Understanding Syphilis and Balanitis: Key Insights for Patients
Syphilis? Balanitis? Hello Dr. Du, thank you for taking the time to respond to my questions despite your busy schedule. I truly appreciate it. I am the person who asked question #129602. Today, I went to a nearby clinic to test for syphilis and HIV, and the results came back nega...
Dr. Du Shixi Reply:
A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination. Hello: 1. Syphilis presents in many varied forms and cannot be determined by appearance alone; caution is advised if there is any broken skin. 2. Wounds that ca...[Read More] Understanding Syphilis and Balanitis: Key Insights for Patients
Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Facial nerve neuralgia I have already consulted both an otolaryngologist and a dentist, and no abnormalities were found. Currently, I am continuing to take anti-inflammatory pain medication and muscle relaxants prescribed by a neurologist (three times a day). I can close my eyes ...
Dr. Jiang Junyi Reply:
Hello: Your neuropathic pain is likely trigeminal neuralgia, which is more common in women and typically occurs in adults around the age of 50. There are many causes, most commonly due to compression of the trigeminal nerve by vascular structures as it exits the brainstem. Other ...[Read More] Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Understanding Acute Prostatitis and HIV Testing After Risky Sexual Behavior
The RT-PCR test was conducted in relation to acute prostatitis? Hello Dr. Lee: I asked you a question on September 18 (link: <a href="https://adoctor.tw/article/128322">#128322</a>). On September 9, due to a moment of impulse, I spent money on an escort. I h...
Dr. Li Xinyi Reply:
Unprotected oral sex has a low probability of transmission. However, infections such as gonorrhea and herpes can still be transmitted, and even with protected intercourse, conditions like pubic lice or genital warts and acute prostatitis can occur. It is possible that unprotected...[Read More] Understanding Acute Prostatitis and HIV Testing After Risky Sexual Behavior
Understanding Trigeminal Neuralgia Symptoms and Treatment Options
Trigeminal nerve symptoms Doctor, two months ago I experienced a dull pain in the area of the second-to-last tooth on the upper left side. I also felt numbness and a throbbing sensation from the lower left corner of my left eye to my left temple. However, the pain was not severe....
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems more like trigeminal neuralgia affecting the second branch of the trigeminal nerve. There are many causes of trigeminal neuralgia, with approximately 80% attributed to compression of the trigeminal nerve by vascular structures as it exit...[Read More] Understanding Trigeminal Neuralgia Symptoms and Treatment Options
Understanding White Bumps Under the Penis: Possible Causes and Concerns
There is a white-grayish growth below the coronal sulcus of the penis? I apologize for the interruption, but since I am currently abroad and will not return for another two weeks, I would like to ask a question here. About ten days ago, I suddenly noticed a fine row of white-gray...
Dr. Du Shixi Reply:
Hello: Due to unsafe sexual behavior, if it is confirmed to be blisters, it is likely herpes. If it is not blisters, it could possibly be genital warts. Wishing you good health. For now, just keep the area clean and dry.[Read More] Understanding White Bumps Under the Penis: Possible Causes and Concerns
Understanding Genital Herpes: Treatment, Transmission, and Precautions
Genital herpes A few days ago, I noticed small blisters on my glans. After seeing a doctor, I was diagnosed with herpes. The doctor prescribed topical and oral medications. I have a few questions: 1. Due to having a slightly long foreskin, my glans is usually covered. Are there...
Dr. Xu Wencang Reply:
1. The ointment should be applied to the affected area; it is acceptable if it comes into contact with other areas. In severe cases, oral medication should be used in conjunction. 2. The virus is highly contagious, so it is best to keep a distance. 3. Generally, if there are ...[Read More] Understanding Genital Herpes: Treatment, Transmission, and Precautions
Assessing STD Risks After Protected Oral Sex: What You Need to Know
Oral sex with a condom testing? Doctor, I recently had oral sex with a stranger where she performed oral sex on me using a condom. I have researched and found that the risk of HIV transmission is nearly zero, but there are still high risks for other STIs such as syphilis, HPV, he...
Dr. Du Shixi Reply:
Hello: You should seek medical attention and treatment once cauliflower-like growths appear, not only on the genital organs but also on the surrounding skin. It's important to avoid engaging in unsafe sexual practices. Wishing you good health. For syphilis and HIV testing, j...[Read More] Assessing STD Risks After Protected Oral Sex: What You Need to Know
Causes of Blisters on the Penis: Understanding Balanitis and More
Blisters on the penis? Hello doctor, I would like to ask if the inflammation of the glans could cause the formation of blisters? I have had blood tests and there is no genital herpes, but I currently have small blisters on the penis. I am currently suffering from balanitis.
Dr. Du Shixi Reply:
Hello: If it is confirmed to be a small blister that has burst, it is most likely a herpes lesion. If it is an inflamed area that has broken open, then it is not. Wishing you good health.[Read More] Causes of Blisters on the Penis: Understanding Balanitis and More
Understanding Redness and Blisters on the Penis: Causes and Concerns
Balanitis and Phimosis I have red spots on my genitals, and there are two small white blisters near the red spots. They are usually not painful or itchy (the red spots are on the scrotum). When I wash the blisters with water during a shower, they become noticeably painful. Additi...
Dr. Du Shixi Reply:
Hello: The presence of erythema indicates inflammation. If there are blisters, it could be herpes. If you have engaged in sexual activity, you should see a doctor for treatment. If you have not had sexual activity, keep the area clean and dry for 2-3 days without using soap or bo...[Read More] Understanding Redness and Blisters on the Penis: Causes and Concerns
Understanding Urethral Opening Issues: Infection or Frenulum Tear?
glans urethral meatus Hello Doctor: Two weeks ago, while showering, I noticed a 0.2 cm wound at the urethral opening (at the tip of the frenulum connecting to the urethra) that is not painful or itchy. I applied povidone-iodine and wound ointment myself, but it was ineffective. T...
Dr. Du Shixi Reply:
Hello: Without external force or reason for skin breakage, it is mostly caused by an infection. If you have applied significant force to the skin, it could potentially lead to a tear in the frenulum. To promote healing, it is important to keep the wound clean and dry, and maintai...[Read More] Understanding Urethral Opening Issues: Infection or Frenulum Tear?
Can Oral Herpes Be Transmitted Through Kissing or Oral Sex?
Herpes Simplex Virus Type 1 (HSV-1) Hello, doctor. Can type 1 herpes that occurs in the genital area be transmitted to a partner through kissing or oral sex?
Dr. Du Shixi Reply:
Hello: Yes, be careful.[Read More] Can Oral Herpes Be Transmitted Through Kissing or Oral Sex?
Understanding Glans Itching: Treatment and Diagnosis of Balanitis
Itching of the glans penis? Doctor, I would like to ask how many days of applying steroid medication would it take for complete recovery from balanitis. If the balanitis improves with steroid application, does that mean it is not caused by simple herpes? Thank you, doctor.
Dr. Du Shixi Reply:
Hello: It is not recommended to use corticosteroids for simple herpes. Please consult a physician for evaluation before making a decision. If it is not herpes but only balanitis, it may take more than a week to improve.[Read More] Understanding Glans Itching: Treatment and Diagnosis of Balanitis
Understanding Mouth-Like Sores Near the Glans: Urology Insights
After the foreskin has retracted, there is a sore near the glans that resembles a mouth ulcer? Doctor: Hello, a few days ago while showering, I noticed that after fully retracting the foreskin, there was a sore next to the glans that resembles an ulcer. I haven't engaged in ...
Dr. Du Shixi Reply:
Hello: It could be herpes, as the infection may not show symptoms immediately. I recommend that you consult a urologist at a hospital for an examination.[Read More] Understanding Mouth-Like Sores Near the Glans: Urology Insights
Understanding Recurrent Red Rash and Itching on the Glans: Causes and Treatments
Itchy red rash on the glans? Doctor, may I ask if applying antiviral medication for herpes is effective for balanitis? I have been experiencing recurrent episodes for almost two years. I have used tetracycline and antifungal ointments, but the dermatologist prescribed a white oin...
Dr. Du Shixi Reply:
Hello: 1) In your case, it is likely that both bacterial and fungal infections are present, as herpes can flare up intermittently. When small wounds occur, they can become infected with bacteria, and exposure to fungi can lead to fungal infections. Frequent outbreaks associated w...[Read More] Understanding Recurrent Red Rash and Itching on the Glans: Causes and Treatments
Managing Recurrent Penile Inflammation: Treatment Options and Concerns
Red rash and itching on the glans? Doctor, is applying tetracycline eye ointment effective for genital herpes? If balanitis keeps recurring after applying medication, is circumcision necessary? Can circumcision prevent recurrence? I had a period of improvement with balanitis, but...
Dr. Du Shixi Reply:
Hello: Tetracycline eye ointment is used to treat infections commonly associated with genital herpes, such as balanitis or posthitis, because if the infection is not well managed or controlled, healing may be slower. As for herpes medications or ointments, they cannot completely ...[Read More] Managing Recurrent Penile Inflammation: Treatment Options and Concerns
Understanding Genital Herpes: Treatment Options and Management Strategies
Genital herpes Hello, I previously consulted another doctor and wanted to ask you since I also live in Taoyuan. I have been seeing a urologist for two years due to herpes, but my condition has been getting worse. The medication prescribed by the doctor helps temporarily, but I co...
Dr. Fu Shizhang Reply:
If the diagnosis confirms genital herpes, antiviral medications can be used for treatment.[Read More] Understanding Genital Herpes: Treatment Options and Management Strategies
Can Herpes Occur in the Urethra? Understanding Urological Pain
Is it possible for herpes to occur in the urethra? Hello, doctor. I am the person who asked question #120588. I started taking a new antibiotic (Minocycline) last week because the lab report indicated that I was not resistant to it. I felt good for the first six days and thought ...
Dr. Du Shixi Reply:
Hello: 1. If all tests are normal, could pain still be caused by inflammation? It seems unlikely. 2. Can herpes occur inside the urethra? Yes, but it is difficult to detect. Some confirmatory tests are very challenging (with suboptimal accuracy and specificity). Even blood tests ...[Read More] Can Herpes Occur in the Urethra? Understanding Urological Pain
Could This Be Trigeminal Neuralgia? Understanding Dental Pain Symptoms
Is this trigeminal neuralgia? Hello, doctor. After I had a tooth extraction, I experienced severe pain in the area of the upper left first and second premolars, with the pain radiating from the zygomatic bone to the ear. I went to the dentist for an examination, and everything ap...
Dr. Jiang Junyi Reply:
Hello, your symptoms are caused by trigeminal nerve instability, which is commonly seen in women around the age of 50. Since this occurred after your dental treatment, it is generally advisable to wait for the inflammatory phase to subside (approximately 2-3 weeks) before further...[Read More] Could This Be Trigeminal Neuralgia? Understanding Dental Pain Symptoms
Understanding Persistent Itching and Blisters in the Genital Area
Itching in the genital area, including the penis and pubic hair, on a daily basis? Hello: I have been seeing a urologist for two years (once or twice a month). I used to feel a lot of itching in the pubic area, and later I discovered small blisters in that area. I went to see a u...
Dr. Du Shixi Reply:
Hello: Blisters are mostly caused by herpes, but they are usually painful during an outbreak. Once herpes is treated, it shouldn't itch all day. If the treatment is unsuccessful, I recommend visiting a different hospital (make sure to see a doctor on the first day of the out...[Read More] Understanding Persistent Itching and Blisters in the Genital Area
Understanding Urethral Issues: Symptoms, Diagnosis, and Next Steps
Urethral orifice issues? Hello Dr. Du, I have noticed some small white spots near the urethral opening and on the inner surface of the foreskin. Some of these spots are slightly raised, while others feel like they are beneath the skin. They are mostly surrounding the urethral ope...
Dr. Du Shixi Reply:
Hello: It is recommended that you perform another midstream urine test. Additionally, just keep the skin clean; do not open the urethral orifice, as it may cause unnecessary inflammation. Thank you for your inquiry.[Read More] Understanding Urethral Issues: Symptoms, Diagnosis, and Next Steps