Urine, Internal Medicine FAQ

Impact of Chemical Solutions on Gout and Uric Acid Levels

The impact of chemical medications on gout? Hello Dr. Chen: I have a question I would like to ask you... If a person has high uric acid levels or gout, what impact might exposure to certain chemicals used in the electronics industry have on them? Could you please provide some ins...

Dr. Chen Baoli Reply:
Hello ALAN: Your question is about the impact of chemicals used in the electronics industry on patients with high uric acid or gout. First, I am not familiar with the specific chemicals used in the electronics industry, so I may not be able to answer your question appropriately. ...

Am I Diabetic? Understanding Symptoms and Health Benefits of Running

Do I have diabetes? I have graduated from high school for over two years, and my weight is approaching 56 kg. No matter how I try to lose weight, I can't seem to drop any. I often feel dry mouth and thirst. After going to the hospital for a urine test, I was diagnosed with a...

Dr. Shi Guangzhong Reply:
1. It is common for weight to increase with age, which is related to the decline in our metabolic rate as we get older. This is why you may have noticed that you could eat anything without gaining weight in the past, but now even a slight increase in food intake leads to weight g...

Understanding Vasculitis: Symptoms, Causes, and When to Seek Help

Vasculitis Hello Dr. Tseng, I previously had 2 to 3 instances where reddish-brown spots appeared on my hands and feet. I visited a dermatologist, who diagnosed me with vasculitis. They conducted blood tests and a urinalysis, and the results indicated that my immune system activit...

Dr. Zeng Guosen Reply:
Hello: 1. Based on your description, the likelihood of vasculitis is quite high, and further examination is recommended. 2. There should be no correlation with sexual activity or peeling skin. Sincerely, Dr. Tseng Kuo-Sen, Internal Medicine.

Is Low Uric Acid a Concern? Understanding Risks During Pregnancy

Is having low uric acid a problem? Hello, our organization recently provided health check-ups for employees, and the result for the uric acid test was 1.9 mg/dL. I understand that high uric acid levels can pose risks such as gout, but are there issues with low levels as well? I a...

Dr. Hong Hongchang Reply:
Pregnant women: Uric acid is primarily produced from the metabolism of purine-rich foods (such as legumes, organ meats, and seafood). Low uric acid levels may indicate insufficient intake of purine-rich foods, rapid renal metabolism, or imbalanced nutrient intake. Therefore, it i...

Understanding Kidney Health: Impact of Urinary Infections and When to Seek Help

Kidneys..? Hello Doctor: I would like to ask, I have been experiencing frequent urinary tract infections or bladder infections recently and have visited a gynecologist, taking quite a few medications. Will this have a significant impact on my kidneys? Lately, I have been feeling ...

Dr. Wu Jiyu Reply:
1. Recurrent urinary tract infections - a. First, arrange for a renal ultrasound to check for any urinary tract structural abnormalities. b. Then perform a urine culture. c. Based on the bacterial species identified, complete a full course of antibiotics. 2. Either a urology or n...

Understanding Elevated Creatinine Levels: Causes and Solutions for Young Women

Elevated creatinine levels in the kidneys? I went for a health check-up. I'm a 24-year-old woman, and my creatinine level is elevated at 2.10. My urea and uric acid levels are normal. I don't have high blood pressure or diabetes. What should I do? Are there any methods ...

Dr. Wu Jiyu Reply:
1. Recheck to confirm if elevated. 2. If elevated, first check for proteinuria in the urine. 3. If proteinuria is present, collect a 24-hour urine sample. 4. Arrange for a renal ultrasound. 5. If the above findings are confirmed, a kidney biopsy may be necessary.

Understanding Back Pain Near the Kidneys: Signs and Concerns

Back pain near the kidneys? I have a strong aversion to drinking water, and I typically consume about three bowls of soup and one cup of milk each day, occasionally adding a 600cc bottle of sports drink. I've had no issues throughout my life, but since I started working as a...

Dr. Yang Jun Reply:
Hello: In response to your question, it was mentioned that your daily fluid intake is less than 2000cc, and due to work-related factors, you urinate infrequently, resulting in darker yellow urine. This is a mechanism by which the kidneys concentrate urine to retain sufficient bod...

Understanding Strong Urine Odor: Causes and Concerns

Strong urine odor? My urine has a very strong odor, with an indescribable unusual scent, somewhat resembling a hint of fishiness. However, I have not experienced this before; it has only been occurring for the past year or so. My lifestyle and dietary habits have not changed, eve...

Dr. Hong Hongchang Reply:
Hello FIFI: Urine naturally has a scent, but if there is an "abnormal" odor related to food, medications, or endocrine issues, please visit a nephrology clinic for a urinalysis.

Effective Dietary Control for Diabetes Management: Tips and Guidelines

How to control your diet? Hello Doctor, I would like to ask about my father, who is a moderately overweight diabetic patient. He is currently taking traditional Chinese medicine, specifically Xianfengcao (Salvia miltiorrhiza). The preparation method involves placing the herbal pa...

Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The treatment of diabetes includes both pharmacological and non-pharmacological approaches. The former includes sulfonylureas, biguanides, meglitinides, alpha-glucosidase inhibitors, insulin sensitizers, and various forms of insulin; the l...

Does Hypertension Medication Increase Diabetes Risk in Seniors?

Do antihypertensive medications cause diabetes? Hello! I am 72 years old and have been on antihypertensive medication for over a decade. Recently, I had a check-up, and my blood sugar was 198, with the presence of glucose in my urine. Is this diabetes caused by high blood pressur...

Dr. Shi Guangzhong Reply:
There are many causes of diabetes, and it cannot be definitively determined whether hypertension or medication is the cause. In any case, a blood sugar level of 198 needs to be controlled. Regarding whether dental inflammation on the day of testing affects blood sugar levels, for...

Could My Symptoms Indicate Diabetes? Understanding Causes and Treatments

Is it diabetes? Hello Doctor: Since November, I have been experiencing hematuria. X-rays and ultrasounds showed no stones and were normal. Urinalysis results indicated the presence of white blood cells and red blood cells. The doctor mentioned it might be urethritis. Additionally...

Dr. Xiao Yongxun Reply:
Hello: In response to your question, the diagnostic criteria for diabetes are generally as follows: 1. A fasting plasma glucose level of greater than or equal to 126 mg/dL after fasting for at least 8 hours. 2. The presence of clinical symptoms of diabetes such as polyuria, polyd...

Left Side Back Pain: Is It a Kidney Issue or Something Else?

Is left flank pain a kidney problem? Hello Doctor: About a year ago, I started experiencing pain in my left lower back. Later, I consulted a urologist who suggested it might be a lumbar strain and prescribed some medications for the strain. The pain did improve, although it still...

Dr. Yang Jun Reply:
Hello: In response to your question, there are many potential causes of lower back pain, which may be due to issues with nerves, muscles, tendons, skeletal joints, or kidney diseases (such as infections or stones). If kidney or urinary tract problems are suspected to be causing t...

Understanding Hypothyroidism: Symptoms, Leg Swelling, and More

Hypothyroidism What are the symptoms of hypothyroidism? Can it cause lower limb edema? Recently, I have experienced swelling in my lower limbs, and my urine tests came back normal. My blood tests showed only a GTO value of 40, while the rest were normal. My blood pressure is slig...

Dr. Huang Dayao Reply:
Hello, there are many causes of lower limb edema. Generally speaking, if urine output is normal, it is likely not related to the kidneys. Hypothyroidism can also cause edema, but it is different from typical edema; the swelling caused by hypothyroidism does not pit when pressed, ...

Understanding Chronic Left-Sided Lower Back Pain: Causes and Solutions

Left-sided lower back pain? I often experience pain on the left side of my lower back. It has been going on for quite some time, averaging almost daily discomfort. When I palpate the area, I can't pinpoint the exact location of the pain, but it consistently occurs in the sam...

Dr. Wang Weijie Reply:
Hello, there are many potential causes of lower back pain. Here are some common examples: 1. Acute pyelonephritis may sometimes be accompanied by fever. Diagnosis can be made through urinalysis and urine culture, where white blood cells and bacteria can be seen in significant a...

Should Mild Proteinuria in Children Be Treated? A Parental Concern

Does microalbuminuria require treatment? Hello Doctor: My daughter is currently 10 years old and occasionally wets the bed at night (about 3-4 times a month). After visiting the hospital for examination, it was found that she has mild hydronephrosis in both kidneys, but her kidne...

Dr. Yang Jun Reply:
Hello: In response to your question, your 10-year-old daughter has been found to have trace proteinuria, which is most commonly caused by minimal change disease in children. It is advisable to consult a pediatric nephrologist for further evaluation. Pentoxifylline has a specific ...

Could Your Symptoms Indicate Kidney Disease? Key Tests to Consider

Do you have kidney disease? Hello, my urine has often been a dark reddish-brown color with a lot of foam for the past year, and I occasionally experience lower back pain. Additionally, I almost always wake up in the morning feeling nauseous and have dry heaving, which has been on...

Dr. Yang Jun Reply:
Hello: In response to your question, the symptoms described in your message may be caused by a kidney-related condition. However, it is necessary to visit a nephrology clinic and undergo urine and kidney function tests conducted by a specialist to confirm the diagnosis.

Am I at Risk for Diabetes? Understanding Symptoms and Concerns

Am I suffering from diabetes? Hello Doctor: I am 13 years old, 162 cm tall, and weigh 52 kg. Whenever I wipe with tissue after noticing vaginal discharge (or female secretions, which have a stronger fishy odor), there are many ants that come to crawl and linger. We have a lot of ...

Dr. Wang Fangli Reply:
Please visit a medical facility for testing, which should include fasting blood glucose after 10 hours, postprandial blood glucose after 2 hours, and glycated hemoglobin (HbA1c) testing to determine if diabetes is present.

Understanding Persistent High Body Temperature and Its Causes

Unusual elevated body temperature? Hello Doctor: Since I was young, I often experience an increase in body temperature upon waking up, along with a pale complexion and very red lips. Recently, this has been happening quite frequently during the summer vacation. I visited my famil...

Dr. Lin Mingfeng Reply:
In response to the reported increase in body temperature, the first priority is to determine the actual temperature. Please accurately record the temperature for the physician's reference. The previously diagnosed urinary tract infection (UTI) generally requires clinical sym...

Understanding Kidney Issues: Insights on Cysts, Family History, and Health Risks

Kidney problems Dr. Yang Jun: Recently, my father's health check results came out, and three items were marked as abnormal: [Urinalysis] Specific Gravity (Sp.gr) *≤1.005, [Biochemical Tests] Uric Acid *7.95, and [Abdominal Ultrasound] *Left Renal Cyst. I would like to ask wh...

Dr. Yang Jun Reply:
Hello: In response to your questions, there are many inquiries in your message, and I cannot address them all individually. I recommend that you consult a nephrologist in person for a more comprehensive evaluation. However, I will address a few questions online. Urine specific ...

Understanding Abnormal Urine and Blood Test Results: What You Need to Know

Examination report issues Hello, doctor. Recently, I noticed that my urine has been yellow for a while and hasn't improved. Additionally, I've been experiencing lower back pain, so I thought there might be an issue with my kidneys. I went to a laboratory to have my urin...

Dr. Yang Jun Reply:
Hello: In response to your question, I will address only the issues related to uric acid and blood lipids. A complete answer regarding other data requires a visit to an internist to review all reports (blood and urine). Elevated uric acid levels are a precursor to gout, and if it...

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