Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Unexplained urethritis? Hello Dr. Wang, I have experienced a burning sensation during urination and pain at the urethral opening three times in the past two months. However, each time I have undergone urinalysis, the results have been normal, and no infection has been identified,...
Dr. Wang Weijie Reply:
Dear Ms. Wu, Thank you for your letter. A urinary tract infection (UTI) occurs when bacteria invade the urinary system, leading to infection. Common symptoms include: 1. A burning sensation, pain, difficulty urinating, frequent urination, nocturia, cloudy urine, or hematuria dur...[Read More] Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Understanding Endocrine Issues and PCOS in Young Women: A Case Study
Regarding Endocrinology and Polycystic Ovary Syndrome (PCOS) Hello, Doctor: I am currently 19 years old, with a height of 151 cm, weight of 45.4 kg, body fat percentage of 20.3%, and a waist circumference of 58 cm. Description of my condition: In March of this year, my weight sud...
Dr. Xiao Yongxun Reply:
Dear Miss Nini: 1. The formula for Basal Metabolic Rate (BMR) is often estimated using various regression equations; it represents the energy required to maintain basic physiological functions daily. It can be used as a reference, but there is no need to be overly concerned, as ...[Read More] Understanding Endocrine Issues and PCOS in Young Women: A Case Study
Is It a Kidney Issue? Understanding Bladder and Urinary Symptoms
Is it a kidney problem? Hello doctor, two months ago I experienced severe symptoms of cystitis, including fever, nausea, vomiting, chills, frequent urination, and painful urination. An ultrasound revealed a benign cyst on my kidney. A few weeks ago, I experienced frequent urinati...
Dr. Wu Jiyu Reply:
Based on your inquiry, it seems that you may have a urinary tract infection. If you have completed the necessary treatment but are still experiencing discomfort, it is advisable to follow up with a urologist or nephrologist. If necessary, consider undergoing a urine culture. Addi...[Read More] Is It a Kidney Issue? Understanding Bladder and Urinary Symptoms
How to Address Multiple Symptoms After Urological Issues?
How should a series of symptoms be evaluated? Today, I have been experiencing a series of symptoms that started after I developed a urological condition. Initially, I had testicular pain due to frequent erections without proper relief during that time. After consulting a urologis...
Dr. Hong Yuanbin Reply:
1 & 2: Based on your symptom description, it is indeed most likely chronic prostatitis. However, there is concern about the possibility of complications such as prostatic abscess or urinary tract infection. You may want to consult an infectious disease specialist, urologist, ...[Read More] How to Address Multiple Symptoms After Urological Issues?
Managing Bilateral Hydronephrosis: Insights on Treatment and Kidney Function
Bilateral hydronephrosis Hello Doctor: Due to endometriosis causing ureteral stricture and hydronephrosis, I have had three double-J stents placed in my right kidney over the past four years, with no significant improvement and persistent hydronephrosis. Recent examinations revea...
Dr. Wu Hongjie Reply:
Dear Friend, 1. The decision regarding the first issue depends on the circumstances. In principle, severely reduced kidney function is not an indication for nephrectomy unless there are recurrent, persistent infections that have led to abscess formation, or the presence of malig...[Read More] Managing Bilateral Hydronephrosis: Insights on Treatment and Kidney Function
Understanding Androcur for Acne: Side Effects and Alternatives Explained
Treatment for acne includes taking Androcur? To treat acne, I underwent blood tests that showed elevated testosterone levels and have been taking Androcur for several months. However, my libido has significantly decreased. Previously, I would wake up with an erection every mornin...
Dr. Xiao Yongxun Reply:
Dear Mr. Cong: 1. Androcur® (50mg, generic name: Cyproterone) is indicated for the treatment of prostate tumors, severe hypersexuality, significant masculinization symptoms, hirsutism, acne, and more. Potential side effects may include nausea, vomiting, abdominal pain, slight we...[Read More] Understanding Androcur for Acne: Side Effects and Alternatives Explained
Understanding Left Kidney Pain: When to Seek Further Testing
Percussion of the left kidney causes pain? Hello Doctor: When I tap on the area of my left kidney, it hurts. This has been going on for a long time, so this year I went to the hospital for a kidney ultrasound, blood tests, and urinalysis, but the doctor said everything was fine. ...
Dr. Wu Hongjie Reply:
Dear Sender, The issue of left-sided lower back pain has many potential causes. If the pain radiates down the back to the thighs and calves, it may indicate nerve pain or compression. If it is related to kidney problems, such as stones or infections, it typically remains localiz...[Read More] Understanding Left Kidney Pain: When to Seek Further Testing
Understanding Post-Cold Cough: Causes, Treatments, and When to Seek Help
Post-cold cough rebound? Hello, doctor. I caught a cold around the end of February and recovered after a week, but I have been coughing continuously since then. Around March 10th, the cough became very severe, preventing me from sleeping at night. Following my family's advic...
Dr. Xie Rongyuan Reply:
Hello: If the cough persists and does not improve, a chest X-ray is recommended to determine the cause. If a bacterial infection is not confirmed, the use of antibiotics is not advised. Thank you for your message![Read More] Understanding Post-Cold Cough: Causes, Treatments, and When to Seek Help
Understanding Body Immunity After Fever: What to Expect?
Body immunity after a fever? Hello Dr. Liao, I would like to ask you a question. Generally, when we get sick, it is due to a weakened immune system that allows viruses or bacteria to invade. After becoming ill, the antibodies in the body fight against the viruses or bacteria, whi...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding <Body Resistance After Fever> A: 1. Generally, healthy individuals (aged over 15 and under 65) have a more mature immune system, making them less susceptible to infections from external pathogens. Other age groups may be more prone to illness if they...[Read More] Understanding Body Immunity After Fever: What to Expect?
Understanding Cholesterol: Debunking Myths for Diabetics
Cholesterol issues Hello Dr. Hsiao: I have diabetes, and my total cholesterol, LDL cholesterol, and triglycerides are all elevated. Both my doctor and diabetes health literature suggest that I should not consume too many high-cholesterol foods. However, I came across an article o...
Dr. Xiao Yongxun Reply:
1. Essentially, there are many articles online with a diverse theoretical foundation; although they have their sources and basis, I prefer not to comment on them personally. 2. According to current research reports, the sources of cholesterol indeed include dietary intake and e...[Read More] Understanding Cholesterol: Debunking Myths for Diabetics
Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide
Urinary tract infection (UTI) Dear Dr. Wu, my grandmother is 92 years old and frequently suffers from urinary tract infections. She was previously hospitalized due to an infection that caused a fever, and the bacteria entered her bloodstream (bacteremia). After being hospitalized...
Dr. Wu Jiyu Reply:
Based on your inquiry, theoretically, the bacteremia caused by the urinary tract infection should have been resolved; otherwise, your grandmother would continue to have a fever. Regarding the urine test results from the second hospital indicating an infection index of 26-50, ther...[Read More] Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide
Should You See an Endocrinologist for Persistent Acne Issues?
Should I see a dermatologist for these symptoms? I have been experiencing acne on my face since the fourth grade and I am now 18 years old. It has never improved. My daily routine is normal, and my diet is primarily light. I do not smoke. I have seen dermatologists (at least for ...
Dr. Xie Rongyuan Reply:
Hello: It is more appropriate to see a dermatologist. Thank you for your message![Read More] Should You See an Endocrinologist for Persistent Acne Issues?
Understanding ANA 1:160 Homogeneous Pattern and Its Implications
ANA 1:160 homogeneous type Hello, Doctor Gao. My mother has a family history of immune dysfunction, and she herself has experienced immune system irregularities. Eight years ago, she began to notice unexplained joint pain, primarily affecting her right ankle and the joints of her...
Dr. Gao Jiankai Reply:
Hello, Xiao Yuan. The ANA value of 160 is slightly elevated, which requires further examination. Additionally, since you are experiencing some joint pain symptoms and lymphadenopathy, it is indeed advisable to conduct further tests on your immune function. Please prepare your lab...[Read More] Understanding ANA 1:160 Homogeneous Pattern and Its Implications
Understanding Lung Discomfort: Symptoms, Causes, and When to Seek Help
Pulmonary discomfort? Hello Doctor: I was hospitalized for four days two weeks ago due to pneumonia, but I did not have a fever. I have been continuously using nebulized mucolytics and taking antibiotics for over a week. However, instead of producing phlegm, my breathing has beco...
Dr. Xie Rongyuan Reply:
Hello: If you are still experiencing shortness of breath, coughing with phlegm, it is possible that you have not fully recovered and should follow up with a pulmonologist for further treatment. Thank you for your message![Read More] Understanding Lung Discomfort: Symptoms, Causes, and When to Seek Help
Managing Cellulitis in Diabetic Patients: Effective Strategies and Care
Cellulitis Hello Doctor, I would like to ask about my boyfriend's mother, who is 59 years old and a diabetic patient. She was diagnosed with cellulitis on September 27 and has been hospitalized for two weeks. The doctors have indicated that her blood circulation has not im...
Dr. Xiao Yongxun Reply:
1. Long-term diabetes patients require a combination of diet, exercise, and medication to prevent macrovascular complications (including stroke, myocardial infarction, and peripheral artery disease) and microvascular complications (including retinopathy, nephropathy, and neuropat...[Read More] Managing Cellulitis in Diabetic Patients: Effective Strategies and Care
Understanding Sour Smell in Diarrhea: Causes and Concerns
Diarrhea with a sour odor? Hello Doctor: I was diagnosed with gastroenteritis this past Monday, and today is Saturday. I have noticed that I am still experiencing diarrhea, and the stool has a sour and foul odor. Is this normal? If not, what could be causing the sour smell?
Dr. Xiao Yongxun Reply:
1. Generally, acute diarrhea lasts for 14 days or less and is usually caused by infections, most of which can resolve on their own. Persistent diarrhea lasts more than 14 days, while chronic diarrhea lasts more than 30 days. 2. Acute diarrhea includes: a. Diarrhea caused by pat...[Read More] Understanding Sour Smell in Diarrhea: Causes and Concerns
Understanding Blood in Urine: Causes, Symptoms, and Treatment Options
Hematuria, with pain occurring towards the end of urination? Hello, doctor. At the beginning of September, I had sexual intercourse and started experiencing dark-colored urine with a strong odor. After that, I had hematuria, increased urinary frequency, and pain at the end of uri...
Dr. Chen Jianyu Reply:
Please visit the urology outpatient clinic.[Read More] Understanding Blood in Urine: Causes, Symptoms, and Treatment Options
Understanding Low White Blood Cell Count in Lupus Patients: Causes and Solutions
Leukopenia My friend has lupus erythematosus and has been undergoing treatment for a long time, with regular check-ups at the hospital. However, this time he has been unable to be discharged due to persistent fever, alternating between high and low temperatures, and he has been h...
Dr. Zeng Guosen Reply:
Hello, online user: Low white blood cell count combined with fever in patients with systemic lupus erythematosus has two common causes: 1. Infection leading to sepsis, 2. Active disease of systemic lupus erythematosus with unstable control. Identifying the true cause can help res...[Read More] Understanding Low White Blood Cell Count in Lupus Patients: Causes and Solutions
Understanding Kidney Inflammation: Is Pain Normal During Treatment?
Kidney inflammation (pyelonephritis) Hello Dr. Chen, I was diagnosed with pyelonephritis on August 1st. It has been six days, and I am still taking antibiotics, but I still experience slight pain in my left lower back at times. Is this a normal occurrence?
Dr. Chen Jianyu Reply:
Yes, if there is no improvement, please return to the outpatient clinic for follow-up treatment.[Read More] Understanding Kidney Inflammation: Is Pain Normal During Treatment?
Understanding Cellulitis: Recovery Challenges and Treatment Options
Cellulitis Hello Doctor, my mother was hospitalized for cellulitis at the end of April this year. She had no visible wounds, but her foot became red, swollen, and painful for no apparent reason. Bacteria were cultured during her hospitalization, which lasted over three weeks. Dur...
Dr. Liao Zhongxin Reply:
Dear readers: 1. If bacteria are cultured from a case of cellulitis, appropriate treatment can be based on the culture report; as long as the medication is correct and administered for a sufficient duration, there should be no subsequent issues. 2. When caring for wounds, it ...[Read More] Understanding Cellulitis: Recovery Challenges and Treatment Options