Distinguishing Between Kidney Stones and Tumors: Diagnostic Challenges
Kidney stones? Kidney tumors? Due to insurance denial, a health examination revealed occult blood (5-8 red blood cells) on 89, with subsequent tests showing 10-15 red blood cells on April 15, 1994, and 15-20 red blood cells on April 16, 1994. Therefore, in May, a urinalysis (2-4 ...
Dr. Zhang Chengye Reply:
Hello: The most accurate diagnosis for renal tumors is magnetic resonance imaging (MRI). Other causes may require endoscopic examination, but various tests should be combined for assessment. This is a response from Dr. Chang Cheng-yeh, attending physician of the Urology Departmen...[Read More] Distinguishing Between Kidney Stones and Tumors: Diagnostic Challenges
Understanding Testicular Pain: Causes and Connections to Back Issues
Hello? Doctor: Hello, my left testicle hurts, but when I touch it, I can't pinpoint the pain (it feels like it's inside...). I had sexual intercourse on the 10th (with a condom). Could this be due to an infection? A few days ago, I noticed some small red spots on the he...
Dr. Xu Weikai Reply:
Tom: Hello, regarding your testicular pain, I believe further examination may be necessary. Sometimes, testicular pain is due to a localized infection; it can also be caused by trauma; and a portion of cases may arise from kidney stones leading to testicular discomfort, among oth...[Read More] Understanding Testicular Pain: Causes and Connections to Back Issues
How to Hydrate Safely Without Losing Sodium: Urology Insights
The credibility of newspapers? Hello Dr. Chang, I previously read a newspaper article that stated that excessive water intake at one time can lead to a significant loss of water through urination, along with a substantial excretion of sodium ions, resulting in decreased sodium co...
Dr. Zhang Chengye Reply:
Hello: The report may be misleading; the normal human body can adjust electrolyte concentrations and there is no need for excessive concern. This is a response from Dr. Chang Cheng-yeh, attending physician of the Urology Department at Hsinchu Hospital, Ministry of Health and Welf...[Read More] How to Hydrate Safely Without Losing Sodium: Urology Insights
Could My Kidney Stones Be Back? Understanding Symptoms and Concerns
Has the stone grown back again? I was previously a patient with ureteral stones, and it has been about a year since the stone passed. Recently, I've been experiencing some symptoms, and I'm wondering if the stones have returned. I would like the doctor to evaluate my sy...
Dr. Zhang Chengye Reply:
Hello: Urinalysis, X-ray, and renal ultrasound examinations are necessary to confirm the presence of urinary stones. This is a response from Dr. Chang Cheng-yeh, attending physician of the Urology Department at Hsinchu Hospital, Department of Health, Executive Yuan.[Read More] Could My Kidney Stones Be Back? Understanding Symptoms and Concerns
Understanding Left Lower Abdominal Nerve Pain: Causes and Treatments
Suspected left lower abdominal neuralgia? I have been experiencing persistent pain in the lower left abdomen for the past two to three months, extending from the area near the left bladder to the vicinity of the scrotum. I consulted a gastroenterologist and underwent a colonoscop...
Dr. Ye Boshou Reply:
Please first visit the urology department for an examination to rule out the possibility of kidney stones, and then proceed to the neurology clinic for further evaluation.[Read More] Understanding Left Lower Abdominal Nerve Pain: Causes and Treatments
Understanding Testicular Pain: Causes and When to Seek Help
Regarding the issue of pain in the lower body? I would like to ask... I occasionally experience pain near my testicles. Could you please advise what this issue might be? Thank you.
Dr. Xu Weikai Reply:
Chenli: Hello, testicular pain can have many causes, such as trauma, infection, kidney stones, testicular torsion, and epididymitis, among others. Further evaluation is necessary, as it is not easy to provide an answer based solely on testicular pain. Urology Department Director,...[Read More] Understanding Testicular Pain: Causes and When to Seek Help
Understanding Persistent Urethral Pain: Causes and Treatment Options
The unusual condition has neither worsened nor improved for about two months? Dear Director Hsu, please help me. Could you kindly clarify questions 1 and 2 for me? Thank you very much! This is the first time in my life that I have experienced urethritis. I have had urine tests se...
Dr. Xu Weikai Reply:
168: Hello. ● Question 1: What medication should be used to treat a common urinary tract infection caused by drinking alcohol and staying up late? How long does the treatment usually last? This question is somewhat strange because drinking alcohol and staying up late should not d...[Read More] Understanding Persistent Urethral Pain: Causes and Treatment Options
Understanding Urethral Pain: Should I Request Further Tests?
There is a stinging sensation at the urethral opening? Thank you, doctor, for your detailed explanation. Your clarification has given me a better understanding of my health condition. I have already undergone a urinalysis, and the results came back normal. I previously had prosta...
Dr. Xu Weikai Reply:
LH: Hello, actually, urinary tract allergies caused by cold medications are not uncommon in clinical practice. However, they usually present more severely, with noticeable itching, discharge, and in severe cases, even blisters. Your situation may be related to this. You have unde...[Read More] Understanding Urethral Pain: Should I Request Further Tests?
Understanding Urethral Pain: Causes and Treatment Options
There is a sharp pain sensation at the urethral opening? Hello, doctor. Over the past few months, I have been experiencing intermittent sensations of irritation at the urethral opening. Sometimes, I also feel a slight pain in the glans, which is not very pronounced but noticeable...
Dr. Xu Weikai Reply:
LH: Hello, based on your description, there are several possibilities: 1. Infection, including balanitis, urethritis, or prostatitis, which requires a urinalysis and possibly a urine culture for confirmation. 2. Urinary tract stones: commonly referred to as kidney stones. Some st...[Read More] Understanding Urethral Pain: Causes and Treatment Options
Extracorporeal Shock Wave Lithotripsy vs. Surgery for Kidney Stones
Calculus For stones measuring 0.5 cm and 0.8 cm, extracorporeal shock wave lithotripsy (ESWL) is typically the preferred treatment option. Surgical intervention may be considered if the stones are causing significant symptoms or complications, but for stones of this size, ESWL is...
Dr. Liu Jianting Reply:
Extracorporeal shock wave lithotripsy should be the first choice, but it is important to discuss with a urologist before making a decision.[Read More] Extracorporeal Shock Wave Lithotripsy vs. Surgery for Kidney Stones
Can Kidney Stones Cause Fluctuations in Diabetes Management?
Can kidney stones cause fluctuations in diabetes? Hello: My grandmother has been unwell recently; she is a dementia patient with a long history of diabetes. After being hospitalized for examination and treatment, it was found that her kidney function was poor, with stones in both...
Dr. Chen Zhirong Reply:
For diabetic patients with weakened immunity, infections are already difficult to manage. If they also have kidney stones and urinary tract obstruction, controlling the infection becomes even more challenging.[Read More] Can Kidney Stones Cause Fluctuations in Diabetes Management?
Understanding Kidney Function: Post-Surgery Concerns and Care Tips
Kidney function? Hello Dr. Hsu, I would like to ask you a few questions: First, I recently underwent extracorporeal shock wave lithotripsy for left ureteral stones. Several weeks post-surgery, I occasionally feel twitching in my left kidney and experience lower back pain. I am un...
Dr. Xu Wencang Reply:
Hello: In response to your questions... 1. It is recommended that you continue to follow up in the outpatient clinic to see if the fragmented stones are completely expelled. 2. Kidney function can be assessed through blood tests, ultrasound, and 24-hour urine tests. Bladder funct...[Read More] Understanding Kidney Function: Post-Surgery Concerns and Care Tips
Understanding Nocturnal Erections and Urinary Issues: A Guide
Abnormal erection Experiencing nocturnal penile erections that require you to get up to urinate, followed by the urine being light red in color, can be concerning. If this has been happening for six months and occurs every night, it is important to consult a healthcare profession...
Dr. Zhang Chengye Reply:
Mr. Kuang: Hello! It is possible that you have hematuria and should come to the hospital for examination. This is a response from Dr. Chang Cheng-yeh, attending physician of the Urology Department at Hsinchu Hospital, Department of Health, Executive Yuan.[Read More] Understanding Nocturnal Erections and Urinary Issues: A Guide
Understanding Kidney Stones: Do Lemon and Cranberry Juice Help?
May I ask the doctor? 1. Is calcium oxalate kidney stones caused by an acidic environment in the body? I've heard that drinking cranberry juice can help prevent inflammation, but isn't cranberry acidic? Can it neutralize acidity? 2. Can drinking lemon juice or cranber...
Dr. Liu Jianting Reply:
There are many causes of kidney stones, but it is not solely due to excessive acidity in the body. Individuals who have previously had stones are advised to drink plenty of water, consume more fruits and vegetables, and limit alcoholic beverages. It is also recommended to avoid e...[Read More] Understanding Kidney Stones: Do Lemon and Cranberry Juice Help?
Understanding Unusual Urination Pain: Causes and Concerns
There is a slight discomfort when urinating, but it doesn't feel like pain? Hello Doctor: Recently, I have been experiencing lower back pain, which occasionally recurs. I am unsure of the cause of the back pain. Since last night, I have noticed something unusual with my urin...
Dr. Du Shixi Reply:
Hello: Symptoms such as lower back pain, incomplete urination, or painful urination are more likely to be associated with a urinary tract infection or kidney stones. However, a definitive diagnosis can only be made based on further examination results. Please drink plenty of wate...[Read More] Understanding Unusual Urination Pain: Causes and Concerns
Understanding Blood in Urine: Stones, Symptoms, and Possible Causes
Could you please provide more details about the issue of hematuria? 1. Are kidney stones hard or soft? 2. What are the red, soft, and stringy substances in my blood urine? Last night, I felt like something was stuck in my bladder, and after urinating this morning, I passed that...
Dr. Lai Ronghao Reply:
Kevin: Hello! Generally, stones are hard, but your issue may involve urinary proteins or other substances such as proteins or sloughed-off tissue. Of course, the possibility of a tumor cannot be completely ruled out. The best approach is to have regular follow-ups. Sincerely, Dr....[Read More] Understanding Blood in Urine: Stones, Symptoms, and Possible Causes
Understanding Kidney Stones: Pain and Symptoms During Passage
Could you please provide more details about the issue with kidney stones? 1. If a kidney stone is smaller than 0.5 centimeters, will there be pain when it passes through the ureter? 2. If the pain originally felt as sharp abdominal pain changes to pain near the bladder the next...
Dr. Liu Jianting Reply:
It's unusual not to feel pain! If the pain is moving downward, it could be a sign that a kidney stone is descending. However, it's best to consult a urologist for an examination.[Read More] Understanding Kidney Stones: Pain and Symptoms During Passage
Understanding Lower Abdominal Pain: When to See a Urologist
Lower abdominal pain? Hello, for the past two weeks, I have been experiencing pain in my lower abdomen after standing for about 5 minutes, and it is quite difficult to stand. However, sitting down does not cause any pain. The pain feels like a muscle strain. I have a history of k...
Dr. Liu Jianting Reply:
Since there is a history of treating stones, it would be advisable to consult a urologist to rule out the possibility of stones. Have you engaged in any intense physical activity recently that could have caused a muscle strain?[Read More] Understanding Lower Abdominal Pain: When to See a Urologist
Managing Congenital Kidney Cysts: Follow-Up and Treatment Insights
Question Hello Doctor: My brother, my father, and I all have congenital renal cysts. The previous doctor prescribed medications to promote surrounding blood circulation and antihistamines. Should we continue to have regular follow-ups? If we take the medication as prescribed, wil...
Dr. Chen Junji Reply:
Hello, based on your description in the letter, you and your family members (father, younger brother) may have "autosomal dominant polycystic kidney disease" (ADPKD). I would like to know if your uncle, paternal uncle, or grandfather also have a history of "renal c...[Read More] Managing Congenital Kidney Cysts: Follow-Up and Treatment Insights
Understanding Renal Infarction: Symptoms, Diagnosis, and Care
Renal stroke On November 15, 2004, I went to the emergency department of Yuan Sheng Hospital in Yuanlin Township, Changhua County, due to unexplained left lower abdominal pain. At that time, X-rays and urinalysis were performed, and the diagnosis suggested possible kidney stones ...
Dr. Yang Zhangzhi Reply:
Hello: Renal vascular embolism (renal stroke) should be treated based on the underlying causes (such as arrhythmias, coagulation disorders, etc.) to prevent recurrence. The following are general daily life precautions to consider: 1. Take medications as prescribed by your physi...[Read More] Understanding Renal Infarction: Symptoms, Diagnosis, and Care