Understanding Sudden Decline in Kidney Function: Causes and Solutions
What could cause a sudden decline in kidney function? In mid-December last year, my health check revealed a blood urea nitrogen level of 13, creatinine level of 1.7, uric acid level of 6.9, pH of 6, urine protein negative, specific gravity of 1.030, and blood pressure of 126/71. ...
Dr. Wu Jiyu Reply:
1. The presence or absence of proteinuria is determined by testing, and your urine protein result is negative (-). If you are still concerned, you can ask your physician to check the urine protein to creatinine ratio next time. 2. In mid-December, your creatinine level was 1.7, ...[Read More] Understanding Sudden Decline in Kidney Function: Causes and Solutions
Understanding Microalbuminuria: Causes, Risks, and Treatment Options
Microalbumin Hello Doctor, During my health check on January 3rd, I found that my "urine microalbumin (UMA)" test result was 41.3 mg/L, with a normal range of 0-20 mg/L. Additionally, I have gallbladder polyps, prostatic calcifications, weakly positive urine ketones, ...
Dr. He Yonghe Reply:
Hello Mr. Li, Gallbladder polyps should be monitored at least once every six months, and urine protein should be tracked together. There's no need to worry; you can return to Taiwan for follow-up.[Read More] Understanding Microalbuminuria: Causes, Risks, and Treatment Options
Understanding Abnormal Urine Protein Levels: Causes and Concerns
Abnormal urine protein? Hello, Dr. Wu. During my health check-up two months ago, the urine tests showed normal results for pH, occult blood (OB), and glucose (Glu), but the protein level was at 4+. I wasn't menstruating that day and hadn't engaged in vigorous exercise; ...
Dr. Wu Jiyu Reply:
Based on your inquiry, if the urine test shows a proteinuria level of 4+ from the dipstick test, it is recommended to follow up with a nephrologist for a more accurate assessment of urine protein to clarify the issue. Regarding your question about the timing of the menstrual cycl...[Read More] Understanding Abnormal Urine Protein Levels: Causes and Concerns
Understanding Persistent Hematuria: Should You Be Concerned?
Long-term hematuria? I have been experiencing hematuria for five consecutive years, with urine tests showing +1 to +2 results. I have undergone microscopic examinations three times, which also revealed 6-9 red blood cells. Both urine and blood tests have consistently returned nor...
Dr. Wu Jiyu Reply:
There are many causes of hematuria, ranging from stones, glomerulonephritis to tumors. If there are no other abnormalities (such as proteinuria, renal function impairment, or abnormal ultrasound findings), please continue with regular follow-ups. Thank you for your inquiry. The N...[Read More] Understanding Persistent Hematuria: Should You Be Concerned?
Understanding Persistent Elevated Body Temperature After Vaccination
Body temperature issues Hello Doctor, I received the BNT vaccine on November 25th, and for the past three weeks, my body temperature has been consistently elevated. I have been measuring my ear temperature (pulling the ear back and inserting the thermometer deeply), which ranges ...
Dr. Hong Yuanbin Reply:
Hello, 1. It is considered slightly elevated, but it does not reach the level of a true fever (38°C). 2. It is recommended to visit the Infectious Diseases outpatient clinic for a detailed fever evaluation. If everything is normal, you can feel more at ease. 3. It is advisable ...[Read More] Understanding Persistent Elevated Body Temperature After Vaccination
Understanding Persistent Low-Grade Fever After Vaccination: What You Need to Know
Elevated body temperature? Hello Doctor, I received the BNT vaccine on November 25th, and for the past three weeks, my body temperature has been consistently elevated. I have been measuring my ear temperature (inserting the thermometer as deeply as possible) and it ranges from ap...
Dr. Liao Zhongxin Reply:
1. Women's body temperature is indeed relatively higher during menstruation, while it tends to be lower at other times. 2. Generally, a person's body temperature can fluctuate throughout the day; for example, it is lowest in the morning upon waking and tends to be highe...[Read More] Understanding Persistent Low-Grade Fever After Vaccination: What You Need to Know
Why Do Urine Bubbles Persist Without Proteinuria? Understanding Kidney Health
The presence of bubbles in urine that do not dissipate after flushing may indicate the presence of protein in the urine, even if there is no proteinuria. This can occur due to various factors, such as the concentration of urine, the presence of certain substances, or even the phy...
Dr. Wu Jiyu Reply:
Everyone will have proteinuria; it is just a matter of whether it exceeds the standard. Based on the data you provided, TOTAL Protein (urine) is 5.6 and creatinine (urine) is 70.36. We can calculate the proteinuria as approximately (5.6/70.36)*1000 = 79 mg/g, which is less than 1...[Read More] Why Do Urine Bubbles Persist Without Proteinuria? Understanding Kidney Health
Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
The most recent test showed a significant decrease in glomerular filtration rate (GFR)? Hello, Doctor. I am currently 29 years old, 153 cm tall, and weigh 50 kg. Last year, during a company health check, I was found to have elevated fasting blood glucose levels (118), but my hemo...
Dr. He Yonghe Reply:
Hello Ms. Wang, drinking less water can also lead to a decrease in eGFR. Generally, 2500-3000 cc per day should be sufficient. If your cholesterol is elevated, dietary changes and exercise can help improve it. You may consider visiting an internal medicine specialist for further ...[Read More] Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
Understanding Urine Changes After Masturbation and Vaccine Concerns
Question for consultation? I would like to ask the doctor two questions. The first one is that I recently noticed that sometimes after masturbation, my urine feels more yellow and has a stronger odor, somewhat reminiscent of barley tea. However, after a while, the odor diminishes...
Dr. Hong Yuanbin Reply:
Hello, 1. The odor you mentioned is likely a mixture of semen and urine, which should not be a cause for concern. 2. These medications should not significantly affect the efficacy of the vaccine, so it is fine to use them. Thank you for your inquiry.[Read More] Understanding Urine Changes After Masturbation and Vaccine Concerns
Navigating Unexplained Symptoms: A Guide to Possible Vasculitis Diagnosis
I'm not sure where to look? The patient has experienced abnormal sensations in the left limb for approximately two years and has had persistent hematuria for over three years, although kidney examinations have returned normal results. There is a mild Raynaud's phenomeno...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your symptoms, I believe it may still be an issue related to immunology or rheumatology. I recommend that you first visit the immunology and rheumatology department at a medical center, where they can arrange for more detailed examinati...[Read More] Navigating Unexplained Symptoms: A Guide to Possible Vasculitis Diagnosis
Understanding HIV Testing: Choosing the Right Panel for Your Needs
HIV testing issues? Hello, doctor. I recently paid out of pocket for a sexually transmitted infection (STI) screening, which had two test panels. The first panel includes: Gonorrhea DNA test, Chlamydia DNA test, Syphilis tests (RPR, TPPA), Urethritis screening (Trichomonas, Candi...
Dr. Hong Yuanbin Reply:
Hello, the main difference between Kit 1 and Kit 2 lies in the HIV testing, particularly regarding the window period. However, since your last sexual encounter was 16 months ago, you have already surpassed the HIV window period. Therefore, given your situation, Kit 2 is indeed su...[Read More] Understanding HIV Testing: Choosing the Right Panel for Your Needs
Understanding Urine Surface Film: Is It Proteinuria or Dehydration?
There is a film on the urine? Hello Doctor, this morning around 6 AM, I got up to urinate but waited until 10 AM to flush the toilet because I was worried about making noise. When I flushed, I noticed that the surface of my urine seemed to have a transparent film and there were q...
Dr. Hong Yuanbin Reply:
Hello, if you experience nocturnal emissions, there may still be some semen residue in the urethra. Since most components of semen are proteins, when you urinate afterward, the semen can be flushed out, and the protein content may cause bubbles in the urine. This is a normal phen...[Read More] Understanding Urine Surface Film: Is It Proteinuria or Dehydration?
Understanding Increased Urination: Causes and Concerns Explained
Increased urine output concerns? Hello Doctor, I have recently noticed an increase in my urine output. I read online that frequent urination could be a symptom of diabetes or diabetes insipidus, and I am not very familiar with diabetes insipidus, so I would like to ask you: 1) Is...
Dr. Hong Yuanbin Reply:
Hello, 1. Diabetes insipidus can indeed occur in ordinary individuals, but not all cases of excessive urination indicate diabetes insipidus; a thorough examination is necessary for a definitive diagnosis. 2. Testing the osmolarity of blood and urine, as well as evaluating elec...[Read More] Understanding Increased Urination: Causes and Concerns Explained
Understanding Symptoms When Creatinine Levels Reach 12 mg/dL
When creatinine levels reach 12, the body may exhibit symptoms such as severe fatigue, weakness, nausea, vomiting, confusion, and decreased urine output. Additionally, patients may experience swelling in the legs, ankles, or around the eyes due to fluid retention. It is crucial t...
Dr. Wu Jiyu Reply:
First, confirm whether the test values are accurate, and then distinguish between acute and chronic conditions. If it is chronic, it typically falls under stage 5 chronic kidney disease, which is often associated with symptoms of uremia (fatigue, drowsiness, nausea, vomiting, los...[Read More] Understanding Symptoms When Creatinine Levels Reach 12 mg/dL
Understanding Abnormal Urinalysis: Protein and Leukocytes Explained
The health examination report shows issues with urinary protein and urinary white blood cells? Hello, currently my urine protein is protein*15(+/-)(mg/dL) and leukocyte*70(1+)(cell/uL), while all other urine tests are within normal ranges. Only the two items above are highlighted...
Dr. Wu Jiyu Reply:
If the physical examination shows urine protein at protein*15(+/-)(mg/dL), it cannot be definitively determined that there is proteinuria. It is recommended to consult a nephrologist for further evaluation to clarify the condition. Regarding leukocyte esterase at leukocyte*70(1+)...[Read More] Understanding Abnormal Urinalysis: Protein and Leukocytes Explained
Understanding Hematospermia: Treatment Success and Ongoing Symptoms
The success of treatment for hematospermia (blood in semen) depends on the underlying cause. It is important to conduct a thorough evaluation, including a medical history, physical examination, and appropriate diagnostic tests? Hello Doctor, I discovered blood in my semen in mid-...
Dr. Hong Yuanbin Reply:
Hello, 1. It is possible that the metabolites of hemoglobin may still appear reddish-brown, but the fecal occult blood test will be negative. 2. It is recommended to refrain from masturbation and observe the color of the urine; usually, bleeding should stop within 2-3 weeks. I...[Read More] Understanding Hematospermia: Treatment Success and Ongoing Symptoms
Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Regarding the postprandial blood glucose test results in the United States indicating prediabetes? Hello Dr. Lee, I am approximately 169 cm tall and weighed 67.5 kg at the time of my examination on July 28. I have a history of ankylosing spondylitis (diagnosed in 2008) and am a ...
Dr. Li Jian Reply:
Glycated hemoglobin (HbA1c): A level of 5.8% is sufficient to diagnose prediabetes. HbA1c can be tested after meals, and a follow-up test can be conducted in three months.[Read More] Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Sought medical attention due to rapid heartbeat? Due to experiencing a rapid heartbeat and occasional lower back pain, a series of tests were conducted. Initially, it was thought to be a heart issue, but later it was found that the blood CR(B) level is 1.04, uric acid is 7.8, cho...
Dr. Wu Jiyu Reply:
Based on the data you provided, a serum creatinine level of 1.04 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range, and there is no need to worry about dialysis. As for your elevated uric acid and cholesterol levels...[Read More] Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Understanding Urination Issues: When to See a Doctor?
Urinary problems I would like to ask if it is necessary to see a doctor or to pay for an abdominal X-ray or ultrasound? Blood and urine tests have all come back normal, but I feel that there is a significant difference between the amount of water I drink and the amount I urinate....
Dr. Wu Jiyu Reply:
According to the data you provided, a serum creatinine level of 0.9 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range. Regarding your input/output from 9/18 to 9/21, with an intake of 8700 cc and an output of 3750 c...[Read More] Understanding Urination Issues: When to See a Doctor?
Understanding Sudden Increase in Creatinine Levels: Causes and Concerns
Short-term rapid increase in creatinine levels? Hello Dr. Wu, On August 28, 2021, I went to the hospital for a blood test. On that day, I checked the report online and found that my creatinine level had risen to 1.28. The creatinine levels from the previous four months were 1.0...
Dr. Wu Jiyu Reply:
Regarding the definition of chronic kidney disease (CKD), you mentioned that the five data points you provided indicated the presence of urinary protein, which alerted you to your kidney function. The four measurements of glomerular filtration rate (GFR) were 75, 83, 75, and 79 m...[Read More] Understanding Sudden Increase in Creatinine Levels: Causes and Concerns