Persistent Urinary Blood in Health Check: Should You See a Urologist?
Hematuria is consistently detected during health check-ups? Hello Doctor: I currently have a habit of undergoing annual health check-ups, but every time the report comes out, the urine occult blood result is always highlighted in red. It was 2+ two years ago and 1+ last year, and...
Dr. Du Shixi Reply:
Hello: Given your age, it is advisable to pay attention to the color of your urine. If you notice blood in your urine, you should undergo invasive examinations. If there is no blood in your urine, regular urinalysis is recommended. If you experience any urological symptoms, you s...[Read More] Persistent Urinary Blood in Health Check: Should You See a Urologist?
Understanding Elevated PSA and Low Free PSA: Other Potential Causes
Elevated PSA with low Free PSA? Hello Doctor, I am 36 years old. I had a health check-up on September 16, and my PSA level was 4.911. The hospital recommended that I retest my PSA along with Free PSA, and on September 21, my results were PSA: 4.67 and Free PSA: 13.21. I understan...
Dr. Li Minghui Reply:
Hello: Generally, inflammation of the glands or pressure from procedures such as digital rectal examination or prostate massage can lead to an increase in urethral endoscopy findings. Additionally, some suggest that prolonged pressure on the perineum from cycling may also be a co...[Read More] Understanding Elevated PSA and Low Free PSA: Other Potential Causes
Understanding PSA and Free PSA Results: Beyond Prostate Cancer
Prostate issues? Hello, doctor. I am 36 years old. I had a health check-up on September 16, and my PSA level was 4.911. The hospital recommended that I retest my PSA along with Free PSA, and on September 21, my results were PSA: 4.67 and Free PSA: 13.21. I understand that sexual ...
Dr. Du Shixi Reply:
Hello: Generally, inflammation of the glands or pressure from procedures such as digital rectal examination or prostate massage can lead to increased urethral sensitivity during endoscopic examination. Additionally, prolonged pressure on the perineum from cycling may also be a co...[Read More] Understanding PSA and Free PSA Results: Beyond Prostate Cancer
Understanding Right-Sided Pain and Discomfort: A Guide for Caregivers
Pain in the right limbs, sharp pain in the chest, and a feeling of fullness in the lower back without pain? Hello doctor, my mother (58 years old) is experiencing pain in her right limbs when the muscles relax, which may be related to her occupation as a cleaner or long-term fati...
Dr. Jiang Junyi Reply:
Dear Ms. Hsieh, You mentioned that your mother experiences symptoms of pain that persists even after a long period of rest, which may suggest degenerative spinal myofascial inflammation. Regarding the sudden, persistent stabbing pain in the chest around the xiphoid process that ...[Read More] Understanding Right-Sided Pain and Discomfort: A Guide for Caregivers
Understanding Dizziness and Head Pain: When to Seek Further Evaluation
Dizziness, headache, and a sense of imbalance? Hello, doctor. Last month, one day, I suddenly started feeling dizzy (not the spinning type, but more like a sensation of an earthquake). Then, I felt unbalanced with any movement (for example, when leaning forward, it felt like ther...
Dr. Jiang Junyi Reply:
Dear Ms. Yoss, I believe you have already consulted a neurologist. If there are currently no neurological deficits, the likelihood of a brain tumor is low. The symptoms of a brain tumor typically depend on its location and size, and they usually worsen over time. Increased intra...[Read More] Understanding Dizziness and Head Pain: When to Seek Further Evaluation
Could Improper Massage Techniques Lead to Nerve Damage?
Is there a possibility of nerve damage? Hello, doctor. During the pandemic, my mother felt unwell after carrying heavy objects and has been experiencing persistent headaches. She used an old handheld massager for full-body massage (not a fascia massage gun), and during the massag...
Dr. Jiang Junyi Reply:
Dear Ms. Hu, Your mother is likely over 65 years old, and if she is experiencing an atypical fracture at the junction of the shoulder and chest, it may be necessary to consider osteoporosis. An evaluation for an elderly patient should include: bone density testing, metabolic syn...[Read More] Could Improper Massage Techniques Lead to Nerve Damage?
Understanding Prostate Calcification: What You Need to Know
Prostate calcification Hello, doctor. During the company health check-up, an ultrasound examination revealed prostate calcification. I do not have any other symptoms such as urinary difficulties or pain in that area. Should I pay special attention to this or follow up further? Al...
Dr. Du Shixi Reply:
Hello: Calcification is quite common and is merely a finding. The cause is not definitively determined, and if there are no symptoms, it can be monitored during routine check-ups. Wishing you good health.[Read More] Understanding Prostate Calcification: What You Need to Know
Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
I'm not sure where the problem lies? Hello, doctor! For the past 6-7 years, I have been experiencing 1. persistent stiffness in my neck and shoulders. Whenever this stiffness occurs, I feel a pressure in my temples and forehead, as if a rope is tied around or gripping me, fo...
Dr. Jiang Junyi Reply:
Dear Mr. QQ, I am unsure if you have metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high lipid levels). If you do, you may be at high risk for cardiovascular diseases. You mentioned several issues that seem related to me...[Read More] Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
Understanding Elevated PSA Levels: Concerns and Next Steps for Men
Elevated PSA levels? Hello Dr. Du: I have been troubled by a few questions, and I would like to ask for your assistance: 1. I am 30 years old. Since 2013, my annual health check-up reports have shown PSA levels consistently in the range of 3 to 4. In 2020-2021, I had closer moni...
Dr. Du Shixi Reply:
Hello: 1. I am 30 years old. Since 2013, my annual health check-up reports have shown a PSA level in the range of 3 to 4. From 2020 to 2021, I had closer monitoring with three tests, and the levels were still around 3. Later, I underwent a digital rectal exam and MRI at National ...[Read More] Understanding Elevated PSA Levels: Concerns and Next Steps for Men
Interstitial Cystitis or Chronic Cystitis: Understanding Your Bladder Symptoms
Interstitial cystitis? Or chronic cystitis? Hello, doctor. Last year, during a health check-up, I had a urine test that showed trace blood (1+). After experiencing acute cystitis at the end of January, I began to have bladder discomfort and issues with urination. A urologist perf...
Dr. Li Minghui Reply:
Hello: Your issue is related to bladder symptoms, and it is important to confirm with a gynecologist that there are no gynecological problems. The relationship with sexual activity should also be considered. If urinalysis is normal and urodynamic testing is acceptable, it can onl...[Read More] Interstitial Cystitis or Chronic Cystitis: Understanding Your Bladder Symptoms
Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Treatment Options
Interstitial cystitis Hello, doctor. Last year, during a health check-up, I had a urine test that showed trace blood (1+). After experiencing acute cystitis at the end of January, I began to have bladder discomfort and issues with urination. A urologist performed bladder and kidn...
Dr. Du Shixi Reply:
Hello: Your issue pertains to bladder symptoms, and it is important to confirm with a gynecologist to rule out any gynecological problems. Consider whether sexual activity may be related as well. If urinalysis is normal and urodynamic testing is also acceptable, it can only be sa...[Read More] Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Treatment Options
Understanding Testicular Lumps: What You Need to Know
Testicular issues Hello Doctor, about six months ago I noticed a small lump below my right testicle. It is not painful when I squeeze it, feels soft but slightly harder than the testicle, and can only be felt when the scrotum is relaxed. The size of the lump has not noticeably in...
Dr. Du Shixi Reply:
Hello: If you are concerned, you may consult a urologist. Based on your description, it has been present for some time. If there is any increase in size or pain, you should seek medical attention. Wishing you good health.[Read More] Understanding Testicular Lumps: What You Need to Know
Understanding Sperm Analysis Results: What Do Red Flags Mean?
Could you please tell me if there are any issues with the sperm based on the results of this pre-marital health check? Recently married, I unexpectedly became pregnant and then had a miscarriage. After that, I decided to undergo a pre-marital health check-up. However, the recent ...
Dr. Du Shixi Reply:
Hello: A semen analysis requires a 3-day abstinence prior to testing, and if the results are not ideal, it is recommended to conduct multiple tests. This report is not satisfactory, and generally, to improve sperm quality, one should pay attention to lifestyle factors. For more i...[Read More] Understanding Sperm Analysis Results: What Do Red Flags Mean?
Understanding Persistent Lightheadedness: When to See a Neurologist
The head feels unsteady (only a sensation of swaying and dizziness, without vertigo)? Hello, Doctor... I am 29 years old, 177 cm tall, weighing 64 kg, and I do not have any chronic diseases. I would like to ask a few questions. Recently, I have been experiencing dizziness for abo...
Dr. Jiang Junyi Reply:
Hello: Based on your description, can shoulder and neck pain lead to dizziness? It is important to consider that tightness in the neck muscles may affect proprioception. Is it a problem with blood circulation, or is there another issue? Can a rapid heartbeat also cause dizziness?...[Read More] Understanding Persistent Lightheadedness: When to See a Neurologist
Understanding the Risk of STIs from Urinary Sample Collection
Risk of sexually transmitted infections (STIs) During a health check-up at the hospital, I needed to provide a urine sample. When I got to the restroom, I noticed it was a bit dirty, so I pressed the flush button with my hand. While collecting the urine, I remembered the doctor s...
Dr. Du Shixi Reply:
Hello: Don't worry, it's not possible. Wishing you good health.[Read More] Understanding the Risk of STIs from Urinary Sample Collection
Unsteady on Feet: When to Seek Medical Advice for Neurological Issues
Sudden loss of balance? I'm asking for my mother, and I'm not very clear about the situation, nor does she want to see a doctor. In recent years, I've noticed that my mother occasionally has difficulty standing (I'm not sure if it's dizziness, just for a ...
Dr. Hong Weibin Reply:
Hello: There are many causes of dizziness, and the main systems affecting the body's balance are the vestibular system and semicircular canals in the inner ear, as well as the brainstem and cerebellum. However, other issues such as cardiopulmonary problems, liver and kidney ...[Read More] Unsteady on Feet: When to Seek Medical Advice for Neurological Issues
Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Acute or chronic prostatitis, with PSA levels above 12, shows poor sensitivity to oral antibiotics? Hello Dr. Li, I would like to describe my medical history as it has been quite distressing and painful for me. I apologize for the lengthy details. Urological History: I have a ...
Dr. Li Minghui Reply:
Hello: 1) These types of antibiotics are generally effective, but they require several months of treatment along with strict lifestyle precautions. However, if the patient does not see results, changing medications may not be certain. As for muscle-related side effects, they are ...[Read More] Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Chronic prostatitis Hello Doctor, I would like to share my medical history as it has been quite distressing and painful for me. I apologize for the lengthy details. Urological History: I have a history of anxiety disorder and often engage in sexual activities (either masturbat...
Dr. Du Shixi Reply:
Hello: 1) This type of antibiotic is generally effective, but it requires several months of treatment along with strict lifestyle precautions. However, since the patient has not seen results, changing medications may lead to uncertainty. As for muscle side effects, they are not c...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Uneven Testicles: Understanding Size Discrepancies in Adolescents
One testicle is larger than the other? During puberty, experiencing nocturnal emissions, the larger testicle has a soft mass while the smaller one does not.
Dr. Li Xinyi Reply:
Schools conduct health check-ups, so you can just ask the examining physician. Otherwise, you would need to visit a urologist for an in-person examination.[Read More] Uneven Testicles: Understanding Size Discrepancies in Adolescents
Understanding Complications After Ureteral Reconstruction Surgery
Issues Following Ureteral Stricture Reconstruction During a health check-up two years ago, ureteral stenosis was discovered. In early November of last year, I underwent Da Vinci surgery (ureteral reconstruction), and the double J stent was removed on December 16. During an ultras...
Dr. Cai Zhuorong Reply:
If the ureter has been narrowed for a period of time, the renal pelvis may lose its elasticity and appear hydronephrotic. In fact, as long as there is no further obstruction after ureteral surgery, it is considered a success.[Read More] Understanding Complications After Ureteral Reconstruction Surgery