Managing Kidney Stones: What to Do When Treatment Options Are Unclear
Urinary tract stones, currently unsure how to proceed with treatment? Hello Dr. Du, last Thursday I experienced severe pain in my lower right abdomen and went to the emergency room. The pain came in waves, gradually increasing in intensity, then subsiding, with each episode lasti...
Dr. Du Shixi Reply:
Hello: For a stone measuring 0.5 cm, it is generally recommended to observe, take medication, and drink plenty of water, as most will pass naturally. Only a CT scan can detect these small stones. It is advisable to drink water in moderation to avoid excessive fullness, and to dri...[Read More] Managing Kidney Stones: What to Do When Treatment Options Are Unclear
Understanding Right Side Lower Back Numbness: Causes and Treatment Options
Numbness in the right lower abdomen (right side of the navel)? Hello, doctor. I have been experiencing numbness in my right lower back for five days. It goes away for a while when I scratch it, but the numb sensation comes back intermittently. I realized that the day before the n...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a lumbar disc herniation. Symptoms often worsen with coughing or sneezing, which can exacerbate nerve root pain. A disc protruding posteriorly or posterolaterally can compress the nerve roots, leading to clinical s...[Read More] Understanding Right Side Lower Back Numbness: Causes and Treatment Options
Understanding Syphilis: Concerns About Positive RPR Test Results
Syphilis concerns? Last week, I went for a health check-up, and the results indicated that my RPR was positive at 1:1X, prompting me to undergo further testing for TPPA. I find this very strange because I haven't had sexual intercourse for over two years, and two years ago, ...
Dr. Du Shixi Reply:
Hello: Further testing for TPHA may be necessary, as there is currently no confirmed diagnosis. Please bring the report to the urology department for evaluation. False positives can occur, where a negative result is mistakenly reported as positive, and this situation is quite com...[Read More] Understanding Syphilis: Concerns About Positive RPR Test Results
Understanding Heel Walking and Toe Lift Issues After a Motorcycle Accident
Walking on the heels (unable to lift the toes of the right foot)? Hello Doctor: Three years ago, I fell off my motorcycle and injured my lower back. Now, when I walk, I can lift the toes of my left foot, but I cannot lift the toes of my right foot. Could this be due to nerve comp...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg weakness, such as muscle atrophy and lumbar nerve compression, which need to be evaluated. Your symptoms may suggest peroneal nerve dysfunction, one of the most common localized neuropathies in the lower ex...[Read More] Understanding Heel Walking and Toe Lift Issues After a Motorcycle Accident
Understanding Penile Pain: When to Seek Medical Attention
Penile issues Recently, after masturbating, I experienced mild pain in my penis while trying to sleep at night. There is sensitivity in the glans when lightly pressed, and I also feel some soreness in my lower back, penis, and perineum. What could these symptoms indicate, and do ...
Dr. Wu Shuyu Reply:
Hello, the most common cause may be muscle soreness, but it cannot be ruled out that there could be an inflammatory condition. Mild symptoms often resolve on their own without the need for medical attention. It is recommended to rest first, but if symptoms persist or if you still...[Read More] Understanding Penile Pain: When to Seek Medical Attention
Understanding Non-Dispersing Bubbly Urine: When to Seek Medical Advice
Could you please clarify your question regarding normal non-foamy urine and other issues? Introduction: I saw other doctors on a television program mention that persistent bubbles in urine require prompt medical evaluation to avoid kidney issues. Therefore, I sought medical atten...
Dr. Du Shixi Reply:
Hello: 1) Diet and hydration are factors. 2) A normal urinalysis indicates normalcy; further examination at the hospital is recommended. 3) A normal urinalysis suggests a low likelihood of stones; drink plenty of water, at least 2000cc of plain water, and avoid beverages. 4) Regu...[Read More] Understanding Non-Dispersing Bubbly Urine: When to Seek Medical Advice
Understanding Allodynia: When Touch Causes Pain and What to Do
Pain upon touch (tactile allodynia) Hello, doctor. I have a problem that has been bothering me for a long time, but I don't know which specialist to consult. Sometimes, certain areas of my body (arms, abdomen, lower back, thighs, and calves) suddenly become very painful when...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems less likely to be an autonomic nervous system issue. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympathet...[Read More] Understanding Allodynia: When Touch Causes Pain and What to Do
Understanding Watery Semen: Causes and When to See a Urologist
The semen has become watery? I have noticed that during sexual intercourse, my semen has become more watery, and I have also reduced the frequency of sexual activity to twice a month without any improvement. Recently, I have been experiencing frequent lower back pain. Doctor, cou...
Dr. Du Shixi Reply:
Hello: Semen can naturally vary, and if there is no blood in the semen, there should be no issue. As for the lower back pain, it is advisable to consult a urologist. Regarding whether medication could cause this phenomenon, I cannot provide information without knowing the specifi...[Read More] Understanding Watery Semen: Causes and When to See a Urologist
Understanding Blood in Urine After Gonorrhea Treatment: Causes and Concerns
Hematuria after the treatment of gonorrhea? Doctor, I fell ill at the end of February. Initially, the doctor treated me for Chlamydia, but I felt something was off (I experienced lower back spasms and anal burning during sleep). In early April, I switched to a second doctor who d...
Dr. Du Shixi Reply:
Hello: Your symptoms are likely not related to a sexually transmitted infection. A blood test for syphilis can determine if it is present. The cause of hematuria needs further examination to confirm. There is also a high percentage of cases where a definitive cause cannot be foun...[Read More] Understanding Blood in Urine After Gonorrhea Treatment: Causes and Concerns
Understanding Body Tingling: Causes and When to See a Neurologist
Tingling sensation in the body (more pronounced in the fingers)? Hello Doctor, a few nights ago I experienced a tingling sensation in my fingers while I was asleep, without any pressure or injury. When I woke up, the tingling sensation in my fingers persisted, although it had les...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more commonly the result of hyperventilation syndrome, which leads to a decrease in carbon dioxide levels in the blood, causing an increase in pH and resulting in systemic reactions and symptoms. Common manifestations include vasoconstriction and hypocalc...[Read More] Understanding Body Tingling: Causes and When to See a Neurologist
Understanding Bladder Infections: Symptoms, Treatment, and Recovery
Bladder infection with urethral discomfort? Hello, doctor. I would like to ask about my recent visits. During my first appointment, they did not perform a urinalysis and diagnosed me with a urinary tract infection based on my symptoms. I took the medication for six days, but ther...
Dr. Du Shixi Reply:
Hello: 1) There is no need to drink too much; if you work indoors and do not sweat, 2000-3000 mL is sufficient. Additionally, maintain a light diet, avoid coffee and tea, do not hold in urine, and prevent constipation. Try not to sit for too long at a time; get up and move around...[Read More] Understanding Bladder Infections: Symptoms, Treatment, and Recovery
How to Confirm Chronic Gonorrhea: Symptoms and Diagnosis
How is chronic gonorrhea diagnosed? Hello doctor, I noticed pain during urination and discharge in early May. After testing, I was diagnosed with gonorrhea. The doctor prescribed a week’s worth of medication, which helped a lot, and the follow-up test results came back normal. Ho...
Dr. Du Shixi Reply:
Hello: 1) The current official diagnostic method, in addition to relying on clinical symptoms and signs, requires the collection of specimens from the urethra, cervical canal, anus, rectum, and pharynx to perform Gram staining to identify Neisseria gonorrhoeae. It is best to use ...[Read More] How to Confirm Chronic Gonorrhea: Symptoms and Diagnosis
Understanding Testicular, Lower Abdominal, and Lower Back Pain
Pain in the testicles, lower abdomen, and lower back? Hello doctor, due to the pandemic, I have been working from home for about two months, usually wearing shorts. Last week, I had the opportunity to go out and wore a pair of jeans that I had previously worn. I was out for about...
Dr. Du Shixi Reply:
Hello: Avoid wearing tight clothing, refrain from sitting or standing for prolonged periods, engage in moderate exercise, and you might want to give it a try. Wishing you good health.[Read More] Understanding Testicular, Lower Abdominal, and Lower Back Pain
Common Urology Concerns: Cleaning, Sensitivity, and Pain Explained
I have two questions for the doctor? Hello doctor, I was washing myself in the shower and pulled back my foreskin to clean the smegma. I recently read an article emphasizing the importance of proper cleaning to avoid potential risks for women. After a long accumulation, I spent q...
Dr. Du Shixi Reply:
Hello: If there is pain and redness of the skin, it is possible that there is a minor abrasion. If neither of these two conditions is present, I personally recommend rinsing with water and drying it off. If you are concerned that the showerhead may cause stinging, you can use a c...[Read More] Common Urology Concerns: Cleaning, Sensitivity, and Pain Explained
Understanding Testicular Issues: Pain, Varicocele, and Semen Changes
Testicular issues Hello Doctor, I have been feeling quite depressed due to a testicular issue. At the end of March, after masturbating, I experienced severe pain above my left testicle. I went to the hospital, and the doctor told me it was a varicocele (on the left testicle) and ...
Dr. Du Shixi Reply:
Hello: 1) Varicocele --> If there are symptoms, medication should be taken. 2) If the right-sided pain (initially on the right side) and lower back pain persist, medical examination is necessary; it should not be related to the varicocele. 3) The characteristics of semen can c...[Read More] Understanding Testicular Issues: Pain, Varicocele, and Semen Changes
Understanding Ureteral Compression: Symptoms, Diagnosis, and Treatment Options
Ureteral compression Hello, about two months ago, I felt a strain in my lower back that persisted several times until early March when one night I suddenly experienced back pain so severe that I couldn't lie flat to sleep; even side sleeping was impossible, and I could only ...
Dr. Chen Jiansheng Reply:
If the pain is caused by hydronephrosis, it should be alleviated after the drainage tube is placed. Please return for a follow-up appointment and inform the physician that your symptoms have not improved. Investigate whether there are other potential causes of the pain or if it i...[Read More] Understanding Ureteral Compression: Symptoms, Diagnosis, and Treatment Options
Managing Kidney Stone Aftercare: Water Intake and Urine Color Insights
Please ask about some complications after kidney stones, as well as what type of water to drink for prevention and issues related to urine color? Hello, I previously passed a stone measuring 0.7 x 0.5 cm, and I felt discomfort and bloating for about half a month before it was exp...
Dr. Du Shixi Reply:
Hello: 1) What you mentioned is possible; there may still be small stones, and you should continue to seek medical attention. 2) Limit the intake of beverages; consume coffee, tea, and cola in moderation, with plain water as the main drink. 3) If you don't sweat much, your h...[Read More] Managing Kidney Stone Aftercare: Water Intake and Urine Color Insights
Understanding Leg Numbness After Back and Hip Injuries
Numbness in the lower leg below the knee? Dear Dr. Jiang Junyi, Symptoms: Four days ago, I was accidentally knocked down by a metal door that fell on my lower back. At that moment, I got up and felt fine. Two days ago, while lifting heavy objects, I experienced a similar strain ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of sciatic nerve compression due to a herniated disc. A herniated disc can also occur due to sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or experiencing excessive f...[Read More] Understanding Leg Numbness After Back and Hip Injuries
Understanding Leg and Buttock Numbness After Back Injury: Key Insights
Numbness in the calf extending to the thigh with a tingling sensation in the right posterior hip? Hello, Dr. Jiang. Six days ago, I was knocked down by a wind-blown iron gate, which impacted my lower back. At that time, there was no significant injury. Four days ago, I lifted a h...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of sciatica due to intervertebral disc compression. A herniated disc can also occur due to sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or experiencing excessive for...[Read More] Understanding Leg and Buttock Numbness After Back Injury: Key Insights
Understanding Infections After Unprotected Oral Sex: A Urology Perspective
Infection after unprotected oral sex? Hello Doctor, I previously asked you some questions, and I have some follow-up issues regarding my examination. Let me briefly describe the complete situation: 12 weeks ago, I had an encounter with a sex worker, during which I received unprot...
Dr. Du Shixi Reply:
Hello: Some infections may be easy to identify, but the specific type of infection can be difficult to diagnose. The medications you are using are aimed at treating the infection, and theoretically, they should effectively resolve it. If you have not engaged in sexual activity af...[Read More] Understanding Infections After Unprotected Oral Sex: A Urology Perspective