Concerns About Kidney Health After Second Diagnosis: Understanding Proteinuria
Second diagnosis of kidney issues (proteinuria)? Hello, doctor. I was diagnosed for the second time about two weeks ago (one year after my first diagnosis). Although I tested negative by the fifth day, I noticed that I have been experiencing foamy urine since then. I found some a...
Dr. Wu Hongjie Reply:
Glomerular filtration rate (GFR) increased from 108 to 112, both within the normal range, showing no signs of sudden impairment. Vaccination and infections can trigger the production of antibodies to protect against foreign viral invasions. Antibodies are a type of protein, and i...[Read More] Concerns About Kidney Health After Second Diagnosis: Understanding Proteinuria
Understanding Kidney Issues: Insights on Proteinuria and Cysts
Kidney problems Hello, Doctor! Last year, I visited the hospital due to a urinary tract infection. After reviewing my urinalysis report, the urologist indicated that my proteinuria was elevated and recommended follow-up with a nephrologist. Since then, I have had five urinalysis ...
Dr. Wu Hongjie Reply:
Question 1: With normal urine and blood reports but abnormal ultrasound indicating bilateral parenchymal kidney disease, does this indicate Stage 1 CKD or has kidney function already been gradually impaired? (The physician only mentioned to return in six months for urine testing ...[Read More] Understanding Kidney Issues: Insights on Proteinuria and Cysts
Understanding Subcutaneous Hemorrhages in the Context of COVID-19
Subcutaneous ecchymosis of the calf? Hello, I was diagnosed with COVID-19 on June 11, and around June 24, I noticed purpura and petechiae on my calves. I visited a dermatologist on June 26, where the doctor ordered blood tests including CBC, ESR, Creatinine, AST, ALT, and CRP. Th...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have researched that one type of vasculitis is classified as ANCA-associated, which can present with symptoms such as sinusitis. I have been diagnosed recently and occasionally experience yellow nasal discharge tha...[Read More] Understanding Subcutaneous Hemorrhages in the Context of COVID-19
Understanding HIV Transmission: Risks of Contact with Infected Fluids
HIV exposure and infection? 1. In normal, unbroken skin, contact with the saliva, sweat, urine, or blood of an HIV-infected individual does not pose a risk of infection. 2. If there is a wound present, there is a potential risk of infection from contact with the blood of an HIV...
Dr. Liao Zhongxin Reply:
1. First, the HIV virus dies outside the human body after more than ten minutes and becomes non-infectious. 2. Therefore, unless the patient is irregularly taking their medication and we come into contact with them while having an open bleeding wound, there is a chance of infecti...[Read More] Understanding HIV Transmission: Risks of Contact with Infected Fluids
Why Is My Blood Draw Site Itchy? Understanding Possible Causes
Itching at the site of a blood draw? Hello, doctor. I had blood drawn at the hospital yesterday, and since last night, the site of the blood draw has been very itchy. I noticed that before my blood draw, the nurse directly touched the urine collection containers of other patients...
Dr. Lin Wufu Reply:
No, it shouldn't be! It is likely due to the healing of the blood draw site causing itching, or it could be an allergic reaction to the cotton or adhesive tape used.[Read More] Why Is My Blood Draw Site Itchy? Understanding Possible Causes
Understanding HIV Test Results: What to Expect and When to Be Notified
HIV testing issues? On June 5th, I had blood tests done at the provincial hospital, and the health record showed the following urine general examination and syphilis test items: - Treponema pallidum antibody test - Bacterial culture identification test (including general bacteri...
Dr. Wu Hongjie Reply:
For HIV-related inquiries, please contact the Infectious Diseases Department. If this is regarding health check-up items, please call the Health Management Center or the Laboratory Department.[Read More] Understanding HIV Test Results: What to Expect and When to Be Notified
Exercise Guidelines for Patients with Stage 2 Chronic Kidney Disease
Exercise for Kidney Disease Hello, Doctor Wu. I have stage 2 chronic kidney disease (with a glomerular filtration rate fluctuating between 70 and 80) and a urine protein-to-creatinine ratio (UPCR) below 600. Can I engage in jogging as a form of exercise? I plan to run about 2 kil...
Dr. Wu Hongjie Reply:
There are no specific exercise recommendations for kidney disease; it is advisable to consult a rehabilitation physician. In general, aerobic exercise is preferable to anaerobic exercise. Wishing you health and safety.[Read More] Exercise Guidelines for Patients with Stage 2 Chronic Kidney Disease
Understanding Lupus Symptoms: Differentiating Between Disease and Injury
Systemic lupus erythematosus (SLE) Hello Doctor, I was diagnosed with lupus at the age of 18, and until this year, I was taking two quinine tablets a day. However, this year my doctor informed me that my urine protein UPCR increased from below 200 to 500, and my CRP was 0.19. As ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Most immune system issues, including lupus, often present with joint symptoms, which is why patients are monitored in rheumatology. For mild joint symptoms, we manage them with anti-inflammatory pain relievers, including Celecoxib. Celecoxib is...[Read More] Understanding Lupus Symptoms: Differentiating Between Disease and Injury
Understanding High Urinary Glucose Levels: Is It Prediabetes?
Urine glucose 3+ issue? My 23-year-old son underwent a military service examination at the National Taiwan University Hospital in Hsinchu. His height is 178 cm, weight is 64.2 kg, and BMI is 20.1. During the examination, he had a urine glucose level of 500 (3+). He returned to th...
Dr. Li Jian Reply:
If fasting is not observed, glycosuria may occur. You can retest the hemoglobin A1c in three months. Thank you for your inquiry.[Read More] Understanding High Urinary Glucose Levels: Is It Prediabetes?
When Is Blood Dialysis Necessary? Understanding Kidney Function and Treatment
At what stage of a patient's condition is dialysis necessary? Hello Doctor, my grandmother was recently admitted to the emergency room due to pulmonary edema. After evaluation, the doctor determined that she needed urgent hemodialysis for rescue and then to monitor her recov...
Dr. Lin Wuxuan Reply:
Hello: Regarding the extent of renal failure that necessitates dialysis treatment, it is primarily when kidney function declines to stage 5 chronic kidney disease, accompanied by symptoms of uremia or fluid overload. Of course, the decision also depends on the clinical judgment o...[Read More] When Is Blood Dialysis Necessary? Understanding Kidney Function and Treatment
Understanding Urine Changes: When to Seek Medical Advice
Urinary issues and proteinuria? Hello, doctor. On the evening of May 2nd, I visited a traditional Chinese medicine practitioner and explained that my urine in the morning was darker yellow, with a lot of bubbles that lasted longer than ten minutes. Aside from the first morning ur...
Dr. Lin Wuxuan Reply:
Hello: There are many causes of foamy urine, including disease-related factors (such as proteinuria) and general physiological states (such as higher urea concentration in the first morning urine). This phenomenon serves as a preliminary assessment tool for individuals to evaluat...[Read More] Understanding Urine Changes: When to Seek Medical Advice
Understanding the Risk of HIV Infection in Unsanitary Environments
Risk of HIV Infection Hello, doctor: I have a concern that I would like to ask you about. During my middle school years, the tutoring center environment was quite poor; there were very few restrooms, and the design might have been problematic, as there was often a puddle of urine...
Dr. Lin Wufu Reply:
Hello, there is basically no risk! HIV is primarily transmitted through contact with blood, bodily fluids, and mucous membranes, mainly through sexual intercourse. The viral load in urine is very low, and splashes that come into contact with the skin typically do not pose a trans...[Read More] Understanding the Risk of HIV Infection in Unsanitary Environments
Managing High Creatinine Levels: Hydration and Dietary Choices
Elevated creatinine levels? A month ago, I visited a doctor due to gout, and after blood and urine tests, I was found to have a high uric acid level of 9.9 and a creatinine level of 1.2. The doctor advised me to drink more water. After increasing my water intake, I started drinki...
Dr. Li Jian Reply:
In addition to excessive meat intake, consuming beverages high in fructose can also lead to elevated uric acid levels, so it is advisable to limit the intake of sugary drinks.[Read More] Managing High Creatinine Levels: Hydration and Dietary Choices
Understanding Kidney Function Tests: When to Consult a Nephrologist
Please inquire about renal function data? Hello, Doctor Wu. I recently had a health check at a laboratory, and several kidney function-related parameters were reported within the normal range. However, my urine albumin showed an abnormal result. Here are the details: B.U.N. (Bloo...
Dr. Wu Hongjie Reply:
ACR = 0.015 does not require nephrology follow-up; annual health check-ups as originally scheduled are sufficient.[Read More] Understanding Kidney Function Tests: When to Consult a Nephrologist
Understanding Proteinuria: Causes, Concerns, and Next Steps for Kidney Health
Proteinuria 2+ Hello Dr. Lin, I have had a frequent urination problem since my school days. To avoid affecting my classes and work, I often hold my urine. During routine health check-ups, I have had hematuria, but my recent labor health check showed normal results for hematuria. ...
Dr. Lin Wuxuan Reply:
Hello, it is recommended to bring your health check-up report to a family medicine physician or a nephrologist for evaluation, and then consult a dietitian for nutritional advice. Thank you.[Read More] Understanding Proteinuria: Causes, Concerns, and Next Steps for Kidney Health
Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle
Inquiry Consultation Dear Dr. Wu, I had a health check-up in September 2015, during which my fasting blood glucose level was 95 mg/dL; my estimated glomerular filtration rate (eGFR) was 105 mL/min; my albumin level was 3.5 g/dL; and my albumin-to-globulin ratio was 1.6. All of t...
Dr. Wu Hongjie Reply:
Q1. News reports online indicate that some doctors state: "Chronic kidney failure typically takes 20 to 30 years from the initial damage to the kidneys until dialysis is needed." Dr. Wu, is this statement accurate? Given that different stages of chronic kidney disease (...[Read More] Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle
Understanding Urine Odor: What Pineapple and Health Indicators Mean
The odor of urine? Hello, doctor. After eating pineapple yesterday, I went to the bathroom and noticed a somewhat pungent smell, somewhat resembling pineapple. I'm quite worried because I had a weak positive for protein in my urine during a high school health check seven yea...
Dr. Hong Yuanbin Reply:
Hello, many foods, including pineapple, can indeed affect the odor of urine. Therefore, the situation you mentioned is a normal physiological phenomenon. As long as there is no noticeable foam or blood in your urine, there is no cause for concern. Thank you for your question.[Read More] Understanding Urine Odor: What Pineapple and Health Indicators Mean
Understanding Fluctuating Urine Sugar Levels: What Do They Mean?
Inquiry Consultation Dear Dr. Lee, I would like to ask you a question. When I was 18 years old, I underwent a health check-up. The urine test (dipstick test) showed an abnormal glucose (Glu) level of ++. However, being young at the time, I did not pay much attention to the resul...
Dr. Li Jian Reply:
If fasting is not observed before the health check, it may lead to the presence of glucose in the urine. Fasting blood tests are more accurate. Thank you for your inquiry.[Read More] Understanding Fluctuating Urine Sugar Levels: What Do They Mean?
Understanding Lower Back Pain and Related Symptoms: A Comprehensive Guide
Lower back pain? Lower back pain, numbness in hands, slight pinkish blood when wiping after urination, sometimes present and sometimes absent, generalized abdominal pain without a specific location, occasional decreased urine output which may be due to hot weather and sweating, d...
Dr. Lin Wufu Reply:
Hello, urinary tract infection should be ruled out first, as it can cause hematuria and abdominal pain. If there is also kidney inflammation, it may lead to lower back pain. It is recommended to consult an infectious disease specialist or a urologist for a urine test and further ...[Read More] Understanding Lower Back Pain and Related Symptoms: A Comprehensive Guide
Can Klebsiella Pneumonia Spread to Family Members?
Can Klebsiella pneumoniae be transmitted to family members? Hello, I would like to ask the doctor if Klebsiella pneumonia can be transmitted to family members through urine or feces? Can using disinfectants or alcohol to clean the bathroom help prevent this? Does the patient need...
Dr. Hong Yuanbin Reply:
Hello, Klebsiella pneumoniae is not transmitted to family members through urine or feces. Using disinfectants or alcohol to clean the bathroom can help prevent infection. There is no need for a separate bathroom; frequent handwashing is sufficient. Thank you for your question.[Read More] Can Klebsiella Pneumonia Spread to Family Members?