Understanding Epilepsy Treatment: Insights and Future Options
Epilepsy treatment My description may be somewhat complex, but I sincerely ask all physicians to provide me with detailed answers and suggestions. My birthday is October 11, 1970. During the summer vacation of my second grade in elementary school (around 1978), I experienced a fa...
Dr. Lin Zijing Reply:
Currently, there is no particularly effective method for treating epilepsy; the goal is to control seizures and minimize their occurrence. Good seizure control requires the following conditions: 1. Regular outpatient visits and adherence to the physician's instructions regar...[Read More] Understanding Epilepsy Treatment: Insights and Future Options
Managing Red Spots on the Glans: Causes and Treatment Options
Red spots on the glans? I often have red spots on my glans that can be a bit itchy. The last time I saw a doctor, he prescribed me a cream called "Yankezhi." After applying it, my condition improved, but once I stopped using it, the symptoms returned repeatedly. Many re...
Dr. Xu Weikai Reply:
Xiao Wang: Hello, it seems that there may be issues with local hygiene practices, leading to an infection in the area. It appears to be a fungal/candidal infection. Recommendations: 1. Maintain local cleanliness and avoid using hot water. 2. Do not use soaps or other cleaning pro...[Read More] Managing Red Spots on the Glans: Causes and Treatment Options
Understanding Thin and Fragile Penile Skin: Causes and Concerns
Penile epidermal issues? Dear Dr. Lai, I hope this message finds you well. I would like to seek your advice regarding a concerning issue. Recently, I have noticed that the skin on my penis has become very thin and fragile, making it prone to cracking and bleeding. After a few da...
Dr. Lai Ronghao Reply:
Hello: Infection with Neisseria can cause pinpoint red rashes on the male genitalia, which can be quite itchy. Based on your description, it does not match this symptom. Thinning of the epidermis may be related to individual constitution, and it is more likely to occur in individ...[Read More] Understanding Thin and Fragile Penile Skin: Causes and Concerns
Understanding Fungal Infections: Do You Need Circumcision for Relief?
Fungal infection issues Hello doctor, I had a Candida infection a while ago and have seen a doctor several times. I have improved, but recently I feel like it is recurring. Sometimes the glans is red, and sometimes it is not. I would like to know if warmer weather makes it more l...
Dr. Xu Weikai Reply:
Awen: Hello, candidiasis infection can indeed be troublesome at times, especially since the symptoms in men are not very obvious and the reinfection rate is relatively high. My recommendations are: 1. Clean the glans with cold water. 2. Avoid using soap or other cleansing product...[Read More] Understanding Fungal Infections: Do You Need Circumcision for Relief?
Understanding Non-Itchy Red Bumps on the Glans: A Guide to Candidiasis
Glans issues Hello Dr. Hsu: Last week I asked you about the red, swollen spots on my glans that resemble mosquito bites. They are not painful or itchy, approximately 0.3 cm in size, and there are two of them close together. I have seen a doctor, and he diagnosed it as candidal ba...
Dr. Xu Weikai Reply:
Y Kai: First, I would like to clarify a concept: medicine is a field that is not very scientific. Why do I say this? The same medication can have different reactions and efficacy in different individuals; the same disease can present with significant variability among patients. Y...[Read More] Understanding Non-Itchy Red Bumps on the Glans: A Guide to Candidiasis
Struggling with Urological Issues: A Patient's Journey for Relief
Doctor, please help me! Hello, doctor. After a one-night stand with a girl, I noticed a small spot appeared on my glans about 2 to 3 days later. The next day, I felt a sharp, stabbing pain in my glans and testicles, along with itching and a warm sensation. I have seen many urolog...
Dr. Xu Weikai Reply:
A-Ming: I think it started as urethritis, which was not completely cured and evolved into chronic urethritis. It is very troublesome to treat and sometimes may not be completely curable. I recommend going to a larger hospital for a re-examination and treatment. Best regards, Dr. ...[Read More] Struggling with Urological Issues: A Patient's Journey for Relief
Understanding Small Tears at the Glans and Foreskin Junction
Multiple small abrasions at the junction of the glans and the foreskin? Hello, Dr. Hsu. I was browsing through many previous questions, but I couldn't find anything similar, so I'm reaching out to you. Last week, I suddenly felt a slight pain in my glans. Over the past ...
Dr. Xu Weikai Reply:
Assistant: Hello, based on your description, I believe there are several possibilities. 1. Herpes, a viral infection that typically starts with small blisters that can rupture and lead to sores, sometimes accompanied by a secondary bacterial infection. The carrier rate in Taiwa...[Read More] Understanding Small Tears at the Glans and Foreskin Junction
Understanding Post-Prostate Surgery Urinary Issues: Is It Normal?
Is it a normal phenomenon after prostate surgery? Hello, Dr. Lai's 60-year-old father suffered a head injury from a car accident without any obvious external trauma. After losing sensation in the urinary system, he was unable to urinate. He was taken to the hospital where th...
Dr. Lai Ronghao Reply:
Hello: The patient is experiencing urinary retention, possibly due to neurological damage from a head injury, compounded by benign prostatic hyperplasia, which complicates the urination issue. It is recommended that you seek another hospital for a second opinion, preferably at a ...[Read More] Understanding Post-Prostate Surgery Urinary Issues: Is It Normal?
Understanding Semen Analysis: Implications of High Viscosity on Fertility
Semen Hello, doctor: I have a question for you. My husband underwent a sperm analysis, and the results showed that his sperm is excessively viscous, with a liquefaction time of 35 minutes, while the obstetrician said the normal range is 20 minutes. May I ask: 1. Does this mean my...
Dr. Xu Weikai Reply:
1. The liquefaction time is prolonged, which can have many causes, but it does not affect fertility. Generally, infertility is determined by factors such as sperm count and motility. 2. Please attach the semen analysis report so that I can provide more convenient recommendations...[Read More] Understanding Semen Analysis: Implications of High Viscosity on Fertility
Understanding Carotid Artery Stenosis: Risks, Treatments, and Surgical Options
Carotid artery stenosis Dear Dr. Lai: My mother is 73 years old and has been experiencing hearing loss and a history of dizziness for over 30 years. She underwent a neck ultrasound examination, which indicated cervical stenosis, with approximately half of the space remaining. The...
Dr. Lai Lunxiang Reply:
Hello, 1. "Technically acceptable, older age certainly carries risks" refers to the quick recovery, is it regarding dizziness, sclerosis, or surgery? 2. Vascular surgery. 3. Should discuss with the physician (should be included in discussions with other issues).[Read More] Understanding Carotid Artery Stenosis: Risks, Treatments, and Surgical Options
Understanding Uterine and Bladder Prolapse: Treatment Options for Seniors
Uterine and bladder prolapse issues? My mother is 70 years old and has recently been experiencing issues with uterine and bladder prolapse, leading to urinary incontinence, frequent urination, and even resulting in infections and inflammation. She often has fevers that last for s...
Dr. Xu Wencang Reply:
Hello: In response to your question... it is necessary to rule out other causes of urinary tract infections, such as urinary stones, diabetes, and urinary obstruction. Stress urinary incontinence typically does not lead to common urinary tract infections. A standard bladder funct...[Read More] Understanding Uterine and Bladder Prolapse: Treatment Options for Seniors
Understanding Penile Implants: When They're Needed and Costs Involved
About penile prostheses? What situations require the implantation of a penile prosthesis, and what are the costs involved? Is there insurance coverage for this procedure? I have tried medications like Viagra without success, and currently, I can only achieve an erection through l...
Dr. Xu Weikai Reply:
Hello, regarding your question, my opinion is as follows. First, erectile dysfunction requires a specialized physician for differential diagnosis to determine the exact cause and to provide appropriate treatment. Generally speaking, after evaluating sexual function, if pharmacolo...[Read More] Understanding Penile Implants: When They're Needed and Costs Involved
Finding IC Treatment Options Near Taoyuan: Expert Insights and Resources
Is there IC (interstitial cystitis) treatment available near Taoyuan County? 1. Being diagnosed with Interstitial Cystitis (IC) at a medical center, including dynamic testing and cystoscopy, but recently finding fungi in the urine could indicate a urinary tract infection (UTI) ca...
Dr. Zhang Chengye Reply:
Hello Juile: 1. It may be a fungal contamination of the specimen. 2. EIMIRON, a new medication, can be considered. 3. Linkou Chang Gung Memorial Hospital may be a better option. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Department of Urology, Hsinchu Hospital, Ministry...[Read More] Finding IC Treatment Options Near Taoyuan: Expert Insights and Resources
Understanding Itchy Genital Symptoms: Causes and Solutions for Women
Could you please provide the content you would like me to translate? Dear Dr. Chang, I currently live in the United States and have a question I would like to ask you. I have never visited a gynecologist before, but recently I have been experiencing itching in my genital area. I...
Dr. Zhang Chengye Reply:
Hello Meng Yun: It may be caused by excessive cleaning, or it could be due to diabetes leading to candidal vulvovaginitis. It is advisable to avoid self-applying iodine and to let things take their natural course to observe any changes. If there is no improvement, I recommend vis...[Read More] Understanding Itchy Genital Symptoms: Causes and Solutions for Women
Is Botox Injection a Suitable Treatment for Cerebral Palsy Symptoms?
Am I a suitable candidate for Botox injection therapy? Hello, Doctor: I am a patient with cerebral palsy. My condition appears to be quite mild according to many doctors, but I feel very stiff and unable to control myself in many aspects. Specifically, my hands tremble uncontroll...
Dr. Ye Boshou Reply:
The use of botulinum toxin in patients with cerebral palsy should be specifically for spastic cerebral palsy; based on your description, it seems to be inconsistent with the usage guidelines.[Read More] Is Botox Injection a Suitable Treatment for Cerebral Palsy Symptoms?
Understanding Kidney Stones: Symptoms and Risks for Teens
What symptoms can kidney stones cause? What symptoms can kidney stones cause? Is it possible for a 15-year-old to develop kidney stones?
Dr. Pan Zhenqin Reply:
At the age of 15, it is certainly possible to develop kidney stones, especially if you have insufficient fluid intake (generally recommended to be at least 2000-3000 cc per day), sweat a lot, urinate less, frequently consume high-oxalate foods (such as coffee, cocoa, beer, tea, s...[Read More] Understanding Kidney Stones: Symptoms and Risks for Teens
Understanding Fertility Challenges and Urological Concerns in Men
Genitalia Hello, Doctor! I have been married for six months, and my wife has been unable to conceive. We are unsure what the issue might be, as sometimes we intentionally try during the so-called "fertile window," but there are still no results. Additionally, I previous...
Dr. Pan Zhenqin Reply:
Infertility is generally defined as the inability to conceive after one year of regular, unprotected intercourse. Based on your situation, you have not yet met the criteria for infertility. However, if you and your spouse are experiencing pressure from parents regarding this matt...[Read More] Understanding Fertility Challenges and Urological Concerns in Men
Understanding Vasectomy: Costs, Age Restrictions, and Reversal Options
Vasectomy The cost of a vasectomy for men is approximately how much? Can someone under eighteen undergo a vasectomy on their own? If they later wish to have children, can the procedure be reversed? Thank you.
Dr. Liu Jianting Reply:
Regardless of whether it is a male or female, the decision to undergo "sterilization" requires careful consideration before proceeding. Currently, with advanced techniques, it is possible to reverse sterilization through microsurgery, but the chances of conception may b...[Read More] Understanding Vasectomy: Costs, Age Restrictions, and Reversal Options