Understanding Frequent Urination: When to See a Urologist or Nephrologist
Frequent urination Hello Doctor: Recently, I have been going to the bathroom every 40-60 minutes. Sometimes I experience pain in my left lower back. I drink very little water, but after urinating, I still feel the urge to urinate, yet I cannot. Generally, the volume of urine is n...
Dr. Wu Jiyu Reply:
1. Either urology or nephrology is acceptable. 2. Generally, a urinalysis is required first to check for inflammation or stones. 3. Additionally, a renal ultrasound examination can be arranged.[Read More] Understanding Frequent Urination: When to See a Urologist or Nephrologist
Understanding Edema: Which Specialist to Consult and Testing Tips
Symptoms of edema? Hello, Doctor: I would like to ask you... 1. Recently, I went for a health check-up at the hospital, and the doctor mentioned that I have edema. I researched some information online and learned that there are many causes of edema. Before confirming the cause of...
Dr. Wu Jiyu Reply:
1. The causes of edema involve organs such as the kidneys, heart, and liver, so a nephrology evaluation should be considered first. 2. If a urine test is required, it is advisable to avoid the menstrual period.[Read More] Understanding Edema: Which Specialist to Consult and Testing Tips
Understanding Persistent Health Issues: Seeking Answers for Common Symptoms
Many questions, please take the time to clarify, thank you! I am 29 years old, 165 cm tall, and weigh 50 kg. In recent years, I have frequently experienced the following symptoms: 1. I suffer from insomnia and vivid dreams every day, with poor sleep quality. Despite feeling ver...
Dr. Yang Hongzhi Reply:
Hello: Based on your symptoms, it is difficult to determine if there is any specific disease. Generally, when FT4 is elevated, TSH tends to decrease; your results are atypical and may warrant further monitoring. ANA is an indicator of autoimmune diseases, and a positive reaction ...[Read More] Understanding Persistent Health Issues: Seeking Answers for Common Symptoms
Understanding High Uric Acid Levels: Causes, Treatments, and Lifestyle Tips
Regarding the issue of high uric acid levels? I would like to consult a doctor. I have a condition of elevated uric acid levels, with values between 11 and 12. Is the normal value 7? I discovered this issue three years ago when I suddenly experienced severe lower back pain and wa...
Dr. Wang Weijie Reply:
Hello, Ayou: The uric acid level should be maintained below 7.0 mg/dL. The most common sites affected by gout are the joints, particularly the interphalangeal and metatarsophalangeal joints (especially the big toe). During an acute attack, colchicine is typically administered alo...[Read More] Understanding High Uric Acid Levels: Causes, Treatments, and Lifestyle Tips
Struggling with Oliguria: Seeking Solutions for Diuretic Dependency
Metabolic concerns? Hello Dr. Wu, I hope you don't mind me asking. I have been struggling with oliguria for the past few years, often going over ten hours without needing to use the restroom. Due to eyelid swelling and for cosmetic reasons, I started taking diuretics several...
Dr. Wu Jiyu Reply:
Dear: First, please confirm the status of your kidney function. If kidney function is significantly impaired, please consult a nephrologist. Second, if kidney function is normal or slightly deteriorated, you should monitor the changes in your weight after stopping diuretics for 3...[Read More] Struggling with Oliguria: Seeking Solutions for Diuretic Dependency
Understanding White Sediment in Urine: Causes and Concerns
Urine sediment I would like to ask why there is a white sediment in the urinal after urine has been sitting for a long time, which cannot be scrubbed away. Does this indicate a problem with the body?
Dr. Xiao Yongxun Reply:
Hello: In response to your question, the important components of urine include organic solutes and inorganic solutes. The former includes urea, creatinine, uric acid, hippuric acid, ketone bodies, and indican, among others. The latter includes NaCl, K+, SO4-2, PO4-3, NH4+, Ca2+, ...[Read More] Understanding White Sediment in Urine: Causes and Concerns
Managing Proteinuria: Dietary Tips and Potassium Intake Guidance
Proteinuria Hello Doctor: Currently, kidney function is normal, but proteinuria is above 500, with 24-hour urine protein at 9 grams. Should potassium intake be reduced? Besides a low-sodium diet, what other dietary considerations should be taken into account?
Dr. Wu Jiyu Reply:
1. This is classified as nephrotic syndrome, and it is necessary to consult a nephrologist for treatment and medication management. 2. If the medication (such as steroids) is ineffective, a kidney biopsy should be considered to identify the underlying cause. 3. In terms of di...[Read More] Managing Proteinuria: Dietary Tips and Potassium Intake Guidance
Understanding Blood Test Results: Cholesterol, Gout, and Follow-Up Care
Blood draw issues? Hello, on May 19th, I had a health check-up, and the blood test report showed some concerning results: total cholesterol 125, high-density lipoprotein (HDL) 39, urine pH 7, and a positive reaction for occult blood. Does this indicate a risk for cardiovascular d...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The essence of a health check-up is to screen for specific diseases or issues through certain tests or examinations, and if necessary, to conduct further evaluations or diagnoses. 2. Your total cholesterol level is 125 mg/dL, and your high...[Read More] Understanding Blood Test Results: Cholesterol, Gout, and Follow-Up Care
Understanding Lower Back Pain: Is It a Kidney Issue?
Lower back pain? Hello Dr. Wang: My husband has been experiencing frequent lower back pain. Could this indicate a problem with his kidneys or kidney inflammation? Thank you, Dr. Wang.
Dr. Wang Weijie Reply:
1. To determine whether there is kidney inflammation or infection, a urine test is necessary to check for the presence of white blood cells and bacteria. 2. Common causes of lower back pain include poor posture, which accounts for 85% of cases, while other possible causes include...[Read More] Understanding Lower Back Pain: Is It a Kidney Issue?
Understanding Sleep Disruptions: Is Your Kidney Health at Risk?
Lower back pain causing difficulty sleeping? Hello Doctor: In the past year, when I sleep on my right side at night, I often wake up around 3-4 AM due to a strong urge to urinate and lower back pain. Each time, the volume of urine is quite large, over 500cc. After waking up, I fr...
Dr. Wu Jiyu Reply:
Check/Precautions: 1. Please monitor your blood pressure first. 2. Then arrange for urine and kidney function tests. 3. Lower back pain, aside from the kidneys (such as infections or stones), is often due to inflammation of the muscles and tendons alongside the spine, and may not...[Read More] Understanding Sleep Disruptions: Is Your Kidney Health at Risk?
Managing Kidney Cysts: Health Tips for a 57-Year-Old Woman
Renal cysts Hello Dr. Wu, I would like to ask you a question. My mother is 57 years old, and there is no history of kidney-related hereditary issues in our family. About two years ago, she underwent a kidney ultrasound, and the doctor informed her that there were small cysts in ...
Dr. Wu Jiyu Reply:
1. First, confirm the number of cysts; if there are more than three on each side, consider the possibility of polycystic kidney disease and regular follow-up is necessary. If there is only a single cyst on one side, it is likely a degenerative cyst, and only observation is requir...[Read More] Managing Kidney Cysts: Health Tips for a 57-Year-Old Woman
Understanding Foamy Urine: Is It a Sign of Kidney Issues?
The presence of many bubbles in urine during urination may indicate a potential issue with the kidneys? When urinating, if you notice a lot of bubbles in the urine and feel something hard on the left side of your abdomen, it is advisable to consult a healthcare professional. Thes...
Dr. Yang Hongzhi Reply:
Hello, men who are afraid of injury: Foamy urine may indicate proteinuria, but it can also be normal. A simple urinalysis can determine this. If there is suspicion of an abdominal mass, you should consult a physician for evaluation.[Read More] Understanding Foamy Urine: Is It a Sign of Kidney Issues?
Understanding Kidney Stones: Symptoms, Pain Relief, and Hydration Tips
Kidney problems Hello doctor, during a recent health check, I discovered that I have two kidney stones in my right kidney. After examination, it was determined that these stones were caused by my childhood habit of not drinking enough water. The doctor advised that surgery is not...
Dr. Wu Jiyu Reply:
Hello: First, it is important to confirm whether the pain is caused by kidney stones. "Gently tapping the lower back can elicit severe pain"—this symptom is very similar to pain caused by kidney stones; additionally, a kidney infection can also cause lower back pain. Se...[Read More] Understanding Kidney Stones: Symptoms, Pain Relief, and Hydration Tips
Managing Small Kidney Stones: What You Need to Know
Questions about kidney stones? Hello Doctor, I would like to ask about the two kidney stones measuring 0.25 cm that were discovered during my company's health check last week. I would like to know how I should proceed with this. I'm feeling a bit worried. Thank you.
Dr. Wu Jiyu Reply:
First, check if you have any symptoms such as lower back pain, hematuria, or urinary tract infection (fever, chills, frequent urination, or painful urination). If you do, you should consult a urologist. If not, based on the size of your stone (0.25 cm) and your age (20-39 years),...[Read More] Managing Small Kidney Stones: What You Need to Know
Foamy Urine: What It Means and Its Connection to Health Issues
There are bubbles in the urine! Hello Director Wu: My boyfriend has noticed a lot of bubbles in his urine that take a long time to dissipate when he urinates. This condition has been present for some time. Is this a cause for concern? Is it related to fatty liver disease?
Dr. Wu Jiyu Reply:
The presence of bubbles in urine is most likely indicative of proteinuria (although it may not necessarily indicate a problem). If this has been persistent for a while, it is advisable to visit a nephrology clinic for an initial urine test to confirm whether proteinuria is presen...[Read More] Foamy Urine: What It Means and Its Connection to Health Issues
Understanding Kidney Cysts: Risks and Monitoring for Your Health
Renal cyst Hello, Doctor. This month I had a kidney ultrasound examination, and the doctor informed me that there is slight dilation in the left kidney. The right kidney has a cyst approximately 2 centimeters in size. I later underwent an X-ray imaging examination, and the result...
Dr. Wu Jiyu Reply:
Hello, if there is a cyst in the kidney, we refer to it as a "renal cyst." Generally, it does not have any significant impact on your health. We will consider the following situations: 1. Whether there is a family history of "autosomal dominant polycystic kidney di...[Read More] Understanding Kidney Cysts: Risks and Monitoring for Your Health
Improving Metabolism: Tips for Managing Weight and Blood Sugar Levels
Metabolism Hello: Three years ago, my weight was 92 kg, but it has now dropped to 63 kg. In July of this year, I went to a testing facility for an examination, and the report indicated high blood sugar and high urine protein. The technician only mentioned that my "metabolism...
Dr. Yang Hongzhi Reply:
High blood sugar indicates diabetes. If there is significant weight loss, blood sugar levels are likely very high, and immediate medical attention is required. You should consult a metabolic specialist.[Read More] Improving Metabolism: Tips for Managing Weight and Blood Sugar Levels
Understanding Muscle Strain vs. Rhabdomyolysis: When to Seek Medical Help
Rhabdomyolysis Hello, doctor. On August 14, I strained my neck muscles due to chiropractic treatment. Recently, I came across symptoms and causes of rhabdomyolysis online, so I have some questions for you. My muscle strain has not healed yet. When I initially got injured, I felt ...
Dr. Yao Quan Reply:
Hello, I apologize for the delayed response to your email. Rhabdomyolysis is a condition caused by damage to skeletal muscle, leading to the destruction and dissolution of muscle cells, which release myoglobin and other harmful substances into the bloodstream, affecting the entir...[Read More] Understanding Muscle Strain vs. Rhabdomyolysis: When to Seek Medical Help
Understanding Fatigue and Lower Back Pain: Causes and Solutions
(Worried about) lower back pain and easy fatigue? Recently, I have been feeling easily fatigued and experiencing some lower back pain. What could be the cause of this? I am quite worried and would appreciate the doctor's insight. Thank you!
Dr. Yao Quan Reply:
Hello: The issue of easy fatigue can be considered from many angles. It may be due to high work stress, anxiety, or a diagnosis of chronic fatigue syndrome. If there are physical abnormalities, it is advisable to check for diseases related to the liver, heart, or endocrine system...[Read More] Understanding Fatigue and Lower Back Pain: Causes and Solutions
Should You See a Doctor for Persistent Foamy Urine After Medication?
excuse me? Hello doctor, I recently had an injury and have been taking anti-inflammatory medication for nearly three months. I stopped taking it 2-3 days ago and have noticed that the bubbles in my urine are difficult to dissipate. There are still some small bubbles after a minut...
Dr. Yao Quan Reply:
Hello, excessive and persistent foaming in urine may be a possible indication of proteinuria (though it is not the only cause). Please visit a hospital for a urine test to rule out any concerns regarding proteinuria. Sincerely, Dr. Chuan Yao, Nephrology Department, Taoyuan Hospit...[Read More] Should You See a Doctor for Persistent Foamy Urine After Medication?