Urine, Internal Medicine FAQ - Page 22

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Persistent Bitter Taste: Should You See a Doctor for Symptoms?

Bitter taste in the mouth for one week? Recently, I have been experiencing a bitter taste in my mouth, occasional nausea, yellowish urine, fever, and fatigue. Should I see a doctor urgently? What could these symptoms indicate?


Dr. Li Huixiong Reply:
You need to see a doctor as soon as possible.

[Read More] Persistent Bitter Taste: Should You See a Doctor for Symptoms?


Exploring Online Claims of Kidney Disease Remedies: Fact or Fiction?

The internet is circulating information about dialysis therapy? Hello Dr. Wu, I came across a post online regarding a treatment for kidney disease that could allow patients to avoid dialysis. The original link is: https://www.facebook.com/photo.php?fbid=355286714492436&set=a....


Dr. Wu Jiyu Reply:
Dear Lawren: Regarding this widely circulated information, Dr. Wu has also received inquiries about the five principles of medication promotion by the Department of Health: 1. Do not listen to radio recommendations 2. Do not believe in miraculous effects 3. Do not buy from street...

[Read More] Exploring Online Claims of Kidney Disease Remedies: Fact or Fiction?


Understanding the Referral from Family Medicine to Nephrology for Diabetes Patients

The family medicine physician referred the case of my father to the nephrology department? Hello, my father has been suffering from diabetes and kidney stones for a long time. He was originally seeing a family medicine doctor, but for some reason, his case has been referred to a ...


Dr. Wu Jiyu Reply:
Sugar (Glycosuria): 1+ (-) HbA1c: 7.8% Uric Acid: 4.2 mg/dl Cholesterol Total: 219* mg/dl Q1: Attached is the examination report from February 7th. I noticed that there are no kidney function indices in the report. Can I request this test during my next outpatient visit? Answer1:...

[Read More] Understanding the Referral from Family Medicine to Nephrology for Diabetes Patients


Understanding Foamy Urine: Should You Be Concerned?

Urinary bubble issue? For over a month, I have noticed bubbles in my urine. Sometimes they disappear quickly, while other times they take several minutes. The first urine of the morning has a lot of bubbles. I have seen a doctor who conducted a one-time blood and urine protein te...


Dr. Wu Jiyu Reply:
This question can be answered in two parts: 1. Does foamy urine indicate proteinuria? The answer is not necessarily, but the issue that needs to be addressed is proteinuria. (Some unusual causes, such as having just undergone cystoscopy or having a bladder-rectal fistula, will ...

[Read More] Understanding Foamy Urine: Should You Be Concerned?


Understanding Weight Loss in Diabetes: Causes and Insights

Diabetes mellitus Hello, Dr. Lee. What is the reason for significant weight loss in patients with diabetes?


Dr. Li Zhiyao Reply:
Hello Mr. Chen: The typical symptoms of diabetes usually present as the "three polys" (polyphagia, polydipsia, polyuria) and "one decrease" (weight loss), but not every patient will exhibit these classic symptoms. When a patient's blood glucose concentrat...

[Read More] Understanding Weight Loss in Diabetes: Causes and Insights


Can Chronic Nephritis Patients Drink Fruit Vinegar for Health?

Chronic nephritis Dear Doctor: Can patients with chronic nephritis consume fruit vinegar for health benefits? What should be taken into consideration? Thank you.


Dr. Huang Yaoxuan Reply:
Chronic nephritis (is it referring to chronic kidney disease?) should be assessed based on kidney function. If kidney function is slightly impaired (glomerular filtration rate above 45), consuming fruit vinegar is permissible (though its health benefits are uncertain). However, i...

[Read More] Can Chronic Nephritis Patients Drink Fruit Vinegar for Health?


Managing Osteoporosis in Patients with Chronic Kidney Disease

Treatment of Osteoporosis in Kidney Disease Dear Dr. Huang, In March, I inquired about joint pain, and further examinations revealed severe osteoporosis with a T-score of approximately -3.5. My kidney function tests show creatinine at 1 and BUN at 11, which are within normal lim...


Dr. Huang Yaoxuan Reply:
1. Regarding renal function: When the creatinine (Cr) level is 1, the estimated clearance rate indicates that the renal function score should be greater than 60. Changes in urine output are not reliable indicators of renal function changes due to numerous confounding factors; the...

[Read More] Managing Osteoporosis in Patients with Chronic Kidney Disease


Foamy Urine and Yellow Color: What It Means and When to Seek Help

Foamy urine? Hello Dr. Wu, I have recently noticed that my urine is a darker yellow color and has a lot of foam. Could you please tell me what this might indicate? What tests should I undergo and which specialist should I consult? Thank you. QQ


Dr. Wu Jiyu Reply:
If you notice that your urine is yellow and has a lot of foam, it is advisable to have a urinalysis to clarify any issues related to proteinuria, as proteinuria can cause foamy urine. However, the presence of foam in urine does not necessarily indicate proteinuria; it can also be...

[Read More] Foamy Urine and Yellow Color: What It Means and When to Seek Help


Understanding Bilateral Renal Cysts: Concerns and Management Options

Bilateral renal cysts? Hello, Doctor. Around May, I underwent a health check-up due to frequent feelings of dizziness and lack of energy. An abdominal ultrasound revealed "bilateral renal cysts" and a "right lobe liver mass." Initially, my family medicine phys...


Dr. Wu Jiyu Reply:
Dear Tesuia: Based on your description (both kidneys are filled with various sizes of cysts), it is possible that you have "hereditary polycystic kidney disease." Fortunately, your blood test results for kidney function are normal, and the urine protein test is (±) pend...

[Read More] Understanding Bilateral Renal Cysts: Concerns and Management Options


Best Soups for Managing Edema in Chronic Kidney Disease Patients

Patients with chronic kidney failure should avoid beverages that promote fluid retention? Hello, my mother is 76 years old and currently diagnosed with chronic kidney failure, type 2 diabetes, hyperkalemia, and essential hypertension. We have prepared a fistula for dialysis since...


Dr. Wu Jiyu Reply:
1. There is currently no medical evidence supporting the use of bamboo leaves to make bottle gourd soup, or the use of winter melon or red beans for boiling water. 2. Based on your description, your aunt is likely approaching the need for dialysis. At this stage, controlling flu...

[Read More] Best Soups for Managing Edema in Chronic Kidney Disease Patients


Understanding High Uric Acid Levels: Causes and Management Tips

Hello, Dr. Hsiao? Hello Dr. Hsiao, I have a habit of donating blood, and the blood donation center also checks some health parameters for us. One of these is the uric acid level, which is 7.1. It shows that the normal range for males is 3.5 to 7.2! It is clearly close to being ...


Dr. Xiao Yongxun Reply:
Hello: In response to your question regarding serum uric acid levels, hyperuricemia is defined as a level greater than 7.0 mg/dL in men and greater than 6.0 mg/dL in women. The deposition of monosodium urate crystals in joint synovial fluid or other tissues leads to symptoms know...

[Read More] Understanding High Uric Acid Levels: Causes and Management Tips


Which Medical Specialty Should You Consult After Abnormal Health Check Results?

Which medical specialty should you consult after a health check-up? Last October, my health check revealed the following abnormalities: My age is comparable to that of an elementary school student taking an exam, and I am concerned about the abnormal results. My serum globulin le...


Dr. Zeng Guosen Reply:
Hello, user: You have many questions. Iritis is related to rheumatology and immunology, while the other issues may be related to gastroenterology and cardiology. Please provide your health check report for the doctor’s reference. Start by consulting a rheumatologist or an immunol...

[Read More] Which Medical Specialty Should You Consult After Abnormal Health Check Results?


Understanding Post-Urination Dribbling: Causes and Solutions

Post-urination dribbling? Hello, doctor. In the past few days, I've noticed some residual dripping after urinating when sitting down or standing. There is no pain during urination, the flow is strong, and I do not experience frequent urination. What could be the issue? Thank...


Dr. Wu Jiyu Reply:
The male urethra is longer, and if there are a few drops of urine after urination, it is generally considered a normal phenomenon. However, if the situation is severe, it may indicate a structural abnormality (such as stones, trauma, etc.). In such cases, it is recommended to und...

[Read More] Understanding Post-Urination Dribbling: Causes and Solutions


Understanding Hematuria: Causes, Effects, and Treatment Options

Regarding hematuria? Dear Doctor: I recently had a health check-up and the report indicated that I have hematuria (blood in urine). Is this due to kidney stones or other reasons? What is the impact on my health? What treatment should I pursue?


Dr. Xiao Yongxun Reply:
Hello: In response to your question, 1. "Urine occult blood" refers to the blood urine reaction detected by a test strip, indicating that under high-power microscopy, the number of red blood cells may exceed three. The sensitivity is approximately 90%. However, false po...

[Read More] Understanding Hematuria: Causes, Effects, and Treatment Options


Unexplained Fever and Body Aches: What Could Be the Cause?

Unexplained body aches and fever? You have been experiencing a fever for two consecutive days, accompanied by body aches, painful urination, and abnormal stool color with some redness. It is unclear what might be causing these symptoms, so it is advisable to see a physician for e...


Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding body aches, accompanied by fever and darkened urine, one should first consider the possibility of a urinary tract infection. 2. In young individuals aged 25 to 35, it is also important to consider the possibility of a sexually transmitted infection. 3. ...

[Read More] Unexplained Fever and Body Aches: What Could Be the Cause?


Understanding Complications After Diabetes-Related Amputation

Diabetes issues Hello, doctor. I would like to ask about my grandfather. He had an amputation above the left knee due to complications from diabetes, and he is currently in the intensive care unit with a breathing tube. His condition doesn't seem very good; the sputum that h...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, the text indicates that your grandfather is still in the intensive care unit. It is recommended that you consult the attending physician directly, as they are the most familiar with your grandfather's condition. Wishing for a speedy recov...

[Read More] Understanding Complications After Diabetes-Related Amputation


Understanding Persistent Edema in Elderly Patients with Diabetes and Hypertension

Persistent edema Hello Dr. Lee: My mother is 78 years old and has a history of hypertension and diabetes. This year, she has experienced persistent edema in both legs for quite some time. She also gets up to urinate about 2 to 3 times during the night, with a large volume of urin...


Dr. Li Zhiyao Reply:
Tina: Hello, your mother has hypertension and diabetes, so it is important to consider whether there are any complications related to renal dysfunction. Additionally, low albumin levels due to malnutrition or diabetic nephropathy causing proteinuria may also lead to edema. I reco...

[Read More] Understanding Persistent Edema in Elderly Patients with Diabetes and Hypertension


How Long After Dialysis Do Patients Typically Stop Urinating?

In general, how long after dialysis do patients with kidney failure stop producing urine? If a family member is undergoing dialysis, I would like to ask how long it typically takes for a person to stop urinating after starting dialysis.


Dr. Wu Jiyu Reply:
This issue involves "residual kidney function," and there is no standard answer. 1. If the residual kidney function is only 2 or 3 points at the beginning, the urine output may be less than 200 cc. 2. Generally, peritoneal dialysis tends to preserve more residual kidney...

[Read More] How Long After Dialysis Do Patients Typically Stop Urinating?


Understanding White Particles in Urine During Bowel Movements

excuse me? Hello Dr. Yang: I would like to ask about the small white objects that appear when I urinate and have a bowel movement at the same time. The size of these objects is about 0.5 cm or less. I would like to know what they are. When I only urinate, there are no white objec...


Dr. Yang Weishun Reply:
It is recommended that you perform a urine screening at least 5 to 7 days after your menstrual cycle ends to check for hematuria, proteinuria, or crystals. If the urine test results are normal, you may consider a stool screening, as your description does not clarify whether the s...

[Read More] Understanding White Particles in Urine During Bowel Movements


Managing High Uric Acid Levels: Dietary Changes vs. Medication

Hyperuricemia Hello, doctor. I learned from my health check report at school that my uric acid level is high at 10.2. How can I prevent this? Additionally, my MCV is also low at about 77.2. Regarding the uric acid, I believe it may be due to genetic factors. Should I consider med...


Dr. Ke Zhengchang Reply:
Hello: Elevated uric acid levels in the blood can be influenced by genetic factors as well as dietary habits, such as the consumption of high-purine foods like organ meats, seafood, meat broth, hot pot, alcohol, mushrooms, and legumes, all of which can increase uric acid levels. ...

[Read More] Managing High Uric Acid Levels: Dietary Changes vs. Medication


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