Understanding Nephrotic Syndrome: Eligibility for Military Exemption in Taiwan
Nephrotic syndrome Conditions for various types of nephritis include one of the following: 1. Chronic renal dysfunction confirmed by examination, with serum creatinine greater than 2 mg/dL and creatinine clearance less than 50 mL/min. 2. History of renal pathology examination sho...
Dr. Yang Jun Reply:
Hello: In response to your question, I had nephrotic syndrome during childhood, primarily caused by minimal change disease. After treatment, I recovered with fewer relapses. Now at 23 years old, I need to re-evaluate the protein levels in my urine, assess my kidney function throu...[Read More] Understanding Nephrotic Syndrome: Eligibility for Military Exemption in Taiwan
Understanding Kidney Inflammation: Prevention and Care Tips
Kidney inflammation..? Hello Doctor: I would like to ask you about an issue I experienced 5-6 days ago. I felt slight pain in the lower left part of my back, and there was also mild discomfort when bending over. After visiting a gynecologist, I was diagnosed with kidney inflammat...
Dr. Huang Dayao Reply:
Hello, based on your description, it seems you may have a urinary tract infection (UTI). Typically, women are at a higher risk for UTIs than men due to the proximity of the urethra to the vagina and anal opening. However, if you experience recurrent infections, it is important to...[Read More] Understanding Kidney Inflammation: Prevention and Care Tips
Understanding Pus Cells in Urine: Causes Beyond Urethritis
Urinalysis Report Hello, doctor! In my recent urine report, I found that there are 30-40 pus cells per high power field (hpf). The doctor mentioned it could be urethritis and prescribed me a week of anti-inflammatory medication called OFLOXACIN. I would like to know if there are ...
Dr. Lin Mingfeng Reply:
Pyuria (indicating an excess of white blood cells in the urine) is most likely due to a urinary tract infection (UTI) based on probability. Some girls with UTIs may have subtle or nonspecific urinary symptoms. Additionally, the causes of pyuria may include interstitial nephritis,...[Read More] Understanding Pus Cells in Urine: Causes Beyond Urethritis
Is Excess Whey Protein Supplementation Harmful to Your Health?
Whey protein I would like to ask about the use of whey protein supplements among fitness enthusiasts for protein supplementation. If taken in "excess" (since it is said that excess is just excreted through urine), could this lead to physiological diseases? Thank you!
Dr. Yang Jun Reply:
Hello: In response to your question, protein supplementation must be individualized. For individuals with kidney function disorders, it is necessary to restrict protein intake, and supplementation should only occur in cases of malnutrition. Generally, there is no need for special...[Read More] Is Excess Whey Protein Supplementation Harmful to Your Health?
Can People with High Uric Acid Levels Consume Clam Extract?
Can individuals with elevated uric acid levels consume clam extract? Hello, Dr. Yang. My husband recently received his health check-up report, which indicated that his uric acid levels are elevated. I would like to ask you, Dr. Yang, whether individuals with high uric acid can st...
Dr. Yang Hongzhi Reply:
The purine content in clams ranges from 25-150 mg per 100 g, but there is currently no analyzed data on purines in Taiwan. While the purine levels in salmon, tuna, and snapper cannot be definitively classified as low or high, seafood is still considered a source of protein that c...[Read More] Can People with High Uric Acid Levels Consume Clam Extract?
Understanding Thigh and Hip Pain: Possible Causes and When to Seek Help
There is a feeling of soreness from the left thigh to the hip area? I often experience the symptoms mentioned above, and I frequently have the sensation of needing to urinate for a long time before I actually do. This feeling could be a symptom of frequent urination, right? I...
Dr. Yang Jun Reply:
Hello: In response to your question, frequent urination refers to the increased frequency of urination, which typically does not cause pain unless there is a urinary tract infection, in which case there may be discomfort in the urethra or bladder during urination. As for the sore...[Read More] Understanding Thigh and Hip Pain: Possible Causes and When to Seek Help
Understanding Renal Edema: Causes, Symptoms, and Treatment Options
Hydronephrosis Hello Doctor, my mother took traditional Chinese medicine for six days in mid-June to adjust her constitution, and the Chinese medicine practitioner advised her to drink more water. On July 7, she suddenly experienced severe pain in her right flank, which worsened ...
Dr. Yang Jun Reply:
Hello: In response to your inquiry, it appears that your mother is experiencing right flank pain and renal hydronephrosis, which may be caused by urinary tract stones. The occurrence of renal hydronephrosis refers to the swelling of the renal pelvis or renal parenchyma due to the...[Read More] Understanding Renal Edema: Causes, Symptoms, and Treatment Options
Understanding Normal Blood and Urine Test Values: A Guide for Patients
One question from the health examination form? Doctor: Hello, I previously underwent a comprehensive physical examination at your hospital due to military service. What are the normal values for white blood cells and urine specific gravity? (My white blood cell count is 10.1; uri...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. According to the reference values listed by our laboratory, the normal range for white blood cells is 4,800 to 10,800 cells/ml, and the normal range for urine specific gravity is 1.005 to 1.030. The test values you provided are still withi...[Read More] Understanding Normal Blood and Urine Test Values: A Guide for Patients
Understanding Darkening of the Chin: Causes and Concerns
Darkening of the chin? Hello… I finished my night shift in June this year… On June 20, I noticed that my chin had turned dark… and it is neither painful nor itchy… I also have some bumps appearing… My eyes turn pink around 5:00 PM! However, I sleep well after work! I have also ch...
Dr. Huang Dayao Reply:
Hello, after reviewing your question, it seems to be more related to dermatology. I recommend consulting a dermatologist for this matter. From a nephrology perspective, if you are experiencing eyelid swelling and foamy urine, please visit an internal medicine clinic for a kidney ...[Read More] Understanding Darkening of the Chin: Causes and Concerns
Understanding Dark Yellow Urine: Causes and When to Seek Help
Dark yellow urine In the past few days, my urine has been very yellow, almost the color of cola. I haven't consumed any colored beverages recently. Could this be a sign of an illness?
Dr. Yang Hongzhi Reply:
To determine if jaundice is present, one can examine the sclera (the white part of the eyes) for any yellowing. If jaundice is observed, the most common cause is liver disease.[Read More] Understanding Dark Yellow Urine: Causes and When to Seek Help
Understanding Recurrent Fever and Urinary Retention in Parkinson's Patients
Urinary retention causing recurrent fever? Director Lin: Hello, my father is 65 years old and has had Parkinson's disease for 19 years. Recently, for the past month, he has frequently felt the urge to urinate but is unable to produce much urine or urinate at all. On June 21,...
Dr. Lin Mingfeng Reply:
The patient experienced three episodes of fever. The first two episodes resolved after catheterization and medication, but the details of the first episode are incomplete. The results of the urinalysis are closely related to whether antibiotics were used, and the urine culture re...[Read More] Understanding Recurrent Fever and Urinary Retention in Parkinson's Patients
Long-Term Medication: Impact on Liver and Kidney Function in Patients
Long-term medication use? I have been taking Ropinirole for a year, and six months ago I was diagnosed with ankylosing spondylitis. I am currently on immunomodulators. I need to take both medications long-term. What impact might this have on my liver and kidney function? How ofte...
Dr. Huang Dayao Reply:
Reply: Hello, 1. There are many types of immunomodulators, and I am not sure which one you are taking. I cannot determine if it has nephrotoxicity; you may want to consult a rheumatology specialist regarding this matter. 2. As for Lopinavir, since it is a dermatological medicatio...[Read More] Long-Term Medication: Impact on Liver and Kidney Function in Patients
Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome
The calculation of creatinine clearance (CCR) can be done using the following formula: \[ \text{CCR} = \ Hello Dr. Yang: I am a patient with Systemic Lupus Erythematosus (SLE) and currently suffering from nephrotic syndrome. My albumin levels have been around 2.8 to 3, and my ch...
Dr. Yang Jun Reply:
Hello: In response to your question, Systemic Lupus Erythematosus (SLE) is one of the causes of nephrotic syndrome. Treatment must focus on controlling the underlying disease (SLE) and reducing kidney function damage. A low-salt and low-protein diet is a method to slow down prote...[Read More] Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome
Understanding Frequent Urination and Its Possible Causes
Dysuria Hello, Director Yang. ^_^ I have some questions I would like to ask. Recently, I have been experiencing frequent urination episodes, as well as a sensation of residual urine after urination. Additionally, there have been a few instances where I had to wait for a moment be...
Dr. Yang Jun Reply:
Hello: In response to your question, frequent urination or a burning sensation during urination may indicate a urinary tract infection (UTI). UTIs can be classified into upper urinary tract infections (such as pyelonephritis) and lower urinary tract infections (such as cystitis o...[Read More] Understanding Frequent Urination and Its Possible Causes
Understanding Elevated Immunoglobulin Levels and Kidney Health Risks
Elevated immunoglobulin levels? Doctor: Hello! Recently in April, I went to the hospital due to shortness of breath and chest tightness, where cardiac examinations showed no issues, and it was later diagnosed as autonomic nervous system dysfunction. However, the urine tests revea...
Dr. Yao Quan Reply:
Dear Ms. Kiki, Hello. There are five types of immunoglobulins: IgG, IgA, IgM, IgD, and IgE, each with different normal value ranges. Your letter mentions elevated immunoglobulin levels (approximately 440), but it is unclear which specific immunoglobulin is elevated. The normal r...[Read More] Understanding Elevated Immunoglobulin Levels and Kidney Health Risks
Understanding Frequent Urination, Kidney Health, Liver Issues, and Acne in Teens
Frequent urination, kidneys, liver, acne? Hello, Doctor: I am a 17-year-old student about to enter my senior year, and I have been troubled by these issues for a long time. I will get checked during the summer break! 1. Frequent urination and kidney issues: I feel very thirsty ...
Dr. Huang Dayao Reply:
Reply: Hello, 1. Diabetes generally presents with three main symptoms: excessive thirst, frequent urination, and increased appetite. If you experience any of these symptoms, it is essential to visit an internal medicine clinic for evaluation. 2. If your kidneys are functionin...[Read More] Understanding Frequent Urination, Kidney Health, Liver Issues, and Acne in Teens
Severe Dizziness and Vomiting: Which Specialist Should You See?
Dizziness and vomiting? Hello, doctor! In the past month, I have experienced three episodes of severe dizziness accompanied by vomiting, intense headaches, foamy urine, and pain in the lower left abdomen. Which specialist should I see?
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Dizziness accompanied by vomiting and severe headache may indicate issues with the vestibular system in the inner ear or could be related to a neurological condition. Clinically, it is important to know if there has been any history of h...[Read More] Severe Dizziness and Vomiting: Which Specialist Should You See?
Caring for Patients with Rhabdomyolysis: Essential Tips and Recommendations
Rhabdomyolysis For a patient with rhabdomyolysis, proper care is crucial, especially when resources are limited. Here are some recommendations: 1. **Hydration**: Continue to encourage the patient to drink plenty of fluids, preferably water or electrolyte solutions, to help flush...
Dr. Yang Jun Reply:
Hello: In response to your question, the causes of rhabdomyolysis may include heat stroke, severe trauma, prolonged local tissue compression, or drug-induced factors. It is essential to first eliminate the underlying cause and provide ample hydration along with diuretics to preve...[Read More] Caring for Patients with Rhabdomyolysis: Essential Tips and Recommendations
Frequent Urination with Low Volume: Understanding Possible Causes
Frequent urination with low urine volume? Hello, doctor. My mother was diagnosed with diabetes earlier this year. She exercises regularly, and her blood sugar levels are well-controlled, typically ranging from 80 to 120 mg/dL (she measures her blood sugar after exercising). Howev...
Dr. Shi Guangzhong Reply:
Your mother has recently been diagnosed with diabetes, and exercise can be very helpful in controlling blood sugar levels. If her fasting blood glucose level is between 80-120 mg/dL, that is acceptable; however, it is also recommended that she monitor her postprandial blood gluco...[Read More] Frequent Urination with Low Volume: Understanding Possible Causes
Understanding Fever: Could It Indicate a Different Illness?
Fever I have had a continuous fever for three days. I went to the hospital for an examination. I had blood and urine tests; the blood test results were normal, but they found an elevated white blood cell count in my urine, which suggests there might be some inflammation, leading ...
Dr. Lin Mingfeng Reply:
To identify the cause of fever, the easiest approach is to start with accompanying symptoms. Aside from pyuria (indicating an excess of white blood cells in the urine), no other accompanying symptoms were mentioned in the problem. However, statistically, a urinary tract infection...[Read More] Understanding Fever: Could It Indicate a Different Illness?