Kidney stones, Urology FAQ

Understanding Kidney Stones: Ultrasound Surgery and PCR Testing FAQs

Kidney stone issues? Hello Dr. Du! I would like to ask if a PCR test is required before undergoing lithotripsy at your hospital? What is the minimum size of a kidney stone that qualifies for this procedure?

Dr. Du Shixi Reply:
Hello: For outpatient services, no testing is required. According to health insurance regulations, extracorporeal shock wave lithotripsy for kidney stones must have a size greater than 0.5 cm under X-ray. Wishing you good health.

Should You Return for Follow-Up After a Urinary Tract Infection?

Is a follow-up appointment necessary to review the results for a urinary tract infection? Last week on Monday, I experienced slight lower abdominal pain and mild discomfort while urinating. On Tuesday of the same week, I went to see a doctor. They conducted a urinalysis and menti...

Dr. Sun Hongshun Reply:
Hello Ms. Chen: The OB+ result indicates a slight presence of occult blood, which may be due to inflammation or residual microscopic hematuria. There are many potential causes for hematuria, including kidney stones, unknown reasons, fragile bladder mucosa, or even cancer. I recom...

Could Constipation Be the Cause of Your Frequent Urination?

The possibility of constipation causing frequent urination? For the past four months, I have been seeking medical attention due to frequent urination issues. I experience a sense of urgency with about 150cc of urine, but I can hold it in. After holding it, the urge temporarily su...

Dr. Du Shixi Reply:
Hello: Based on the examination, your bladder function is normal, but the issue seems to be related to sensation. <Any history of injury?> It is advisable to pay attention to your lifestyle, as fecal accumulation may affect urination. However, further examination is necessa...

Understanding Urethral Bleeding: Causes and Treatment Options

Urethral bleeding Experiencing pain and bleeding during urination can be concerning. There are several potential causes for these symptoms, including urinary tract infections (UTIs), kidney stones, or other underlying conditions such as bladder or kidney issues. If medication has...

Dr. Li Xinyi Reply:
Quickly return to the urology department to inform the physician of your symptoms, undergo a renal ultrasound examination, and receive treatment.

Understanding Interstitial Cystitis: Symptoms and Diagnosis Insights

The diagnosis of interstitial cystitis? Hello, Dr. Hsu. I have been experiencing symptoms of frequent urination for about two months. On one hand, I often feel a strong urge to urinate after about 150cc, and I can only hold it in until about 300cc at most, after which I frequentl...

Dr. Xu Wencang Reply:
Unlike typical interstitial cystitis, it may also involve chronic pelvic pain. Follow-up treatment can be done in an outpatient setting.

Bright Red Urine and Burning Sensation: When to Seek Medical Attention

Blood in the urine during urination, accompanied by a burning sensation? There is a case of kidney stones. The situation of hematuria associated with stones is generally understood; most of the time, the urine appears dark red and has a foul odor. Sometimes there may be a burning...

Dr. Du Shixi Reply:
Hello: Drink more water, seek medical attention, wishing you good health.

Left Kidney Discomfort: Possible Causes and Considerations

Left kidney dull pain? Hello Doctor, I am currently on a business trip abroad. On January 24th, I experienced persistent dull pain in my left kidney (which was tolerable). I took a painkiller that day, and the pain eased on January 25th. By January 26th, I had no sensation of pa...

Dr. Du Shixi Reply:
Hello: If a CT scan was performed in October, the likelihood of renal hydronephrosis is low. It may be necessary to look for other causes. It's important to stay hydrated and get plenty of rest. If other symptoms occur, such as worsening symptoms, fever, vomiting, abdominal ...

Understanding Mild Varicocele: Symptoms, Treatment, and Management Tips

Mild varicocele Hello Dr. Du: Last year when I asked you about kidney stones, I mentioned discomfort on the right side of my lower body (though you did not conduct a specific examination). Currently, I still feel discomfort on the right side (it can be particularly uncomfortable ...

Dr. Du Shixi Reply:
Hello: 1. I have seen suggestions that ice packs should be used. What is the correct method, ice or heat? -- No need. 2. It seems that varicocele has little chance of self-healing? -- The likelihood is low. 3. I have read that right-sided varicocele could be caused by an abdomi...

Frequent Urination with Low Volume: Exploring Possible Causes and Treatments

Frequent urination with low urine volume? Hello, doctor. For the past three months, I have been experiencing frequent urination, needing to go to the bathroom almost every hour, with a urine volume of about 100-150 cc each time. After consulting with a physician and undergoing te...

Dr. Du Shixi Reply:
Hello: First, the area where I feel pain when I press on my lower abdomen should be closer to the digestive system rather than the bladder, right? --> Yes, but does the bladder's area actually extend that far? --> It’s possible that pressure downwards could affect it; ...

Do I Need Further Testing for Urinary Issues After Negative Results?

Urinary issues? Hello Doctor, I am the questioner with ID 176781. I previously tested negative for Chlamydia IgA, and I have never had any blisters or ulcers on my genitals. Do I need to go to a hospital or testing facility for further examination?

Dr. Li Xinyi Reply:
If you have these symptoms and feel something is off, it is advisable to get a blood test to check for a herpes simplex virus infection, as the initial herpes infection may have occurred at a very young age, and subsequent recurrences may not present noticeable symptoms. Addition...

Understanding Urine Blood Test Results: What They Mean for Kidney Health

Urinary occult blood test I apologize for the confusion. If a health check report shows a positive reaction for hematuria (blood in urine), it does not necessarily indicate that there is a problem with the kidneys, especially if kidney function tests are normal. Your colleague&#x...

Dr. Du Shixi Reply:
Hello: The presence of hematuria does not necessarily indicate kidney problems; there are many potential causes for hematuria, including intense exercise. Kidney stones are also a possibility, and in many cases, there may be no clear reason. It is advisable to follow up with a ur...

Understanding Kidney Stones: Symptoms, Risks, and When to Seek Help

Renal calculi Hello Dr. Du: I consulted you in September and would like to ask about the latest situation. Over the past few weeks, I have occasionally experienced discomfort on the right side of my lower body (feeling slightly swollen) and occasional back pain, but my urination ...

Dr. Du Shixi Reply:
Hello: Regular follow-up is sufficient, and there is no need to visit another hospital for examination. The current goal is to prevent the stones from growing larger while waiting for them to pass. Wishing you good health.

Do Vitamin Effervescent Tablets and Legumes Increase Kidney Stone Risk?

What is the relationship between vitamin effervescent tablets, legume products, and kidney stones? Hello Dr. Lee, I recently underwent a kidney ultrasound due to lupus erythematosus and discovered a 0.2 cm kidney stone. The last kidney ultrasound was about a year ago, and there w...

Dr. Li Xinyi Reply:
Generally, when an ultrasound detects a 0.2 cm stone, it is often not a stone but rather some calcifications. It is important to recommend a visit to a urologist for examination. If there are genuine concerns, at least a follow-up with the urology clinic every six months is advis...

Understanding Post-Stone Treatment Discomfort: What to Expect

Abnormal sensations after stone treatment? Hello Dr. Du: In May, I asked you a question, and later I visited the hospital for a consultation. The doctor believed I might have small stones and prescribed "Benzylpenicillin tablets, Piroxicam tablets, and Alverine citrate."...

Dr. Du Shixi Reply:
Hello: 1) Treatment for kidney stones may take a considerable amount of time; however, medications typically do not cause these symptoms, and kidney stones are not commonly associated with them. It is advisable to monitor the situation. Additionally, lifestyle modifications are i...

Is Blood in Urine Always a Sign of Cystitis?

The presence of blood in the urine is it a sign of cystitis? Hello Doctor: I have been experiencing lower back pain (on the right side) for about a month, and then one day I suddenly had severe pain in my lower abdomen. A few days later, I noticed visible blood in my urine. The d...

Dr. Du Shixi Reply:
Hello: I have been experiencing lower back pain (on the right side) for about a month, and then one day I suddenly had severe pain in my lower abdomen. A few days later, I noticed visible blood in my urine. The doctor suggested it might be cystitis, but I don't experience pa...

Is Blood in Urine Always a Sign of Bladder Infection?

Dr. Du Shixi Reply:
Hello: Cystitis can potentially cause hematuria, so a urinalysis should be performed to check for inflammation. After recovery, a follow-up urine test should be conducted to check for red blood cells. There are many causes of hematuria, and it is difficult to definitively say tha...

Can Kidney Disease Patients Take Dicyclomine for Ureteral Stones?

Urethral stones Hello Doctor: I am a stage 2 kidney disease patient. Yesterday, I visited a urologist and was diagnosed with a ureteral stone. The doctor prescribed Dicyclomine. Can kidney disease patients take this medication? Is Dicyclomine a treatment drug or just for symptom ...

Dr. Du Shixi Reply:
Hello: Dicyclomine can be used to assist in the expulsion of kidney stones and should be taken with adequate hydration. It can also improve symptoms of polyuria and urinary frequency. This type of medication is commonly used for kidney stones. As for Finasteride, it has minimal i...

Understanding Urinary Stones: Symptoms, Treatment, and Recovery

Urinary stone passage? Hello Doctor, I have been experiencing a sharp pain at the urethral opening yesterday and today. Yesterday, it was just an occasional sharp sensation, but today, I feel slight discomfort even when I'm not urinating. However, towards the end of urinatio...

Dr. Du Shixi Reply:
Hello: There is a chance of recurrence with kidney stones. Generally, passing a stone indicates that there may still be other stones present. It is advisable to visit a urology department for an examination to check for any remaining stones. Additionally, review your lifestyle ha...

Can Unpassed Kidney Stones Lead to Urinary Tract Infections?

Retained calculi If the stone fragments are not expelled after being shattered, can this lead to a urinary tract infection?

Dr. Du Shixi Reply:
Hello: Inflammation is rare because stones are theoretically clean. If there is a history of urinary tract infections, there is a higher chance of developing infected stones, or if there are underlying chronic diseases or immune disorders. Otherwise, the likelihood of inflammatio...

Understanding Urethral Pain After Lithotripsy: Causes and Treatments

Urethral pain I underwent extracorporeal shock wave lithotripsy on June 5th of this year. Recently, during a follow-up ultrasound, the doctor mentioned that there is only a small white spot left, which should be able to pass out with hydration. However, I have another concern. Be...

Dr. Jiang Junyi Reply:
Hello Peter, The symptoms you mentioned seem to suggest a consideration of perineal neuropathy. I wonder if you have a habit of long-distance cycling? Additionally, do you have any issues related to the prostate? At this point, antibiotic treatment may be necessary. Before using...

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