Is Topical Alcohol Safe for Kidney Health in Stroke Patients?
Regarding topical medicinal alcohol? Hello Doctor: My father recently suffered a stroke and has kidney disease (right kidney hydronephrosis with stones). Both the neurologist and urologist have advised against smoking and drinking alcohol. Recently, my father has experienced seve...
Dr. Du Shixi Reply:
Hello: Since it is for external use, it should have little impact on the kidneys. However, 58° alcohol may have an adverse effect on severe peeling, so it is advisable to consult a dermatologist to prevent worsening of the condition. Wishing you good health.[Read More] Is Topical Alcohol Safe for Kidney Health in Stroke Patients?
Managing Ureteral Stones: Effective Solutions for Pain Relief
Stone issues Hello, doctor. I have a 1.2 cm kidney stone that was fragmented using extracorporeal shock wave lithotripsy. I have been monitored weekly in the outpatient clinic, but after a month, I started experiencing severe pain. Imaging revealed that the stone had moved and is...
Dr. Du Shixi Reply:
Hello: If you want to expedite the process, an endoscopy may be necessary. Although it can be uncomfortable and requires anesthesia, some patients may experience hematuria for a short period afterward. If you prefer not to wait, consider discussing your options with your physicia...[Read More] Managing Ureteral Stones: Effective Solutions for Pain Relief
Understanding Involuntary Hand Tension: Causes and Health Implications
Involuntary hand clenching? Due to involuntary muscle contractions in my hand, I only realize I've been exerting force when my hand becomes very sore. Blood tests revealed a creatine phosphokinase (CPK-MM) level of 100.0 and copper level of 50.9. I would like to ask: 1. Is a...
Dr. Jiang Junyi Reply:
Hello, based on your description, a disease related to copper ions that should be considered is Wilson's disease, which causes abnormal copper metabolism leading to excessive copper deposition in the liver, brain, cornea, heart, and other areas. Clinical manifestations inclu...[Read More] Understanding Involuntary Hand Tension: Causes and Health Implications
Understanding Blood in Urine: Kidney Stones and Cancer Concerns
Hematuria examination I previously experienced hematuria with urine that appeared reddish-brown. I went to the hospital where they performed an X-ray, urinalysis, blood tests, and an abdominal ultrasound. However, since it was an evening clinic, they only reviewed the urinalysis ...
Dr. Du Shixi Reply:
Hello: The examination for hematuria is not just to identify one condition and then relax, as there may be other issues present. Therefore, in addition to knowing about the left kidney stone, it is important to rule out other causes. Whenever there is visibly bloody urine, it is ...[Read More] Understanding Blood in Urine: Kidney Stones and Cancer Concerns
Understanding Lower Back Pain: Causes and Solutions
Lower back pain? I have been experiencing lower back pain frequently after walking or standing for a while. The pain usually subsides after I go to bed for some time, and I'm unsure if this is due to poor posture or if there could be other underlying causes.
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to poor posture, as lumbar disc herniation can cause nerve root compression and localized myofascial inflammation. Other potential causes of lower back pain could include kidney inflammation, ureteral stones, among others. In addition to medica...[Read More] Understanding Lower Back Pain: Causes and Solutions
Understanding Penile Nerve Pain: The Role of Autonomic Nervous System Dysfunction
Neurogenic pain in the penis caused by autonomic nervous system dysfunction? Hello Doctor, I am truly at a loss and seeking help online. A week ago, I began experiencing deep pain in the penis and pubic area, which often occurs after urination or sporadically throughout the day. ...
Dr. Du Shixi Reply:
Hello: If all tests are normal and it is determined to be primary dysmenorrhea, medication can be taken, and maintaining a regular lifestyle with moderate exercise is sufficient. Extracorporeal shock wave therapy for prostate massage is not covered by health insurance, and do you...[Read More] Understanding Penile Nerve Pain: The Role of Autonomic Nervous System Dysfunction
Post-Extracorporeal Shock Wave Lithotripsy: Common Symptoms and Concerns
Post-operative complications after lithotripsy? I have ureteral stones and underwent extracorporeal shock wave lithotripsy. On the first day, I experienced significant abdominal and back pain. Is this normal? Additionally, after drinking water, I feel bloated, which makes it diff...
Dr. Du Shixi Reply:
Hello: It is likely a ureteral stone. The symptoms after extracorporeal shock wave lithotripsy (ESWL) are typically those associated with stones, including flank pain, hematuria, frequent urination, dysuria, nausea, and a sense of urgency. Most symptoms usually resolve after the ...[Read More] Post-Extracorporeal Shock Wave Lithotripsy: Common Symptoms and Concerns
Understanding Groin Pain: Possible Causes and When to Seek Further Testing
Pubic symphysis pain Hello, I experience intermittent sharp pain near the right side of my pelvic area 1-2 times a day (it's unclear whether it's from the pubic bone, urethra, or vagina). I have consulted both gynecology and urology specialists, undergone pelvic examina...
Dr. Du Shixi Reply:
Hello: Bladder stones are typically first evaluated with X-rays, and if there is suspicion, a cystoscopy may be performed. Wishing you good health.[Read More] Understanding Groin Pain: Possible Causes and When to Seek Further Testing
Understanding the Duration and Effects of Urokinase Capsules in Urology
Regarding Erythromycin Capsules How long should I take Urokinase capsules? I went to see a urologist due to hematuria and painful urination, and the doctor prescribed antibiotics for six days. During my follow-up visit today, an ultrasound confirmed there were no stones, but the ...
Dr. Du Shixi Reply:
Hello: 1) If you experience episodes several times a year, you may need to take medication for up to two weeks. If it's your first episode and you have no symptoms, you can return for a urine test to confirm that everything is fine before stopping the medication (therefore, ...[Read More] Understanding the Duration and Effects of Urokinase Capsules in Urology
Understanding Kidney Stones: Prevention and Dietary Tips
Regarding kidney stones? Dear Dr. Du, I visited the urologist who performed my surgery yesterday for a renal ultrasound. He mentioned that my right kidney does not have the 0.44mm stone that the abdominal ultrasound physician reported; instead, there might be some fine sand. Th...
Dr. Du Shixi Reply:
Hello: Both barley tea and lemon water should not be consumed excessively. Additionally, regular exercise is important.[Read More] Understanding Kidney Stones: Prevention and Dietary Tips
Hydration Tips for Kidney Stone Prevention: Is Lemon Water Necessary?
The hydration issues related to kidney stones? Dr. Du, I apologize for bothering you again. The reason I asked about lemon water earlier is that after my endoscopy surgery last year, during my follow-up visit, the doctor prescribed me medication for gallstones and also mentioned ...
Dr. Du Shixi Reply:
Hello: It's not that complicated. Drink plenty of water, reduce salt intake (avoid overly salty foods), and exercise (avoid prolonged sitting) are the standard preventive measures.[Read More] Hydration Tips for Kidney Stone Prevention: Is Lemon Water Necessary?
Understanding Urine Test Results: Hematuria and Kidney Stones Explained
Urinalysis shows trace hematuria +/- Dr. Du: Hello, Doctor, I'm back again with issues regarding kidney stones and hematuria. I have a few questions: 1. Last September, an abdominal ultrasound showed a 0.6 cm stone in my right kidney, but when I visited the urology departm...
Dr. Du Shixi Reply:
Hello: The interpretation of stones in ultrasound is quite subjective, which can lead to different conclusions (it is likely that you have small stones or crystals in both kidneys). Sometimes, drinking plenty of water or exercising for several consecutive days can lead to changes...[Read More] Understanding Urine Test Results: Hematuria and Kidney Stones Explained
Can Masturbation Cause Blood in Urine? Understanding Hematuria Risks
Hematuria or urinary blood after masturbation? Excuse me, I would like to ask if it is possible for males to experience hematuria or urinary blood after masturbation?
Dr. Du Shixi Reply:
Hello: If the hematuria is indeed caused by masturbation, it may be due to injury. However, other causes such as infection or stones cannot be ruled out.[Read More] Can Masturbation Cause Blood in Urine? Understanding Hematuria Risks
Understanding Ejaculation Difficulties After Taking Silodosin: Causes and Solutions
Discomfort caused by ejaculation difficulties after taking Silodosin? Hello, doctor. Recently, I experienced sharp pain while using the restroom and underwent some tests. The results showed no major issues, but the doctor suspected inflammation and possibly small stones. He presc...
Dr. Du Shixi Reply:
Hello: In your case, you can stop the medication. Be sure to drink plenty of water, and you should recover in a few days. If the original symptoms do not subside, you should return for a follow-up appointment.[Read More] Understanding Ejaculation Difficulties After Taking Silodosin: Causes and Solutions
Managing Ureteral Stones: Transferring Medical Records for Better Care
Ureteral stones Hello Doctor, I have consulted you twice before and I would like to ask you again. Since the previous endoscopic surgery was unable to remove the stone, I am considering going to another medical center for treatment. Do I need to request my previous diagnosis or m...
Dr. Du Shixi Reply:
Hello: You can apply for the X-ray data (which is the most important). The medical records serve as a reference for any difficulties encountered during surgery for the physician's consideration. As for the diagnosis report, it generally states when the patient was hospitaliz...[Read More] Managing Ureteral Stones: Transferring Medical Records for Better Care
Post-Surgery Inflammation After Kidney Stone Removal: What to Know
Persistent inflammation after kidney stone surgery? Thank you, doctor, for taking the time to respond to my questions. My father underwent surgery at a hospital last year in July to remove a bladder stone the size of a date. A month later, he had a lithotripsy for a smaller stone...
Dr. Fu Shizhang Reply:
The follow-up urine test indicates a urinary tract infection, but it does not necessarily mean there is kidney inflammation (typically, kidney inflammation is associated with severe lower back pain, fever, chills, and shaking). Pain during sneezing or vigorous movements, as well ...[Read More] Post-Surgery Inflammation After Kidney Stone Removal: What to Know
Understanding Chronic Urinary Tract Infections and Kidney Stones
Urinary tract infection (UTI) Hello, doctor. This condition has been bothering me for over a year. The symptoms fluctuate; I often feel a dull pressure in my lower abdomen and experience urgency to urinate. Sometimes, I have difficulty urinating, and the urine output is very low....
Dr. Xu Wencang Reply:
You can go to the hospital for a detailed examination and treatment, as it may be related to chronic prostatitis, chronic pelvic pain syndrome, or chronic interstitial cystitis, which will require treatment over a period of time.[Read More] Understanding Chronic Urinary Tract Infections and Kidney Stones
Understanding Hematuria and Kidney Stones: Causes and Concerns
Hematuria. Kidney stones? Hello, doctor. My current condition includes hematuria [dark red] and lower back pain [the pain originally was in the lower back and then moved to the front]. I have a history of kidney stones. I visited a urology clinic, and the doctor said it was likel...
Dr. Du Shixi Reply:
Hello: Although you have a history of kidney stones and experience lower back pain, which is likely caused by the stones, any visible hematuria in individuals over 30 years old requires thorough investigation, as there are many potential causes for blood in the urine. It should n...[Read More] Understanding Hematuria and Kidney Stones: Causes and Concerns
Managing Ureteral Stones and Hydronephrosis: Treatment Options Explained
Ureteral stones and hydronephrosis? Hello, doctor. I previously inquired about ureteral stones and underwent endoscopic surgery at a medical center, but the surgery was unsuccessful in removing the stones. The doctor mentioned that the stones might have been lodged for too long, ...
Dr. Du Shixi Reply:
Hello: The X-ray dosage is generally acceptable, as current hospital equipment is very attentive to dosage (the government is also regulating it). The radiation should not be too high. However, in your case, the flexible ureteroscope may not be able to pass, so you may still need...[Read More] Managing Ureteral Stones and Hydronephrosis: Treatment Options Explained
Managing a 2.2 cm Kidney Stone: SWL vs. PCNL Treatment Options
What is the recommended management for a 2.2 cm kidney stone? Hello, doctor. On March 5th of this year, a CT scan revealed a right kidney stone measuring approximately 2.2 cm (with the shorter side measuring about 1.9 cm). A urologist in the southern part of Taiwan indicated that...
Dr. Xu Wencang Reply:
You can come to the outpatient clinic for further evaluation. PCNL is a more complex procedure; I perform it regularly, but not every physician is familiar with it and may hesitate. There is also the option of using a flexible ureteroscope, which can be discussed further with the...[Read More] Managing a 2.2 cm Kidney Stone: SWL vs. PCNL Treatment Options