Understanding Occasional Back Pain and Urine Ketones in Young Patients
Occasional lower back pain? Hello, Director Yang. My daughter has disliked drinking plain water since she was little, which has led to some abnormalities found during her health check-ups. I would like your help in clarifying a few things. Her pH levels are slightly higher than t...
Dr. Yang Jun Reply:
Hello: In response to your question, the urine test indicated the presence of OB (+) and slightly elevated WBC, which may suggest a urinary tract infection, potentially causing fever. At this time, proteinuria may occur, but this type of proteinuria is referred to as "functi...[Read More] Understanding Occasional Back Pain and Urine Ketones in Young Patients
Can You Change Your Body's pH Balance with Diet or Medication?
Acidic constitution Hello Dr. Chen: Because I have an acidic constitution, I notice that after taking multivitamins, my urine has a distinct "vitamin" smell, and I feel like my body is not retaining them. Does this mean that taking these vitamins is a "waste of mon...
Dr. Chen Qingbin Reply:
The body's acid-base balance is primarily regulated by the kidneys. As long as kidney function is normal and the diet is balanced, there is no need to spend money on injections or medications.[Read More] Can You Change Your Body's pH Balance with Diet or Medication?
Understanding Chest Pain and Swallowing Difficulties in Kidney Patients
Chest tightness/pain and abnormal swallowing sensation? 1. I am a patient with horseshoe kidney, where my left kidney is connected to the right kidney. The symptoms I experience include hematuria, proteinuria, and stabbing pain in the left abdomen. After examination, I was diagno...
Dr. Yang Jun Reply:
Hello: In response to your question, the text describes that since last winter solstice, there have been three episodes of fainting accompanied by convulsions, which may indicate symptoms of epilepsy. It is essential to have a neurologist arrange for an electroencephalogram (EEG)...[Read More] Understanding Chest Pain and Swallowing Difficulties in Kidney Patients
Unusual Urine Color: Is It a Side Effect of Medication or Kidney Issue?
The color of the urine seems unusual? I would like to ask a question. I have a long-standing habit of constipation. About six months ago, I took herbal pills prescribed by a traditional Chinese medicine practitioner, but the results were not very good, and I have become reliant o...
Dr. Yang Jun Reply:
Hello: In response to your question, the description of orange-red urine after taking a laxative requires further evaluation through a urinalysis to determine the possibility of hematuria or other renal abnormalities. You may consider discontinuing the laxative and monitoring any...[Read More] Unusual Urine Color: Is It a Side Effect of Medication or Kidney Issue?
Understanding Hematuria During Pregnancy: Causes and Management
Hematuria Dear Dr. Yang, A year ago, when I was pregnant with my first child, I experienced hematuria. After being treated with antibiotics by my physician, the symptoms improved. Three months postpartum, I noticed small blood clots in my urine and went to the hospital for exami...
Dr. Yang Jun Reply:
Hello: In response to your question. A year ago, you experienced hematuria during pregnancy, which improved after antibiotic treatment, likely due to hemorrhagic cystitis. After delivery, blood clots were found in your urine, and tests including urine cytology, X-ray, and renal u...[Read More] Understanding Hematuria During Pregnancy: Causes and Management
How to Improve Acidic Body Conditions: Tips and Treatment Options
How to improve an acidic body condition? Hello Dr. Yang: Regarding the title question, how can I improve my acidic body condition? Are there any methods like "injections or medications" available? I cannot frequently consume acidic foods due to my diet, so I would like ...
Dr. Yang Hongzhi Reply:
In Western medicine, the concept of an "acidic body" is not considered a legitimate diagnosis. Humans require only small amounts of vitamins, and a normal diet typically does not necessitate vitamin supplementation. Excessive vitamin supplementation does not provide ben...[Read More] How to Improve Acidic Body Conditions: Tips and Treatment Options
Is My Blood Pressure Too Low? Understanding Normal Ranges for Women
Is this considered low blood pressure? Hello, doctor. My blood pressure readings are usually in the 90s over the 60s. Does this count as low blood pressure? I've heard that women generally have lower blood pressure. Is that true? Thank you for your response! ^^
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Generally speaking, the ideal blood pressure for adults is a systolic pressure of less than 120 mmHg and a diastolic pressure of less than 80 mmHg. The main factors affecting blood pressure are cardiac output, heart rate, and peripheral va...[Read More] Is My Blood Pressure Too Low? Understanding Normal Ranges for Women
When to See a Doctor for Urinary Tract Infections and Acute Nephritis Explained
Urinary Tract Infection (UTI) Hello, Doctor: When should one see a physician for a urinary tract infection? If it is mild, can it be resolved by simply drinking more water? What is acute nephritis? Is it serious? Thank you, Doctor.
Dr. Xie Yonghui Reply:
Urinary tract infections (UTIs) can be classified into general UTIs and special UTIs. General UTIs refer to typical urinary tract infections, which are defined by a urine culture showing more than 10^5 colony-forming units (CFU) per cubic centimeter (c.c.) of Gram-negative, Gram-...[Read More] When to See a Doctor for Urinary Tract Infections and Acute Nephritis Explained
Understanding Gout: Symptoms, Treatment, and Early Signs of Hyperuricemia
excuse me? Doctor: What are the symptoms and treatment options for hyperuricemia? What are the early symptoms? Thank you for your response.
Dr. Ke Zhengchang Reply:
Hyperuricemia primarily poses the risk of causing gout; however, in fact, most cases of hyperuricemia do not lead to gout and are completely asymptomatic. This asymptomatic hyperuricemia does not require pharmacological treatment. Dietary management, typically involving a reducti...[Read More] Understanding Gout: Symptoms, Treatment, and Early Signs of Hyperuricemia
Understanding Kidney Issues: Symptoms, Diagnosis, and Treatment Options
Kidney problems Hello, previously I mentioned the issue of dull pain in the upper right abdomen. I had an abdominal X-ray done, which only showed slight fecal retention in the left colon. When there are gastrointestinal issues, can abdominal X-rays reveal conditions like small ul...
Dr. Yang Jun Reply:
Hello: In response to your question, abdominal X-ray examinations primarily focus on identifying issues within the intestines, such as feces, intestinal gas, or other foreign objects. Additionally, some information regarding kidney and liver problems can be obtained, but ultrasou...[Read More] Understanding Kidney Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Hematuria in Children: Concerns and Next Steps
Hematuria Dear Dr. Yang, Hello. In late December of 2002, my child, Xiaodi Zhan, discovered blood in his urine. He subsequently visited a teaching hospital where he underwent urinalysis, blood tests, and an ultrasound. The results indicated mild kidney inflammation, accompanied ...
Dr. Yang Jun Reply:
Hello: In response to your question, the text mentions that hematuria and mild proteinuria were discovered in December 2002 and have been monitored and treated. In general, when hematuria is found, nephrologists will first rule out the possibility of urinary tract stones or urolo...[Read More] Understanding Hematuria in Children: Concerns and Next Steps
Can Gout Be Cured? Exploring Treatment Options and Side Effects
Can gout be completely cured? Hello Doctor: Can gout be completely cured? Are there any side effects from taking medications to lower uric acid levels? I've heard from a friend that there is a medication prescribed by American doctors that can cure it; is there any truth to ...
Dr. Ke Zhengchang Reply:
Gout can generally be managed through dietary changes to control the production of uric acid. Reducing the intake of high-purine foods such as meat, organ meats, and legumes, as well as avoiding alcohol, can help decrease flare-ups. New-generation uric acid-lowering medications a...[Read More] Can Gout Be Cured? Exploring Treatment Options and Side Effects
Understanding Lymph Node Swelling in Children: Causes and Concerns
Lymph node Yesterday, my third-grade son suddenly discovered a small hard lump above his groin (which is not painful). I was very anxious and immediately took him to see his family doctor. The doctor initially diagnosed it as lymphadenopathy and prescribed anti-inflammatory medic...
Dr. Zhao Chongliang Reply:
The inflamed area may not be very obvious. For example, when bitten by a mosquito while sleeping at night, one might unknowingly scratch the itch, transferring bacteria from under the fingernails into the bite wound. By morning, the redness and swelling caused by the bite may hav...[Read More] Understanding Lymph Node Swelling in Children: Causes and Concerns
Frequent Urination and Abdominal Pain: Possible Causes and Solutions
Frequent urination, abdominal pain? Hello Doctor: In the past one to two years, I have noticeably experienced an increase in the frequency of urination. Whenever I consume any liquid food or beverages, I need to use the restroom two to four times within one to two hours. Addition...
Dr. Yang Jun Reply:
Hello: In response to your question, the phenomenon of frequent urination mentioned in your message should first consider the possibility of a urinary tract infection. It is advisable to visit a nephrology clinic for examination to confirm the diagnosis. Regarding the issue of lo...[Read More] Frequent Urination and Abdominal Pain: Possible Causes and Solutions
Understanding Fever and Fatigue After Kissing: Possible Causes and Solutions
Fever Dear Deputy Director, I have a question that is somewhat difficult to express. I am thirty years old, and recently, after kissing my girlfriend, I experience fever and general fatigue 1-2 hours later, although my temperature does not exceed 38 degrees Celsius. These sympto...
Dr. Zhao Chongliang Reply:
The occurrence of symptoms 1-2 hours after the event could certainly indicate an allergy, unlike an infection. However, due to the absence of itching, rashes, hives, chest tightness, or wheezing, this remains uncertain. Another possibility is poisoning, which can be due to biolog...[Read More] Understanding Fever and Fatigue After Kissing: Possible Causes and Solutions
Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions
Panic Hello, Doctor Yang. A few days ago, I had a health check-up and found my HB: 9.8, MCV: 76, HT: 34, MCH: 24.9. I later tested for thalassemia and iron deficiency anemia, but the results showed no thalassemia. However, the data regarding iron deficiency is quite strange... Ir...
Dr. Yang Jun Reply:
Hello: In response to your question, the reported HB is 9.8 and MCV is 76, which indicates microcytic anemia (normal MCV values range from 80-100). It is necessary to consider thalassemia and iron deficiency anemia. Subsequent tests ruled out thalassemia, and with a TIBC of 487 a...[Read More] Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions
Is Your Kidney Function at Risk? Understanding Health Check Results
Is there a problem with kidney function? Hello Dr. Yang, I would like to ask if my father's recent health check-up report indicates any issues with his kidney function. Does he need further testing? Blood Pressure: 140/100 mmHg Blood Urea Nitrogen (BUN): 26 mg/dL (norm...
Dr. Yang Jun Reply:
Hello: In response to your inquiry, your father's blood pressure is 140/100 mmHg, indicating elevated diastolic pressure. It is necessary to measure blood pressure multiple times to confirm whether he has hypertension. Although the blood urea nitrogen (BUN) level is above no...[Read More] Is Your Kidney Function at Risk? Understanding Health Check Results
Understanding Kidney Pain: Causes and Concerns for Your Health
Kidney issues? Hello Dr. Yang: I've been experiencing a dull ache around my right kidney area for the past few days. Is there something wrong with my kidney?
Dr. Yang Jun Reply:
Hello: In response to your question, the causes of the right flank pain that has persisted for several days may include the following: 1. Kidney diseases: Most people would first consider potential kidney issues, including renal or urinary tract stones, acute pyelonephritis, and,...[Read More] Understanding Kidney Pain: Causes and Concerns for Your Health
Understanding Positive Amorphous Urates: Implications and Lifestyle Tips
Non-crystalline urate Hello Dr. Yang: During a recent health check-up, one of the tests for amorphous urates returned a positive result (+), while the normal reference value is negative (-). What does this mean? Is there any issue that requires further treatment? Additionally, ar...
Dr. Yang Jun Reply:
Hello: In response to your question, the urine test results show a positive reaction for non-crystalline uric acid, indicating that there is an elevated level of uric acid in the urine. This may suggest hyperuricemia, which increases the likelihood of developing uric acid stones ...[Read More] Understanding Positive Amorphous Urates: Implications and Lifestyle Tips
Understanding Elevated Creatinine Levels: What It Means for Your Health
Creatinine (Creatinine) Dear Dr. Kuo, Our technical personnel stationed abroad underwent a physical examination at the National Defense Medical Center in Hualien on December 18, 2003. The examination report indicates a Creatinine level of 1.4 mg/dL, highlighted in red. Could you...
Dr. Guo Mingxun Reply:
Hello Mr. Gao: A serum creatinine level of 1.4 mg/dL is at the upper limit of normal for healthy individuals. The interpretation of this value can be influenced by the patient's weight and muscle mass. The patient can follow up at the nephrology outpatient clinic and collect...[Read More] Understanding Elevated Creatinine Levels: What It Means for Your Health