Understanding Muscle Indentation Above the Tibia: Kidney Health Insights
Depression upon palpation of the muscles above the tibia in the lower leg? Hello Dr. Wu, I apologize for bothering you, but I would like to ask you a question. Recently, I suddenly noticed that when I press on the muscles around my tibia in both calves, they indent and do not bou...
Dr. Wu Jiyu Reply:
According to your inquiry, the report you provided shows that urine protein levels are at 568 mg/g, which exceeds the normal value (<150 mg/g). This may require a discussion with a nephrologist regarding treatment options and adherence to a low-protein diet. Regarding the inde...[Read More] Understanding Muscle Indentation Above the Tibia: Kidney Health Insights
Understanding IgA Nephropathy Treatment Options and Concerns
Treatment options for IgA nephropathy? Hello, Doctor! Recently, I had a kidney biopsy, and when reviewing the report, my attending physician asked me to take a picture of the report with my phone so I could look up the information at home. He only mentioned that the biopsy result...
Dr. Lin Wuxuan Reply:
IgA nephropathy has different treatment approaches depending on the individual's condition. If there are any concerns, it is advisable to return for a follow-up and consult the primary physician for clarification. Thank you.[Read More] Understanding IgA Nephropathy Treatment Options and Concerns
Managing Varicocele: Exploring Traditional Chinese Medicine Options
Varicocele Hello Doctor, I received the Moderna vaccine last week and subsequently developed gastroenteritis (with watery diarrhea) two days later. During work, I suddenly noticed some pain when touching my testicles. As I became more anxious, I frequently checked the situation, ...
Dr. Lin Wuxuan Reply:
Please continue to monitor the situation. If there is no improvement in the condition with medication treatment, or if new symptoms arise, it is recommended to return for a consultation with the original treating physician to discuss whether medication adjustments are necessary. ...[Read More] Managing Varicocele: Exploring Traditional Chinese Medicine Options
Can STDs Be Transmitted Through Contaminated Shower Heads?
Questions about sexually transmitted infections (STIs) Is there a possibility of contracting a sexually transmitted infection (STI) if a showerhead comes into contact with a small amount of urine from a previous user (since they did not use the toilet flushing mechanism but inste...
Dr. Hong Yuanbin Reply:
Hello, the situation you mentioned will not lead to the transmission of the sexually transmitted infections you referred to, so there is no need to worry. Thank you for your question.[Read More] Can STDs Be Transmitted Through Contaminated Shower Heads?
Understanding Hematuria: Causes, Tests, and Kidney Health Concerns
Kidney problems Hello Doctor, Last September, during a urine test, I had a trace of hematuria (1+) with red blood cells (3-5), while all other indices were normal. An intravenous pyelogram (IVP) was performed, and the doctor said everything was normal and that it could be due t...
Dr. Wu Jiyu Reply:
Based on your inquiry: 1. If you have not undergone a renal ultrasound, you may consider this examination. 2. Given your current condition, if the renal ultrasound results are normal, you can continue with regular monitoring. 3. If subsequent urine tests still show hematuria, it ...[Read More] Understanding Hematuria: Causes, Tests, and Kidney Health Concerns
Understanding Kidney Issues: Urination Patterns and Posture Effects
Kidney problems Hello Doctor: My urine output is not very high, about 100 to 200 ml each time, and the color is yellow or dark yellow. I feel the urge to urinate every 2 to 3 hours. However, when I am half-reclining and half-sitting on my bed using my phone at night, the time bet...
Dr. Wu Hongjie Reply:
1. Urine color is not related to posture; it is recommended to visit a hospital for examination to rule out urinary system issues. 2. Kidney function impairment is assessed by serum creatinine and glomerular filtration rate. If there is no proteinuria and the values are normal, i...[Read More] Understanding Kidney Issues: Urination Patterns and Posture Effects
Understanding Kidney Issues: The Significance of Proteinuria and Creatinine Levels
Kidney issues (proteinuria) Urine Creatinine: 93.4 mg/dL Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL) Urine Protein: 42.0 * mg/dL < 14 ACR: 275.16 * µg/mg Creatinine (<30) Protein/(Creatinine/1000): 449.68 mg/g Serum Creatinine: 1.07 Doctor, I have...
Dr. Huang Yaoxuan Reply:
Dear Mr. A-Mao, Regarding your concerns about proteinuria, kidney function, and kidney biopsy, here are some suggestions for your consideration: 1. You may want to discuss the benefits and drawbacks of a kidney biopsy with your physician. An excerpt from UpToDate states, "...[Read More] Understanding Kidney Issues: The Significance of Proteinuria and Creatinine Levels
Understanding Persistent Low-Grade Fever: When to Seek Medical Advice
Temperature issues Hello Doctor, I am currently on day four of quarantine. Since the first night of quarantine, I have felt an increase in body temperature and warmth. (In previous years, I occasionally felt feverish, with temperatures around the mid-36s, sometimes reaching 37.3,...
Dr. Hong Yuanbin Reply:
Hello, 1. It can be difficult to distinguish between the symptoms of a common cold and COVID-19, so it may still be necessary to perform a PCR test or a rapid test for confirmation. 2. There are many possible causes of fever, and a detailed examination may be required to deter...[Read More] Understanding Persistent Low-Grade Fever: When to Seek Medical Advice
Understanding Rising Urine Protein Levels: What You Need to Know
The urinary protein index has surged? Hello, Doctor. Below are the results from my visit to Hospital B on the evening of March 14 this year. The random urine test results were as follows: Urine Creatinine: 93.4 mg/dL; Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL); Uri...
Dr. Wu Hongjie Reply:
The presence of bubbles in urine does not necessarily indicate proteinuria; factors such as fever, excessive exercise, consumption of high animal protein, hormonal influences, or other diseases causing abnormal protein production can also be responsible. Even if tests do not show...[Read More] Understanding Rising Urine Protein Levels: What You Need to Know
Understanding Abnormal Urine Protein Test Results: What You Need to Know
Abnormal urine protein test? Hello doctor, I previously had a urine test at a clinic that showed a positive result for protein (+). Therefore, I went to the nephrology department at the hospital for a follow-up examination, and the report is as follows: Urine Creatinine 127.87, P...
Dr. Wu Jiyu Reply:
According to your inquiry, a Protein/Creatinine Ratio of 0.086 corresponds to 86 mg/g, which is less than 150 mg/g and falls within the normal range. Thank you for your question. The Nephrology Department at Changhua Hospital cares about your health.[Read More] Understanding Abnormal Urine Protein Test Results: What You Need to Know
Concerns About Blood in Urine and HIV Infection Risk
Questions about blood infections? Hello, today after using the restroom, I noticed something red at the bottom of the urinal that looked like blood. Doctor, if there are viruses like HIV on it and urine splashes onto my genitals, is there a risk of infection? Thank you, doctor.
Dr. Hong Yuanbin Reply:
Hello, the situation you described does not pose a risk for HIV infection, so there is no need to worry. Thank you for your question.[Read More] Concerns About Blood in Urine and HIV Infection Risk
Post-Kidney Biopsy Care: Recovery Tips and Common Concerns
Regarding kidney biopsy? Hello, doctor! I recently underwent a kidney biopsy and would like to ask a few questions... 1. I found online that after a kidney biopsy, one should avoid lifting heavy objects for at least two weeks. However, my attending physician is willing to allow...
Dr. Wu Jiyu Reply:
According to your inquiry: 1. After a kidney biopsy, there is no strict requirement for a specific number of days of rest; it depends on individual circumstances. If you feel physically capable of returning to your usual work after a week, it should be fine. 2. If there is no ede...[Read More] Post-Kidney Biopsy Care: Recovery Tips and Common Concerns
Understanding Persistent Upper Right Abdominal Discomfort: Possible Causes
The body has been experiencing issues for a long time? For the past two to three months, I have been experiencing a sensation of heat and swelling in the upper right abdomen, near the lower edge of the ribs (specifically in the area just above the navel and slightly below the rig...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The likelihood of multiple myeloma is low, as the levels of immunoglobulins (such as IgG, IgA, and IgM) are within normal ranges, and the albumin/globulin ratio is also normal, so there is no need to worry about myeloma. As for the pain below th...[Read More] Understanding Persistent Upper Right Abdominal Discomfort: Possible Causes
Understanding U-PCR and Urinary Protein: Implications for Kidney Health
The relationship between U-PCR (Urine Protein-to-Creatinine Ratio) and kidney function? Hello, doctor. I would like to ask about a recent health check-up for a 72-year-old male. The U-PCR result is 1336.47, indicating significant proteinuria (+++). Is this indicative of a problem...
Dr. Lin Wufu Reply:
Hello, U-PCR 1336.47 or urine bag protein 3+ are both indicators of proteinuria, which is most commonly associated with diabetes, but may also indicate other intrinsic kidney issues. Your overall kidney function is currently normal, but it is still recommended to schedule an appo...[Read More] Understanding U-PCR and Urinary Protein: Implications for Kidney Health
Struggling with Uncontrolled Urination: Which Specialist to See?
Incontinence? A month ago, I had urethritis and after seeing a doctor and taking medication, I started experiencing uncontrollable urination. I went to the hospital for a urine test a month later, and there was no inflammation, but I still cannot control my urination after two we...
Dr. Hong Yuanbin Reply:
Hello, some medications used to treat urethritis include those that relax the bladder to alleviate symptoms, which may be a side effect of these medications. It is advisable to check the medication's information, as there should be a list of side effects. Usually, discontinu...[Read More] Struggling with Uncontrolled Urination: Which Specialist to See?
Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels
Kidney problems On 03/19/2011, creatinine was 1.18, urine protein was 5, urine creatinine was 53.12, and urine protein-to-creatinine ratio (uPCR) was 94.12. On 10/09/2010, creatinine was 1.26, urine protein was 17, urine creatinine was 108.7, and uPCR was 156.11. On 11/03/200...
Dr. Wu Jiyu Reply:
According to your inquiry, although the serum creatinine levels show little variation (ranging between 60-70), the urinary protein levels are gradually increasing. In addition to pharmacological management of hypertension, diabetes, and hyperlipidemia, the prevention and treatmen...[Read More] Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels
Understanding Elevated Total Protein and Globulin Levels in Blood Tests
Blood Test Report Recently, during a health check-up, I had two elevated values: total protein (TP) and globulin (GLO). All other blood counts, as well as urine kidney function and liver function tests, were normal. The serum total protein (TP) was 8.7 g/dL, albumin (ALB) was 4.8...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I think it's okay. In addition to looking at the values, we also consider the albumin/globulin ratio, so there shouldn't be any issues. If you're still concerned, you can visit the Allergy, Immunology, and Rheumatology Department....[Read More] Understanding Elevated Total Protein and Globulin Levels in Blood Tests
Understanding eGFR and Creatinine Levels: Should You Be Concerned?
eGFR, creatinine Hello doctor, I would like to ask about my situation. In September 2021, my blood test showed an eGFR of 67.06 and a creatinine level of 1. After seeing these values outside the normal range, I consulted my doctor, who suggested that if I was concerned, I could h...
Dr. Huang Yaoxuan Reply:
Hello Ms. Chi, you mentioned that you have had two blood creatinine tests in the past six months, with results of 1 and 1.1, and eGFR values of 67.06 and 60.08, respectively. The urine test report indicated no issues. Here is some information for your reference: 1. eGFR stands f...[Read More] Understanding eGFR and Creatinine Levels: Should You Be Concerned?
Understanding Creatinine Levels: Concerns About Kidney Health
Confusion Regarding Blood Test Report for Serum Creatinine Hello Doctor, I am 37 years old, weigh 75 kg, and am 167 cm tall. I have symptoms of gastroesophageal reflux disease and Barrett's esophagus, for which I have been taking proton pump inhibitors (such as Pantoprazole)...
Dr. Wu Jiyu Reply:
1. According to your inquiry, first, it is important to understand the definition of chronic kidney disease (CKD). It can be classified as stage 1 or stage 2 when the glomerular filtration rate (GFR) is greater than 60 mL/min/1.73 m² and there are abnormalities in urine or imagin...[Read More] Understanding Creatinine Levels: Concerns About Kidney Health
Understanding Sudden Decline in Kidney Function: Causes and Concerns
Acute decline in renal function? At the end of the year, my health check revealed a blood urea nitrogen level of 13, creatinine level of 1.7, urine protein negative, specific gravity of 1.030, and blood pressure of 126/71. Over the past years, my health check results have remaine...
Dr. Wu Jiyu Reply:
According to your inquiry: 1. If the health check has confirmed low vitamin D levels, please proceed with vitamin D supplementation. 2. If you experienced diarrhea about a month prior to the health check, it is indeed possible that dehydration may have caused changes in kidney fu...[Read More] Understanding Sudden Decline in Kidney Function: Causes and Concerns