Understanding and Managing Recurring Genital Herpes: A Patient's Guide
Genital herpes Hello Doctor, I was diagnosed with genital herpes in February of this year. The first diagnosis was very severe, with large ulcerative wounds that kept spreading to more areas, primarily located between the glans and the foreskin of the penis. After taking medica...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding and Managing Recurring Genital Herpes: A Patient's Guide
Understanding Painful Urination Without Inflammation: A Urology Perspective
Painful urination examination shows no inflammation? Hello Doctor, I would like to provide some recent details to assist you in your assessment. On May 22, I had unprotected oral sex with a partner and protected intercourse. On June 5, I experienced some discomfort in my urethra ...
Dr. Du Shixi Reply:
Hello; Regarding your situation: 1. Is it common for urethritis to cause painful urination for such a long time? -- It can persist if not fully healed. 2. Is it normal to still experience pain during urination even when urine tests show mild inflammation or no inflammatory respon...[Read More] Understanding Painful Urination Without Inflammation: A Urology Perspective
Understanding Scrotal Inflammation: Symptoms and Concerns Explained
Scrotal inflammation with a structure resembling a cord beneath the scrotum? My testicles are normal and do not have any lumps, but my scrotum has been scratched and has developed some acne. It appears swollen, with a sudden protrusion on the surface that feels a bit hard. Inside...
Dr. Du Shixi Reply:
Hello: There may be an infection; please seek medical treatment. Currently, keep the area clean and dry. Wishing you good health.[Read More] Understanding Scrotal Inflammation: Symptoms and Concerns Explained
Understanding STD Risks and Testing After Unprotected Sex
Sexually Transmitted Infection Inquiry This month, I had unprotected sexual intercourse with different partners three times (they indicated they have no history of sexually transmitted infections). The dates were 10/5, 10/13, and 10/16. After the first encounter, I experienced a ...
Dr. Cai Zhuorong Reply:
It is indeed necessary to rule out HIV infection. Self-testing has a high accuracy rate, but if there are any concerns, one can still seek medical attention for a blood test.[Read More] Understanding STD Risks and Testing After Unprotected Sex
Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Pain in the back of the head radiating to the ear and tongue? While lying down preparing to sleep, I suddenly experienced severe sharp pain in the lower left side of the back of my head (near the neck), which then radiated to my ear and tongue (near the throat). After a while, I ...
Dr. Jiang Junyi Reply:
Dear Miss Pei Pei, You mentioned that "after a while, I feel tightness in the muscles near the back of my head close to my neck, and the lymph nodes in my lower jaw also hurt during the process of tilting my head back." Your symptoms may suggest issues with the cervica...[Read More] Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Pain in the back of the head radiating to the ear and tongue? While lying down and preparing to sleep, I suddenly experienced severe pain in the lower left part of the back of my head (near the neck). The pain then radiated to my ear and tongue (near the throat). After a while, I...
Dr. Jiang Junyi Reply:
Dear Miss Pei Pei, You mentioned that "after a while, I feel tightness in the muscles at the back of my head near my neck, and there is pain in the lymph nodes of my lower jaw during the process of tilting my head back." Your symptoms may suggest issues related to the ...[Read More] Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Understanding Persistent Hematuria: Diagnostic Challenges and Management
Urinary occult blood has undergone intravenous pyelogram (IVP) and abdominal computed tomography (CT) scan? Hello, Doctor. Since the end of April, when I first noticed blood in my urine, I went to a general clinic and was diagnosed with right-sided hydronephrosis (ultrasound and ...
Dr. Liu Mingyue Reply:
Hello: If you ask me for a reference, the relationship between urinary tract infections and hydronephrosis is minimal. It is essential to focus on treating the urinary tract infection, and in addition to continuing medication, you must pay attention to lifestyle details as much a...[Read More] Understanding Persistent Hematuria: Diagnostic Challenges and Management
Managing Chronic Urinary Tract Infections and Kidney Hydronephrosis
Chronic urinary tract infection (UTI) Hello Doctor, since the end of April when I first noticed blood in my urine, I visited a general clinic and was diagnosed with right-sided hydronephrosis (ultrasound and X-ray did not reveal any stones at that time). I was advised to drink mo...
Dr. Du Shixi Reply:
Hello: If you ask me to provide a reference, the relationship between urinary tract infections and hydronephrosis is minimal. It is essential to focus on treating the urinary tract infection; in addition to continuing medication, attention must be paid to lifestyle details. Some ...[Read More] Managing Chronic Urinary Tract Infections and Kidney Hydronephrosis
Understanding Painful Swelling of the Foreskin: Causes and Treatments
Swelling of the foreskin with pain upon pressure? Hello Doctor, I have a problem with phimosis. I usually clean myself while showering, but since the day before yesterday, I have noticed a small wound on my foreskin. When I retract it, it pulls on the wound and is somewhat painfu...
Dr. Jian Weihong Reply:
Hello: Based on your description, you should seek evaluation and treatment from a urology department at a hospital. Wishing you good health.[Read More] Understanding Painful Swelling of the Foreskin: Causes and Treatments
Understanding Phimosis: Symptoms, Risks, and Treatment Options
Phimosis Hello doctor, I have a problem with phimosis. I usually clean myself while showering, but since the day before yesterday, I have noticed a small wound on my foreskin. When I retract it, it pulls on the wound and is somewhat painful, but I didn't pay much attention t...
Dr. Du Shixi Reply:
Hello: Based on your description, you should seek evaluation and treatment from a urology department at a hospital. Wishing you good health.[Read More] Understanding Phimosis: Symptoms, Risks, and Treatment Options
Understanding Fever After Potential HIV Exposure: Is It Just a Cold?
HIV/AIDS fever Hello Dr. Du, on the evening of January 7th, I had sexual contact with a worker, and we used a condom throughout the entire encounter. Our lips only touched briefly twice, but the next day I developed a fever. I later consulted an ENT specialist, and the fever subs...
Dr. Du Shixi Reply:
Hello: The information provided here is for reference only and cannot replace a doctor's examination. HIV should not cause fever immediately after exposure. Wishing you good health.[Read More] Understanding Fever After Potential HIV Exposure: Is It Just a Cold?
Understanding Cold Symptoms After Safe Sex: What You Need to Know
Cold Sexually Transmitted Diseases (STDs) Hello, doctor. I would like to ask you a question. I had sexual contact with a sex worker, and I used a condom throughout the entire encounter, including oral and vaginal sex. However, the next day I developed a fever and shoulder pain. I...
Dr. Chen Jiansheng Reply:
It is recommended to undergo a comprehensive blood test.[Read More] Understanding Cold Symptoms After Safe Sex: What You Need to Know
Understanding Persistent Throat Pain: Is It a Neurological Issue?
Is there a problem with the nervous system? Hello Doctor, I have been experiencing a sensation of a foreign body and sharp pain in my oral and pharyngeal walls, which becomes particularly pronounced when swallowing saliva. There is also sharp pain and a foreign body sensation nea...
Dr. Jiang Junyi Reply:
Dear Miss Lin, Regarding the "medication for post-nasal drip" you mentioned, it may cause discomfort such as dry mouth. Additionally, it is important to consider female hormones and autoimmune issues. Since your symptoms are atypical and you have sought multiple medica...[Read More] Understanding Persistent Throat Pain: Is It a Neurological Issue?
Understanding Surgery Risks for Prostate Tumors: A Family's Dilemma
Magnetic resonance imaging (MRI) revealed a 7 cm tumor located in the posterior superior region of the prostate. What are the success rates of surgery and the postoperative recovery process? Hello Dr. Hsu, Due to the severe pandemic situation, it is inconvenient for me to retur...
Dr. Xu Wencang Reply:
Sarcoma is primarily treated with complete surgical resection. The prognosis is related to the degree of malignancy and whether it can be completely excised. If the patient's overall condition permits, surgery is still recommended. Biopsy is not suitable for sarcoma.[Read More] Understanding Surgery Risks for Prostate Tumors: A Family's Dilemma
Understanding the Risks of STIs: Symptoms and When to Seek Help
Risk of sexually transmitted infections (STIs) Hello Doctor, thank you for taking the time to answer my questions, I appreciate it. My issue is that I have a female fixed partner (I'm not sure if she has other partners), and we have had intercourse using condoms, without kis...
Dr. Du Shixi Reply:
Hello: 1) A medical examination is necessary, 2) Either a urologist or an infectious disease specialist can be consulted, 3) Non-gonococcal urethritis or general urinary tract infections require treatment to prevent worsening of symptoms. Wishing you good health.[Read More] Understanding the Risks of STIs: Symptoms and When to Seek Help
Could Your Symptoms Indicate a Sexually Transmitted Infection?
Concern about sexually transmitted infections (STIs) After having sexual intercourse with a non-fixed partner on August 23, I started experiencing a sore throat the next day, occasional itching in my body and glans, and a burning sensation in my urethra, although there is no pain...
Dr. Du Shixi Reply:
Hello: After engaging in unprotected sexual intercourse, there is a possibility of infection, with various types of infections that can manifest at different times. Gonorrhea typically appears within 2 to 14 days, Chlamydia within 1 to 3 weeks, and herpes around 2 weeks. General ...[Read More] Could Your Symptoms Indicate a Sexually Transmitted Infection?
Understanding Epididymitis: Duration of Antibiotic Treatment and Next Steps
Epididymitis is a concerning issue? Since July 30, I have been experiencing a dull pain in my testicles, along with tenderness in my lower abdomen. At first, I thought I was overthinking it, but the pain has become more pronounced. On August 4, I visited the urology department at...
Dr. Du Shixi Reply:
Hello: Taipei Medical University Hospital is quite large. During follow-up visits, it's important to report whether there has been any improvement in symptoms after medication. Generally, for conditions requiring long-term medication, prescriptions are given for one week at ...[Read More] Understanding Epididymitis: Duration of Antibiotic Treatment and Next Steps
Understanding Lower Abdominal and Testicular Pain: A Urology Perspective
Pain and swelling in the lower back, lower abdomen, bladder, and testicular area? Hello Dr. Du, I had unprotected sexual intercourse with my partner around mid-January this year while she was on her menstrual cycle. Afterward, I did not wash immediately, and it wasn't until ...
Dr. Du Shixi Reply:
Hello: Your symptoms do not appear to be side effects of antibiotics. You should see a Western medicine doctor for an examination, as it may be an infection that has not fully healed. A urinalysis should be performed to confirm that everything is normal, as symptoms related to th...[Read More] Understanding Lower Abdominal and Testicular Pain: A Urology Perspective
Understanding Dizziness Symptoms: When to See a Neurologist
Dizziness symptoms Hello, I would like to ask which specialty I should consult regarding the following symptoms. Since March 9th until now, March 25th, every morning when I get up (from lying down to sitting), I experience dizziness in a clockwise direction, accompanied by a feel...
Dr. Hong Weibin Reply:
Hello: Based on your description, you may be experiencing vestibular migraine. I recommend that you consult a neurologist who specializes in headaches for evaluation and treatment. Additionally, it is advisable to maintain a regular schedule and limit the use of electronic device...[Read More] Understanding Dizziness Symptoms: When to See a Neurologist
Understanding STD Risks and Symptoms After Recent Travel
Sexually transmitted infections (STIs) issues? I have a history of herpes. Last Friday (July 19), I went on vacation to the Philippines with friends and engaged the services of two women. I used condoms throughout (including for oral sex), and both women provided services. The ni...
Dr. Du Shixi Reply:
Hello: Symptoms from sexual activity, aside from urinary tract infections, typically do not appear within a few days. It is advisable to consult with a specialist in another field. Wishing you good health.[Read More] Understanding STD Risks and Symptoms After Recent Travel