Understanding White Particles in Urine: Causes and Concerns in Urology
White object Hello, I experienced a urinary tract infection around November 2022, which led to a fever and a visit to the emergency room. Blood and urine tests revealed that Escherichia coli had entered my bloodstream, causing the fever. After recovering, I had a recurrence in De...
Dr. Xu Wencang Reply:
If symptoms persist, you can visit the outpatient clinic for a urinalysis and bacterial culture. An ultrasound examination can also be performed to rule out other issues.[Read More] Understanding White Particles in Urine: Causes and Concerns in Urology
Managing Chronic Bacterial Prostatitis: Antibiotics and Alpha Blockers
Treatment of Chronic Bacterial Prostatitis Hello Doctor: I previously underwent a digital rectal examination and cultured Escherichia coli. I am currently on antibiotic treatment. My main symptoms include pain at the base of the penis and in the lower abdomen, but I experience in...
Dr. Du Shixi Reply:
Hello: Personal opinions can be set aside, but it is advisable to consult the prescribing physician. Wishing you good health.[Read More] Managing Chronic Bacterial Prostatitis: Antibiotics and Alpha Blockers
Understanding Recurrent Urethritis: Symptoms, Causes, and Treatment Options
Recurrent urethritis Hello Doctor, I have a normal daily routine and drink water adequately. I only have sexual intercourse with my wife, which is not frequent (about once a week). Around August 15, I experienced acute urethritis for the first time in my life. I visited a nearby ...
Dr. Li Xinyi Reply:
It sounds like prostatitis, and the bacteria cultured may be from the feces. May I ask if there has been any anal intercourse? These bacteria could potentially have strong antibiotic resistance, and a stronger medication may be required, with treatment lasting 4 to 6 weeks. It is...[Read More] Understanding Recurrent Urethritis: Symptoms, Causes, and Treatment Options
Frequent Urination with Low Volume: Exploring Possible Causes and Treatments
Frequent urination with low urine volume? Hello, doctor. For the past three months, I have been experiencing frequent urination, needing to go to the bathroom almost every hour, with a urine volume of about 100-150 cc each time. After consulting with a physician and undergoing te...
Dr. Du Shixi Reply:
Hello: First, the area where I feel pain when I press on my lower abdomen should be closer to the digestive system rather than the bladder, right? --> Yes, but does the bladder's area actually extend that far? --> It’s possible that pressure downwards could affect it; ...[Read More] Frequent Urination with Low Volume: Exploring Possible Causes and Treatments
Understanding Bacterial Chronic Prostatitis: Symptoms, Treatment, and Concerns
Chronic bacterial prostatitis On January 10, I had protected sexual intercourse (including oral sex), and two days later, I started experiencing frequent urination and my semen became watery. However, I have been having unprotected sex with my girlfriend for over three months, an...
Dr. Li Xinyi Reply:
Trichomoniasis in men often presents with fewer symptoms, so it is advisable to get tested. In terms of sexually transmitted infections (STIs), women typically show fewer symptoms, which means that self-reporting is not reliable; a thorough examination and follow-up by a gynecolo...[Read More] Understanding Bacterial Chronic Prostatitis: Symptoms, Treatment, and Concerns
Understanding the Link Between Urethritis and Prostatitis: Key Insights
The issue of urethritis progressing to prostatitis? Hello, doctor! (Today is my 18th day of medication treatment.) I have experienced urinary tract infections five times in my life, with the most recent occurrence in April. After going to a large hospital for a urine test, it was...
Dr. Liu Mingyue Reply:
Hello: There are many types of prostatitis. Acute prostatitis may require hospitalization. As for a digital rectal examination by a physician, it may be difficult to make a judgment during an acute episode, as symptoms can sometimes worsen. Regarding lifestyle, it is important to...[Read More] Understanding the Link Between Urethritis and Prostatitis: Key Insights
Understanding Prostatitis: Treatment, Concerns, and Lifestyle Impact
Issues related to prostatitis? Hello, doctor! (Today is my 18th day of medication treatment.) I have experienced urinary tract infections five times in my life, with the most recent occurrence in April. After going to a large hospital for a urine test, it was found to be Escheric...
Dr. Du Shixi Reply:
Hello: There are many types of prostatitis, and acute cases may require hospitalization. As for a digital rectal examination by a physician, it may be difficult to make a diagnosis during an acute episode, as symptoms can sometimes worsen. Regarding lifestyle, it is important to ...[Read More] Understanding Prostatitis: Treatment, Concerns, and Lifestyle Impact
Understanding Chlamydia, Herpes, and HPV: Key Urology Concerns Explained
Regarding issues related to herpes, chlamydia, and HPV? Hello Doctor: I would like to ask the following questions: 1. If the Chlamydia test results show IgM (-), IgG (+), and IgA (+), does this indicate a current infection or no infection? Additionally, when referring to a recur...
Dr. Du Shixi Reply:
Hello: 1) Diagnosing Mycoplasma is complex because the strains are not necessarily sexually transmitted. Therefore, if there are no symptoms, testing cannot provide a diagnosis. If IgM is elevated, it typically indicates a recent infection; IgA suggests an ongoing infection, whil...[Read More] Understanding Chlamydia, Herpes, and HPV: Key Urology Concerns Explained
Is Your Urinary Tract Infection Fully Resolved? Key Insights
Is the urinary tract infection not completely resolved? Hello, Doctor. About a month ago, I was diagnosed with both vaginitis and a urinary tract infection (UTI). For the UTI, I have followed up with my physician and taken two courses of antibiotics (Cephamycins), each lasting fi...
Dr. Chen Jiansheng Reply:
Generally, the first follow-up visit involves reviewing the bacterial culture from the urine sample collected during the initial consultation. This culture is used to adjust the precise medication and select the appropriate and effective antibiotic. Typically, after using the app...[Read More] Is Your Urinary Tract Infection Fully Resolved? Key Insights
Frequent Urination and Discomfort: Understanding Urological Infections
Frequent urination, thirst, and discomfort in the lower abdomen? A month ago, I visited a prostitute, and two to three days later, I experienced hematuria at night. I consulted a doctor who conducted tests and diagnosed me with an Escherichia coli infection, stating that my ureth...
Dr. Chen Jiansheng Reply:
Hello: Please continue with follow-up visits and discuss with your primary physician whether the medication dosage is insufficient or if there are any new symptoms.[Read More] Frequent Urination and Discomfort: Understanding Urological Infections
Understanding Prostatitis: Symptoms, Diagnosis, and Treatment Options
Prostatitis Hello, doctor. In mid-April, I felt a sense of heaviness in my lower abdomen, experienced tenderness in the pubic area while urinating, and noticed that my semen appeared yellow. I went to see a urologist, who prescribed me a two-week course of antibiotics. After two ...
Dr. Chen Jiansheng Reply:
Hello, sir: 1. Prostatic fluid is used to assist in the diagnosis of prostatitis, but it is not an absolute standard. 2. Your symptoms may be caused by prostatitis. 3. Acute inflammation generally requires 10 to 14 days for treatment, while chronic inflammation typically requi...[Read More] Understanding Prostatitis: Symptoms, Diagnosis, and Treatment Options
Persistent Burning During Urination: Chronic Urethritis Concerns
Burning sensation during urination, weakness? Hello! I have had urethritis for over ten years. I have taken countless antibiotics, and my doctor has said that I have very few medications left to take. I was recently hospitalized for examination, and it was found to be an Escheric...
Dr. Chen Jiansheng Reply:
Hello Ms. Ban: Your symptoms sound very much like recurrent urinary tract infections (UTIs). However, it is unclear what tests you have undergone. The definition of recurrent urinary tract infections is having three or more symptomatic infections within a year. It is important to...[Read More] Persistent Burning During Urination: Chronic Urethritis Concerns
Understanding Penile Pain After High-Risk Sexual Activity: What to Know
If you are experiencing penile pain, it is important to consult a healthcare professional for a proper diagnosis and treatment. Common causes of penile pain can include infections, inflammation, or trauma. Treatment will depend on the underlying cause, so seeking medical advice i...
Dr. Xu Weikai Reply:
DH034: Hello, it is certainly possible to test positive on the first attempt. However, symptoms of HIV do not appear that quickly. Your symptoms may indicate urethritis, which could be caused by gonorrhea, Candida, Escherichia coli, etc. If you have any further questions or need ...[Read More] Understanding Penile Pain After High-Risk Sexual Activity: What to Know
Is This Gonorrhea? Understanding Symptoms After Anal Intercourse
Could this be gonorrhea? After having anal intercourse with a man, I noticed green discharge from my urethra the next day. I went to see a doctor, but I didn't mention the anal intercourse. The doctor examined my urine and found a lot of white blood cells, so he prescribed D...
Dr. Xu Weikai Reply:
Hello, it is recommended that you undergo an examination. Gonorrhea typically presents with yellow discharge. In your case, there is concern about other bacteria, such as Escherichia coli, intestinal bacteria, and Pseudomonas aeruginosa. If you have any further questions, feel fr...[Read More] Is This Gonorrhea? Understanding Symptoms After Anal Intercourse
Understanding Recurrent Urinary Tract Infections: Causes and Solutions
Recurrent urinary tract infection (UTI) Hello, I experienced my first urinary tract infection at the end of September this year, during which I had hematuria, gastrointestinal symptoms, and fever. After undergoing X-rays, urinalysis, and renal ultrasound, I was diagnosed with a u...
Dr. Li Yilun Reply:
Recurrent urinary tract infections in men often necessitate consideration of other underlying causes. The physician has arranged numerous tests, indicating an active pursuit of the etiology, including various imaging studies. Since no findings have been identified thus far, it ma...[Read More] Understanding Recurrent Urinary Tract Infections: Causes and Solutions
Can You Get STDs from a Cut? Understanding Infection Risks
Transmission routes of sexually transmitted infections (STIs)? Hello Dr. Hsu: Recently, I helped a friend move, and while moving a wooden cabinet, I accidentally cut my right thigh on the sharp edge of a drawer. There is a noticeable red cut mark, and I feel a little bit of bleed...
Dr. Xu Weikai Reply:
Anonymous: Hello. 1. Unless the corners of the wooden cabinet are contaminated with the blood or secretions of individuals with HIV, syphilis, etc., these pathogens are unlikely to be present. However, other bacteria such as Staphylococcus, Clostridium tetani, and Escherichia col...[Read More] Can You Get STDs from a Cut? Understanding Infection Risks
Understanding Balanitis and Pubic Bone Inflammation: Treatment Options
Balanitis and pubic symphysis inflammation? Hello Doctor: I have two questions I would like to ask you, and I appreciate your help in answering them. Thank you. First: I have been experiencing redness, itching, and pain on my glans for the past six months. During this time, I ha...
Dr. Xu Weikai Reply:
Hello, 1. If there is an infection, antibiotics can be used. For daily care of the glans, you can refer to my previous responses to other users. 2. Regarding pubic bone inflammation, I am not familiar with it and have not diagnosed any related cases. If there are any unclear poin...[Read More] Understanding Balanitis and Pubic Bone Inflammation: Treatment Options
Understanding and Treating Persistent Glans Inflammation: A Patient's Journey
Glanitis inquiry again~ Hello Doctor: I would like to report my current condition. Previously, I was informed that I had balanitis, but after three months, the symptoms have not improved and have progressed to numbness and pain in the glans. The numbness and pain have even extend...
Dr. Xu Weikai Reply:
Yang: Hello. 1. If it is indeed an E. coli infection in the urethra, antibiotics should be used for about 2-3 weeks. 2. For the care of the glans and foreskin, do not use soap, body wash, or any cleaning products, and avoid hot water. In other words, local cleaning should be done...[Read More] Understanding and Treating Persistent Glans Inflammation: A Patient's Journey
Unusual Symptoms: Understanding Persistent Erections and Discharge
Strange? I have noticed that over the past few months, after prolonged erections, a clear, sticky substance is being released. Additionally, I experience multiple erections throughout the day, which often leaves my underwear damp. I have no sexual experience, so it shouldn't...
Dr. Xu Weikai Reply:
Hello, it is recommended to check the semen for any infections. It could be caused by an infection or other issues. As for whether it is a sexually transmitted infection (STI), the likelihood is low; it is more commonly due to typical bacteria such as Escherichia coli and Staphyl...[Read More] Unusual Symptoms: Understanding Persistent Erections and Discharge
Managing Recurrent Urinary Tract Infections in Postmenopausal Women
Recurrent infection Age: 56 years, Gender: Female. She experienced menopause at the age of 49 and currently has menopausal issues. There is a 0.4 cm stone in the right kidney. Two to three years ago, she was hospitalized for stone removal and lithotripsy (staghorn stone), after w...
Dr. Lin Hexing Reply:
Hello, Ms. Chen: Thank you for your question. Your issue is quite significant, and currently, there is no definitive solution. First, you are diagnosed with staghorn calculi, which is a type of infectious stone. It is essential to manage the infection effectively, ideally by usin...[Read More] Managing Recurrent Urinary Tract Infections in Postmenopausal Women