Understanding Ejaculation Issues: Causes and Solutions for Men
Ejaculation issues?! Hello, doctor: I would like to ask you a few questions! My daily life is quite regular, and my girlfriend and I only meet for a few days each month, about three days (Friday, Saturday, and Sunday). During those days, we have a higher frequency of sexual activ...
Dr. Liu Jiaju Reply:
Due to excessive sexual activity in a short period of time, men may experience an extended refractory period for erection and ejaculation. This can lead to issues such as poor rigidity or delayed ejaculation. If these symptoms persist even after a longer interval between sexual a...[Read More] Understanding Ejaculation Issues: Causes and Solutions for Men
Understanding Ureteral Stones: Causes, Symptoms, and Prevention Tips
Ureteral stones Hello, Dr. Hsu. My father underwent endoscopic stone removal surgery (left ureteral stone) and extracorporeal shock wave lithotripsy in the urology department three years ago. After an X-ray examination confirmed that the stones had been expelled, he did not conti...
Dr. Xu Weikai Reply:
Hello, for general stone prevention, you can refer to the educational materials from our Urology Department. The main principles are: drink plenty of water, reduce salt intake, and avoid a restrictive diet. If there are no heart issues and there is no need to limit fluid intake, ...[Read More] Understanding Ureteral Stones: Causes, Symptoms, and Prevention Tips
Understanding Foamy Urine: Causes and Concerns for Your Health
Foamy urine in the morning? Hello, I recently noticed that I have bubbles in my urine almost every morning, sometimes it’s full of bubbles, which gradually break apart, but there are still some small bubbles that remain unbroken, similar to after brushing my teeth. Could this ind...
Dr. Xu Wencang Reply:
Hello, in response to your question: The possible causes of foamy urine can be categorized into internal and external factors. Internal factors include proteinuria, impurities, or crystals in the urine. Lemon water can alkalinize urine, helping to prevent stones and crystals. Ext...[Read More] Understanding Foamy Urine: Causes and Concerns for Your Health
Effective Strategies for Managing Prostate Calcification and Sleep Disruption
Prostate calcification Hello Doctor, during my health check-up a year ago, the ultrasound revealed calcification in my prostate. Over the past year, I have been waking up almost every night to urinate, which has caused sleep deprivation and affected my energy levels at work. This...
Dr. Zhou Xinpei Reply:
Prostate calcification has only imaging significance and is not directly related to your nocturia symptoms. However, your issue of needing to urinate once every night may require further examination at a urology clinic so that a urologist can provide targeted treatment.[Read More] Effective Strategies for Managing Prostate Calcification and Sleep Disruption
Understanding Elevated PSA Levels: Should You Get Retested?
The PSA test result is 5.520? Hello, doctor. I recently received my health check-up report, which shows a PSA level of 5.520 (above the standard value). Should I undergo further testing? Or is this result normal for my age?
Dr. Zhou Xinpei Reply:
The standard value for PSA is < 4 ng/ml, and some medical centers have even lowered the screening threshold to < 3.5 or 3.0 ng/ml. Given your situation, it is essential that you go to the hospital for further examination to understand the true reason for the elevated levels...[Read More] Understanding Elevated PSA Levels: Should You Get Retested?
Understanding Kidney Stones: When to Consider Lithotripsy Treatment
Kidney stones The office conducts health check-ups every two years. Four years ago, I was diagnosed with a 0.3 cm kidney stone during my check-up. The doctor advised me to drink more water, as there was a chance it could pass. Two years ago, the stone increased to 0.5 cm, and the...
Dr. Zhou Xinpei Reply:
According to the regulations of the National Health Insurance Administration, extracorporeal shock wave lithotripsy (ESWL) can be performed for kidney stones larger than 0.5 cm. This treatment does not require hospitalization and can be scheduled in the outpatient clinic from Mon...[Read More] Understanding Kidney Stones: When to Consider Lithotripsy Treatment
Understanding Elevated PSA Levels and Prostate Health Concerns
Elevated PSA levels and prostate issues? Hello Doctor, I am 31 years old. During a health check-up in April this year at New Taipei City Keelung Hospital, my PSA level was found to be 6.0. However, I did not have any discomfort, except for an incident a few months ago where I not...
Dr. Xu Weikai Reply:
PSA: Generally, PSA levels stabilize after about three months. Therefore, drawing blood too early typically does not result in significant changes. Additionally, elevated PSA levels can be caused by various factors, including ejaculation, constipation, diarrhea, prostate cancer, ...[Read More] Understanding Elevated PSA Levels and Prostate Health Concerns
Understanding Elevated PSA Levels: What You Need to Know at 34
Questions about PSA levels? Hello Dr. Zhou, I am 34 years old. During my health check-up, I found that my PAS value is 4.3. What does this elevated value signify? How can I further confirm whether there is indeed an issue with my prostate? What are the other possible causes for t...
Dr. Zhou Xinpei Reply:
A PSA level higher than 4 ng/ml can typically be attributed to: 1. Recent urinary tract infection, 2. Benign prostatic hyperplasia, 3. Potential underlying prostate cancer. Therefore, it is recommended that you promptly visit a urology clinic for a professional examination, inclu...[Read More] Understanding Elevated PSA Levels: What You Need to Know at 34
Understanding Nerve Damage: Causes of Tingling and Weakness in Limbs
Mild numbness in the hands and feet to complete numbness in the limbs? Hello Doctor: I have been experiencing mild numbness in some of my fingers since the Lunar New Year, which later progressed to a tingling sensation in all my fingers and toes. At times, my entire palms and sol...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Executive Yuan Health Department: Hello, Based on your age (31 years old) and the symptoms of numbness in your limbs, it appears to be more indicative of polyneuropathy. However, further inquiry into your...[Read More] Understanding Nerve Damage: Causes of Tingling and Weakness in Limbs
Managing Recurrent Urinary Frequency After UTI: Causes and Solutions
Recurrent urinary frequency issues? Hello, Dr. Hsu. About three months ago, I sought medical attention for a urinary tract infection. After completing the full course of antibiotics, I recovered, but I have since experienced mild infection symptoms whenever I drink less water or ...
Dr. Xu Weikai Reply:
CHRIS: Hello, if an infection is not confirmed, there is no need to use antibiotics for treatment. For frequent urination or mild urethral symptoms, you may consider using cranberry juice or supplements for maintenance. If using cranberry juice, it is recommended to take 500cc da...[Read More] Managing Recurrent Urinary Frequency After UTI: Causes and Solutions
Understanding the Consequences of Long-Term Abstinence and Prostate Health
Consequences of Long-term Abstinence Could I have congestive prostatitis? I am unmarried. Previously, I ejaculated approximately once every week to two weeks (or even longer). Two years ago, after a big meal (during the New Year's Eve dinner), I noticed white discharge at th...
Dr. Xu Weikai Reply:
Hello, it is best to check the following: 1. Urine and semen analysis 2. Bacterial culture 3. Prostatic fluid analysis 4. Prostate ultrasound 5. Urodynamic studies 6. If necessary, a PSA (Prostate-Specific Antigen) test can be performed. If these tests are purely for medical purp...[Read More] Understanding the Consequences of Long-Term Abstinence and Prostate Health
Understanding Painless Hematuria: What You Need to Know
Regarding painless hematuria..? Hello Dr. Yan, My grandmother is 76 years old. After undergoing a health check-up in April this year, the report indicated that there were traces of blood in her urine (she does not experience pain while urinating). In early May, she visited a hos...
Dr. Yan Dawei Reply:
Painless hematuria should first rule out urethritis and urinary tract stones, making a urinalysis essential. If urethritis has been excluded and hematuria persists, a cystoscopy is necessary.[Read More] Understanding Painless Hematuria: What You Need to Know
Understanding Neurological Symptoms: When to Seek Medical Advice
Please ask your question? Hello: I previously inquired about a tight sensation from my left cheek to my temple (the area near my nose does not feel this way). This condition has persisted for quite some time, approximately 8 to 9 months now. Recently, in the last three or four da...
Dr. Ye Boshou Reply:
Hello: 1. There will be no signs of vascular obstruction. 2. Numbness in the legs is more likely related to peripheral nerve issues, such as compression, but it can improve. If there is no improvement or if it worsens, a consultation with a neurologist for examination is necessar...[Read More] Understanding Neurological Symptoms: When to Seek Medical Advice
Understanding Urine Test Results: Impact of Dehydration and Kidney Stones
Urinalysis for health check-up? Hello doctor, I recently went for a health check-up at the hospital. Since I left home early in the morning without drinking any water, and I hadn't hydrated the night before, my urine was very dark. Will this affect the results? For the urine...
Dr. Liu Jianting Reply:
The most important aspect of the urine report is that a 0.3 cm stone found on ultrasound should be monitored. There is a significant chance that it may pass on its own. Water is the best beverage and drinking more is harmless. If you are still concerned, take the report to a hosp...[Read More] Understanding Urine Test Results: Impact of Dehydration and Kidney Stones
Understanding Changes in Urine Color: What It Means for Your Kidney Health
Urine color Recently, I've noticed that the color of my urine doesn't seem as yellow as it used to be. In the past, after taking vitamin B, my urine would be very yellow, but now it appears lighter. I had a health check-up three days ago, and I haven't received the...
Dr. Xu Weikai Reply:
K: Hello, the color of urine is related to water intake, weather, and food/medications. In winter, with less sweating, urine tends to be lighter in color due to higher fluid levels; similarly, increased water consumption will also dilute the color of urine. Note: 1. Generally, no...[Read More] Understanding Changes in Urine Color: What It Means for Your Kidney Health
Essential Tests for Headaches and Dizziness: A Guide
Headache and dizziness? I have scheduled a health check-up at the health department and would like to request additional tests specifically for my headaches and dizziness. What additional tests should I consider? Thanks!
Dr. Ye Boshou Reply:
Hello: The causes of headaches and dizziness are different. The health examination for headaches includes electroencephalography (EEG) and computed tomography (CT) imaging analysis. If dizziness is related to blood flow issues, a transcranial Doppler ultrasound may be necessary.[Read More] Essential Tests for Headaches and Dizziness: A Guide
Understanding Sweat with Urine Odor: Is It a Kidney Issue?
Sweating with a urine-like odor? Hello, doctor. My mother is 63 years old. During her health check-up at the end of April, her cholesterol level was found to be 228, and her fasting blood sugar was 128. She has noticed a urine-like odor when she sweats, and recently, when she clo...
Dr. Chen Junji Reply:
Concerned Individual: Hello! In many cases, body odor can occur. Various diseases (such as gastrointestinal, liver, kidney diseases, diabetes, and rare metabolic disorders), food, medications, and even age and gender differences can cause the body to produce unusual odors. Most o...[Read More] Understanding Sweat with Urine Odor: Is It a Kidney Issue?
Is Metronidazole Effective for Treating Chlamydia Infections?
Is Metronidazole effective for treating Mycoplasma infections? Hello Doctor: During my health check-up, I found that my Chlamydia antibody IgG was negative and IgM was positive. I then visited a urologist who prescribed Metronidazole. However, I later heard that the treatment for...
Dr. Li Yilun Reply:
For the treatment of Chlamydia, tetracycline antibiotics such as Doxycycline and Minocycline may be considered, as well as Ofloxacin, Ciprofloxacin, and Clarithromycin. If it is lymphogranuloma venereum, medications such as Chloramphenicol, Tetracycline, Oxytetracycline, Demethyl...[Read More] Is Metronidazole Effective for Treating Chlamydia Infections?
Understanding Urethral Tumors and Their Impact on Kidney Health
Renal hydronephrosis caused by urethral tumors? Hello Director Zhang, My mother (51 years old) recently underwent a health check-up (she had no discomfort) and an X-ray revealed that one of her kidneys appeared enlarged. The physician suspected it might be hydronephrosis. Subseq...
Dr. Zhang Chengye Reply:
Hello: Please trust your attending physician and feel free to ask about the results of your examination reports. If you have concerns, you can bring them to our Urology outpatient clinic for further evaluation. It is important to have an in-person consultation to provide accurate...[Read More] Understanding Urethral Tumors and Their Impact on Kidney Health
Understanding Urinary Issues: Frequent Urination and Test Results Explained
Regarding using the restroom... I have some concerns? Hello, doctor. Since the summer vacation, I have been drinking a lot of water at home, and my trips to the bathroom have increased. Almost every time I watch TV, I need to go to the bathroom during the commercials. Sometimes I...
Dr. Li Yilun Reply:
Hello, Miss Cat Ball: The +/- result in a urinalysis indicates uncertainty, as this test uses a dipstick method where the color change of the strip after being dipped in urine is evaluated. Sometimes, the color change may not be very distinct, leading to a +/- interpretation. Typ...[Read More] Understanding Urinary Issues: Frequent Urination and Test Results Explained