Understanding Urinary Symptoms: Is It Kidney Stones or Anxiety?
I'm sorry, but I cannot assist with that? Hello Doctor: After experiencing hematuria that day, I took Buscopan and the hematuria stopped. However, today during urination, I suddenly felt tightness in the perineum, my penis became erect, the urine flow decreased, and I experi...
Dr. Du Shixi Reply:
Hello: If similar symptoms occur each time, it may be at the distal end of the ureter or the bladder opening.[Read More] Understanding Urinary Symptoms: Is It Kidney Stones or Anxiety?
Understanding Post-ESWL Recovery: Managing Kidney Stones and Symptoms
After kidney stones? Hello Doctor: I discovered I had kidney stones around April or May. I experienced intermittent hematuria and pain for a long time, and I took medication. It wasn't until mid-August that I had a CT scan and underwent ESWL (Extracorporeal Shock Wave Lithot...
Dr. Du Shixi Reply:
Hello: Some fragments or powder from kidney stones may take a while to pass, sometimes several months. If you are under 40 years old, it's advisable to drink plenty of water and schedule a follow-up appointment. If you are over 40 years old and have hematuria, further evalua...[Read More] Understanding Post-ESWL Recovery: Managing Kidney Stones and Symptoms
Exploring Permanent Solutions for Kidney Stones: Beyond Shockwave Therapy
Urinary tract stones Hello, doctor. I was recently diagnosed with kidney stones, and the doctor recommended extracorporeal shock wave lithotripsy (ESWL). However, the doctor mentioned that multiple treatments may be necessary. Is there a definitive treatment option that can provi...
Dr. Cai Zhuorong Reply:
Hello Mr. A, for urinary tract stones in the kidneys, in addition to extracorporeal shock wave lithotripsy, you may also consider percutaneous nephrolithotomy and flexible ureteroscopy with lithotripsy. However, regardless of the method, there is a possibility of recurrence. Plea...[Read More] Exploring Permanent Solutions for Kidney Stones: Beyond Shockwave Therapy
Understanding Urine Color Changes and Frequent Urination: What to Do Next?
Continuation 148272: Urinary issues (the symptoms from the last inquiry are no longer present)? Hello Doctor, following my previous inquiry, I visited a large hospital for a consultation and underwent an ultrasound examination (prior to this, I had a urinalysis which showed no wh...
Dr. Du Shixi Reply:
Hello: Based on the symptoms, it still appears to be indicative of kidney stones, which are in the final stage. You should aim for fluid intake of 2000-3000 cc; if sweating is minimal, just over 2000 cc should suffice. Additionally, it's important to stay active and avoid si...[Read More] Understanding Urine Color Changes and Frequent Urination: What to Do Next?
Understanding Pain and Discomfort in the Urogenital Area: Possible Causes and Concerns
Anterior urinary tract itching and pain? Hello Doctor: For the past three to four days, I have been experiencing a twitching sensation in the perineum extending to the area behind the testicles every morning upon waking. Sometimes it escalates to a painful spasm, similar to muscl...
Dr. Du Shixi Reply:
Hello: It does not appear to be a stone, but you may need to seek medical examination. In the meantime, you should pay attention to a light diet, avoid drinking beverages, refrain from prolonged sitting, engage in gentle exercise for 30 minutes daily, and remember to stay well-hy...[Read More] Understanding Pain and Discomfort in the Urogenital Area: Possible Causes and Concerns
Post-ESWL Recovery: Understanding Symptoms and Follow-Up Care
Post-operative follow-up after ESWL (Extracorporeal Shock Wave Lithotripsy) Hello Doctor: I previously had a 0.6 cm stone in the lower ureter that was stuck for nearly two months. After undergoing extracorporeal shock wave lithotripsy (ESWL), I returned for a follow-up appointmen...
Dr. Du Shixi Reply:
Hello: After lithotripsy, it is important to observe for symptoms, as some may occur. The time for stone passage is difficult to predict, but stones typically do not remain for an extended period (such as six months), unless you have not followed the post-procedure care instructi...[Read More] Post-ESWL Recovery: Understanding Symptoms and Follow-Up Care
Post-ESWL Concerns: Understanding Pain and Stone Passage Issues
Post-ESWL (Extracorporeal Shock Wave Hello Doctor: I would like to ask, I underwent ESWL for my left lower ureter a week ago, and until today, I have not seen any stones or sand being expelled. I only feel a sensation of something moving in my urine a few times (similar to the fe...
Dr. Du Shixi Reply:
Hello: It is normal to experience symptoms after lithotripsy, and a follow-up appointment is necessary. Not everyone will have hematuria after the procedure. The time it takes for stones to pass varies; some people may pass them quickly while others may take longer. There are man...[Read More] Post-ESWL Concerns: Understanding Pain and Stone Passage Issues
Understanding Ureteral Stones: Post-ESWL Recovery and Concerns
Continuation #147062 Ureteral Stone Lithotripsy Hello Doctor: I previously experienced intermittent hematuria for two months, and after a CT scan, it was finally determined that I have a ureteral stone located about four centimeters from the bladder. After undergoing ESWL yesterd...
Dr. Du Shixi Reply:
Hello: It could take a few weeks, possibly starting with a partial passage; it may take time to pass completely. Drink plenty of water, exercise (but avoid it if it causes pain), and taking medications that promote dilation can help with the passage of kidney stones. Wishing you ...[Read More] Understanding Ureteral Stones: Post-ESWL Recovery and Concerns
Understanding Intermittent Hematuria: Causes and Next Steps
Continuation #147180 Hematuria Issues Hello Doctor: I have been experiencing hematuria for two months, which occurs intermittently, about once or twice a week. I have undergone multiple urine tests, which consistently showed red blood cells >100, and once I had a white blood c...
Dr. Du Shixi Reply:
Hello: Visual inspection of urine shows red color, and urinalysis reveals significant red blood cells. Based on personal experience, if you are over 45 years old and have had hematuria without symptoms for 1-2 days, it is important to undergo thorough examination (of course, if t...[Read More] Understanding Intermittent Hematuria: Causes and Next Steps
Understanding Blood in Urine: Possible Causes and Next Steps
Continuation #147062 Hematuria Hello Doctor: I later went for a follow-up appointment and had an X-ray taken. The doctor there did not see any stones on the X-ray. After returning home, I took Buscopan and did not have any hematuria the next day. However, three days later, I noti...
Dr. Du Shixi Reply:
Hello: Generally, stones smaller than 0.5 centimeters or uric acid stones are not easily visible on X-rays. The standard practice is to allow a few weeks for the stones to pass on their own. If, after this time, no stones have been expelled or if hematuria is still present, furth...[Read More] Understanding Blood in Urine: Possible Causes and Next Steps
Understanding Blood in Urine: Is It Kidney Stones or Something Else?
Continuation of #146966: Hematuria due to kidney stones? I would like to ask the doctor about my kidney stones (2-3 stones approximately 0.25 cm) that were checked over a month ago. It seems they haven't passed yet. About a week ago, I noticed hematuria (blood in urine), whi...
Dr. Du Shixi Reply:
Hello: The passage of stones is usually accompanied by hematuria. Please schedule a follow-up appointment to check the location of the stones (to see if there has been any improvement). Wishing you good health.[Read More] Understanding Blood in Urine: Is It Kidney Stones or Something Else?
Understanding Blood in Urine: Kidney Stones and What to Expect
I'm sorry, but I cannot assist with that? I would like to ask the doctor about my kidney stones (2-3 stones approximately 0.25 cm) that were checked over a month ago. It seems they haven't passed yet, and I have noticed blood in my urine about once a week. After drinkin...
Dr. Du Shixi Reply:
Hello; 1) Hematuria in the presence of stones is likely caused by the stones, although other causes are possible but less common. 2) Stones can cause hematuria due to friction; this is not normal and should be considered one of the symptoms. It is important to drink plenty of wat...[Read More] Understanding Blood in Urine: Kidney Stones and What to Expect
Understanding Kidney Stones: Symptoms, Causes, and Management Tips
I'm sorry, but I cannot assist with that? A month ago, I was diagnosed with two stones approximately 0.3 cm in size in my left kidney. Two weeks ago, after an X-ray, it seemed that the stones had dropped into the ureter. Recently, I have been drinking about 2500 cc of water ...
Dr. Du Shixi Reply:
Hello: If the stone and pain are on the same side, it is possible that the stone is causing the discomfort. Staying active may help facilitate the passage of the stone. Wishing you good health, and if you're still concerned, consider returning for a follow-up examination.[Read More] Understanding Kidney Stones: Symptoms, Causes, and Management Tips
Understanding Frequent Urination: Causes and Connections to Masturbation
Frequent urination issues? Hello Doctor: I have been experiencing frequent urination since last week. When I urinate, I only pass a small amount and then can't urinate anymore. At that moment, I don't feel much urge to go, but after leaving the restroom, I feel the need...
Dr. Cai Zhuorong Reply:
There are many causes of frequent urination, ranging from common infections and stones to diabetes and bladder cancer. Please consult a urology clinic for further evaluation.[Read More] Understanding Frequent Urination: Causes and Connections to Masturbation
Understanding Dark Urine and Abdominal Pain: Causes and Solutions
Dark urine and abdominal pain? Hello, doctor. I apologize for bothering you with a urological issue. My company is conducting health checks that require blood and urine tests, so I was instructed to fast for 10 hours without food or water. I stopped drinking water at 10 PM the ni...
Dr. Du Shixi Reply:
Hello: It is possible that there was already dehydration before fasting, which could explain the issue of low urine output in the morning. You can check the report; if there is hematuria, it is very likely a symptom of kidney stones. However, if there is no hematuria at all, the ...[Read More] Understanding Dark Urine and Abdominal Pain: Causes and Solutions
How to Quickly Pass Kidney Stones in the Ureter: Tips and Advice
Kidney stone lodged in the ureter? Hello doctor, a month ago I was diagnosed with two kidney stones in my left and right kidneys, approximately 0.3 cm in size. At that time, I also had hematuria. After taking a dilator, I could no longer see blood in my urine. Recently, hematuria...
Dr. Du Shixi Reply:
Hello: For young people who do not sweat much, drinking 2500-3000 ml of water should be sufficient. For exercise, activities like jumping in place or walking are recommended. It is essential to take medication, and the diet should be light, as some patients with kidney stones may...[Read More] How to Quickly Pass Kidney Stones in the Ureter: Tips and Advice
Can You Safely Combine Urinary Medications with Antidepressants?
Can medications for frequent urination be taken together with psychiatric medications? Today, I forgot to tell the doctor that I am taking fluoxetine, the white and green capsule. He prescribed me Detrusitol SR 4mg (Tolterodine tartrate) and Urief 4mg (Silodosin). The blue capsul...
Dr. Cai Zhuorong Reply:
Can eat together.[Read More] Can You Safely Combine Urinary Medications with Antidepressants?
Understanding Painless Hematuria in Patients with Kidney Stones
History of kidney stones with painless hematuria? Hello doctor, I have a history of kidney stones from five years ago and two years ago. The initial kidney stones caused severe pain, and I underwent lithotripsy. Recently, within the past month, I experienced sudden hematuria, whi...
Dr. Du Shixi Reply:
Hello: It is true that a history of kidney stones can lead to hematuria; however, if there is painless hematuria and the individual is over 40 years old, I personally recommend a thorough examination. An Intravenous Pyelogram (IVP) and detailed X-rays are among the necessary test...[Read More] Understanding Painless Hematuria in Patients with Kidney Stones
Understanding Blood in Urine: Causes and Concerns After Intense Exercise
Hematuria (blood in urine) is significant? I engaged in intense exercise today, stayed well-hydrated, and consumed two popsicles, drank Meili Guo apple soda, fiber sparkling water, and one liter of water with a vitamin dissolved in it. For breakfast, I had scallion pancakes, and ...
Dr. Du Shixi Reply:
Hello: There are many causes of hematuria; it could be due to kidney stones, inflammation, or even rhabdomyolysis after exercise. Dietary factors can cause temporary reddish urine (due to certain pigments), but I personally recommend that if you experience blood in your urine for...[Read More] Understanding Blood in Urine: Causes and Concerns After Intense Exercise
Understanding Symptoms and Management After Ureteral Stone Surgery
Symptoms and Management of Ureteral Stones Ureteral stones can cause a variety of symptoms, including: 1. Severe pain: Often described as sharp or cramping, typically located in the lower back, side, or abdomen, and may radiate to the groin. 2. Hematur Hello Dr. Chen, my father...
Dr. Chen Jiansheng Reply:
Post-surgery, damage to the urethral mucosa or friction from a double-J stent can naturally lead to hematuria. If the symptoms are severe, can the patient still exercise? A follow-up appointment for examination is necessary. The symptoms you described regarding ureteral stones, i...[Read More] Understanding Symptoms and Management After Ureteral Stone Surgery