Understanding Painless Hematuria: Possible Causes and Concerns
Inquiry about painless hematuria? Hello, doctor. I have searched through the question bank and found no similar issues, so I am inquiring. I have been living abroad for four months, and two weeks ago, I noticed blood on the toilet paper after urinating, but there was no blood in ...
Dr. Du Shixi Reply:
Hello: Based on your description, the urine in the toilet appears to be blood-free, but since there is blood on the toilet paper, it is still advisable to have both gynecological and rectal examinations confirmed by a physician. If there is blood in the toilet, further examinatio...[Read More] Understanding Painless Hematuria: Possible Causes and Concerns
Understanding Urinary Symptoms: When to Seek Further Testing
Urinary tract infection (UTI) issues? Hello, Doctor. I would like to ask about a recent issue I've been experiencing. I've noticed a slight burning sensation when urinating, but there is no pain or increased frequency of urination. However, I have detected a mild unusua...
Dr. Sun Hongshun Reply:
Hello! I would recommend that you go to the hospital for a blood test (renal function) and a urinary system ultrasound to clarify the reasons for your discomfort. Additionally, it is important to drink plenty of water. Wishing you a speedy recovery![Read More] Understanding Urinary Symptoms: When to Seek Further Testing
Understanding Frequent Urination: Causes and Concerns in Urology
Frequent urination issues? Recently, I have been experiencing persistent tongue inflammation and suspect that I might be zinc deficient, so I started taking zinc supplements. The inflamed and atrophied areas on my tongue have begun to heal, and the acne on my body has also disapp...
Dr. Du Shixi Reply:
Hello: 1. Does this count as frequent urination? Three years ago, I had overactive bladder syndrome, but it improved on its own. Now, I feel similar symptoms, but it doesn't seem the same. 2. Could it be caused by zinc tablets? --> The impact is minimal because I'...[Read More] Understanding Frequent Urination: Causes and Concerns in Urology
Understanding Delayed Urination and Mild Kidney Edema: Key Insights
Urinary retention and renal edema? Hello Doctor: Recently, I sought medical attention due to a slight delay in urination (usually it takes about 15-20 seconds for me to urinate). After examination, the doctor diagnosed that my urinary flow rate is slightly slow (but not abnormal)...
Dr. Du Shixi Reply:
Hello: 1. Does mild renal edema require immediate close monitoring? I am very worried about kidney failure and needing dialysis. However, due to the pandemic, it seems complicated to arrange for examinations and surgeries. --> The physician will make a judgment; in some case...[Read More] Understanding Delayed Urination and Mild Kidney Edema: Key Insights
Understanding Urinary Issues: When to Seek Help for Kidney Problems
Urination, kidney issues? Hello, doctor. I've been experiencing urinary hesitancy for the past few weeks, taking about 5 seconds to start urinating. I later noticed that my urine has bubbles, the flow rate has decreased, and the volume is less. Should I be concerned that the...
Dr. Du Shixi Reply:
Hello: You can start by drinking more water, engaging in gentle exercise, and observing your condition. Generally, kidney issues can lead to edema. If you're still concerned, you may want to get a urine test done. Wishing you good health.[Read More] Understanding Urinary Issues: When to Seek Help for Kidney Problems
Understanding the Risks of Self-Removing a Double J Stent in Urology
Response #168772: Issues with Double-Lumen Catheter 1. I would like to ask if you mean that I can remove it myself? 2. If I can eliminate it on my own, will it harm my kidneys? 3. Are there any risks associated with self-removal?
Dr. Du Shixi Reply:
Hello: 1)-3) Medical intervention for extraction is necessary. The physician will assess and prevent the occurrence of risks. Wishing you good health.[Read More] Understanding the Risks of Self-Removing a Double J Stent in Urology
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 Proteinuria: Should You Worry About Kidney Health?
Urinary protein Hello doctor, I went for a health check and found that I have protein in my urine (++). Does this mean I have kidney problems? However, a month before the health check, I had an ultrasound of my kidneys, and the doctor said there were no issues. Do I need to go to...
Dr. Du Shixi Reply:
Hello: The presence of protein in the urine is a phenomenon that requires attention to lifestyle factors (such as diet, rest, and blood pressure). Generally, an ultrasound examination is sufficient. I personally recommend that if a family member has a history of kidney disease or...[Read More] Understanding Proteinuria: Should You Worry About Kidney Health?
Understanding Urination Issues: Causes, Symptoms, and Next Steps
Urinary issues Hello, doctor. I have a slow urinary flow and have undergone urodynamic studies and prostate examinations without any signs of inflammation. What could be the issue? I often feel an urgent need to urinate, but the amount is not much. After holding my urine, I exper...
Dr. Xu Wencang Reply:
Chronic pelvic pain syndrome requires patience and follow-up visits for treatment.[Read More] Understanding Urination Issues: Causes, Symptoms, and Next Steps
Understanding Urination Issues: When to Seek Further Medical Evaluation
Urinary problems I have a hard area in my lower right back, and I'm having difficulty urinating, needing to exert force to do so. The urge to urinate feels like it's coming from the penis rather than the bladder. Urinalysis showed no blood, and tests did not indicate an...
Dr. Du Shixi Reply:
Hello: 1) The urine tests and ultrasound you underwent have ruled out tumors or renal cysts. Wishing you good health.[Read More] Understanding Urination Issues: When to Seek Further Medical Evaluation
Understanding Morning Urination: Kidney Health and Bladder Function
Nocturnal urination? Hello Doctor, I often wake up and urinate, and then about 40 minutes later, I have a lot of urine again, even though I haven't consumed much water. This is because I usually drink 500-1000 ml of water before bed. I would like to ask, if I do not urinate ...
Dr. Du Shixi Reply:
Hello: It is common to drink 500-1000 ml before bedtime --> This is okay, as the body will adjust. It may not stop completely, but it could slow down. Additionally, the bladder is quite elastic and can prevent reflux. When it holds more, it should not affect the kidneys. Wishi...[Read More] Understanding Morning Urination: Kidney Health and Bladder Function
Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Acute or chronic prostatitis, with PSA levels above 12, shows poor sensitivity to oral antibiotics? Hello Dr. Li, I would like to describe my medical history as it has been quite distressing and painful for me. I apologize for the lengthy details. Urological History: I have a ...
Dr. Li Minghui Reply:
Hello: 1) These types of antibiotics are generally effective, but they require several months of treatment along with strict lifestyle precautions. However, if the patient does not see results, changing medications may not be certain. As for muscle-related side effects, they are ...[Read More] Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Chronic prostatitis Hello Doctor, I would like to share my medical history as it has been quite distressing and painful for me. I apologize for the lengthy details. Urological History: I have a history of anxiety disorder and often engage in sexual activities (either masturbat...
Dr. Du Shixi Reply:
Hello: 1) This type of antibiotic is generally effective, but it requires several months of treatment along with strict lifestyle precautions. However, since the patient has not seen results, changing medications may lead to uncertainty. As for muscle side effects, they are not c...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Understanding Urinary Issues: When to Seek Further Medical Advice
Urinary issues Hello doctor, after using a male masturbation device, I experienced a prickly and uncomfortable sensation around the glans and the frenulum. There is pain upon pressure, but there is no pain during an erection. I do not feel any discomfort or pain while urinating. ...
Dr. Li Xinyi Reply:
It sounds like there is no issue, just insufficient rest. If you have injured it, you need to take a break and allow enough time for recovery. Avoid overusing it and treat it well.[Read More] Understanding Urinary Issues: When to Seek Further Medical Advice
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 Urination Issues: Causes and Solutions for Urological Concerns
Urinary problems Hello Doctor, I have rarely drunk water and often held my urine for many years. Last year, I was diagnosed with urethritis and a kidney cyst, but I haven't experienced any discomfort, so I didn't pay much attention to it. When I drink less water, my uri...
Dr. Xu Wencang Reply:
It can be observed that drinking more water results in increased urine output, which may lead to smoother urination. If this persists, a visit to the outpatient clinic for examination is recommended.[Read More] Understanding Urination Issues: Causes and Solutions for Urological Concerns
Understanding Double J Stents: Managing Hydronephrosis During Pregnancy
Placement of double J stent? Hello Doctor, I am currently 34 weeks pregnant. I have been experiencing back pain, and an ultrasound revealed hydronephrosis in both kidneys. I just had a double J stent placed last week, and there were no stones found, only narrowing. However, after...
Dr. Cai Zhuorong Reply:
After a week, I still feel soreness in my back and went for a follow-up ultrasound, which showed that my kidney still has hydronephrosis, although it's not as severe as before. Is this normal? A: A double-J stent can occasionally cause discomfort. If the ultrasound still sho...[Read More] Understanding Double J Stents: Managing Hydronephrosis During Pregnancy
Managing Recurrent Urinary Tract Infections: Causes and Treatment Options
Recurrent urinary tract infection (UTI) Hello Doctor: 1. I had a urinary tract infection 10 years ago, and after treatment, it recurred 1-2 times every 3-5 years. Since last year, I have been experiencing episodes every 3 months, and this year, once a month. After taking antibi...
Dr. Sun Hongshun Reply:
Hello: 1. Have you undergone a urine culture to identify the specific bacteria causing your infection and discomfort? 2. Urodynamics must be performed in the absence of infection; were you free of inflammation when you underwent the urodynamic study? Additionally, you mentioned a...[Read More] Managing Recurrent Urinary Tract Infections: Causes and Treatment Options
Concerns About Kidney Health: Managing GERD and eGFR Levels
Kidney problems Hello, doctor. I currently have issues with gastroesophageal reflux and I'm concerned about the potential impact of medication on my kidneys. I carefully reviewed my health check-up from May of this year, which showed no abnormalities in urine protein, urine ...
Dr. Du Shixi Reply:
Hello: The arm function may need further monitoring, as values can fluctuate. It's important to maintain a healthy lifestyle through proper living, rest, diet, and exercise. As for whether to continue treatment for gastroesophageal reflux disease (GERD), please have a specia...[Read More] Concerns About Kidney Health: Managing GERD and eGFR Levels