Understanding Proteinuria and Glomerular Filtration Concerns in Urology
Concerns regarding urinary protein and glomerular filtration? Hello Dr. Du, please forgive me for continuously asking questions. When one has no one to consult and many doubts, it can be quite overwhelming. I have been troubled by the laboratory test results. The technician menti...
Dr. Du Shixi Reply:
Hello: If possible, find a hospital and a physician for regular follow-ups (preferably a larger hospital with comprehensive specialties). Running around to different places is not very helpful, and carrying your medical records back and forth can be cumbersome. In the future, you...[Read More] Understanding Proteinuria and Glomerular Filtration Concerns in Urology
Understanding Frequent Urination: Causes, Symptoms, and Solutions
Frequent urination issues? I would like to ask the doctor about my condition. During the day, I constantly feel the urge to urinate, and at night, I wake up 1 to 2 times to use the bathroom. If I don't go, I experience a dull ache in my lower back or kidneys. Previously, I c...
Dr. Du Shixi Reply:
Hello: Your issue may be due to an unresolved urinary tract infection. In this case, Kegel exercises may not be very effective. It is recommended that you visit a urologist for a thorough examination to understand the underlying problem. Additionally, if there are any unusual vag...[Read More] Understanding Frequent Urination: Causes, Symptoms, and Solutions
Understanding Abnormal Urine Test Results: When to See a Specialist
Issues that may arise during urinalysis? Hello Dr. Du, I apologize for bothering you again. I would like to ask about the urine test results I received from the laboratory. My urine protein-to-creatinine ratio is abnormal at 30-300. I asked the doctor at Shuitian about it, but he...
Dr. Du Shixi Reply:
Hello: You should consult the examining physician regarding your test report, as they are responsible for providing explanations. Additionally, the standards may not be exactly the same across different hospitals; it's best to stick to one hospital for your care to make accu...[Read More] Understanding Abnormal Urine Test Results: When to See a Specialist
Why Does My Urine Smell Strongly at Night and in the Morning?
Foul-smelling urine? Hello Doctor: I would like to ask why my urine has a strong odor at night and in the morning, and sometimes during the day as well. Could this indicate a problem with my bladder or kidneys?
Dr. Du Shixi Reply:
Hello: You need to find time to go to the hospital for a urine test; only if the results are completely normal can you feel at ease. Wishing you good health.[Read More] Why Does My Urine Smell Strongly at Night and in the Morning?
Understanding Right Lower Back Pain: Is It Musculoskeletal or Kidney-Related?
Lower back pain issues? Hello Doctor: Recently, I have been experiencing pain in my right lower back for about a month. The pain is not constant, but I cannot pinpoint the timing or cause (I am unsure if it is related to posture or my kidneys). Since childhood, I have often held ...
Dr. Du Shixi Reply:
Hello: "If all tests are normal, there is no need to worry too much. However, it is advised not to hold in urine frequently to avoid affecting bladder function. Wishing you good health."[Read More] Understanding Right Lower Back Pain: Is It Musculoskeletal or Kidney-Related?
Understanding Prostate Issues and Urinary Symptoms: A Urology Perspective
Prostate and urinary issues? Hello, doctor. I have obstructive symptoms such as a weak urine stream, difficulty urinating, incomplete voiding, and intermittent flow. A traditional Chinese medicine practitioner diagnosed me with chronic prostatitis, and I have been taking medicati...
Dr. Du Shixi Reply:
Hello: Symptoms such as weak urine flow, difficulty urinating, incomplete voiding, and intermittent urination should be evaluated by a urologist at a hospital. 1. Medication can improve and treat the condition. 2. It will not. 3. It is helpful. 4. It is possible. 5. It will not, ...[Read More] Understanding Prostate Issues and Urinary Symptoms: A Urology Perspective
Understanding Elevated UACR: What It Means for Your Kidney Health
Elevated UACR (Urine Albumin-to-Creatinine Ratio) value? Hello Dr. Du, to clarify my concerns, I went to the laboratory today for blood and urine tests. The urine test results showed trace blood (+/-) and leukocyte esterase (+/-), which are the same as my urine test in May. Howev...
Dr. Du Shixi Reply:
Hello: The recommendations for examinations and tests are to be conducted at a hospital, and different hospitals may have variations in standards due to differences in equipment. The presence of occult blood in urine (+/-) primarily depends on whether there are red blood cells in...[Read More] Understanding Elevated UACR: What It Means for Your Kidney Health
Understanding Nocturia: Concerns for Kidney Recovery and Bladder Health
Nocturia Hello Dr. Du, my family member (female, 29 years old) developed acute kidney failure due to sepsis and antibiotic treatment. On 8/07, her creatinine levels were 0.48, on 11 it was 0.98, on 14 it rose to 2.78, on 17 it was 3.29, and on 22 it decreased to 0.99. Her current...
Dr. Du Shixi Reply:
Hello: It is important to monitor urine output, but more importantly, one should be cautious about preventing sepsis. Additionally, if you drink water during the day and are less active, much of it may turn into urine at night. You might try engaging in light exercise to see if i...[Read More] Understanding Nocturia: Concerns for Kidney Recovery and Bladder Health
Chronic Headache for Over a Month: Possible Causes and Solutions
Headache lasting more than one month? Hello doctor, on August 14, I had sashimi and other raw foods. On the morning of August 16, I started experiencing sharp pain in the left back of my head, which came in waves. A couple of days later, I developed cold symptoms, including a sor...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The recurrent pain may be due to significant temperature fluctuations recently, which have led to many individuals experiencing repeated viral infections. The symptoms of tension-type headache include: (1)...[Read More] Chronic Headache for Over a Month: Possible Causes and Solutions
Understanding Urethral Bleeding: Causes and Concerns
Urethral bleeding Every time I have a bowel movement, I notice a small amount of fresh blood coming from the urethra. It's not a lot, about the size of a ten-dollar coin, and there's no pain or any other sensation; I only notice it when I wipe. I am very certain it is c...
Dr. Chen Jiansheng Reply:
It sounds like a lower urinary tract issue. If it is a consistent symptom, theoretically, a urethroscopy or cystoscopy should reveal findings. It is advisable to confirm the presence of hematuria and collect secretions for urinalysis.[Read More] Understanding Urethral Bleeding: Causes and Concerns
Managing Recurrent Urinary Tract Infections: D-Mannose and Beyond
Urinary tract issues Hello, doctor. I am a 30-year-old female and I experience urinary tract infections several times a year. Each time I visit the doctor, the only option I receive is antibiotics, but I really don't want to keep taking them as I am concerned about developin...
Dr. Du Shixi Reply:
Hello: If it is cystitis, there is usually no fever or chills; however, pyelonephritis is more likely to cause fever and chills. It is recommended to perform a urinalysis for safety.[Read More] Managing Recurrent Urinary Tract Infections: D-Mannose and Beyond
Understanding Urine Blood Test Results: What Does +/- Mean?
Urinary occult blood +/- Since I was young, I haven't been drinking much water (because drinking too much makes me feel nauseous). In high school, I drank about 500 to 1000 ml a day, and it was even less before that. Therefore, my urine output is also low, and I often go the...
Dr. Du Shixi Reply:
Hello: You should see a nephrologist for an examination, as the presence of occult blood +/- may be a sign of potential issues. Additionally, make sure to drink plenty of water. Wishing you good health.[Read More] Understanding Urine Blood Test Results: What Does +/- Mean?
Understanding Persistent Trace Blood in Urine Tests: Causes and Concerns
Urinalysis for hematuria issues? Hello, doctor. I have a question for you. 1. Previously, I consulted you about a urine test that showed trace blood (+/-). One test was done at an external lab and another at the urology department, both in May. The laboratory technician and the...
Dr. Du Shixi Reply:
Hello: Foods or beverages can potentially cause trace blood in urine tests (+/-). Regular monitoring is recommended. Wishing you good health.[Read More] Understanding Persistent Trace Blood in Urine Tests: Causes and Concerns
Living with Kidney Stones: Treatment Options and Care Tips
Kidney Stones - Latest Supplementary Questions Hello Director Du, thank you very much for taking the time to respond to my questions over the weekend. I would like to ask a few additional questions. Regarding my kidney stone, which is 0.7 cm, if this stone does not grow or move f...
Dr. Du Shixi Reply:
Hello: 1) Can coexist. 2) No need for hospitalization; some hospitals may administer pain relievers or mild anesthesia, depending on the facility. 3) You can go alone or be accompanied by family during the lithotripsy. 4) There are no medications to assist with expulsion from the...[Read More] Living with Kidney Stones: Treatment Options and Care Tips
Is Topical Alcohol Safe for Kidney Health in Stroke Patients?
Regarding topical medicinal alcohol? Hello Doctor: My father recently suffered a stroke and has kidney disease (right kidney hydronephrosis with stones). Both the neurologist and urologist have advised against smoking and drinking alcohol. Recently, my father has experienced seve...
Dr. Du Shixi Reply:
Hello: Since it is for external use, it should have little impact on the kidneys. However, 58° alcohol may have an adverse effect on severe peeling, so it is advisable to consult a dermatologist to prevent worsening of the condition. Wishing you good health.[Read More] Is Topical Alcohol Safe for Kidney Health in Stroke Patients?
Understanding Lower Abdominal Pain: Causes and Concerns in Urology
Lower abdominal issues? Doctor, over the past couple of days, I have experienced occasional pain in my left testicle, which has sometimes radiated to the groin (only once). This morning, the frequency of pain in the left testicle increased, particularly when lying on my side. How...
Dr. Du Shixi Reply:
Hello: It could be related to the urinary system, including the kidneys, ureters, bladder, or testes. It is advisable to seek medical examination. Wishing you good health.[Read More] Understanding Lower Abdominal Pain: Causes and Concerns in Urology
Understanding Urine Test Results: Hematuria and Kidney Stones Explained
Urinalysis shows trace hematuria +/- Dr. Du: Hello, Doctor, I'm back again with issues regarding kidney stones and hematuria. I have a few questions: 1. Last September, an abdominal ultrasound showed a 0.6 cm stone in my right kidney, but when I visited the urology departm...
Dr. Du Shixi Reply:
Hello: The interpretation of stones in ultrasound is quite subjective, which can lead to different conclusions (it is likely that you have small stones or crystals in both kidneys). Sometimes, drinking plenty of water or exercising for several consecutive days can lead to changes...[Read More] Understanding Urine Test Results: Hematuria and Kidney Stones Explained
Understanding Varicocele and Its Impact on Erectile Health: Key Insights
Varicose veins Hello, I was previously diagnosed with a varicocele after experiencing swelling and pain in the scrotum. Upon examination, it was found to be a grade I varicocele. I had my kidneys checked, and the doctor said there were no issues. I started taking traditional Chin...
Dr. Du Shixi Reply:
Hello: 1) No 2) No (of course, DIY is not recommended excessively) 3) No need 4) It doesn't matter 5) I haven't heard of any surgeries 6) I haven't heard of massage being effective; just avoid prolonged sitting, maintain a light diet, and reduce vascular obstructio...[Read More] Understanding Varicocele and Its Impact on Erectile Health: Key Insights
Understanding Lower Back Pain: Kidney Issues or Pelvic Inflammation?
Pain in the lower back on both sides? Hello doctor, I have been experiencing unexplained pain on both sides of my lower back for the past couple of days. I'm not sure if it's related to my kidneys or if it's just lower back pain. Recently, I had an inflammation of ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to first consider renal pyelonephritis, which can present with bilateral pain. Clinically, diagnosis can be assisted through percussion and renal ultrasound. Generally, a herniated disc causing nerve root compression is typically ...[Read More] Understanding Lower Back Pain: Kidney Issues or Pelvic Inflammation?
Does Taking Finasteride Affect Prostate Health and Urinary Symptoms?
Is it possible that self-purchasing hair growth medication (such as Finasteride) could cause issues with prostate enlargement? Hello, doctor. I wanted to delay the hair loss crisis, so I purchased Finasteride and took it for about 2 to 3 months, but then I stopped. Since Finaster...
Dr. Du Shixi Reply:
Hello: Additionally, any medication can have an impact (you can easily find this information online). Discontinuing the medication will eliminate the effects. For issues related to urination and lower back pain, you may consider consulting a nephrologist.[Read More] Does Taking Finasteride Affect Prostate Health and Urinary Symptoms?