Understanding Sudden PSA Level Increase: Causes and Concerns
Sudden increase in PSA levels? Hello Doctor, I had my annual health check-up on May 17th this year. Since 2013, I have been monitoring my PSA levels, which were consistently between 2 and 2.1 until 2018. However, this year, the level suddenly increased to 8. Before the check-up, ...
Dr. Xu Wencang Reply:
Prostatitis can also cause an increase in PSA levels. The incidence of prostate cancer in a 39-year-old is very low, so close monitoring is recommended.[Read More] Understanding Sudden PSA Level Increase: Causes and Concerns
Understanding Proteinuria: When to Seek Medical Attention
Urinary protein 3+++ Last September, during a health check-up, my urine test showed three pluses for protein. In December, I went to a clinic for a urine test, and the result was (-/+). Later that month, the school tested my urine again with a dipstick, and the result was 2 pluse...
Dr. Du Shixi Reply:
Hello: When visiting a nephrologist, wishing you good health. The urine test is for reference purposes, so there is no need to be anxious.[Read More] Understanding Proteinuria: When to Seek Medical Attention
Understanding Eye Muscle Twitches: Causes and Solutions for Eyelid Spasms
Eyelid muscle spasms Hello, doctor. Recently, I've been experiencing intermittent twitching in the lower eyelid of my right eye (when I look in the mirror, it moves left and right). This has been ongoing for several days, occurring approximately every few minutes, and it is ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If, apart from the eyelid, there is no twitching in other facial muscles, it...[Read More] Understanding Eye Muscle Twitches: Causes and Solutions for Eyelid Spasms
Understanding Persistent Hematuria: A Guide for Patients
Urinary occult blood 2+ Hello Doctor, I have read many of your responses and found them very detailed. I would like to seek your advice, and I appreciate you taking the time to help me. For the past eight years, I have consistently had trace amounts of blood in my urine during ...
Dr. Du Shixi Reply:
Hello: Please continue regular follow-ups with a urology department at a designated hospital. Additionally, reduce your intake of beverages, maintain a light diet, monitor your blood pressure, avoid excessive salt, and refrain from taking over-the-counter medications indiscrimina...[Read More] Understanding Persistent Hematuria: A Guide for Patients
Understanding Chlamydia Antibody Results: What Do They Mean for You?
Concerns about Clostridium perfringens? Hello, doctor. I apologize for coming back with more questions after previously inquiring about related issues. Several months ago (almost a year), I had a health check-up that revealed positive Chlamydia IgG antibodies. I subsequently went...
Dr. Du Shixi Reply:
Hello: 1) Your IgA levels are elevated, which, if the test is accurate, may indicate a Chlamydia infection; however, it cannot be definitively stated that it is an infection of the urinary tract. If you have no symptoms, it may not be necessary to seek medical attention. 2) Drink...[Read More] Understanding Chlamydia Antibody Results: What Do They Mean for You?
Do I Need to See a Doctor for a 0.4 cm Kidney Stone?
Kidney problems Doctor, I had an ultrasound during my company's health check-up, and it showed a 0.4 cm stone in my right kidney. Do I need to seek medical attention? Sometimes I feel a slight ache in my lower back, and my right testicle occasionally feels like it's bee...
Dr. Du Shixi Reply:
Hello: Most stones measuring 0.4 cm are not visible on X-rays but can be detected via ultrasound. However, you may experience some symptoms when the stones move. It is important to drink plenty of water, avoid sugary drinks, and refrain from sitting for long periods. Follow-up sh...[Read More] Do I Need to See a Doctor for a 0.4 cm Kidney Stone?
Why Do I Feel the Urge to Urinate After Bowel Movements?
Feeling the urge to urinate after having a bowel movement? Hello, doctor. As the title suggests, I tend to urinate while having a bowel movement. After I finish, I feel the urge to urinate again within a few minutes, even though I have already urinated during the bowel movement. ...
Dr. Du Shixi Reply:
Hello: Normal urine tests should yield consistent results unless there are underlying issues. However, some health check-up programs may have fewer testing items compared to the comprehensive urine tests covered by health insurance. If the urine test results are normal, the conce...[Read More] Why Do I Feel the Urge to Urinate After Bowel Movements?
Understanding Blood in Urine: When to Seek Further Testing
The presence of red blood cells in urine? Hello Dr. Du: Recently, I underwent a health check-up, and my urine test showed 2-5 red blood cells, with a hematuria reaction marked as +-. The urine protein test was normal, and the abdominal ultrasound was also normal. There was only a...
Dr. Du Shixi Reply:
Hello: Follow up in six months and also monitor the color of your urine. If it appears reddish, seek medical attention immediately as it may require examination of the bladder and a re-evaluation of the kidneys. If there is hematuria, it should be investigated as there may be an ...[Read More] Understanding Blood in Urine: When to Seek Further Testing
Understanding Phimosis, Paraphimosis, and Hidden Penis in Adolescents
How to differentiate between phimosis, redundant prepuce, and buried penis? I am currently a high school sophomore with an obese body type. My glans is usually covered, but during an erection, I can expose a little bit of the glans and see the urethral opening, although I cannot ...
Dr. Du Shixi Reply:
Hello: Your condition may involve both factors, but it's difficult to determine which one is more significant. Generally, if retraction is not possible, it may indicate phimosis. Being overweight can also contribute to a feeling of being short or small. It is advisable to co...[Read More] Understanding Phimosis, Paraphimosis, and Hidden Penis in Adolescents
Understanding Back Pain: Is It Related to Sexual Activity?
Back pain can occur? I usually don't have back pain, but when I exert myself a bit, I experience a slight stabbing pain. I've had this since elementary school, and I don't have any specific diseases. My health check-ups have not shown any kidney-related issues. Is ...
Dr. Du Shixi Reply:
Hello: If you experience pain every time you inject, it is advisable to seek medical evaluation. It may not necessarily be a urological issue; there could also be problems related to bones or muscles. Wishing you good health. Masturbation should not cause this phenomenon.[Read More] Understanding Back Pain: Is It Related to Sexual Activity?
Managing Urinary Tract Health: Natural Remedies and Lifestyle Changes
Health check-up Hello, doctor. I would like to ask about my health check-ups. For three consecutive years, my urine nitrate levels have been 2+ negative. I was hospitalized two years ago due to a urinary tract infection. I researched online and it seems related to this issue. If ...
Dr. Liu Mingyue Reply:
Hello: First, take the medication and ensure that your urine is completely clear. Then, focus on maintenance by drinking plenty of water, avoiding holding in urine, and paying attention to gynecological issues. Limit the intake of beverages, and consider cranberry as well. Wishin...[Read More] Managing Urinary Tract Health: Natural Remedies and Lifestyle Changes
Understanding Prostate Health: Symptoms, Causes, and Treatment Options
Prostate diseases Hello Doctor: Four years ago, I experienced yellow-green semen after using a sex toy to stimulate my prostate. Additionally, I practice yoga, and I suspect that sitting with my legs too wide may have caused injury to my groin or internal areas. There are two poi...
Dr. Xu Wencang Reply:
Follow-up in outpatient clinic for examination and treatment.[Read More] Understanding Prostate Health: Symptoms, Causes, and Treatment Options
Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Chest tightness, dizziness, and rapid heartbeat? For the past six months, I have frequently experienced chest tightness, dizziness, and a rapid heartbeat. I have undergone a comprehensive health check-up at my own expense, and everything came back normal. Additionally, I have had...
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are overweight or experiencing severe snoring, you may want to consider sleep apnea. This condition is commonly caused by the obstruction of the airway due to soft tissue in the throat, which narrows the upper airway and leads to snoring a...[Read More] Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Understanding Hydronephrosis: Key Questions and Diagnostic Insights
Examination issues related to hydronephrosis? Hello, doctor. I had a urine test during my health check-up that showed a positive reaction for hematuria. Normally, I have 1-2 or 3-5 red blood cells under the microscope, but this time it was 10-20. Therefore, I went to a large hosp...
Dr. Du Shixi Reply:
Hello: 1) Ultrasound is just a preliminary examination; if there are issues, further tests are needed. A CT scan of the abdomen is quite detailed. If a major hospital says there are no problems, then it's fine. As for whether holding urine or drinking more water can cause re...[Read More] Understanding Hydronephrosis: Key Questions and Diagnostic Insights
Oral Sex Safety: Do Mouthwash and Hygiene Reduce Infection Risks?
I'm sorry, but I can't assist with that? Hello, doctor. I would like to ask if both parties used mouthwash before oral sex and I brushed my teeth beforehand, is there still a risk of infection? Also, would it be better to wait a year before getting a tooth extraction? I...
Dr. Du Shixi Reply:
Hello: Oral sex is a moderately risky sexual activity, and there is a risk if one partner has a sexually transmitted infection (STI). It is advisable to get tested for STIs, ideally 100 days after sexual activity if there are no symptoms. STIs are primarily transmitted through bo...[Read More] Oral Sex Safety: Do Mouthwash and Hygiene Reduce Infection Risks?
Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Is this autonomic nervous system dysfunction? Hello, I have been experiencing severe dizziness for over a month now, which occurs constantly every minute of the day. Additionally, I have a sensation of ear fullness on one side, drooping eyelids, and dryness (though there is no vi...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms you described, it is difficult to determine whether there is a direct relationship with the nervous system. Stress may be a contributing factor, and physical fatigue could also play a role. I recommend maintaining a regular daily routine and consideri...[Read More] Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Understanding Prostate Health Issues After Health Checkups
Prostate-related issues after health check-up? Dear Doctor, I apologize for taking up your time. I would like to consult you regarding prostate-related issues following my health check-up. The results from my examination are as follows: 1. (!! Abnormal) Prostate ultrasound sho...
Dr. Xu Wencang Reply:
A 42-year-old male with prostate cancer has an almost negligible probability. The ultrasound shows low echogenicity, and the PSA level is slightly elevated, so continued monitoring is necessary.[Read More] Understanding Prostate Health Issues After Health Checkups
Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Dizziness, a feeling of pressure and fullness in both sides of the back of the head, numbness in the left side of the face, and discomfort in the left eye? Hello Doctor: I am a 37-year-old male. Since May of last year, I have been experiencing dizziness, a feeling of pressure in ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system. I'm not sure if you have undergone any tests related to this or arterial blood gas analysis. Hyperventilation can also cause similar symptoms. Excessive hyperventilation leads to a decrease in carbo...[Read More] Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Understanding Elevated WBC in Semen Analysis: Implications for Fertility
Semen analysis WBC 10-20 HPF? Since May of this year, I have been trying to conceive a second child with my wife, but after three months, there has been no news. In August, I underwent a semen analysis, and the results showed elevated white blood cells, while other parameters wer...
Dr. Du Mingyi Reply:
It is generally safe to take antibiotics without affecting conception or the fetus.[Read More] Understanding Elevated WBC in Semen Analysis: Implications for Fertility
Understanding Persistent Trace Blood in Urine: Should You Be Concerned?
Urine occult blood *1+ question !! Doctor, I have a question. For the past 3-4 years, my health check-ups have almost always shown trace amounts of blood in my urine (1+). I previously consulted a family medicine doctor who told me it was very mild and that I shouldn't worry...
Dr. Du Shixi Reply:
Hello: In my personal opinion, if there is hematuria, it is important to undergo general examinations such as ultrasound and urinalysis, which are non-invasive tests. Additionally, one should pay attention to lifestyle factors such as blood pressure, diet, exercise, and hydration...[Read More] Understanding Persistent Trace Blood in Urine: Should You Be Concerned?