Urine, Internal Medicine FAQ

Consulting a Doctor: Managing Blood Sugar and Leukocytosis in Patients

Consult a physician? Hello Dr. Ke: I have two questions to ask: 1. A patient without diabetes has elevated blood glucose levels due to intravenous administration of albumin and glucose because of inability to eat. Is it appropriate to administer insulin to suppress blood glucos...

Dr. Ke Zhengchang Reply:
1. In individuals without diabetes, even without food intake, intravenous glucose administration can lead to elevated blood sugar levels. Therefore, insulin can be added, provided the dosage is appropriate, as there will be no side effects as long as hypoglycemia (below 70 mg/dL)...

Managing High Blood Sugar and Cholesterol: What You Need to Know

I'm sorry, but I need more context to provide a translation. Could you please provide additional information or content? I went to the hospital for an examination and found that I have high blood sugar and high total cholesterol levels. The 24-hour urine test results are unk...

Dr. Qiu Zhengbin Reply:
Hello; you have undergone examinations at the hospital and found that you have high blood sugar and elevated total cholesterol levels, which may indicate the possibility of diabetes and dyslipidemia. The rapid weight gain may be related to the psychiatric medications you are taki...

Understanding Rapid Creatinine Rise: Kidney Health Concerns

Kidney disease Hello, Doctor: In October 2009, my creatinine level was 1.1, and in September 2010, it increased to 1.3. Is my creatinine rising too quickly? Is there a problem with my kidneys? Thank you.

Dr. Wu Jiyu Reply:
A change in creatinine levels from 1.1 to 1.3 suggests that it is advisable to first determine if there are any underlying risk factors (such as hypertension, hyperglycemia, or hyperlipidemia). Following this, it is recommended to consult a nephrologist to check for any proteinur...

Understanding Elevated Creatinine Levels: Causes and Concerns

Creatinine issues? The health examination report indicates that there are no signs of hematuria or proteinuria, and the blood urea nitrogen level is normal. However, the creatinine level is 1.34 mg/dL. The doctor advised to follow up in three months. Given that I had surgery for ...

Dr. Yang Zhongwei Reply:
Most medical centers have a normal serum creatinine level up to 1.4 mg/dL. If urine tests show no proteinuria or hematuria and serum creatinine is less than 1.4 mg/dL, we consider kidney function to be normal. To assess whether both kidneys are functioning properly, an ultrasound...

How Often Should You Get Blood and Urine Tests for Optimal Health?

excuse me? How often should general blood and urine tests be conducted for optimal health?

Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Routine health check-ups typically include blood or urine tests, which are valid for a period of three months. After this time frame, retesting is required. Given the wide variety of tests available in hospitals today, the recommended follo...

Does Taking Isoflavones for Over a Month Affect Blood and Urine Tests?

Isoflavones If I take isoflavones for more than a month, will it affect my blood tests and urine tests?

Dr. Wang Fangli Reply:
Routine blood tests and urinalysis are generally not affected.

Understanding Low Urine Output: Causes and Concerns for Your Health

Regarding decreased urine output? Decreased urine output in a day, despite drinking plenty of water, is concerning.

Dr. Yang Zhongwei Reply:
Hello: If the daily urine output is less than 500 c.c., it is referred to as oliguria. Possible causes include: 1. Dehydration, leading the kidneys to conserve water; 2. Impaired renal function, resulting in an inability to excrete urine; 3. Urine retention in the bladder, making...

Managing Kidney Health: Understanding Diet and Function in Patients

Kidney disease management Hello Dr. Yang, I have a smaller left kidney (congenital, not due to atrophy) and during winter, I experience high blood pressure, increased urination, and nocturia. After visiting the hospital for follow-up examinations, my kidney function has remaine...

Dr. Yang Zhongwei Reply:
Hello: 1. Frequent urination (is it the frequency or the volume?) and nocturia are not necessarily indicative of kidney problems; it is advisable to consult a urologist to examine the bladder. 2. There is currently insufficient evidence to determine the effectiveness of a low-pro...

Key Considerations for Families of Leukemia Patients with Pneumonia in ICU

During the hospitalization of pneumonia patients in the intensive care unit, they may experience various sensations and symptoms? During the hospitalization of a leukemia pneumonia patient in the intensive care unit, if the patient experiences a burning sensation during urination...

Dr. Li Zhiyao Reply:
Hello: A burning sensation during urination may indicate a urinary tract infection. A urine test can help determine if there is an infection present. Please inform your doctor or nurse about your discomfort for proper management. Wishing you a speedy recovery!

Understanding Causes of Foamy Urine Beyond Proteinuria

In addition to proteinuria, other causes of foamy urine include dehydration, urinary tract infections, kidney disease, and the presence of excess sugar or fat in the urine? Hello, doctor. I have noticed bubbles in my urine for a while, but it's not present every time. Howeve...

Dr. Yang Weishun Reply:
Dear Schulman, The presence of foamy urine does not necessarily equate to proteinuria. If the foam dissipates after standing for a while, it may not indicate proteinuria. Typically, proteinuria is often present for most of the day, especially in the first morning urine, so colle...

Understanding Urine Color Changes After Acute Hepatitis: Kidney Health Concerns

Liver disease, urine, kidney issues? Hello Doctor, I am 28 years old. A month ago, I was in the acute phase of hepatitis B, with liver enzymes exceeding 2000, but they have now approached normal levels, with values of 40 and 60. I am currently taking Betaloc. My daily routine is ...

Dr. Yang Weishun Reply:
Dear Mr. TT, Indeed, the color of urine is related to the amount of water you drink and your urine output. In cases of diabetes insipidus, the urine output is often greater than the amount of water consumed, with at least 3000 cc of urine produced in a day being a consideration ...

Understanding Kidney Stones: Treatment Options and Appointment Guidance

Kidney stones Hello, during my recent health check-up, I found out that I have a 0.2-0.3 mm stone in my left kidney. Although I am not experiencing any pain at the moment, I would like to take a leave on November 6, 2009, to visit Dr. Wu Hong-jie at Taoyuan Provincial Hospital. H...

Dr. Yang Zhongwei Reply:
Hello: 1. Urinary tract stones, from the kidneys, ureters to the bladder, are managed by urologists, so you should directly schedule an appointment with the urology department. 2. If the stone is still in the kidney and has not moved down to get stuck, it will not cause pain....

Understanding Blood in Urine: Causes and Concerns for Kidney Health

Hematuria Hello Dr. Yang, I have been feeling like I have a slight fever these past few days, and I noticed that I have visible hematuria. It shouldn't be the new flu, right? My kidneys have not been in good condition; I have had hematuria (not visible) since childhood. Abou...

Dr. Yang Weishun Reply:
To confirm whether it is indeed IgA nephropathy, the most reliable method is to perform a kidney biopsy for diagnosis. IgA nephropathy can indeed present with visible hematuria following respiratory infections, but it is also possible to detect microscopic hematuria during asympt...

Concerns About Kidney Health: Understanding Atrophy and Function Tests

Concerned about needing dialysis? I underwent an ultrasound examination in 1999, which revealed left kidney atrophy. I have been having regular health check-ups every two years, and my left kidney measures approximately 6 centimeters. I have also had detailed examinations at a ma...

Dr. Yang Zhongwei Reply:
Hello: 1. A person only needs one normal kidney to manage bodily functions, so in your case, even though only the right kidney is functioning normally, your blood test results for kidney function and urinalysis are normal. 2. The presence of foam in the urine without proteinuria ...

Understanding Urine Test Results: Protein and Blood Levels Explained

Regarding urine reports? Dr. Yang: I would like to ask a few questions. I have been experiencing issues with proteinuria and hematuria for some time. Recently, I underwent a routine check-up, and the report showed: proteinuria at 1.85, but the physician there said the normal rang...

Dr. Yang Zhongwei Reply:
Hello: Currently, proteinuria refers to the detection of albumin in urine using a dipstick test, where a level exceeding the detectable limit of 30 mg/dL is indicated. If it exceeds this limit, it will be expressed as 1+ to 4+ or in numerical values. Regarding the values of 1.85 ...

Understanding Hyperthyroidism: Symptoms Beyond a Swollen Neck

Hyperthyroidism I previously often sought medical attention for gastrointestinal issues, but later my doctor suspected it might be related to endocrine or metabolic problems. Aside from my gastrointestinal issues, I occasionally experience insomnia, anxiety, hand tremors, elevate...

Dr. Lü Jing Reply:
Hello: Some individuals with hyperthyroidism may not have a noticeable goiter. It is recommended to have a blood test to check thyroid function. Additionally, your symptoms may also be related to anxiety, adrenal pheochromocytoma, or excessive caffeine intake; however, the likeli...

Understanding Left Side Lower Back Pain: Causes and Concerns for Students

Left flank pain? Hello Dr. Wu, I would like to ask you: I am a senior high school student, and since July of last year, I have been studying at a cram school for about fourteen hours a day, drinking approximately 1000 to 1500 cc of water daily. Starting in March of this year, as ...

Dr. Wu Jiyu Reply:
1. First, rule out kidney inflammation or kidney stones—consider arranging for a urinalysis and renal ultrasound. 2. If neither of these is the cause, consider inflammation of the muscles and tendons beside the spine (which may be caused by prolonged sitting; please ensure proper...

Understanding Kidney Health: Tests, Symptoms, and Vitamin Concerns

Kidney problems Hello: 1. What tests should be performed to diagnose all types of kidney diseases? 2. My urine has foam and it takes a long time to dissipate. My parents say they also have foamy urine. Does foamy urine indicate the presence of proteinuria? 3. Is it true that ex...

Dr. Wang Weijie Reply:
The symptoms of primary kidney disease can be detected through urine screening. Urinalysis can reveal signs of kidney damage by checking for proteinuria, hematuria, red blood cells, white blood cells, and ketones. If you have concerns, you can visit relevant hospitals, clinics, o...

Does High Protein Intake Affect Urine Protein Tests?

Issues with consuming high-protein powder? Hello, doctor. I usually have a fitness routine and after working out, I consume high-protein supplements, about 100 grams of protein per day (I weigh 61 kg). I have a health check-up coming up and I would like to know if this will affec...

Dr. Yang Zhongwei Reply:
Hello: The average protein requirement is about 1.2 grams per kilogram of body weight per day. For a person weighing 60 kilograms, this amounts to approximately 70 grams of protein per day. In Taiwan, a normal three-meal diet typically provides sufficient protein. During exercise...

Preventing Dialysis: Key Causes and Health Tips for Kidney Care

How to prevent dialysis? 1. What are the causes of dialysis? 2. How can one maintain health to avoid the need for dialysis? 3. I have been using a nasal spray containing Oxymetazoline Hydrochloride for over two years. The pharmacist advised me to use it for six days and then ...

Dr. Yang Weishun Reply:
1. The most common chronic diseases include diabetes and hypertension, along with chronic glomerulonephritis, kidney stones, and urinary tract obstruction, among others. 2. It is important to monitor for hypertension or hyperglycemia, as well as the presence of proteinuria. Avo...

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