Understanding Testicular Lumps: Causes, Symptoms, and Tests
Hard lump at the bottom of the testicle? Hello, doctor. Two days ago, I accidentally discovered an irregular hard lump at the bottom of my right testicle. I am unsure if it is due to frequent testing over the past two days, but now my right testicle is enlarged, approximately one...
Dr. Xu Weikai Reply:
Hello, the possible conditions you may be experiencing include epididymitis, orchitis, or tumors. A scrotal ultrasound can be performed to confirm the diagnosis before treatment. If you have any further questions, feel free to ask, and we can discuss and research together. Please...[Read More] Understanding Testicular Lumps: Causes, Symptoms, and Tests
Understanding Chronic Fatigue and Allergies: A Neurological Perspective
There is a tendency towards anxiety? I have been experiencing long-term issues since high school, which are now significantly affecting my work. 1. I have allergic rhinitis, but I exercise regularly (walking and light jogging, not too intense, as I feel too tired after work). I...
Dr. Lan Shengxing Reply:
Dear Mr. S, From the perspective of sleep medicine, the most likely condition you should address is obstructive sleep apnea (OSA) caused by nasal airway narrowing. This condition often leads to daytime concentration difficulties, which can contribute to feelings of depression. G...[Read More] Understanding Chronic Fatigue and Allergies: A Neurological Perspective
Understanding Elevated PSA Levels: Causes, Concerns, and Next Steps
Prostate issues Hello, Doctor: Q1. In April of this year, I had a health check-up, and my PSA level was 7.96. In May, I went to the hospital for further testing, and my PSA level was 7.92. Initially, the doctor only performed a blood test, but later I researched online and found...
Dr. Xu Weikai Reply:
Hello, 1. Elevated PSA levels can have many causes. However, your levels are quite high, and further examination is necessary, such as a prostate ultrasound and prostate biopsy. 2. Turbidity, leukocytes, nitrite, WBC, and RBC levels are all normal, which indicates no evidence...[Read More] Understanding Elevated PSA Levels: Causes, Concerns, and Next Steps
Yellow Semen with Blood: What It Means and What to Do
In the past two weeks, the semen has appeared yellow and contains blood after masturbation? Hello doctor, I have had a habit of masturbation for many years, approximately once a week. Recently, I noticed that my semen has changed from the usual clear milky color to a yellowish hu...
Dr. Xu Weikai Reply:
Hello, you can have your semen checked, including routine semen analysis and semen bacterial culture. Treatment will be based on the results. If you have any further questions, feel free to ask, and we can discuss and research together. Answers found online should only be used as...[Read More] Yellow Semen with Blood: What It Means and What to Do
Understanding Pontine Infarction: Symptoms, Risks, and Management Tips
Health Check Report Hello, Doctor! I recently underwent a health check-up at the Shou-Li Double Harmony Hospital, which included a 64-slice CT scan of the brain. The report indicated a possible infarction or artifact in the left pons and recommended follow-up examinations. Could ...
Dr. Huang Yongquan Reply:
Hello: In response to your question, I cannot provide a further explanation of the test results without seeing your complete report. The aspirin you are taking is indeed the first-line medication for stroke prevention. Your blood pressure is also well controlled. Unless there are...[Read More] Understanding Pontine Infarction: Symptoms, Risks, and Management Tips
Understanding Brainstem Infarction: Symptoms, Risks, and Follow-Up Care
Health Check Report Hello, Doctor! I recently underwent a health check-up at the Shou-Li Double Happiness Hospital, which included a 64-slice CT scan of the brain. The report indicated a possible infarction or artifact in the left pons and recommended follow-up examinations. Coul...
Dr. Huang Yongquan Reply:
A pontine infarction is an ischemic stroke that occurs in the brainstem at the "pons" location. It is essential to implement stroke prevention measures, such as controlling blood pressure, taking antiplatelet medications like aspirin, and managing weight. If you have an...[Read More] Understanding Brainstem Infarction: Symptoms, Risks, and Follow-Up Care
Where to Get an Erection Test: Urology and Full Body Checkup Options
Erectile dysfunction Erectile function testing: Where can this test be performed? Is it available at general health check-up facilities?
Dr. Xu Weikai Reply:
Hello, general medical centers with urology departments typically have the necessary equipment. For comprehensive health check-up centers, it's important to review the equipment available at each center. If there are any unclear points, feel free to ask again for further dis...[Read More] Where to Get an Erection Test: Urology and Full Body Checkup Options
Understanding the Link Between BPH Treatment and FNH: What You Need to Know
Benign Prostatic Hyperplasia (BPH) & Focal Nodular Hyperplasia (FNH) of the Liver Hello Doctor: Two years ago during a health check-up, I discovered that I have a sizable benign focal nodular hyperplasia (FNH) in my liver. After doing some research online, I found that this t...
Dr. Lin Hexing Reply:
Hello: You are only 40 years old, and your benign prostatic hyperplasia is just beginning. It is not advisable to take finasteride (Proscar) without proper medical guidance; this seems to be your own assumption. The side effects of finasteride are minimal, primarily related to se...[Read More] Understanding the Link Between BPH Treatment and FNH: What You Need to Know
Understanding the Link Between Proscar and Focal Nodular Hyperplasia
Proscar & FNH Hello Doctor: A few years ago, during a health check-up, I discovered that I have a sizable benign focal nodular hyperplasia (FNH) in my liver. After researching online, I found that this type of benign tumor is more common in women, and the use of contraceptive...
Dr. Xu Weikai Reply:
Mike: Hello, clinical data is used for statistical purposes and has no significance for an individual case. Based on your data, you could be the one who wins or you might not win at all. For you, there is only one scenario; there is no issue of ratios. In other words, what you ne...[Read More] Understanding the Link Between Proscar and Focal Nodular Hyperplasia
Are High Levels of B12 and Folate Harmful? Insights on Homocysteinemia
Is high levels of B12 and folate harmful? I was previously diagnosed with homocysteinemia, and after consulting a doctor, I was advised to supplement with B12 on my own. Recently, during a health check-up, my B12 and folate levels were found to be above the standard range. Is thi...
Dr. Gao Chunde Reply:
Because B12, folate, and B6 are used to lower homocysteine levels, it is necessary to increase their concentrations, not just because of a deficiency. There have been no reports indicating that elevated levels of these vitamins harm health; however, high homocysteine levels can a...[Read More] Are High Levels of B12 and Folate Harmful? Insights on Homocysteinemia
Understanding Recurrent Itching Under the Foreskin: Causes and Solutions
Recurrent itching of the foreskin? Hello Doctor: I have a bit of phimosis, where the foreskin does not retract naturally during an erection, but I can manually expose the entire glans. Therefore, I pay close attention to hygiene and wash with cold water (without any cleanser) for...
Dr. Lin Hexing Reply:
Hello: That is smegma, which is produced daily, so it should be cleaned regularly. However, there is no need to scrub for 1-2 minutes; gently wash with lotion will suffice. It is not a medical issue, and no further examinations are necessary. It is recommended that you consult a ...[Read More] Understanding Recurrent Itching Under the Foreskin: Causes and Solutions
Understanding Circumcision: Traditional vs. Reconstructive Techniques
Circumcision - Traditional Method - Foreskin Restoration Surgery Hello Doctor: Question 1: I have phimosis. When I am erect, the foreskin can retract, but at night while sleeping, I feel discomfort from the foreskin and often pull at it, which is bothersome. I am considering ci...
Dr. Xu Weikai Reply:
Anonymous: Hello. 1. As previously mentioned by the physician, if the entire glans is easily visible during an erection, you may consider retaining the foreskin. However, the decision should also take your specific situation into account. 2. Foreskin restoration surgery involves ...[Read More] Understanding Circumcision: Traditional vs. Reconstructive Techniques
Chronic Abdominal and Back Pain: Seeking Answers in Urology and Beyond
I'm sorry, but I need more context or content to provide Long-term pain in the lower back and abdomen has started, with almost daily abdominal pain and discomfort in the lumbar spine, including a feeling of pressure (the lumbar discomfort began after the abdominal pain). I h...
Dr. Xu Weikai Reply:
Hello, it's difficult to determine. You can consult a family physician or undergo a comprehensive health check-up. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online responses can only serve as a reference; if necessary, ...[Read More] Chronic Abdominal and Back Pain: Seeking Answers in Urology and Beyond
Are Lab Test Results Reliable for Urological Issues?
Will the test report be accurate? Hello, doctor. I have a question I would like to ask you. Twenty years ago, I had urethritis. After taking medication, I improved, but occasionally I experience itching under the foreskin, which resolves after I rub it a bit. At that time, I unde...
Dr. Li Yilun Reply:
The physician's diagnosis of a condition must rely on the patient's presentation, physical examination, and clinical experience. With advancements in technology, diagnostic tests such as blood tests, urine tests, semen analysis, or specialized imaging studies can assist...[Read More] Are Lab Test Results Reliable for Urological Issues?
Understanding Urinary and Kidney Health Checkups: What to Expect
Kidney and urinary health Hello, doctor~~~ I went to the hospital for a urology and kidney health check-up. The doctor arranged for a urinalysis and a kidney ultrasound. I would like to ask if having a urinalysis and kidney ultrasound for the urology and kidney health check-up is...
Dr. Xu Weikai Reply:
Hello, you can generally say that. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online responses can only serve as a reference; if necessary, it is still important to seek medical care at a healthcare facility. This message is ...[Read More] Understanding Urinary and Kidney Health Checkups: What to Expect
Choosing the Right Health Check for Kidney Stone Issues and Back Pain
If you have issues with kidney stones, how should you choose a health examination? Doctor: I have been experiencing issues with kidney stones. Recently, I went to the emergency room for a kidney stone examination, but no stones were found. However, I have started to experience lo...
Dr. Li Yilun Reply:
We apologize for the delayed response due to the internet system not notifying us of the issue. The health check-up does not include kidney stone screening. If you experience any discomfort, we recommend consulting a urologist. The physician will determine the need for a urinalys...[Read More] Choosing the Right Health Check for Kidney Stone Issues and Back Pain
Understanding White Bumps on the Penis and Scrotum: When to Seek Help
Concerns and Issues Hello Doctor: I have developed many small white bumps at the base of my penis and on my scrotum, resembling acne lesions, approximately the size of a grain of rice. They do not burst when pressed, and nothing comes out. Sometimes they itch, and this has been b...
Dr. Xu Weikai Reply:
Xiao Lin: Hello, it seems to be caused by clogged sebaceous glands, resembling acne or pimples. You can consult either a dermatologist or a urologist. Applying some topical ointment should suffice. If there are any unclear points, feel free to ask again, and we can discuss and re...[Read More] Understanding White Bumps on the Penis and Scrotum: When to Seek Help
Understanding Prostate Cysts: Surgical Risks and Treatment Options for Seniors
Prostate cysts? Hello, doctor. My father is 87 years old, and during a recent health check-up, it was found that he has cysts on his prostate. The doctor mentioned that surgery is necessary, but I am concerned about the risks associated with surgery at his age. I would like to kn...
Dr. Lin Wenxu Reply:
Hello, sorry, but what type of surgery does your father need? What are his urinary symptoms? What is his PSA level? I suggest you discuss with the physician to understand why surgery is necessary and how it will be performed. You may also seek opinions from both doctors; if their...[Read More] Understanding Prostate Cysts: Surgical Risks and Treatment Options for Seniors
Understanding Mild Renal Pelvis Dilation: Causes and Next Steps
A health check revealed mild dilation of the left renal pelvis, but no cause could be identified after consulting with a urologist? Hello Doctor, I had a health check-up at a joint hospital at the end of December. After receiving the report, it indicated that an ultrasound examin...
Dr. Xu Weikai Reply:
Yang: Hello, in general, most kidneys with hydronephrosis have underlying issues such as stones or tumors. However, some individuals may have a congenital condition that leads to renal pelvis dilation. If you have concerns, you can follow up at a medical center like National Taiw...[Read More] Understanding Mild Renal Pelvis Dilation: Causes and Next Steps
Understanding Elevated Leukocytes in Urine Tests: Kidney Health Concerns
Urinalysis inquiries? Hello, doctor. I would like to ask about my mother's health check-up at the end of October. In the urine test, two items were flagged in red: leukocytes with a result of {3+} and WBC in urine with a count of {10-20}, both of which are elevated. Does thi...
Dr. Li Yilun Reply:
Hello, the white blood cell count and the presence of white blood cells in urine both indicate an inflammatory response in the urine. Therefore, this report shows that there is inflammation in the urine. However, treatment should depend on whether the patient has any uncomfortabl...[Read More] Understanding Elevated Leukocytes in Urine Tests: Kidney Health Concerns