Can Shoe Laces Cause Indirect Infections? A Medical Inquiry
Indirect infection issues Hello! If shoelaces often rub against the floor or occasionally come into contact with urine in public restrooms, I would like to ask if tucking the shoelaces inside the shoes and rinsing the feet with clean water while showering would pose a risk of inf...
Dr. Hong Yuanbin Reply:
Hello, the situation you mentioned will not cause an infection. Thank you for your inquiry.[Read More] Can Shoe Laces Cause Indirect Infections? A Medical Inquiry
Concerns About Infection from Splashing in Public Toilets
Toilet water splashing? Hello, I would like to inquire about the concerns regarding using a squat toilet in a public place. If water and urine splash up while using the toilet and come into contact with the genital area, anus, or private parts, is there a risk of infection or oth...
Dr. Hong Yuanbin Reply:
Hello, the situation you mentioned will not cause an infection. Thank you for your question.[Read More] Concerns About Infection from Splashing in Public Toilets
Understanding Groin Issues: When to Seek Medical Help
Groin issues Hello Doctor: Initially, I noticed a round, hard lump near my anus (I consulted a colorectal specialist because I was concerned it might be an anal fistula, and there was significant swelling from the groin area towards the perineum, which I suspected might be lympha...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the lump next to the anus is likely a benign cyst. If the doctor has already incised it, it should gradually heal and reduce in size over time. As for the vaginitis and urethral discharge, they are likely not directly related to this issue. If yo...[Read More] Understanding Groin Issues: When to Seek Medical Help
Medication Management for Dialysis Patients: When to Seek Specialist Care
Medications for dialysis patients? Hello, my father undergoes dialysis three times a week, but he often reports experiencing painful urination and dizziness. Should I discuss this with the doctor at the dialysis center and request medication, or is it necessary to consult a urolo...
Dr. Wu Hongjie Reply:
Dysuria: If there is residual urine, please check to rule out infection and provide medication that can be administered at the dialysis clinic. Dizziness: Check hemoglobin levels to ensure they are adequate, and arrange a neurology consultation if necessary. Wishing you health an...[Read More] Medication Management for Dialysis Patients: When to Seek Specialist Care
Understanding High Creatinine and Uric Acid Levels in Young Adults
Elevated creatinine levels? Hello doctor, I am currently 18 years old, 170 cm tall, and weigh 47 kg. During a health check-up, I found that my creatinine level is elevated (1.45) and my uric acid level is also high (9.2). Additionally, protein was detected in my urine. Is my kidn...
Dr. Wu Hongjie Reply:
Based on your body type, it appears that you do not have a physique characterized by high muscle mass. The elevated creatinine levels suggest a need for further evaluation at a clinic. Wishing you health and safety.[Read More] Understanding High Creatinine and Uric Acid Levels in Young Adults
Understanding Abnormal Kidney Function Tests: Causes and Next Steps
Abnormal kidney function tests? The health examination report indicates elevated creatinine levels (1.45 mg/dL) and high uric acid levels (9.2 mg/dL), along with the presence of protein in the urine. Should I undergo further testing? What could be the causes of these abnormalitie...
Dr. Huang Yaoxuan Reply:
Hello, Asong: It is recommended that you consult a nephrology outpatient clinic to monitor the elevated creatinine levels and protein in your urine. For high uric acid levels, you may follow up with a rheumatology outpatient clinic. Thank you![Read More] Understanding Abnormal Kidney Function Tests: Causes and Next Steps
Understanding Abnormal Kidney Function: High Creatinine and Uric Acid Levels
Renal dysfunction Hello doctor, I am currently eighteen years old. In my health examination report, I found that my creatinine level is elevated (1.45) and my uric acid level is high (9.2). Additionally, there is protein in my urine. Could you please explain what issues this migh...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is likely that you have nephrotic syndrome. Given your age, most cases are benign conditions. I recommend visiting a nephrology clinic for further confirmation and examination. Thank you for your inquiry.[Read More] Understanding Abnormal Kidney Function: High Creatinine and Uric Acid Levels
Is Frequent Urination Linked to Kidney Health Issues?
Is there a relationship between frequent urination and the kidneys? Hello doctor, I have been experiencing frequent urination, more than 8 times a day, with each voiding around 50, 100, or 150 ml, and sometimes it can reach 200 ml. The color of my urine is deep yellow in the morn...
Dr. Lin Wuxuan Reply:
Hello, Yaxun. If the frequency of urination increases, it could indeed indicate a problem with the kidneys. However, it may also be due to excessive fluid intake or psychological factors such as anxiety and stress leading to psychogenic polydipsia. Other potential causes include ...[Read More] Is Frequent Urination Linked to Kidney Health Issues?
Understanding Cloudy Urine: When to Seek Medical Advice
Urinary issues Hello, I would like to ask if it is normal for my morning urine to be cloudy for a period of time. A few days ago, I had a routine check-up (with a morning urine sample), and the results showed yellow, cloudy urine with a pH of 8.5. I went for further urine testing...
Dr. Hong Yuanbin Reply:
Hello, when you mention cloudy urine, are you referring to a darker color or the presence of suspended particles and sediment? If it's a darker color, along with your urine test report, it suggests that you may be dehydrated, leading to concentrated urine. I recommend increa...[Read More] Understanding Cloudy Urine: When to Seek Medical Advice
Do Nutritional Supplements Strain Kidney Function? A Closer Look
Kidney problems Doctor, will consuming "Quaker Complete Nutritional - Double Protein Formula Original Flavor Sugar-Free" cause kidney burden? Ingredients: Deionized water, maltodextrin, calcium caseinate, canola oil, sodium caseinate, sunflower oil, indigestible maltode...
Dr. Huang Yaoxuan Reply:
Hello Mr. S: May I first ask you what the definition of "causing kidney burden" is? Do you think eating two bowls of Ichiran ramen "will cause kidney burden"? What about eating a 40-ounce steak? I believe that for the general population or individuals with kid...[Read More] Do Nutritional Supplements Strain Kidney Function? A Closer Look
Exploring the Link Between Low Albumin in Lupus and Pregnancy Outcomes
The correlation between low albumin levels in systemic lupus erythematosus (SLE) and pregnancy/abortion, along with proteinuria and the calculation method? Dear Dr. Gao, Thank you for your prompt response to my inquiry regarding #186219. I have another question related to lupus...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1) In 2017, starting from June, my proteinuria fluctuated between negative and positive, eventually showing ++ and +++. However, at that time, my albumin level was still at 4.2. There was a year when I did not undergo uri...[Read More] Exploring the Link Between Low Albumin in Lupus and Pregnancy Outcomes
Understanding Steroid Side Effects and Sock Indentations: A Patient's Inquiry
Onset of steroid side effects / Sock indentation marks Hello, Doctor. I have lupus erythematosus and have been undergoing treatment since 2012. Initially, I was taking three steroid pills, but three years ago, the dosage increased to five pills. Over the past six months, my weigh...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. How long does it take for steroid side effects to appear? Is my body change possibly related to medication use, or is it simply due to dietary or lifestyle changes? --> Side effects from steroids can begin to manif...[Read More] Understanding Steroid Side Effects and Sock Indentations: A Patient's Inquiry
Understanding Positive Anti-dsDNA in Young Children with ITP: Key Considerations
When a young child tests positive for anti-dsDNA antibodies, it is important to monitor for potential signs and symptoms of systemic lupus erythematosus (SLE) or other autoimmune disorders. Key considerations include: 1. **Clinical Evaluation**: Conduct Dear Dr. Gao, A toddler ...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. I would like to ask, if both the bone marrow aspiration and chromosome tests are normal, but immunoglobulin infusion does not improve platelet counts—initially it was effective but later it failed to raise the platel...[Read More] Understanding Positive Anti-dsDNA in Young Children with ITP: Key Considerations
Unexplained Fever: Seeking Answers Beyond Immunology and Infectious Diseases
Fever of unknown origin Hello Doctor: I have been experiencing unexplained fever since May 20th. I have seen both immunology and rheumatology specialists, as well as infectious disease specialists, and have undergone all necessary blood and urine tests, all of which came back nor...
Dr. Lin Wufu Reply:
Hello, undiagnosed fever is inherently a challenging diagnostic issue, with some individuals requiring follow-up for one to two years before the underlying cause gradually becomes apparent. There are also many cases where the fever resolves on its own over time. It is recommended...[Read More] Unexplained Fever: Seeking Answers Beyond Immunology and Infectious Diseases
The Impact of Cetirizine on Kidney and Liver Health: What You Need to Know
Cetirizine and its effects on the kidneys and liver? Hello Doctor, I am a 35-year-old male, weighing 72 kg and 162 cm tall. I have been experiencing redness, swelling, and itching on various parts of my skin, which I believe started after I turned 20. I have consulted many hospit...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is it true that Cetirizine is minimally metabolized by the liver? Could chronic urticaria due to inflammation in the body lead to elevated liver enzymes, and is liver function unrelated to Cetirizine? --> Yes, mos...[Read More] The Impact of Cetirizine on Kidney and Liver Health: What You Need to Know
Understanding Proteinuria: Symptoms, Kidney Health, and Tea Consumption
Inquiry Consultation Dear Dr. Wu, I have a few questions I would like to ask you: Q1. Regarding proteinuria, I have observed that my urine often has "trace" amounts of fine bubbles, and even after waiting five minutes, the bubbles do not completely dissipate, leaving ...
Dr. Wu Jiyu Reply:
According to your questions: Q1: Healthy adults can indeed have proteinuria, but the total daily amount should not exceed 150 mg. The presence of bubbles observed with the naked eye should be confirmed through testing to determine whether it is normal or exceeds the threshold. ...[Read More] Understanding Proteinuria: Symptoms, Kidney Health, and Tea Consumption
Understanding Your Urine Test Results: Key Insights for Diabetics
Examination Report Doctor, my urine screening report shows a microalbumin level of 30.4 and a urine creatinine level of 270.8. I have diabetes with a hemoglobin A1c of 10.1. Should I be concerned about this? Should I exercise more and control my diet? Thank you.
Dr. Li Jian Reply:
Currently, there is no microalbuminuria; however, it is still important to manage blood sugar levels effectively, aiming to keep the hemoglobin A1c below seven to reduce the risk of complications in the future.[Read More] Understanding Your Urine Test Results: Key Insights for Diabetics
Understanding Kidney Function Tests: Interpreting Your Results
Kidney function tests Hello Dr. Wu, I had a general health check-up at a clinic in early May, and the report is as follows: - Blood Urea Nitrogen (BUN): 14.0 (normal range: 7-25) - Creatinine: 0.63 (normal range: 0.6-1.2) - Glomerular Filtration Rate (GFR): 115 (greater than 6...
Dr. Wu Jiyu Reply:
According to your inquiry, both reports indicate normal kidney function (as the glomerular filtration rate is greater than 60, and all urine tests are normal), which does not qualify as chronic kidney disease. For chronic kidney disease to be diagnosed, the glomerular filtration ...[Read More] Understanding Kidney Function Tests: Interpreting Your Results
Understanding HIV Testing and Gonorrhea Follow-Up Care
HIV Testing Issues & Gonorrhea Hello Dr. Hong, I had unprotected oral sex and protected vaginal intercourse with an online acquaintance in April. I experienced symptoms in late April and was diagnosed with gonorrhea. After taking medication, I recovered by the end of April, a...
Dr. Hong Yuanbin Reply:
Hello, 1. It is mainly to test for HIV, and the gonorrhea test is just to confirm if it has been completely treated. 2. Due to the window period associated with HIV, it is recommended to re-test after the third month. If the result is negative, it will provide more peace of mind....[Read More] Understanding HIV Testing and Gonorrhea Follow-Up Care
Understanding Sudden Fainting: Causes and Concerns for Your Health
Sudden fainting? Around 12:20 AM today, my mother (52 years old) was talking before going to the bathroom when she suddenly fainted just as she was about to enter. I heard a noise and rushed to check, finding her collapsed at the doorway. She regained consciousness after about 30...
Dr. Hong Yuanbin Reply:
Based on your description, it is likely that the alcohol caused vasodilation, leading to a sudden drop in blood pressure, combined with urine production activating the sympathetic nervous system, resulting in a temporary fainting episode. It is recommended that if she drinks alco...[Read More] Understanding Sudden Fainting: Causes and Concerns for Your Health