Understanding Urological Concerns: Addressing Symptoms and Anxiety
It feels strange there? Hello doctor, I would like to ask you about my current situation. I am 21 years old and have a habit of masturbating 1-2 times a week. However, a few weeks ago, I suddenly lost my sex drive. Recently, I decided to test myself by masturbating, and shortly a...
Dr. Xu Weikai Reply:
Ray: Hello, I don't think it's a prostate issue. It could be autonomic nervous system dysfunction. This is likely a lifestyle-related condition, and there have been many cases in recent years. Spending too much time in air-conditioned rooms, lack of exercise, and not sw...[Read More] Understanding Urological Concerns: Addressing Symptoms and Anxiety
Understanding Urinary Issues and Sexual Function Concerns in Men
Difficulty in completely emptying the bladder and some issues with sexual function? Hello, Dr. Hsu. I started having a habit of masturbation around middle school, almost once a day for about 10 years now (recently I have been moderating it). Recently, I have encountered some issu...
Dr. Xu Weikai Reply:
Mr. Cia: Hello, regarding your urination issues, you can undergo urodynamic testing to identify which aspect may be problematic. Note: Since you have already undergone several tests with no issues, it may be worthwhile to examine the neuromuscular system. Additionally, it could b...[Read More] Understanding Urinary Issues and Sexual Function Concerns in Men
Understanding Kidney Stone Symptoms: Are Your Pains Related?
Are these symptoms related to kidney stones? Hello doctor, I recently had a KUB (Kidneys, Ureters, Bladder) scan that suggested possible kidney stones, which reminded me of two past experiences. The first instance was when I was a child; one night I suddenly had severe abdominal ...
Dr. Xu Weikai Reply:
EE: Hello, neither of them seems accurate. 1. Stone formation takes time and is rarely seen in children. 2. If stones have been present for such a long time, your kidneys may already have serious issues. 3. KUB (Kidneys, Ureters, and Bladder) imaging cannot definitively confirm t...[Read More] Understanding Kidney Stone Symptoms: Are Your Pains Related?
Understanding Blood in Urine: Causes and When to Seek Help
Lower abdominal discomfort and hematuria? Hello, Dr. Hsu: I have experienced several episodes of severe hematuria (resembling cranberry juice) over the past six months, which are not painful (though sometimes I do have lower back pain and dull pain in my lower abdomen). I quickly...
Dr. Xu Weikai Reply:
Hello, if you frequently experience hematuria, it is advisable to seek medical evaluation. Your symptoms are more indicative of cystitis. However, if it occurs regularly, a cystoscopy may be necessary. If the hematuria coincides with your menstrual cycle, consider the possibility...[Read More] Understanding Blood in Urine: Causes and When to Seek Help
Unexplained Symptoms: Frequent Urination and Ongoing Discomfort
Unknown cause Three weeks ago, I had a high fever, nausea, and vomiting. I had an abdominal infection, but urine tests showed no issues. Blood tests indicated an abdominal infection, and an abdominal ultrasound was normal. I went to the emergency room, but they couldn't find...
Dr. Li Yilun Reply:
If you have experienced changes in your condition, it is advisable to consult the physician who has treated you. The physician needs to see you in person and monitor your treatment progress to make an accurate assessment. A deep yellow color in urine is often indicative of dehydr...[Read More] Unexplained Symptoms: Frequent Urination and Ongoing Discomfort
Understanding Urinary Issues: Concerns About Non-Inflammatory Capsules
Urinary issues What is the allowable dosage of Non-Inflammatory Capsules per day? Previously, when I had tonsillitis and fever, the emergency doctor prescribed me Non-Inflammatory Capsules four times a day along with a five-day course of antibiotics. Since then, I have noticed a ...
Dr. Xu Weikai Reply:
CC: Hello, you need to check the dosage for each medication. You can consult a pharmacist or use Google, or you can directly visit the National Health Insurance Administration's website, which has a medication query tool: http://www.nhi.gov.tw/query/query1.aspx?menu=18&m...[Read More] Understanding Urinary Issues: Concerns About Non-Inflammatory Capsules
Understanding Scrotal Enlargement: Causes, Symptoms, and Recommendations
Enlargement of the scrotum? Due to the left testicle being larger and hanging lower than the right, and the left scrotum being significantly larger than the right, I sought medical attention. After an ultrasound scan, the doctor stated that both testicles were normal, with no sig...
Dr. Xu Weikai Reply:
Anonymous: Hello. 1. There are many things inside the scrotum. 2. Some people are naturally larger. It is possible for the two sides to be different sizes. Both doctors said it is normal, and an ultrasound was performed, so you should feel reassured. Your kidneys are also differe...[Read More] Understanding Scrotal Enlargement: Causes, Symptoms, and Recommendations
Understanding Dark Yellow Urine: Causes and When to Seek Help
Super yellow urine? I have a cold these days, but I don't know why today my urine is a bit golden yellow. It's not the usual yellow from not drinking enough water, so I'm unsure if there's a problem or if there could be other reasons for this.
Dr. Li Yilun Reply:
Most of the time, dark yellow urine indicates dehydration, and since you are experiencing cold symptoms, it is advisable to increase your water intake. Additionally, certain medications that are metabolized by the kidneys can also affect urine color. If you are not experiencing a...[Read More] Understanding Dark Yellow Urine: Causes and When to Seek Help
Do You Need a Doctor's Approval for Penile X-rays and Ultrasounds?
Penile X-ray and ultrasound? In the case of penile X-rays and penile ultrasounds, it is generally required to have a physician's diagnosis to confirm the necessity of the imaging before proceeding. It is typically not possible to request these tests on your own and pay for t...
Dr. Xu Weikai Reply:
Guagua: Hello, a penile X-ray is not typically performed, nor is it used to check for ureteral stones. A penile ultrasound is primarily used to assess penile blood flow and erectile dysfunction. Therefore, it is understandable that a clinic physician would not conduct these two e...[Read More] Do You Need a Doctor's Approval for Penile X-rays and Ultrasounds?
Understanding Kidney Pain: Causes and Symptoms Explained
Kidney region pain? I am experiencing severe muscle pain in my kidney area. It hurts a lot whenever I squat down or lift something. In the past, an ultrasound showed small calcifications, indicating a slight presence of kidney stones. However, I do not feel pain when urinating, a...
Dr. Fu Shizhang Reply:
Pain associated with movement is most likely due to a muscle strain. If there are concerns related to the kidneys, it is advisable to visit a urology clinic for evaluation.[Read More] Understanding Kidney Pain: Causes and Symptoms Explained
Understanding Delayed Urination: Causes and Health Implications
Urination time Hello doctor, I would like to ask why it takes me 6 to 8 seconds to start urinating. Is there something wrong? Will it have any impact on my body or kidneys? Thank you, doctor.
Dr. Fu Shizhang Reply:
It is recommended to visit the outpatient clinic, as answers can only be provided based on the examination results.[Read More] Understanding Delayed Urination: Causes and Health Implications
Understanding Prostate Issues and Kidney Pain: Treatment Insights
Prostate and kidney inflammation (or urinary tract stones) Hello Dr. Hsu, After our last consultation, I followed your advice and went to the outpatient clinic. I told the doctor directly that I have a history of benign prostatic hyperplasia and am currently experiencing difficu...
Dr. Xu Weikai Reply:
Hello, this type of medication can show initial effects in about 3-5 days. If there is no improvement after a week, it may be necessary to change to another medication. In cases of kidney infection, in addition to pain, there is usually a high fever, which makes diagnosis relativ...[Read More] Understanding Prostate Issues and Kidney Pain: Treatment Insights
Common Urological Concerns: Questions About Kidney Health and More
Regarding urinary issues? Hello Dr. Hsu: I have several questions regarding urological issues and hope you can help me answer them! 1. I drink 3000cc to 5000cc of water daily. I read online that this could be harmful to the kidneys. Is that true? What is the normal amount of wat...
Dr. Xu Weikai Reply:
Hope you are happy every day: 1. Maintain a daily urine output of 1200-1500 milliliters. 2. There are no reports from Western medicine regarding this matter. 3. It is best to undergo an examination, as certainty cannot be established otherwise. 4. Frequent infections may lea...[Read More] Common Urological Concerns: Questions About Kidney Health and More
Post-Lithotripsy Pain: Why Am I Still Experiencing Discomfort?
I just had lithotripsy, but I'm still in pain? I apologize, but I just had a follow-up check after undergoing extracorporeal shock wave lithotripsy about a week ago, and there is still approximately 0.1 cm of stone remaining in the lower right abdomen, slightly lower than be...
Dr. Xu Weikai Reply:
Kidney Stones: If the stones have not been completely expelled, it may cause localized irritation symptoms. It is advisable to drink plenty of water, maintaining a daily urine output of 1200-1500 cc. If the kidneys feel uncomfortable, it may indicate the presence of hydronephrosi...[Read More] Post-Lithotripsy Pain: Why Am I Still Experiencing Discomfort?
Understanding Frequent Urination: Causes and Solutions
Frequent urination issues? Frequent urination after drinking about 200cc of water, where you feel the urge to urinate again after 15 minutes and only produce about 100cc each time, may indicate a condition known as urinary frequency. This could be due to several factors, includin...
Dr. Xu Weikai Reply:
Yaya: Hello, no problem. Note: The rate at which individuals produce urine varies. If there are issues with the kidneys, such as in dialysis patients, drinking 200ml of water may not result in any urine production. If there are concerns, it is advisable to visit a nearby medical ...[Read More] Understanding Frequent Urination: Causes and Solutions
Understanding Atypical Urine Cytology: Next Steps and Concerns
Initially, there was hematuria, and later the cells showed atypical changes, but it could not be determined precisely..? In December 2014, I underwent a physical examination that revealed hematuria and slightly elevated blood pressure. In early February, a follow-up test showed n...
Dr. Xu Weikai Reply:
Young person: Hello, you can first undergo a cystoscopy. Additionally, is the method of urine sample collection appropriate? Generally, for urine cytology, I personally recommend against using the first morning urine, as it is collected after overnight retention, which may increa...[Read More] Understanding Atypical Urine Cytology: Next Steps and Concerns
Concerns About Long-Term Use of Medications for Male Pattern Baldness
Boskalis medication consultation? Hello Dr. Hsu, I have been experiencing male pattern baldness, and I have used medications such as Minoxidil, Finasteride, and Dutasteride over the past seven to eight years, switching between them approximately every one to two years. Currently...
Dr. Xu Wencang Reply:
Men taking Proscar or Finasteride theoretically have negligible levels of the drug in their semen and sperm, which should not affect fertility. Additionally, the development of external genitalia in the embryo occurs during the seventh week, so there should be no impact. If there...[Read More] Concerns About Long-Term Use of Medications for Male Pattern Baldness
Does Creatine Supplementation Increase Kidney Stone Risk?
Does consuming creatine cause kidney stones? Does consuming creatine cause kidney stones? I would like to ask a physician if there are many cases of kidney stones among people who work out. I have had a few instances of kidney stones myself and have undergone surgery to remove mo...
Dr. Li Yilun Reply:
There are no relevant scientific reports indicating that excessive dietary supplements may impose a burden on the kidneys, and natural foods are generally more suitable.[Read More] Does Creatine Supplementation Increase Kidney Stone Risk?
Understanding Ureteral Reconstruction and Kidney Function Assessment
Ureter and renal function Hello, Dr. Hsu. I previously consulted you about the issue of "ureteral reimplantation," and I saw your response. Thank you! After being discharged, my follow-up appointment included an ultrasound, which revealed hydronephrosis in the left ki...
Dr. Xu Weikai Reply:
Hello, I'm not sure either. It might be the ratio of urine excretion from the two kidneys: one side at 42.7% and the other at 57.3% (just a guess). To determine if there is any swelling in the ureters, an ultrasound or an intravenous pyelogram (IVP) can be used. If there are...[Read More] Understanding Ureteral Reconstruction and Kidney Function Assessment
Understanding Frequent Urination: Causes, Symptoms, and Solutions
Frequent urination and nocturia? Doctor, I have been experiencing frequent urination for almost four years. I have undergone cystoscopy, bacterial culture, urinalysis, uroflowmetry, and ultrasound examinations of the kidneys and bladder. The cystoscopy revealed redness in the mid...
Dr. Li Xinyi Reply:
It is not possible to determine the condition and treatment based solely on your description regarding urination and emotions. Mental and physical health are interconnected. It is advisable to pay close attention to this and seek consultation and examination from other specialize...[Read More] Understanding Frequent Urination: Causes, Symptoms, and Solutions