Understanding Balanitis and Pubic Bone Inflammation: Treatment Options
Balanitis and pubic symphysis inflammation? Hello Doctor: I have two questions I would like to ask you, and I appreciate your help in answering them. Thank you. First: I have been experiencing redness, itching, and pain on my glans for the past six months. During this time, I ha...
Dr. Xu Weikai Reply:
Hello, 1. If there is an infection, antibiotics can be used. For daily care of the glans, you can refer to my previous responses to other users. 2. Regarding pubic bone inflammation, I am not familiar with it and have not diagnosed any related cases. If there are any unclear poin...[Read More] Understanding Balanitis and Pubic Bone Inflammation: Treatment Options
Understanding Right-Sided Muscle Inflammation Near the Coccyx: Causes and Treatments
Inflammation of the muscle on the right side near the coccyx and anus? Hello Doctor: Last year, I injured my tailbone, and it hurt for two days but then resolved. However, since I started exercising in April this year, the tendon mentioned in the title has been uncomfortable and ...
Dr. Lan Shengxing Reply:
Dear Icy, the symptoms you described indicate signs of nerve root traction. It is strongly recommended that you visit a neurology clinic for a more detailed examination. Best regards, Lan Shengxing.[Read More] Understanding Right-Sided Muscle Inflammation Near the Coccyx: Causes and Treatments
Addressing Concerns About Phimosis and Circumcision Options
Issues related to circumcision? Hello, Dr. Hsu. I would like to ask about my issue with phimosis. I feel constricted during an erection, and I want to know if applying steroids would be effective. Additionally, if I can still ask a doctor to make an incision in the constricted ar...
Dr. Xu Weikai Reply:
Hello, corticosteroids can soften the skin, but it takes a longer time. You can also consider making an incision in the narrow area. However, this may result in a less aesthetically pleasing appearance. If there are any unclear points, feel free to ask again, and we can discuss a...[Read More] Addressing Concerns About Phimosis and Circumcision Options
Understanding Phimosis: Steroid Cream vs. Surgical Options
Circumcision surgery Hello Doctor: I have phimosis, but I can retract the foreskin with my hand. The issue arises when I try to push back the foreskin, as there is a particularly narrow ring. I do not want to undergo circumcision. I have read online that applying steroids may be ...
Dr. Xu Weikai Reply:
Mark: Hello, a local incision and release surgery can be performed. Steroids may take longer, so patience is required. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online responses should only be used as a reference; if necessa...[Read More] Understanding Phimosis: Steroid Cream vs. Surgical Options
Exploring Non-Surgical Treatments for Urological Issues: A Patient's Inquiry
Please provide the content you would like me to translate Hello Dr. Hsu, I apologize for bothering you... Are there any other treatment options? I am not very keen on surgery, but it seems that the clinic doctor really wants me to undergo the procedure... Thank you... Regarding t...
Dr. Xu Weikai Reply:
Alex: Hello, whether to undergo surgery is entirely the patient's right. The physician is only in a position to provide recommendations. As for whether there are other options, I cannot give advice without seeing your condition. However, the general principle is to reduce th...[Read More] Exploring Non-Surgical Treatments for Urological Issues: A Patient's Inquiry
Understanding the Aftermath of Meningitis: Eye Issues and Recovery
Sequelae of meningitis? Hello, Dr. Huang... Recently, I was admitted to Taichung Veterans General Hospital due to sudden strabismus in my right eye, which made it difficult to focus and caused severe double vision. My physician arranged for an MRI, and the results indicated menin...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Ministry of Health and Welfare, Hello. There are numerous causes of ocular muscle paralysis (you are referring to the lateral rectus muscle, right?), and many of them remain undetermined. The primary purpo...[Read More] Understanding the Aftermath of Meningitis: Eye Issues and Recovery
Understanding Phimosis: Do You Need Circumcision for Relief?
Phimosis Hello, Dr. Hsu. I would like to ask if my condition requires a circumcision. Since childhood, I have experienced discomfort when exposing the glans after retracting the foreskin, which led me to avoid retracting it during my growth period. I am also somewhat overweight, ...
Dr. Xu Weikai Reply:
Mr. Lin: Hello, I suggest that you go to the hospital for examination and consultation. In your case, I personally believe that the appearance of a shorter penis may be due to it being obscured by surrounding fat. If you are considering a circumcision, it is important to be very ...[Read More] Understanding Phimosis: Do You Need Circumcision for Relief?
Persistent Itching and Skin Irritation: What You Need to Know
If you have been experiencing persistent itching and skin breakdown for a long time, it is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment. In the meantime, consider the following general recommendations: 1. **Moisturize**: Use ...
Dr. Xu Weikai Reply:
Cat: Hello, it is normal to have smegma on the glans every day. If you are using an ointment that contains steroids for a long time, it can cause thinning of the skin and lead to itching. It is recommended to discontinue the medication and simply apply petroleum jelly. If there a...[Read More] Persistent Itching and Skin Irritation: What You Need to Know
To Circumcise or Use Medication: Navigating Foreskin Issues
Circumcision or topical medication? Hello Dr. Hsu, I have phimosis and a small opening. A few days ago, I visited a urologist, who for the first time retracted my foreskin to expose the glans, which was very sensitive and uncomfortable. The doctor suggested circumcision. After r...
Dr. Xu Weikai Reply:
Hello, each case of phimosis is different. In milder cases, improvement can be achieved with medication. Using corticosteroids for treatment requires a lot of patience, as it often takes time, and many people give up halfway through. Of course, if you feel you can commit to it, m...[Read More] To Circumcise or Use Medication: Navigating Foreskin Issues
Understanding and Treating Lichen Sclerosus: A Urology Perspective
Dry obstructive balanitis I consulted a doctor who said that chronic inflammation has led to fibrosis, causing the glans to develop a white membrane. However, my doctor advised me not to worry about it, which makes me doubt whether it will really improve. It seems that there are ...
Dr. Xu Weikai Reply:
Hello, to reduce irritation, avoid washing the glans with hot water and do not use any cleaning products on the glans. You can simply clean the glans with cold water. Additionally, 1. After cleaning the glans, apply petroleum jelly for overall care. 2. After each urination, thoro...[Read More] Understanding and Treating Lichen Sclerosus: A Urology Perspective
Understanding and Treating Dry Obstructive Balanitis: A Guide
Dry obstructive balanitis It seems that I have been experiencing chronic inflammation of the glans, leading to dry obstructive balanitis. There is a white membrane on the glans that appears to be fibrotic. I read online that corticosteroids can be used for treatment. I would like...
Dr. Xu Weikai Reply:
Reno: Hello, first of all, it is essential to confirm the diagnosis. Do not use medication before a diagnosis is established, as this could lead to further complications or even irreversible conditions. Regarding the use of steroids, they should generally be used cautiously after...[Read More] Understanding and Treating Dry Obstructive Balanitis: A Guide
Long-Term Use of Nizoral Cream for Penile Inflammation: Is It Safe?
Hello, Dr. Hsu? Last year, around September, I first developed balanitis. Since the end of October, I have been continuously applying the Nizoral cream prescribed by my doctor without interruption, as I am concerned that an unfavorable environment might cause a recurrence. Dr. Hs...
Dr. Xu Weikai Reply:
Hello, this letter has been forwarded to the Taiwan e-Hospital established by the Department of Health. In response to your inquiry about glans and foreskin inflammation, you can refer to my previous responses in the Taiwan e-Hospital: Generally, for perineal hygiene, do not use ...[Read More] Long-Term Use of Nizoral Cream for Penile Inflammation: Is It Safe?
Understanding Sebaceous Gland Issues: Treatment and Concerns
Regarding sebaceous glands? Hello Dr. Hsu, a few days ago I visited a dermatologist who informed me that my symptoms have not reached the level of a sebaceous cyst, but are something else. As shown in the attached image: http://www.wretch.cc/album/show.php?i=red32903665t&b=1&...
Dr. Xu Weikai Reply:
Ah Hong: Hello, I cannot make an accurate diagnosis. However, based on the photos, it seems to be an issue with the sebaceous glands, such as clogged ducts or sebaceous gland inflammation. If there are no specific symptoms, enhancing local cleanliness should lead to improvement. ...[Read More] Understanding Sebaceous Gland Issues: Treatment and Concerns
How to Safely Stretch a Tight Foreskin Without Circumcision?
Please ask your question? If the opening of the foreskin is too small, making it difficult to retract fully over the glans during an erection, and if pushing the skin below the glans towards the glans causes pain at full erection, there are a few non-surgical options to consider ...
Dr. Yan Dawei Reply:
It is recommended to visit a urology clinic for examination and treatment by a physician.[Read More] How to Safely Stretch a Tight Foreskin Without Circumcision?
Understanding Myelitis: Symptoms, Treatment, and Recovery Insights
Regarding myelitis causing numbness in the lower body and inability to walk normally? Hello, my sister is 40 years old. At the beginning of May this year, she experienced paralysis in both legs, to the extent that she had little sensation even when using the restroom. By June, sh...
Dr. Ye Boshou Reply:
Hello: You may need to have the imaging inflammation evaluated in the outpatient clinic to better address your questions.[Read More] Understanding Myelitis: Symptoms, Treatment, and Recovery Insights
Managing Chronic Vascular Inflammation-Induced Headaches in Elderly Patients
Headache caused by chronic vascular inflammation? My father is 93 years old. In mid-January, he was diagnosed with chronic vasculitis, which is common in elderly males, due to headaches. The symptoms included pain on the right side of his head, extending from the temple along the...
Dr. Ye Boshou Reply:
Hello: 1. Medication can be reduced, and then an attempt to discontinue can be made (one tablet daily for one week, then one tablet every other week → discontinue). 2. CRP or ESR can be used as a reference.[Read More] Managing Chronic Vascular Inflammation-Induced Headaches in Elderly Patients
Managing Acute Relapses in Multiple Sclerosis: Steroid Treatment Insights
Acute treatment of multiple sclerosis? Hello, my sister's multiple sclerosis has relapsed again, and I'm very worried. I would like to ask you about something. Everyone online says that for acute episodes, high-dose steroids should be injected, so we went to the emergen...
Dr. Gao Chunde Reply:
The physician confirms the presence of objective evidence of symptoms with acute exacerbation and may administer high-dose intravenous corticosteroids for three to seven days.[Read More] Managing Acute Relapses in Multiple Sclerosis: Steroid Treatment Insights
Managing Multiple Sclerosis Relapses: Steroid Treatment Insights
Multiple Sclerosis Hello, my sister's multiple sclerosis has relapsed again, and I am very worried. I would like to ask you about something. Everyone online says that for acute episodes, high-dose steroids should be injected, so we went to the emergency room. After the injec...
Dr. Huang Yongquan Reply:
Hello: In response to your question, if a diagnosis of multiple sclerosis is confirmed, the standard treatment involves administering high-dose corticosteroids in the morning and evening, or using plasmapheresis to adjust the immune system. During the acute phase, continuous trea...[Read More] Managing Multiple Sclerosis Relapses: Steroid Treatment Insights
Understanding Ulnar Nerve Palsy: Treatment Options and Recovery
Regarding the treatment of ulnar nerve palsy? Consulting a physician: The fourth finger and little finger of my left hand, as well as the outer side of my palm, have been numb for over half a month. The movement is still flexible, but the numbness is uncomfortable. I have seen a ...
Dr. Lin Zijing Reply:
The symptoms of numbness in the fourth finger, little finger, and the outer side of the palm are indicative of ulnar nerve damage. Prolonged severe injury may lead to atrophy of the intrinsic muscles of the hand. The etiology may be due to elbow compression or cervical radiculopa...[Read More] Understanding Ulnar Nerve Palsy: Treatment Options and Recovery
Can Facial Paralysis Affect Your Ability to Climb High Mountains?
Is there a conflict between facial paralysis and climbing high mountains? Hello Dr. Yeh, A couple of days ago, I felt something unusual with my face; it was not very responsive, and I had difficulty using a straw. I went to the hospital's neurology department for an examina...
Dr. Ye Boshou Reply:
1. In cases of simple facial nerve paralysis, aside from limited eyelid and facial movements, there should not be significant issues. Similarly, climbing activities should not have much impact. Remember to take medication, rest adequately, and perform appropriate facial massages,...[Read More] Can Facial Paralysis Affect Your Ability to Climb High Mountains?