Is High Uric Acid Level a Definitive Indicator of Gout?
Having high uric acid levels does not necessarily mean that one has gout? Dear Doctor: A few months ago, I sought medical attention because my entire foot was swollen. After a blood test, the doctor informed me that my uric acid level was as high as 9.2. Does this mean I have gou...
Dr. Chen Fuquan Reply:
1. A high uric acid level does not necessarily lead to gout symptoms. 2. The normal range for uric acid in the blood is 2.4 to 7.6 mg/dL. If the uric acid level exceeds 7.6 mg/dL, it is referred to as "hyperuricemia." Typically, men have higher uric acid levels (about s...[Read More] Is High Uric Acid Level a Definitive Indicator of Gout?
Understanding Blood in Urine: Causes, Concerns, and Next Steps
Could you please provide more details about the issue of hematuria? Doctor, I previously experienced reddish urine after running (without any blood clots). I underwent a kidney imaging examination, and the results showed no inflammation or stones. However, the doctor mentioned th...
Dr. Yang Jun Reply:
Hello: In response to your question... The occurrence of hematuria after exercise is often benign. It may be caused by the movement of urine in the bladder during physical activity, which can exert external force on the bladder wall and lead to microvascular rupture. However, it ...[Read More] Understanding Blood in Urine: Causes, Concerns, and Next Steps
Understanding Chronic Back Pain: Key Medical Insights and Tests Explained
Unresolved issues? Hello Doctor: I have been experiencing chronic lower back pain and have a history of injury. Recent test results show the following (urinalysis): hematuria reaction is +/- (normal reference is negative), urinary tract inflammation indicator is 1+ (normal refere...
Dr. Tang Jieru Reply:
Hello Ah-Gui: A urine test must be conducted using midstream urine for the results to be of reference value. The determination of whether it is midstream urine is based on the number of epithelial cells present. Your report shows a count of 10-15, which is considered too high, in...[Read More] Understanding Chronic Back Pain: Key Medical Insights and Tests Explained
Understanding Frequent Urination and Kidney Pain: What You Need to Know
Regarding the kidneys? I have a question for the doctor. Right now, if I drink half a bottle or a full bottle of mineral water, I feel the urge to go to the bathroom in less than 20 to 30 minutes. I am experiencing frequent urination, which I didn't have before. Drinking bev...
Dr. Yang Jun Reply:
Hello: In response to your question, if you are experiencing frequent urination, it may be caused by a urinary tract infection. However, certain beverages with diuretic effects can also lead to frequent urination. If you notice foamy urine, it is important to consider the possibi...[Read More] Understanding Frequent Urination and Kidney Pain: What You Need to Know
Understanding Urine Test Results: Hematuria and Bacteria Levels Explained
Urinalysis shows hematuria +2 and bacteriuria +2? In a health check-up, if the urine test shows blood +2 and bacteria +2, what precautions should be taken, and which specialty should be consulted?
Dr. Zhao Chongliang Reply:
You should consult a nephrologist or a urologist. The urine analysis in a health check should only include qualitative tests using dipsticks. If there are issues, it is necessary to follow up with these specialists to evaluate the quantitative results of the urine sediment. Regar...[Read More] Understanding Urine Test Results: Hematuria and Bacteria Levels Explained
Understanding Kidney Health: Interpreting Abnormal Urine Test Results
Renal pathology Hello Dr. Yang, I have been undergoing health check-ups for many years and frequently have abnormal results for urine occult blood (++) and urine protein (++). I have previously consulted a urologist, but there hasn't been much improvement. My blood urea nitr...
Dr. Yang Jun Reply:
Hello: In response to your question, the urine test shows the presence of proteinuria and hematuria, along with elevated kidney function indices (blood urea nitrogen and creatinine), indicating chronic renal failure. It is essential to consult a nephrologist for further evaluatio...[Read More] Understanding Kidney Health: Interpreting Abnormal Urine Test Results
Understanding Abnormal Urinalysis Results: What They Mean for Your Health
In the health check report I recently had a health check-up, and there were several abnormal findings in my urine report. I would like the physician to clarify the following: (1) My specific gravity was 1.031, which is elevated, as the reference range is 1.015 to 1.030. (2) The q...
Dr. Yang Jun Reply:
Hello: In response to your questions, three issues were raised: First, the elevated urine specific gravity may be caused by urine concentration; second, the presence of a positive protein reaction could indicate kidney disease or a transient response during a urinary tract infect...[Read More] Understanding Abnormal Urinalysis Results: What They Mean for Your Health
Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Management
Kidney function Hello, Director Yang: 1. What is acute renal failure? 2. I was hospitalized on September 6 due to swelling in my left knee (I had been taking anti-inflammatory pain medication from Chang Gung Memorial Hospital for some time prior, and my kidney function was norma...
Dr. Yang Jun Reply:
Hello: In response to your question, acute renal failure refers to a rapid decline in kidney function due to factors such as medications, infections, urinary obstruction, sepsis, or other influences on renal function, resulting in elevated kidney function indices (BUN and creatin...[Read More] Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Management
Managing Symptoms and Home Care for Kidney Failure Patients
Symptoms of kidney failure and home care for patients? Hello Doctor: I have some questions that I should ideally ask during my father's upcoming appointment, but with a few days to go, I am quite worried... My father has been diagnosed with high uric acid levels and may face...
Dr. Yang Jun Reply:
Hello: In response to your inquiry, the information indicates that your father has elevated uric acid levels and abnormal kidney function. High uric acid levels may be due to a history of gout or could be a result of renal failure leading to decreased uric acid excretion, causing...[Read More] Managing Symptoms and Home Care for Kidney Failure Patients
Understanding Kidney Function: Key Concerns and Management Strategies
Renal function index Hello Dr. Yang, Due to having urinary tract stones in my youth, I have not noticed for a long time that my left kidney has become swollen. My creatinine level is currently 1.5, and my urine protein level is about 190, for which I am taking medication for co...
Dr. Yang Jun Reply:
Hello: In response to your question, the presence of protein in urine and a creatinine level greater than 1.4 are indicators of impaired kidney function, which must be managed under the guidance of a nephrologist regarding medication and dietary treatment. Kidney function may dec...[Read More] Understanding Kidney Function: Key Concerns and Management Strategies
Understanding Acute Pyelonephritis: Symptoms, Recovery, and Follow-Up Care
Acute pyelonephritis Hello Doctor: At the beginning of the month, I was hospitalized for six days due to an unexplained fever reaching 40 degrees Celsius, diagnosed as "acute pyelonephritis." A few days after discharge, I started experiencing mild nasal discharge, throa...
Dr. Yang Jun Reply:
Hello: In response to your question, you were hospitalized for acute pyelonephritis and after discharge, you must continue taking antibiotics for 10-14 days to ensure complete treatment. During this period, urine screening tests should be conducted to confirm the treatment outcom...[Read More] Understanding Acute Pyelonephritis: Symptoms, Recovery, and Follow-Up Care
Could It Be Kidney Stones? Understanding Symptoms and Diagnosis
Is it a kidney stone? An eighteen-year-old girl experienced severe pain on the left side of her lower back starting in the early morning of August 30. She was taken to the emergency department of Taichung Dali Renai Hospital, where she underwent urine tests, blood tests, abdomina...
Dr. Yu Xianneng Reply:
You can visit the urology outpatient clinic for X-ray and ultrasound examinations to check for kidney stones. It is possible that the kidney stones are too small and may pass out of the body on their own.[Read More] Could It Be Kidney Stones? Understanding Symptoms and Diagnosis
Delayed Surgery for Kidney Hydronephrosis: Impact and Considerations
Postponed surgery? I have hydronephrosis caused by a narrowed ureter, and I need surgery to remove the narrowed section. However, I cannot have the surgery until mid-September, and it is now early August. Will this delay affect my hydronephrosis? Currently, my kidney function has...
Dr. Yang Jun Reply:
Hello: In response to your question, the cause of hydronephrosis is an obstruction in the urinary system during the process of urine excretion. Possible causes include urinary tract stones, urinary tract strictures, or external compression of the urinary tract. Hydronephrosis can...[Read More] Delayed Surgery for Kidney Hydronephrosis: Impact and Considerations
Understanding Leg Indentation: Causes and When to Seek Medical Help
It will indent when pressed? Hello, doctor. My mother is 41 years old, weighs 60 kg, and is 165 cm tall. She has a history of chronic gastritis and allergic rhinitis, and she often suffers from migraines. In recent months, she has noticed that when she presses down on her calves,...
Dr. Chen Fuquan Reply:
Dear Mr. Ku, As you mentioned, your aunt has been experiencing noticeable edema in her lower legs and feelings of fatigue over the past few months. I have a few questions regarding her condition: 1. **Liver Issues**: Has your aunt been a carrier of Hepatitis B or C for many yea...[Read More] Understanding Leg Indentation: Causes and When to Seek Medical Help
Do I Have Diabetes Symptoms? Understanding Urine Bubbles and Health Concerns
Do I have symptoms of diabetes? Dear Doctor: I am a sophomore in college, and for the past three to four years, I have noticed that my urine often has bubbles, sometimes covering a large area in the toilet, and occasionally it is completely bubbly. This usually happens more in th...
Dr. Shi Guangzhong Reply:
Normal urine contains various nitrogenous waste products and minerals, and its concentration varies depending on individual hydration levels. The first urine in the morning is more likely to have bubbles, so it is normal for urine to appear bubbly. Moreover, since your health che...[Read More] Do I Have Diabetes Symptoms? Understanding Urine Bubbles and Health Concerns
Understanding Kidney Inflammation: Symptoms, Causes, and Diagnosis
excuse me? Hello Doctor: What are the symptoms of kidney inflammation? What causes kidney inflammation? How can it be tested to determine if the kidneys are inflamed? Thank you.
Dr. Yang Jun Reply:
Hello: In response to your question, the inflammation of the kidneys mentioned refers to a urinary tract infection (UTI). UTIs are classified into upper urinary tract infections and lower urinary tract infections. Lower urinary tract infections include cystitis and prostatitis, w...[Read More] Understanding Kidney Inflammation: Symptoms, Causes, and Diagnosis
Do Ants Indicate Diabetes? Understanding Symptoms and Concerns
Worry Hello, Doctor. I would like to ask a question. Today, while doing laundry, I found three or four small ants on my underwear foraging for food. This made me worry if it could be related to diabetes, as there is a family history on my mother's side; she has had diabetes ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Diabetes is indeed related to genetics; however, good dietary habits and regular exercise can effectively prevent its onset. 2. The presence of ketones in urine may be due to diabetes, but it can also be caused by starvation or other reaso...[Read More] Do Ants Indicate Diabetes? Understanding Symptoms and Concerns
Understanding Blood in Urine After Fever: Causes and Concerns
Hematuria after fever? Dear Dr. Yang, I have recently experienced a fever accompanied by decreased urine output and dark brown urine. This situation also occurred once last year. I am wondering if it is related to medication. Can "line virus" also cause hematuria, and i...
Dr. Yang Jun Reply:
Hello: In response to your question, it is mentioned that decreased urine output after a fever may be due to increased fluid loss through sweating or reduced fluid intake, leading to a lower volume of fluid excreted by the kidneys and consequently decreased urine output. As for t...[Read More] Understanding Blood in Urine After Fever: Causes and Concerns
Frequent Urination and Left Side Discomfort: What Could Be Wrong?
It seems strange... >< "(urgent!!) Hello doctor, I've been feeling the urge to urinate frequently lately. Additionally, I have a strange sensation in the upper left side of my back, which feels tight and somewhat painful. I'm not sure if something is ...
Dr. Yang Jun Reply:
Hello: In response to your question regarding frequent urination and discomfort in the left flank, it may be caused by a urinary tract infection. It is advisable to consult a urologist or nephrologist for a urinalysis. If there is hematuria, further imaging studies such as X-rays...[Read More] Frequent Urination and Left Side Discomfort: What Could Be Wrong?
Managing Kidney Failure: Tips for Reducing Creatinine and Frequent Urination
Renal failure Frequent urination at night, dry mouth, presence of protein in urine, BUN 40, creatinine 4.1. What measures can be taken to control the rise in creatinine levels and improve frequent urination and dry mouth? Currently taking Ketosteril (an amino acid supplement), is...
Dr. Yang Jun Reply:
Hello: In response to your question, it is noted that kidney function has deteriorated to the level of chronic kidney failure, which can lead to symptoms such as frequent urination, nocturia, and proteinuria. At this stage, it is essential to regularly follow up with a nephrologi...[Read More] Managing Kidney Failure: Tips for Reducing Creatinine and Frequent Urination