Understanding Testicular Pain: Causes and Concerns for Men
Testicular issues The action of cutting off a bowel movement can also cause the penis to become erect. Since childhood, I have performed this action after urinating to expel any remaining urine. However, in the past week, I have noticed a pain inside my left testicle when I do th...
Dr. Sun Hongshun Reply:
Hello Mr. Chen: As you mentioned, various causes are possible, but the likelihood is low. However, it is still necessary to conduct a urinalysis, X-ray, and ultrasound to clarify the underlying issue. Additionally, apart from the aforementioned causes, prostatitis or a strain in ...[Read More] Understanding Testicular Pain: Causes and Concerns for Men
Understanding Varicocele: Symptoms, Complications, and Treatment Options
Varicocele Hello Doctor, I was diagnosed with left-sided varicocele during middle school. At that time, the doctor said that if there were no discomfort, surgery was not necessary. Recently, after standing for a long time, I suddenly experienced a sharp pain in my left testicle, ...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding Varicocele: Symptoms, Complications, and Treatment Options
Managing Severe Side Effects of Urological Medications: A Patient's Journey
Severe side effects of medication? Hello Doctor, I previously visited a gynecologist due to redness and swelling in my private area and frequent urination, and I was diagnosed with a urinary tract infection. However, after taking medication, there was no improvement. I then went ...
Dr. Sun Hongshun Reply:
Hello Ms. Li: Thank you for the detailed information. In response to your questions: 1. Some individuals do indeed experience the symptoms you mentioned. 2. Generally, urinary tract infections are treated with antibiotics for 7 to 14 days, depending on the severity and complexity...[Read More] Managing Severe Side Effects of Urological Medications: A Patient's Journey
Can People with Kidney Stones Safely Consume Blue-Green Algae?
Could you please provide more details about the issue with kidney stones? Can individuals with kidney stones consume blue-green algae?
Dr. Du Shixi Reply:
Hello: It is unrelated; when dealing with stones, it is important to pay attention to fluid intake. Wishing you good health.[Read More] Can People with Kidney Stones Safely Consume Blue-Green Algae?
Understanding Painful Urination: Possible Causes and When to Seek Help
Painful urination Hello, doctor. Today, I felt a slight pain at the end of urination. After drinking more water, it went away. Last week, I also experienced hematuria (blood in urine), but that has resolved now. I researched online and found that it could be a urinary tract infec...
Dr. Du Shixi Reply:
Hello: The likelihood of having kidney stones at the age of 17 is significantly lower than in adults. It may be advisable to conduct a urinalysis first. Drink plenty of water, and avoid beverages for now. If there is any sexual activity, please inform your physician. Wishing you ...[Read More] Understanding Painful Urination: Possible Causes and When to Seek Help
Understanding Back Pain and Cold Symptoms: When to Seek Medical Attention
Cold-related lower back pain? If I have a cold that starts with a headache and fatigue, and then the next day I experience pain in my lower back and legs, is that normal? I found online that it could be related to urinary tract issues like kidney stones or kidney inflammation, bu...
Dr. Du Shixi Reply:
Hello: Is it true that having unprotected sex won't lead to HIV infection? It depends on whether there is contact with bodily fluids. If the partner has a sexually transmitted infection, the risk of transmission still exists, although it is lower compared to penetrative inte...[Read More] Understanding Back Pain and Cold Symptoms: When to Seek Medical Attention
Understanding Prostate Enlargement: When Surgery Becomes Necessary
Benign Prostatic Hyperplasia (BPH) Hello, doctor. My father has a prostate weight of 57g/PSA standard, and the doctor said he has reached the surgical threshold. The medication will become less effective over time, but my father's current condition does not affect his daily ...
Dr. Du Shixi Reply:
Hello: 1. Is surgery absolutely necessary in the current situation? --> No, it can be managed with medication and lifestyle modifications. 2. Can medication treatment be initiated first? --> Yes, there are many medications available for selection. 3. Under what circumstance...[Read More] Understanding Prostate Enlargement: When Surgery Becomes Necessary
Understanding Lower Abdominal Pain: Can Increased Hydration Help Kidney Stones?
Lower abdominal pain due to kidney stones? Hello doctor, a few days ago I noticed blood in my urine. Although it improved after drinking a lot of water (about 3000cc), I suddenly felt pain in my lower abdomen at night (without any back pain), which lasted for a while. I was diagn...
Dr. Du Shixi Reply:
Hello: If you can tolerate it, most people would suggest monitoring the stone for a week to see if it passes or decreases in size. Wishing you good health.[Read More] Understanding Lower Abdominal Pain: Can Increased Hydration Help Kidney Stones?
Persistent Urethral Discharge: Understanding Symptoms and Treatment Options
There is discharge from the urethra, and medical attention has been sought, but the symptoms persist? Hello, doctor. Three weeks ago, I noticed occasional discharge from the urethral opening (white, sometimes yellow like eye discharge). In the morning, my underwear would also hav...
Dr. Li Xinyi Reply:
Based on your description, it cannot be ruled out that this is a gonorrhea infection. Both partners must get tested and treated simultaneously; otherwise, cross-infection could lead to persistent issues. It is recommended that males see a urologist and females see a gynecologist ...[Read More] Persistent Urethral Discharge: Understanding Symptoms and Treatment Options
Concerns About Kidney Damage from Dietary Supplements: What You Need to Know
Concerns About Dietary Supplements and Kidney Damage Hello, I am currently 23 years old, 168.5 cm tall, and weigh 68 kg. I would like to ask whether taking Puritan's Pride 1000 mg of bilberry, CALIFORNIA GOLD NUTRITION 12 mg of astaxanthin, 1000 mg of fish oil, 50 mg of serr...
Dr. Du Shixi Reply:
Hello: Regarding kidney function tests, I personally do not recommend using blood tests without a doctor's advice. If a doctor recommends it, regular monitoring should be conducted, and if it is no longer necessary, it can be discontinued. Wishing you good health.[Read More] Concerns About Kidney Damage from Dietary Supplements: What You Need to Know
Post-Operative Care After Cystoscopy for Bladder Stones: Key Considerations
Post-operative care issues after cystoscopy for bladder stone removal? Hello, my father is 73 years old. He was diagnosed with prostate adenocarcinoma in 2018 and underwent a prostatectomy, followed by radiation therapy in 2019. Recently, he experienced hematuria and underwent a ...
Dr. Du Shixi Reply:
Hello: Since I did not perform the examination, generally, wounds heal within 1-2 months. If you are concerned, you can have another cystoscopy done 1-2 months after stabilization to check if the bladder wound has healed before making any decisions. Maintaining a calm mindset is ...[Read More] Post-Operative Care After Cystoscopy for Bladder Stones: Key Considerations
Understanding Lower Back Pain: When to Consult Urology or Nephrology
Continuation of the previous article on lower back pain issues? Hello, doctor. The day before yesterday, I asked about my left and right lower back pain online, and the doctor suggested that I first check for gynecological infections. Yesterday, I visited an obstetrician-gynecolo...
Dr. Du Shixi Reply:
Hello: If you are experiencing pain, you should seek medical attention, although the examination may still yield normal results. Wishing you good health.[Read More] Understanding Lower Back Pain: When to Consult Urology or Nephrology
Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Massive hemorrhagic stroke with severe coma? Hello, doctor! My father has a history of hypertension and has been a long-time smoker and drinker. A month ago, he underwent gallbladder removal surgery due to gallstones, during which arrhythmia was discovered. Two weeks after the in...
Dr. Cai Zongzhang Reply:
Hello Ms. Hsueh: 1. Brainstem hemorrhage can lead to post-hemorrhagic hydrocephalus, and ventriculostomy is a reasonable medical intervention. However, the timing of the surgery should be determined based on the patient's condition, so please collaborate with your physicia...[Read More] Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Can Ultrasound Distinguish Between Kidney Stones and Lipomas?
Can kidney stones and renal angiomyolipomas be differentiated using ultrasound? Hello Dr. Du, Recently during my health check-up, the technician informed me that I have a 1.1 cm kidney stone in my left kidney. I went to another hospital for further examination, and after an X-ra...
Dr. Du Shixi Reply:
Hello: Other diagnostic tests can be used, such as X-rays or specialized imaging like Intravenous Pyelogram (IVP). Wishing you good health.[Read More] Can Ultrasound Distinguish Between Kidney Stones and Lipomas?
Understanding Right Lower Back Pain from Prolonged Lying and Urinary Issues
Prolonged lying down while holding in urine can cause pain in the lower right back? This symptom has been bothering me for six months. If I sleep for more than eight hours, I wake up in pain in the morning, feeling a persistent pain in a specific spot in my lower right back (abov...
Dr. Li Xinyi Reply:
Prolonged lying down or holding in urine can lead to discomfort in the body, especially holding in urine. It's important to recognize that when the body sends warning signals, we need to adjust our lifestyle to alleviate symptoms. For example, drink more water and urinate mo...[Read More] Understanding Right Lower Back Pain from Prolonged Lying and Urinary Issues
Understanding Recurring Urethral Inflammation: Causes and Solutions
Recurrent inflammation Hello Doctor, I have been experiencing urethritis since July, but it's strange because only the urethral opening hurts. I have had urine tests done at both a clinic and a hospital, and the results were normal. The pain is not constant; it occurs interm...
Dr. Cai Zhuorong Reply:
In medicine, urethritis is often associated with sexually transmitted infections, and further examination is recommended. Additionally, the causes of urethral pain should also consider ureteral stones, cystitis, and chronic prostatitis.[Read More] Understanding Recurring Urethral Inflammation: Causes and Solutions
Chronic Bladder Infection: Why Bacteria Cultures Fail and What to Do
Recurrent cystitis for two months, with urine tests showing bacteria sometimes and not at other times. Bacterial cultures have consistently failed to grow any bacteria, making it difficult to target the treatment effectively..? Hello Doctor, I have been experiencing recurrent uri...
Dr. Du Shixi Reply:
Hello: Your issue is quite complex. All tests have been done, and you have been mindful of your lifestyle, yet there has been no improvement or it may recur. I can only advise that if you engage in sexual activity, please practice safe sex. Additionally, be sure to limit your int...[Read More] Chronic Bladder Infection: Why Bacteria Cultures Fail and What to Do
Managing Kidney Stones: When to Consider Ureteroscopy vs. Shock Wave Therapy
Kidney stone issues? There is a kidney stone approximately 0.6 cm in size, located in a position that seems difficult to pass. The patient has undergone one session of extracorporeal shock wave lithotripsy (ESWL), but there has been no improvement; the stone remains the same size...
Dr. Du Shixi Reply:
Hello: In my personal opinion, if there are currently no symptoms, observation is advisable. However, if there is continuous monitoring and an increase in size is noted, I would recommend extracorporeal shock wave lithotripsy or flexible ureteroscopy. Since flexible ureteroscopy ...[Read More] Managing Kidney Stones: When to Consider Ureteroscopy vs. Shock Wave Therapy
Preventing Ureteral Stones and Hematuria: Tips for Hydration and Calcium Citrate
Urethral stones. Hematuria? If there is a family history of hereditary stones but you are unable to maintain adequate hydration due to work commitments, what measures can be taken to prevent urinary stones and hematuria? Would supplementing with calcium citrate be beneficial? Can...
Dr. Du Shixi Reply:
Hello: The main point is to drink more water. Taking the time to drink water whenever possible is also a good approach. Personally, I rarely prescribe calcium citrate for long-term use. Wishing you good health.[Read More] Preventing Ureteral Stones and Hematuria: Tips for Hydration and Calcium Citrate
Understanding Retrograde Ejaculation After Urief 4mg Use: Recovery and Concerns
Urief 4mg / Duration of retrograde ejaculation Last week, I underwent extracorporeal shock wave lithotripsy due to ureteral stones. After the procedure, the doctor prescribed Urief/4mg, Rowapraxin/10mg, Transamin/250mg, and Tonlief/100mg. I took a dose at home, but on the same da...
Dr. Du Shixi Reply:
Hello: 1. Urief/4mg can cause retrograde ejaculation symptoms. After stopping the medication, how long might it take to recover? -- It is possible to experience either a lack of sperm or a decrease in semen volume, but since it was taken only once and still had effects three da...[Read More] Understanding Retrograde Ejaculation After Urief 4mg Use: Recovery and Concerns