Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Treatment Options
Interstitial cystitis Hello Doctor, I have interstitial cystitis and have been experiencing frequent urination and pain for the past two years. Recently, the symptoms have worsened, and I underwent a water distension examination. The images from the distension are as follows: htt...
Dr. Li Minghui Reply:
Hello: 1) This platform is not for diagnosis and should not be used for that purpose. 2) Treatment options should be discussed with the attending physician, and there should be multiple approaches to treatment. A detailed discussion is necessary for understanding. 3) For chronic ...[Read More] Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Treatment Options
Understanding Interstitial Cystitis: Diagnosis, Treatment, and Concerns
Interstitial cystitis? Hello, doctor. I have interstitial cystitis, and I've been experiencing frequent urination and pain for the past two years. Recently, my condition has worsened, and I underwent a water distension examination. The images from the water distension can be...
Dr. Du Shixi Reply:
Hello: 1) This facility has not conducted an examination and cannot make a diagnosis. 2) Treatment options should be discussed with the attending physician, and there should be multiple treatment approaches. It is important to have a detailed discussion to understand them. 3) For...[Read More] Understanding Interstitial Cystitis: Diagnosis, Treatment, and Concerns
Understanding Bacterial Presence in Urine Without Infection: A Urology Perspective
The urine test shows bacteria, but the doctor says there is no infection? Hello, doctor. I have been diagnosed with interstitial cystitis for a year. During this year, I have undergone two rounds of hyaluronic acid injections, and my condition has been manageable. However, after ...
Dr. Li Minghui Reply:
Hello: 1) Is there an infection? It may be related to your urine sample collection. Was it done aseptically? For females, if not careful, an inappropriate sample can be obtained. Please refer to the following guidelines from National Taiwan University Hospital: https://www.ntuh.g...[Read More] Understanding Bacterial Presence in Urine Without Infection: A Urology Perspective
Understanding Interstitial Cystitis and Urinary Tract Infections: Your Questions Answered
Urinary tract infection (UTI) Hello, doctor. I have been diagnosed with interstitial cystitis for a year. During this year, I have undergone two rounds of hyaluronic acid treatment, and my condition has been manageable. However, after a round of medication in the second half of t...
Dr. Du Shixi Reply:
Hello: 1) Is there an infection? This may relate to your urine sample collection. Was it done aseptically? For females, if urine is collected improperly, it can lead to contamination. Please refer to the following guidelines from National Taiwan University Hospital: https://www.n...[Read More] Understanding Interstitial Cystitis and Urinary Tract Infections: Your Questions Answered
Is Drinking Water Before Bed Harmful to Your Bladder?
The issue of drinking water before bedtime? Hello Doctor, I apologize for bothering you. I would like to ask you about my habit of drinking water before bed. However, when I go to the bathroom for the first time the next morning, I often feel like I have a lot of urine but it com...
Dr. Du Shixi Reply:
Hello: Drinking water before bed is normal and is not related to harming the bladder. Many people experience difficulty urinating upon waking. As long as urination is not painful and the color is normal, there is no need for concern. If you are really worried, you can go to the h...[Read More] Is Drinking Water Before Bed Harmful to Your Bladder?
Understanding Hematuria from Oral Chemotherapy: Risks and Treatments
Hematuria caused by oral chemotherapy agents? Hello Dr. Jian, I would like to ask you again about the cure rate for hematuria caused by cancer drugs like Aredia. Why does hematuria occur intermittently? Will the bladder return to normal, or will it undergo fibrosis? You mentioned...
Dr. Jian Weihong Reply:
1. Cure rate of hematuria: Due to the limited number of studies and patients related to hematuria caused by cancer drugs, as well as the short follow-up time, it is difficult to provide a definitive answer. 2. Why does hematuria come and go: The damage caused by the disease and...[Read More] Understanding Hematuria from Oral Chemotherapy: Risks and Treatments
Understanding Recurrent Urinary Pain Without Infection: What to Do Next?
Recurrent urinary tract infections (UTIs) Hello, doctor. After our last discussion, I switched from a gynecology clinic (where I had six visits) to the urology department at a hospital. Although I have symptoms of painful urination and slight lower abdominal pain, the urine tests...
Dr. Li Xinyi Reply:
It may also be necessary to visit a gynecologist to check for any inflammation of the birth canal, as this can easily affect the urethra. You should also Google the risk factors for female cystitis to understand if there are any issues with your hygiene. If symptoms occur again, ...[Read More] Understanding Recurrent Urinary Pain Without Infection: What to Do Next?
Understanding Persistent Urethritis: Causes and Management Tips
Urethritis for 3 weeks? Hello Doctor, on December 12th, I experienced itching in the urethra and went to the hospital for an examination. Urinalysis showed normal white blood cells and red blood cells. On December 14th, the itching persisted, and I had slight pain during urinatio...
Dr. Li Minghui Reply:
Causes of urethral itching and pain include urinary tract infections, non-infectious inflammation such as interstitial cystitis, local irritation from factors like stones, sexual activity, or cycling, as well as metabolites of medications or food components in the urine. Urinary ...[Read More] Understanding Persistent Urethritis: Causes and Management Tips
Understanding Hematuria and Urinary Frequency After Cancer Chemotherapy
Oral administration of cancer medication can cause hematuria? Hello Doctor, I have a friend who has been undergoing oral chemotherapy with Capecitabine for eight months due to cancer. He developed hematuria and increased urinary frequency, prompting the doctor to immediately disc...
Dr. Jian Weihong Reply:
Frequent urination and incontinence may be caused by hematuria, which could be due to cystitis induced by cyclophosphamide. Additionally, it is important to be cautious as cyclophosphamide may also lead to bladder cancer. It is generally recommended to undergo cystoscopy for exam...[Read More] Understanding Hematuria and Urinary Frequency After Cancer Chemotherapy
Understanding Post-Urinary Tract Infection Symptoms and Management
Post-Urinary Tract Infection Complications Hello Dr. Hsu, I am a 31-year-old female currently working in Macau. This year, I have experienced multiple episodes of urinary tract infections (UTIs), specifically in March, May, and June, each time presenting with acute hematuria at n...
Dr. Xu Wencang Reply:
The bladder capacity is still 400 cc, which is normal. Chronic inflammation can lead to a reduced capacity. It can be monitored, and if symptoms arise, a urinalysis and bacterial culture should be performed.[Read More] Understanding Post-Urinary Tract Infection Symptoms and Management
Impact of Sexual Activity on Interstitial Cystitis Symptoms and Treatment
The relationship between the treatment of interstitial cystitis and sexual activity? Hello, doctor. In August and September, I experienced a bladder bacterial infection, along with two episodes of frequent urination and lower abdominal pain, but my urinalysis was normal. In early...
Dr. Xu Wencang Reply:
It should be unrelated; you can return to the outpatient clinic for further evaluation.[Read More] Impact of Sexual Activity on Interstitial Cystitis Symptoms and Treatment
Understanding Persistent Headaches: Causes, Treatments, and When to Seek Help
Persistent headache Hello Doctor, On a certain day in May, I suddenly experienced a severe headache accompanied by nausea and the urge to vomit. At that time, I was undergoing treatment in the obstetrics and gynecology department for recurrent candidiasis, and I had taken multi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a vascular headache. Consider the following criteria: (a) recurrent migraine attacks that significantly affect the patient's quality of life or daily activities, with triggers ruled out, and appropriate use of acute treatment medications and ...[Read More] Understanding Persistent Headaches: Causes, Treatments, and When to Seek Help
Understanding Urinary Disorders: Causes, Symptoms, and Treatment Options
Urinary obstruction Hello, doctor. At the beginning of last year, I started experiencing frequent urination and intermittent urination, along with a decrease in urine flow. I visited a doctor at that time, but I felt like there wasn't much improvement. The frequent urination...
Dr. Du Shixi Reply:
Hello: If you are experiencing issues with urination despite normal hydration and lifestyle, the doctor will likely recommend further examinations. At only 39 years old, it is probably not a serious issue and may be related to habits. Ensure you are drinking enough water, limit s...[Read More] Understanding Urinary Disorders: Causes, Symptoms, and Treatment Options
Understanding Urgency Incontinence: Is It Interstitial Cystitis or Overactive Bladder?
Acute urge incontinence Hello, doctor! I have been troubled by urgent urinary incontinence for four to five years. I have previously consulted various hospitals' urology and gynecology departments, tried medications, used a magnetic chair, performed Kegel exercises, and rece...
Dr. Xu Wencang Reply:
Interstitial cystitis should present with bladder pain and nocturia. In cases of overactive bladder that persist and are unresponsive to medication, intravesical botulinum toxin injection may be considered.[Read More] Understanding Urgency Incontinence: Is It Interstitial Cystitis or Overactive Bladder?
Understanding Chyluria: Causes and Concerns of Cloudy Urine
Chyluria is characterized by the presence of milky or cloudy urine? Since elementary school, through middle school and into college, I have been unable to urinate in public restrooms if there are others nearby. I have had a pathological urge to hold my urine since childhood, need...
Dr. Du Shixi Reply:
Hello: Your condition should be evaluated at a medical center. If the urinalysis shows no chyluria, then there should be no issue with chyluria. Currently, large hospitals conduct very detailed urine tests. Wishing you good health.[Read More] Understanding Chyluria: Causes and Concerns of Cloudy Urine
Understanding Urethral Pain: Causes and Concerns After Sexual Activity
Urethral pain Hello, Doctor Tsai. Two weeks ago, I had sexual intercourse with my partner twice in a short period (both times with a condom), and afterward, I started experiencing urethral pain. After observing the symptoms for three days, I went to the hospital and was prescribe...
Dr. Cai Zhuorong Reply:
Based on the symptoms you described, the more common possible diagnoses include: gonococcal or chlamydial urethritis, bacterial acute cystitis, ureteral stones, chronic prostatitis, among others. If symptoms do not improve, it is advisable to seek further evaluation and testing.[Read More] Understanding Urethral Pain: Causes and Concerns After Sexual Activity
Understanding Bladder Dysfunction: The Impact of Chronic Urinary Retention
Poor bladder elasticity, bladder weakness, reduced bladder capacity, long-term retention leading to damage? Since elementary school, through middle school and college, I have been unable to urinate in public restrooms if there are others nearby. I have had a pathological urge to ...
Dr. Cai Zhuorong Reply:
The medications you mentioned from psychiatry, dermatology, and otolaryngology may all potentially affect urination. However, based on your description, the impact of these medications may not be the primary cause. It is recommended that you visit a urology department at a medica...[Read More] Understanding Bladder Dysfunction: The Impact of Chronic Urinary Retention
Understanding Urinary Issues: Frequent Urination and Urgency Explained
Post-void dribbling, frequent urination, and urinary retention are very severe? Since elementary school through high school and into college, I have been afraid to urinate in public. I have had a pathological urge to hold my urine since childhood, only feeling comfortable to urin...
Dr. Du Shixi Reply:
Hello: Regarding psychiatric medications, please consult a psychiatrist. They do not affect the fields of metabolism or urology, and long-term follow-up is necessary. Wishing you good health.[Read More] Understanding Urinary Issues: Frequent Urination and Urgency Explained
Understanding Bladder Elasticity Issues: Long-Term Effects of Urinary Retention
Poor bladder elasticity? Since elementary school, through middle school and college, I have been unable to urinate in public restrooms when others are nearby. This has led to a pathological condition of holding in urine, where I would only urinate when the restroom was empty. Due...
Dr. Liu Mingyue Reply:
Hello: 1) BACLOFEN 5mg should not have side effects, but you should consult your physician for an evaluation. 2) In the short term, there should not be any issues, but it is important to seek long-term medical care. Wishing you good health.[Read More] Understanding Bladder Elasticity Issues: Long-Term Effects of Urinary Retention
Understanding Bladder Elasticity Issues: A Journey Through Urinary Challenges
Poor bladder elasticity? Since elementary school through high school and into college, I have been unable to urinate in public restrooms when others are nearby. This has led to a pathological urge to hold my urine, waiting until the restroom is empty before I feel safe to go. Due...
Dr. Du Shixi Reply:
Hello: 1) BACLOFEN 5mg should not have side effects, but you should consult your physician for an evaluation. 2) In the short term, there should be no issues, but long-term medical care is essential. Wishing you good health.[Read More] Understanding Bladder Elasticity Issues: A Journey Through Urinary Challenges