Managing Recurring High Fever and Urgency: A Urology Perspective
Management of recurrent high fever and urgent urinary frequency? Due to work commitments, I am currently in Germany and will not be able to return to Taiwan for about two weeks. I would like to consult a physician regarding emergency measures and follow-up procedures. Ten years a...
Dr. Zhang Chengye Reply:
Possible cystitis with acute nephritis; urine tests should be conducted for confirmation before initiating antibiotic treatment. Refer to urology or infectious disease specialists. The patient reports symptoms of frequent urination and fever.[Read More] Managing Recurring High Fever and Urgency: A Urology Perspective
Exploring Treatment Options for Overactive Bladder and Interstitial Cystitis
Urinary incontinence Hello, Doctor Huang. I have overactive bladder syndrome and suspect interstitial cystitis (since I do not experience urinary urgency or pain, only occasional pain in the morning that wakes me up, and no issues during the day). The symptoms of urgency are more...
Dr. Lin Hexing Reply:
Hello, Xiaoyu: ELMIRON is a medication used to treat interstitial cystitis; however, your primary symptom seems to be overactive bladder with frequent urination rather than the classic symptoms of interstitial cystitis such as significant bladder pain, reduced bladder capacity, o...[Read More] Exploring Treatment Options for Overactive Bladder and Interstitial Cystitis
Understanding Hematuria: Causes, Diagnosis, and Next Steps for Patients
Hematuria Hello Doctor, last month during a company health check, I was found to have hematuria. I subsequently visited a urology clinic and underwent a renal ultrasound, which showed no issues. Later, I had a bladder function test that indicated a possible problem with post-void...
Dr. Weng Wenzhen Reply:
First, confirm whether the urine examination during the physical check-up includes a microscopic examination of the urine sediment. If the microscopic examination shows more than 5 red blood cells, it is considered hematuria; if it only shows a trace of blood, it does not necessa...[Read More] Understanding Hematuria: Causes, Diagnosis, and Next Steps for Patients
Understanding Urological Issues: Frequent Urination and Related Symptoms
Worrisome individuals Hello Dr. Liu: I am 22 years old, 173 cm tall, and weigh 61 kg. I often experience frequent urination, weak urine flow, and sometimes pain during urination, particularly near the urethral opening. When I go to the bathroom, my urine sometimes splits, and tow...
Dr. Liu Jianting Reply:
It's indeed confusing! Please consult a urologist for a detailed examination.[Read More] Understanding Urological Issues: Frequent Urination and Related Symptoms
Understanding Urinary Urgency and Discomfort: Causes and Solutions
The feeling of needing to urinate? For the past two days, whenever I lightly press on my lower abdomen, I feel a strong urge to urinate, which is quite uncomfortable and has affected my sleep. Additionally, towards the end of urination, I experience a slight soreness and numbness...
Dr. Liu Jianting Reply:
Could it be a urinary tract infection or cystitis? Please visit a hospital to see a urologist for a urinalysis.[Read More] Understanding Urinary Urgency and Discomfort: Causes and Solutions
Understanding the Connection Between High Blood Sugar and Urinary Issues
Hyperglycemia My mother is 64 years old and has high blood sugar. I don't understand why a cold would affect her urinary tract. She feels discomfort when using the restroom, and sometimes she experiences pain before urination, but the amount is small. During wiping, she noti...
Dr. Chen Xiuyi Reply:
Hello: The female patient is experiencing painful urination and has blood upon wiping. The most likely cause is acute cystitis, especially in patients with diabetes, who have a compromised immune system and are more prone to urinary tract infections. Acute cystitis often presents...[Read More] Understanding the Connection Between High Blood Sugar and Urinary Issues
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 Interstitial Cystitis: Tests and Diagnosis Explained
What exactly is wrong with the bladder? Hello Dr. Chang, thank you for your prompt response. However, I think I may not have been clear. Elmiron was approved by the health insurance bureau based on my condition, and it was not purchased out-of-pocket. In your reply, you mentioned...
Dr. Zhang Chengye Reply:
Hello EMLA: You need to undergo a cystoscopy, followed by hydrodilatation under general anesthesia using saline solution to distend the bladder twice, in order to check for any specific pinpoint bleeding lesions (glomerulations). It is advisable for you to consult and discuss thi...[Read More] Understanding Interstitial Cystitis: Tests and Diagnosis Explained
Understanding Bladder Issues: Elmiron, Diclofenac, and Treatment Options
What is happening with the bladder? Hello Dr. Chang, I previously asked you some related questions on June 2nd. However, I am now taking Elmiron. Later, the doctor prescribed Diclofenac Potassium for me to see if it could improve my symptoms. However, it seems that this medicatio...
Dr. Zhang Chengye Reply:
Hello ELMA: Based on the situation you described, tests are necessary to determine whether it is interstitial cystitis. It is not recommended to purchase Elmiron out of pocket, as there are specific regulations under the National Health Insurance that can be followed. This is a r...[Read More] Understanding Bladder Issues: Elmiron, Diclofenac, and Treatment Options
Understanding Urinary Symptoms: When to Seek Medical Advice
Abnormal urination? Last Monday, I started experiencing a slight burning sensation when urinating, and I noticed that my urine was minimal. After using toilet paper to wipe, I found a light pink stain on the paper, which also included urine. I felt some soreness in my lower back ...
Dr. Chen Xiuyi Reply:
Hello: A female patient is experiencing painful urination with hematuria. The most common cause is cystitis or urethritis. Generally, a urinalysis and urine culture are required. If a urinary tract infection is confirmed, antibiotic treatment is typically necessary. In some sever...[Read More] Understanding Urinary Symptoms: When to Seek Medical Advice
Can Stress Cause Blood in Urine? Understanding Possible Reasons
Can high stress levels cause hematuria? What are the possible causes of hematuria? Can stress be a factor? I've been experiencing increased stress lately, and I've noticed blood in my urine. My symptoms include dark brown (reddish) urine, a slight burning sensation afte...
Dr. Cai Bingkun Reply:
There are many factors that can cause hematuria, with the most common being infections and urinary tract stones. Stress is unlikely to cause hematuria. Since you reported experiencing a burning sensation and post-void dribbling after urination, it is likely that the hematuria is ...[Read More] Can Stress Cause Blood in Urine? Understanding Possible Reasons
Understanding IC vs OAB: Managing Bladder Pain and Control Issues
IC or OAB Hello Dr. Chang, the doctor previously mentioned that I have interstitial cystitis (IC). After undergoing bladder augmentation surgery, I experienced bleeding points, and under anesthesia, my bladder capacity was less than 600 mL. However, I do not experience pain from ...
Dr. Zhang Chengye Reply:
Hello Garfield: I believe it should be OAB, as IC typically does not cause urge incontinence. The bladder distension test is only for reference. OAB requires urodynamic studies (UDS). I recommend that you visit the outpatient clinic for a detailed consultation with a physician. S...[Read More] Understanding IC vs OAB: Managing Bladder Pain and Control Issues
Understanding Frequent Urination: When to Seek Medical Help
Urinary incontinence Hello Doctor, I have a question. About five months ago, I started experiencing frequent urination, needing to go to the bathroom every 10 to 15 minutes. The urine volume is not much, and I have a persistent feeling of incomplete emptying. The worst part is th...
Dr. Zhang Chengye Reply:
Hello: Please first visit the urology outpatient department for a urinalysis. If there are no white blood cells in the urine, please proceed to the obstetrics and gynecology department for a detailed examination. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Urology Depart...[Read More] Understanding Frequent Urination: When to Seek Medical Help
Understanding Lower Abdominal Pain and Urinary Urgency: What You Need to Know
Pain.........? Hello doctor: Recently, I have been experiencing frequent lower abdominal pain, along with increased urinary frequency and urgency. Am I sick?
Dr. Weng Wenzhen Reply:
If a urine test rules out cystitis, it may indicate overactive bladder syndrome. This condition is characterized by a reduced functional capacity of the bladder, leading to symptoms such as frequent urination, nocturia, lower abdominal pain, and urgency. Initially, treatment can ...[Read More] Understanding Lower Abdominal Pain and Urinary Urgency: What You Need to Know
Understanding Leg Numbness: Is It Related to Interstitial Cystitis?
Bladder issues affecting lower limb numbness? Hello Doctor: I have interstitial cystitis, and for the past few months, I have been experiencing numbness in my lower limbs (from the calves to the toes). When I visited the hospital, I mentioned to the doctor whether this could be r...
Dr. Zhang Chengye Reply:
Hello, Xiao Ke: Interstitial cystitis is difficult to diagnose and requires a urological cystoscopy to rule out other causes before a diagnosis can be made. Lower limb numbness is generally unrelated to this condition. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Urology ...[Read More] Understanding Leg Numbness: Is It Related to Interstitial Cystitis?
Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Urinary issues Hello! I have a history of frequent urination for five years, but since I only experience frequency without any other discomfort, such as pain during urination, blood in the urine, or pain in any part of my body, I haven't paid much attention to it. However, i...
Dr. Song Zhixian Reply:
Hello Jenny: It is recommended to perform a uroflowmetry test and post-void residual urine measurement. If the uroflow rate is less than 15 mL per second or if there is a significant post-void residual, it may indicate bladder dysfunction, and further urodynamic studies should be...[Read More] Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Understanding Bladder Infections: Symptoms, Treatment, and Recurrence Risks
Cystitis I previously experienced blood in my urine and fever, which my doctor attributed to a urinary tract infection (UTI). Can a UTI be accompanied by fever? Recently, after having intercourse with my boyfriend, I suspect I had another UTI that also included fever symptoms. I ...
Dr. Pan Zhenqin Reply:
Cystitis can sometimes cause fever, especially when it leads to pyelonephritis. Sexual activity is indeed one of the risk factors for developing cystitis, particularly when there is an increase in vaginal secretions during intercourse, which can make it more likely to occur. Howe...[Read More] Understanding Bladder Infections: Symptoms, Treatment, and Recurrence Risks
Understanding Bladder Size and Inflammation: Surgery Insights
Smaller bladder and having cystitis? I have undergone a cystoscopy, and the doctor mentioned that my bladder is smaller than average and that I have cystitis. The doctor advised me to undergo surgery to enlarge my bladder. I would like to know if my bladder will shrink again afte...
Dr. Lin Hexing Reply:
The subject you inquired about indicates that a smaller bladder is indeed related to cystitis, which can include interstitial cystitis, schistosomiasis cystitis, tuberculous cystitis, and radiation cystitis, all of which are possible causes. A decrease in bladder capacity should ...[Read More] Understanding Bladder Size and Inflammation: Surgery Insights
Understanding Interstitial Cystitis: Symptoms, Treatments, and Costs
Interstitial cystitis Hello Dr. Chen, I would like to ask you about a recent issue I've been experiencing. After each time I use the restroom, I feel the urge to urinate again, and the volume is approximately the same each time. I also experience some discomfort in my lowe...
Dr. Chen Zhihong Reply:
A diagnosis should be established first. Please keep a urinary diary to monitor the daily frequency before proceeding with further examinations.[Read More] Understanding Interstitial Cystitis: Symptoms, Treatments, and Costs
Understanding Frequent Urination: Causes and Solutions for Relief
I would like to inquire about the issue of frequent urination? I would like to ask the doctor: Every time I drink plain water or diuretic beverages (such as black tea or green tea), I immediately feel the urge to urinate. If I consume a large amount of these drinks, I find myself...
Dr. Chen Xiuyi Reply:
Frequent urination can have many causes, which can generally be divided into two categories: increased urine production by the kidneys and reduced bladder capacity. Increased urine production may be due to normal physiological responses or pathological conditions, such as excessi...[Read More] Understanding Frequent Urination: Causes and Solutions for Relief