Understanding Kidney Discomfort: Causes of Nighttime Symptoms
Kidney problems? Hello Director Lin, I would like to ask about a recent issue I've been experiencing. I often find myself in a half-asleep state while sleeping, and I feel discomfort in my lower back, specifically around the area of my kidneys. It's not a pure pain, but...
Dr. Lin Hexing Reply:
Hello: It is likely that you are experiencing lower back pain rather than a kidney issue. You should consider whether you have been overworked recently, engaged in excessive exercise, or if you have changed to a softer mattress. I recommend consulting an orthopedic physician for ...[Read More] Understanding Kidney Discomfort: Causes of Nighttime Symptoms
Sudden Sharp Pain Near the Kidneys: What Could It Mean?
Sudden sharp pain in the body? Dear Doctor, sometimes (not often, about 2 to 3 times a month) I experience sudden sharp pain near the lower chest area (close to the kidneys). It can be very painful, but it only lasts for a moment. Sometimes the pain is in the lower chest area, an...
Dr. Li Yilun Reply:
The physician's diagnosis of a condition must rely on the patient's presentation, physical examination, and treatment experience. With advancements in technology, diagnostic tests such as blood tests, urine tests, or specialized imaging studies can assist in identifying...[Read More] Sudden Sharp Pain Near the Kidneys: What Could It Mean?
Understanding Low Urine Output: Causes, Treatments, and Next Steps
Decreased urine output? Hello, Doctor: I previously visited the hospital due to low urine output. After examination, my liver and kidneys were found to be normal. Subsequently, the urologist arranged for me to undergo urodynamic testing, which revealed some issues, and I was pres...
Dr. Xu Weikai Reply:
Hello, you can start by keeping a urinary diary: record the time and amount of water you drink each day for at least three days. After recording, bring it to the hospital for the physician's reference. If there are any unclear points, feel free to ask again so we can discuss...[Read More] Understanding Low Urine Output: Causes, Treatments, and Next Steps
Understanding PSA Levels and Varicocele: Your Urology Questions Answered
After blood testing Hello, Dr. Hsu! Last week, I returned for a follow-up appointment to review my report: PSA 1.99 (normal range 0-4). Since I previously tested my semen and found no inflammation, and the count was normal, my doctor suggested that the main reason might be varico...
Dr. Xu Weikai Reply:
A-Jia: Hello everyone, each person's reaction to medication is different. Even with the same condition, different medications may be required for treatment. This is because each individual's physiology varies. It’s not like a computer where anyone can open Windows and g...[Read More] Understanding PSA Levels and Varicocele: Your Urology Questions Answered
Understanding Nocturnal Emissions: Are They a Sign of Kidney Issues?
Nocturnal emissions issue If a person frequently experiences nocturnal emissions despite getting up to use the bathroom, and does not have morning erections, while regular erections during the day are normal, does this indicate poor kidney function?
Dr. Xu Weikai Reply:
Xiao Liu: Hello, sexual function is not related to the kidneys. Dialysis patients can also have a fulfilling sex life.[Read More] Understanding Nocturnal Emissions: Are They a Sign of Kidney Issues?
Can Kidney Ultrasound Detect Cancerous Conditions in the Kidneys?
Check the issues? Can an ultrasound examination of the kidneys detect kidney cancer?
Dr. Xu Weikai Reply:
Hello, it is possible to detect some tumors, but it is not 100% certain. Some tumors are too small or appear similar to normal kidneys on ultrasound. Diagnosis cannot be made solely through ultrasound.[Read More] Can Kidney Ultrasound Detect Cancerous Conditions in the Kidneys?
Should I See a Nephrologist After Urology Tests for Abdominal Pain?
I'm sorry to hear that you're feeling distressed? I have lower abdominal pain and bilateral flank pain, along with a feeling of pressure and discomfort. I went to see a urologist, who performed a urinalysis and an ultrasound of my bladder and kidneys, indicating that th...
Dr. Xu Weikai Reply:
Hello, urology and nephrology are different specialties; one is internal medicine focused on the kidneys, while the other is surgery related to the kidneys.[Read More] Should I See a Nephrologist After Urology Tests for Abdominal Pain?
Understanding Chronic Lower Abdominal and Back Pain: Is It Kidney Related?
Kidney examination... urgent? Long-term lower abdominal pain and bilateral flank pain with a tight and pressure-like sensation have persisted for over a year. I would like to ask a professional doctor: I have undergone urinalysis, blood tests for kidney function, and ultrasound e...
Dr. Xu Weikai Reply:
Hello, there are no tests that can completely rule out any disease with 100% certainty. However, it can generally be said that no abnormalities in the urinary system have been found at this time.[Read More] Understanding Chronic Lower Abdominal and Back Pain: Is It Kidney Related?
Concerns About STDs After Multiple Partners: What You Need to Know
Concerns about sexually transmitted infections (STIs)? Hello Doctor, due to feeling depressed after a breakup, I engaged in sexual intercourse with fourteen women from June to July. I have a history of infertility (low sperm count), and the women are all around 20 years old and u...
Dr. Xu Weikai Reply:
Dr. Aki: Hello. 1. For general urethritis, antibiotics should be used for 10-14 days. 2. It is recommended to undergo sexually transmitted infection (STI) screening, and regardless of the results, all sexual partners should be informed to undergo appropriate testing. 3. Due to th...[Read More] Concerns About STDs After Multiple Partners: What You Need to Know
Progressive Asymmetrical Numbness and Weakness in Hands and Feet
Progressive numbness and weakness with asymmetry in the limbs? The mother is 51 years old and has been experiencing numbness and weakness in her fingers and toes for the past month. Initially, the symptoms were limited to the tips of her fingers, but this month they have progress...
Dr. Gao Chunde Reply:
Peripheral neuropathy is progressing quite rapidly, especially in terms of weakness. It is recommended to seek further detailed examination at a major hospital's neurology department as soon as possible. If the progression is too fast, hospitalization may be necessary, but t...[Read More] Progressive Asymmetrical Numbness and Weakness in Hands and Feet
Why Does My Sweat Smell Like Urine After Exercise?
Sweating during exercise has a urine-like odor? Hello Dr. Chou, I would like to ask, when exercising and sweating, I noticed that my towel has a urine-like odor. Does this indicate a problem with my kidneys?
Dr. Zhou Xinpei Reply:
Hello: Regarding your inquiry, it is recommended that you visit a urology clinic for a personal examination and evaluation by a physician. Thank you![Read More] Why Does My Sweat Smell Like Urine After Exercise?
How Long Should You Wait Between Extracorporeal Shock Wave Lithotripsy Sessions?
How long does it take to undergo extracorporeal shock wave lithotripsy (ESWL) after being scheduled for the procedure? My mother underwent surgery in mid-July, but the stones were not completely removed, and this is her second surgery! Although the stones have decreased in size, ...
Dr. Xu Weikai Reply:
Ms. Huang: Hello, in general, extracorporeal shock wave lithotripsy (ESWL) performed by a qualified urologist rarely causes significant damage to the kidneys. Therefore, there is no specific timeframe regarding when one can undergo another procedure. It largely depends on whether...[Read More] How Long Should You Wait Between Extracorporeal Shock Wave Lithotripsy Sessions?
Concerns About Diuretic Effectiveness and Long-Term Use Risks
Inquiry about diuretic medications? Hello Dr. Lin: I have been taking diuretics for 9 months. I would like to ask you about my experience. For the first six months, I felt that the medication was effective, and my male hormone levels were better controlled. However, in the last t...
Dr. Lin Yiting Reply:
If your medication was obtained from a healthcare facility or pharmacy approved by the Department of Health, there is generally no issue with counterfeit drugs. It is recommended to consult a urologist to measure prostate size and assess whether the prostate is continuously shrin...[Read More] Concerns About Diuretic Effectiveness and Long-Term Use Risks
Chronic Abdominal and Back Pain: Seeking Answers in Urology and Beyond
Chronic lower back pain and abdominal pain? I have been experiencing persistent pain in my lower abdomen, which has now progressed to daily pressure and cramping in my lower back, along with soreness in my back as well. Initially, I consulted a urologist and underwent urine tests...
Dr. Xu Weikai Reply:
Hello, based on your symptoms, it is difficult to determine the exact issue. Many diseases can cause such conditions. Additionally, it may be symptoms caused by autonomic nervous system dysfunction. Note: It could also be due to poor circulation, so consider regular exercise. (Be...[Read More] Chronic Abdominal and Back Pain: Seeking Answers in Urology and Beyond
Can Abdominal Pain Be Excluded from Urology Issues?
Ultrasound Issues Hello doctor, I have a question about lower abdominal pain, a feeling of fullness in both flanks, and a sense of pressure in the lower back. I went to see a urologist, who performed a urinalysis and an ultrasound of the bladder and kidneys, all of which were nor...
Dr. Xu Weikai Reply:
Hello, it is not possible to completely rule out. However, most urinary system diseases can be excluded. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers from the internet should only be used as a reference; if necessary, i...[Read More] Can Abdominal Pain Be Excluded from Urology Issues?
Understanding Urological Issues: When to Seek Further Medical Help
Urological issues Hello doctor, I have been experiencing long-term lower abdominal pain accompanied by discomfort in my lower back. I have seen a urologist, who said it is not a problem related to their specialty. Lower abdominal pain can be quite troublesome as it may involve ga...
Dr. Xu Weikai Reply:
GF: Hello, you could say that if the urine test is normal and the ultrasound of the kidneys and bladder shows no abnormalities, most urinary system diseases can be ruled out. For lower abdominal pain, it is indeed necessary to consider a broader range of possibilities. You might ...[Read More] Understanding Urological Issues: When to Seek Further Medical Help
Understanding Ureteral Stones: Symptoms, Diagnosis, and Concerns
Urethral stones On the 22nd, I underwent a urethral imaging procedure. In the afternoon, the outpatient doctor said that no stones were observed and suggested that they might have already been expelled. However, I have been experiencing abdominal soreness for the past few days. I...
Dr. Li Yilun Reply:
Is the examination you underwent performed with a contrast agent injected intravenously? Such examinations are typically referred to as intravenous pyelography, primarily used to assess the kidneys, ureters, and bladder for any abnormalities. No significant findings were noted. I...[Read More] Understanding Ureteral Stones: Symptoms, Diagnosis, and Concerns
Understanding Lower Abdominal Pain: Is It Urological or Gastrointestinal?
Lower abdominal issues? Doctor, I have pain in my lower abdomen near the uterus and bladder, with pain on both sides and in the middle. I also have pain in my lower back on both sides. I have undergone a gynecological examination, and everything is normal. I had an ultrasound of ...
Dr. Xu Weikai Reply:
Hello, it should be like this: sometimes it's just nerve pain or muscle soreness. However, there are some rarer tumors that can present with unusual symptoms. You can seek help from a rehabilitation specialist, and if there is improvement, it should be related to muscle or n...[Read More] Understanding Lower Abdominal Pain: Is It Urological or Gastrointestinal?
Understanding Urological Issues: Childhood Symptoms and Kidney Health
Urinary tract issues Doctor, when I was about ten years old, I experienced pain while urinating and had pus on the glans. However, I did not receive any treatment until puberty, when I noticed that when I strained to have a bowel movement, semen would come out. Later, around the ...
Dr. Liu Jiaju Reply:
Xiao Wei: Your issue is likely a urinary tract infection. With proper treatment, it should not affect the kidneys. I recommend that if there is no improvement, you should consult a urologist for a detailed examination and treatment.[Read More] Understanding Urological Issues: Childhood Symptoms and Kidney Health
Understanding Ultrasound in Urology: Bladder and Kidney Function Tests
Ultrasound Issues Bladder ultrasound and kidney ultrasound primarily assess the structure and function of the urinary system. Specifically, they are used to evaluate: 1. **Bladder Ultrasound**: - Bladder volume and capacity - Presence of urinary retention or obstruction ...
Dr. Xu Weikai Reply:
Hello, as you mentioned, a bladder ultrasound is used to examine the bladder and surrounding tissues, while a kidney ultrasound is used to assess the kidneys and nearby structures such as the adrenal glands. If there are any unclear points, feel free to ask again, and we can disc...[Read More] Understanding Ultrasound in Urology: Bladder and Kidney Function Tests