholesterol (CHOL), triglycer...[Read More] Does Not Fasting Affect the Accuracy of Health Checkup Results?
Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Concerns
Kidney problems Hello, doctor. Recently, I have been drinking a lot of water, but the amount I urinate is very little. I usually exercise a lot and sweat a lot, but lately, my sweat has had a very sour smell, somewhat like ammonia. Additionally, I have been experiencing a dull pa...
Dr. Wu Jiyu Reply:
1. Regarding acute renal failure (acute renal failure, also known as acute kidney injury): It is essential to understand the functions of the kidneys in the body. The kidneys primarily eliminate toxins produced from protein metabolism (commonly referred to as uremia) and regulate...[Read More] Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Concerns
Frequent Urination: Is It Normal to Urinate 12 Times a Day?
Frequent urination? Dr. Wu: I usually drink 3 bottles of water (1800 mL), but I often urinate twice an hour, averaging about 12 times a day (the color is light). However, if I don't drink a lot of water, I only go about 6-7 times. Is this normal?
Dr. Wu Jiyu Reply:
Q1: I usually drink 3 bottles of water (1800ML), but I often go to the bathroom (urinate) twice an hour, averaging about 12 times a day (the color is light). Answer: Drinking more water typically results in lighter urine; however, urinating about 12 times a day is considered exce...[Read More] Frequent Urination: Is It Normal to Urinate 12 Times a Day?