Post-Extracorporeal Shock Wave Lithotripsy: Understanding Pain and Recovery
Post-extracorporeal shock wave therapy (ESWT) 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 (0.38 cm) remaining, which should be able to pass out with...
Dr. Du Shixi Reply:
Hello: After lithotripsy, there shouldn't be too many side effects. If you experience painful urination, it may be due to the passage of stone fragments. Drinking plenty of water can help, as it may expedite their expulsion. Wishing you good health.[Read More] Post-Extracorporeal Shock Wave Lithotripsy: Understanding Pain and Recovery
Understanding Occipital Pain and Neck Stiffness After Ureteroscopy
Pain in the back of the head and neck stiffness? Hello doctor, I recently underwent a "flexible ureteroscopic lithotripsy" for kidney stones. Two days later, I experienced pure headaches and fever, which later turned into pain at the back of my head. I had a fever on th...
Dr. Cai Zongzhang Reply:
Hello, Ms. Huang! Based on the symptoms mentioned, it is recommended that you visit a neurology clinic as soon as possible.[Read More] Understanding Occipital Pain and Neck Stiffness After Ureteroscopy
Understanding Kidney Stones: Radiation Risks and Treatment Options
Kidney stones, computed tomography radiation, stone surgery? Hello Doctor, I was diagnosed with a 0.8 cm kidney stone in November 2020 (ultrasound). In December 2020, I visited a urologist who performed a KUB (Kidneys, Ureters, Bladder) X-ray and mentioned that there were multipl...
Dr. Du Shixi Reply:
Hello: 1. Is there still a possibility that this stone can pass on its own? Since the diagnosis, I have been drinking plenty of water every day, but it hasn't passed. --> Some stones are located in positions that are difficult to pass. 2. I occasionally experience dull...[Read More] Understanding Kidney Stones: Radiation Risks and Treatment Options
Understanding Kidney Stones: When to Seek Treatment and Home Remedies
Suspected small kidney stones? Hello Doctor: I have previously had left-sided kidney stones twice. Today, after standing for a long time, I noticed a slight stabbing pain in the left kidney area. I suspect it might be due to a small kidney stone, as the location and pain sensatio...
Dr. Du Shixi Reply:
Hello: Since kidney stones have not been confirmed, if they are indeed stones, it is advisable to drink plenty of water, stay active, and have regular follow-up appointments. The use of dilators is more effective when the stones are passing. Wishing you good health.[Read More] Understanding Kidney Stones: When to Seek Treatment and Home Remedies
Understanding Ureteroscopy Lithotripsy: Insurance Coverage and Costs
Regarding ureteroscopy and stone fragmentation? Hello doctor, I previously had kidney stones detected in my ureter, and I underwent lithotripsy three times. However, I haven't noticed any significant passage of stones, and during my follow-up, there is still an issue with hy...
Dr. Du Shixi Reply:
Hello: Basic surgeries are covered by health insurance, and individuals are responsible for a portion of the costs. However, if there are specific materials used during the procedure that are not covered by insurance, patients will be asked to sign a consent form for out-of-pocke...[Read More] Understanding Ureteroscopy Lithotripsy: Insurance Coverage and Costs
Can You Have Intimacy with a Double J Stent? Expert Advice
Placement of double J stent? Hello doctor, I apologize for the interruption. I would like to ask, I went to the emergency room at the end of March due to kidney stones and after treatment, I had a double J stent placed in my ureter. It was removed at the end of April. During this...
Dr. Du Shixi Reply:
Hello: Sometimes when a catheter is placed, urination may feel strange, or there may be discomfort in the lower back, and urine may appear pink or bloody. Generally, there are no significant restrictions in daily life; it is advisable to drink plenty of water. If you feel that th...[Read More] Can You Have Intimacy with a Double J Stent? Expert Advice
Understanding Persistent RBC in Urine: Causes and Concerns
Presence of red blood cells in urine? Hello, Doctor. On December 15, the urine test showed RBC 1+ with red blood cells ranging from 6 to 9. On December 19, another urine test showed RBC 1+ with red blood cells ranging from 1 to 3. The doctor prescribed Lithosol, one packet daily,...
Dr. Du Shixi Reply:
Hello: There are many causes of hematuria, which could be due to kidney stones or other reasons. If there is a history of stones, the likelihood of stones being the cause is higher. However, urine tests should be combined with other urinalysis parameters for reference. If all oth...[Read More] Understanding Persistent RBC in Urine: Causes and Concerns
Should You Test Kidney Function After Diagnosing Urinary Issues?
Chronic Kidney Disease (CKD) Hello, doctor. I would like to ask about my previous visit to the urology department due to dark brown, cloudy urine. The physician diagnosed me with kidney stones and hydronephrosis, and my urinalysis showed hematuria but no bacterial infection. The ...
Dr. Du Shixi Reply:
Hello: Kidney function can be assessed, but the key is to identify the cause of the hydronephrosis. Antibiotics should be used to prevent infection and avoid kidney inflammation. If the hydronephrosis is caused by small stones, some may be expelled, so increasing fluid intake is ...[Read More] Should You Test Kidney Function After Diagnosing Urinary Issues?
Understanding Post-Operative Urinary Incontinence After Kidney Stone Surgery
Endoscopic surgery for kidney stones? Hello doctor, my mother underwent a self-paid endoscopic surgery to remove kidney stones on January 30. Since February 8, she has been experiencing episodes of urinary and fecal incontinence, particularly with bowel movements. Is this a norma...
Dr. Jian Weihong Reply:
Under normal circumstances, there is no direct connection between the gastrointestinal tract and the urinary tract. However, it cannot be ruled out that medications taken post-surgery could cause diarrhea, which may lead to incontinence. It is advisable to return to the surgeon&#...[Read More] Understanding Post-Operative Urinary Incontinence After Kidney Stone Surgery
Is Shock Wave Lithotripsy Necessary for Painless Kidney Stones?
Is it necessary to perform extracorporeal shock wave lithotripsy if kidney stones are not causing pain? My brother visited the hospital on November 14, 2020, due to discomfort from right kidney stones. The diagnosing physician determined that the left kidney stone was larger and ...
Dr. Li Xinyi Reply:
1. If a kidney stone grows too large before treatment, it can cause damage to the kidney. Extracorporeal shock wave lithotripsy was performed two months ago, and in principle, it can be repeated after two months. 2. We, as outsiders, cannot comment on whether there were any issue...[Read More] Is Shock Wave Lithotripsy Necessary for Painless Kidney Stones?
Understanding Occult Blood in Urine: When to Seek Medical Attention
Urinary occult blood issue? Hello, Doctor. I have previously consulted your website with questions, and this is my first time reaching out to you. I have undergone lithotripsy and have had several urine tests. Sometimes I have trace hematuria (+/-), and sometimes I do not, but I ...
Dr. Li Minghui Reply:
The occult blood test uses a chemical reaction to identify the presence of hemoglobin in the urine. Some causes of hematuria can lead to the rupture of red blood cells, making it difficult to see intact red blood cells; in such cases, the occult blood test may be more sensitive t...[Read More] Understanding Occult Blood in Urine: When to Seek Medical Attention
Understanding Hematuria: When to Seek Medical Attention
The issue of hematuria? Hello, doctor. I have previously consulted your website with questions, and this is my first time asking you. I have undergone lithotripsy and have had several urine tests. Sometimes there is trace blood (+/-), and sometimes there isn't, but I have ne...
Dr. Jian Weihong Reply:
The occult blood test uses a chemical reaction to identify the presence of hemoglobin in urine. Some causes of hematuria can lead to the rupture of red blood cells, making it difficult to see intact red blood cells; in such cases, the occult blood test may be more sensitive than ...[Read More] Understanding Hematuria: When to Seek Medical Attention
Understanding Urethral Bleeding After Masturbation: Causes and Concerns
Bleeding from the urethral opening? Hello, doctor: Last time after I masturbated, I went to urinate, and after I finished, I wiped my urethral opening with tissue, but there were traces of blood on the tissue. This is the first time this has happened to me. Although I haven'...
Dr. Li Xinyi Reply:
It sounds like the DIY approach was too rough, causing some injury and slight bleeding, which does not resemble the symptoms of kidney stones. It's important to ensure adequate lubrication during DIY procedures and to avoid being too rough to prevent any injuries.[Read More] Understanding Urethral Bleeding After Masturbation: Causes and Concerns
Understanding Bladder Pain and Lower Back Discomfort: Causes and Insights
Bladder and lower back pain? Hello Doctor: I would like to ask about a sudden issue I've been experiencing. One day I woke up and felt persistent pain in the left side of my bladder, accompanied by a sensation of fullness similar to needing to urinate, but at times it also f...
Dr. Xu Wencang Reply:
Return to outpatient examination.[Read More] Understanding Bladder Pain and Lower Back Discomfort: Causes and Insights
Sharp Pain in Left Kidney During Ejaculation: Causes and Solutions
Sharp pain in the left kidney during ejaculation? Hello Doctor, for the past two months, I have experienced a sharp pain in my left flank, likely near the kidney area, at the moment of ejaculation, whether during intercourse or masturbation. This pain lasts until ejaculation is c...
Dr. Du Shixi Reply:
Hello: I haven't encountered the situation you mentioned. Theoretically, it is not closely related to the conditions you described. It may be necessary to visit a large hospital's urology department for an initial evaluation. Wishing you good health.[Read More] Sharp Pain in Left Kidney During Ejaculation: Causes and Solutions
Understanding Post-Meal Cloudy Urine: Causes and Concerns
Postprandial urine turbidity? Hello, sometimes after a while of eating, my urine becomes cloudy, resembling miso soup with some floating particles. The smell is similar to usual, and there are small bubbles, but very few. After drinking water, the next time I urinate, it returns ...
Dr. Du Shixi Reply:
Hello: It may be a good idea to check a urine test during times of high frequency. If the results are normal, it indicates that more fluids need to be consumed. Since there are kidney stones, regular follow-up with X-rays or ultrasounds is also necessary. Wishing you good health.[Read More] Understanding Post-Meal Cloudy Urine: Causes and Concerns
Understanding Frequent Urination After Kidney Stones and Inflammation
Frequent urination and kidney stones? My boyfriend, who is 22 years old, recently discovered an increase in urination frequency before he enlisted in the military. After seeing a doctor, he was diagnosed with urethritis. Although the inflammation has resolved after taking medicat...
Dr. Li Xinyi Reply:
Based on your description, it is indeed a fact that you have urethritis. As for the stones, they do not necessarily seem to be related. It is recommended that you visit a urologist or an infectious disease specialist to thoroughly examine and treat the urethritis.[Read More] Understanding Frequent Urination After Kidney Stones and Inflammation
Understanding Urinary Disorders: Causes, Symptoms, and Treatment Options
Urinary obstruction Hello, doctor. At the beginning of last year, I started experiencing frequent urination and intermittent urination, along with a decrease in urine flow. I visited a doctor at that time, but I felt like there wasn't much improvement. The frequent urination...
Dr. Du Shixi Reply:
Hello: If you are experiencing issues with urination despite normal hydration and lifestyle, the doctor will likely recommend further examinations. At only 39 years old, it is probably not a serious issue and may be related to habits. Ensure you are drinking enough water, limit s...[Read More] Understanding Urinary Disorders: Causes, Symptoms, and Treatment Options
Understanding Medications for Passing Calcium Oxalate Kidney Stones
Medications for passing kidney stones? Hello Doctor: I currently have a calcium oxalate kidney stone in my ureter. It's not large and hasn't caused any pain or hematuria, just a slight feeling of swelling. Since I am in the United States, I saw a urologist who prescribe...
Dr. Du Shixi Reply:
Hello: The former is a medication for the prostate, and research suggests it may help with stone passage. Buscopan is a muscle relaxant that aids in the passage of stones, while ketorolac is a pain reliever. If you are certain you are not in pain, you may skip it; otherwise, if p...[Read More] Understanding Medications for Passing Calcium Oxalate Kidney Stones
Understanding Lower Abdominal Discomfort: Causes and Concerns
Recently, I have been feeling discomfort in my lower abdomen, and there is a soreness when I apply pressure? Hello Doctor, my main complaint is... Recently, I've been experiencing a slight pressure and discomfort in my lower abdomen, including the groin area. I also have a s...
Dr. Du Shixi Reply:
Hello: 1) A history of kidney stones is quite reasonable. 2) Passing kidney stones can lead to hydronephrosis, and symptoms may not always be present. 3) It is certainly possible. 4) If necessary, seek medical attention, but there is no need to be anxious.[Read More] Understanding Lower Abdominal Discomfort: Causes and Concerns