Unexplained Urethral Pain: Understanding Antibiotic Effectiveness and Diagnosis
Suspected urethritis with urinary tract pain but no bacteria detected? Hello Doctor, around the end of February this year, after masturbating, I felt some discomfort in my urethra (I have no sexual experience). At that time, I didn't feel any stinging sensation when urinatin...
Dr. Du Shixi Reply:
Hello: If the bacterial count is low, it cannot be cultured, and some bacteria are difficult to culture, making it hard to identify the specific type (such as Gram-negative bacteria or spirochetes, etc.). However, most are sexually transmitted. It is not necessarily the last medi...[Read More] Unexplained Urethral Pain: Understanding Antibiotic Effectiveness and Diagnosis
Understanding Chronic Prostatitis and Urethral Pain: Causes and Treatments
Prostatitis and urethral pain? Hello Dr. Du, I would like to share my situation with you. Around the end of February this year, after I finished masturbating one afternoon, I suddenly felt a sharp pain in my urethra (which I had not experienced before). I typically engage in thi...
Dr. Du Shixi Reply:
Hello: You may be experiencing a condition similar to non-bacterial prostatitis. In this case, symptoms can only be alleviated with medication, and it is often difficult to achieve complete recovery. Some patients may take medication for several months and only experience improve...[Read More] Understanding Chronic Prostatitis and Urethral Pain: Causes and Treatments
Managing Ureteral Stones and Kidney Hydronephrosis: Expert Opinions
Ureteral stones and hydronephrosis? Hello, doctor. Recently, I have experienced hematuria and a urinary tract infection. I went to the hospital for examination and underwent kidney X-rays, ultrasound, and CT scans. What I initially thought was a renal cyst is actually hydronephro...
Dr. Du Shixi Reply:
Hello: There are two perspectives. One is that if you have diabetes or any condition that compromises your immune system, it is advisable to address the issue, as kidney hydronephrosis can lead to inflammation in some individuals and may result in an acute emergency at any time, ...[Read More] Managing Ureteral Stones and Kidney Hydronephrosis: Expert Opinions
Post-Kidney Stone Treatment: No Semen During Ejaculation Concerns
After developing kidney stones, I experienced frequent urination. Recently, after taking medication, I noticed that during masturbation, there was no semen during ejaculation? Hello Doctor, I recently underwent treatment for kidney stones and discovered an issue with frequent uri...
Dr. Du Shixi Reply:
Hello: Some medications may reduce semen volume or cause retrograde ejaculation (not everyone will experience this). It does not mean that semen is not produced, but rather that it may flow back into the bladder. Please discuss this with your doctor during your follow-up visit, a...[Read More] Post-Kidney Stone Treatment: No Semen During Ejaculation Concerns
Understanding Blood in Urine: Kidney Issues and Diagnostic Challenges
Kidney and Hematuria Issues Hello Doctor: I have hematuria, but I don't have bladder pain or urgency, and I don't have many symptoms. However, there is some hydronephrosis on the left side. I had an X-ray with contrast, but why is the right side clear while the left sid...
Dr. Du Shixi Reply:
Hello: If the X-ray with contrast agent shows a clear image on the right side but not on the left side, it may indicate a potential issue that requires further examination. The physician will arrange for additional tests, as there are many possibilities, with stones being the mos...[Read More] Understanding Blood in Urine: Kidney Issues and Diagnostic Challenges
Understanding Dark Brown Urine: Is It a Kidney Issue?
Hematuria issues Thank you for your response, Director. If the urine appears dark brown, could it possibly indicate a kidney issue? Should I consult a urologist or a nephrologist?
Dr. Du Shixi Reply:
Hello: That's fine, but the doctor will first perform a urinalysis for confirmation. Clinically, some patients report that their urine is red, but the tests can come back completely normal. If there are indeed red blood cells in the urine, both departments can conduct examin...[Read More] Understanding Dark Brown Urine: Is It a Kidney Issue?
Understanding Painful Urination: Symptoms and When to Seek Help
Painful urination Hello, I've started to experience some pain while urinating today, but it's not unbearable. I usually drink around 3000 ml of water daily, and my urine is normal without any blood. The only issue is the slight pain during urination. Could this be a sig...
Dr. Sun Hongshun Reply:
Hello: A urinary tract infection is quite possible, but the issue of stones should also be considered. It is recommended to visit a urology clinic for relevant examinations after your menstrual cycle. Wishing you good health.[Read More] Understanding Painful Urination: Symptoms and When to Seek Help
Understanding Bladder Overactivity: Causes and Treatment for Urination Difficulties
Dysuria Doctor, I have a question. Last week, I went to the hospital due to urinary issues. After undergoing X-rays, an ultrasound, and a urinalysis, the doctor said there were no bacterial infections or stones, and concluded that I was too stressed, diagnosing me with overactive...
Dr. Du Shixi Reply:
Because you are young, it is recommended to drink plenty of water, ensure adequate sleep, avoid alcohol and spicy foods, and refrain from prolonged sitting. If possible, take a 30-minute walk every day, and use medication only when necessary. Thank you for your inquiry.[Read More] Understanding Bladder Overactivity: Causes and Treatment for Urination Difficulties
Understanding Pain on the Right Side of the Glans: Causes and Concerns
Glans pain Hello, doctor. Recently, I've been experiencing pain on the right side of the glans when stimulated (such as when lying down or touching it). Besides this, I have no other symptoms. I went to the urology department for a urine test, and everything was normal. The ...
Dr. Du Shixi Reply:
Hello: If the urine test is normal, the likelihood of having stones is very low. You should maintain a regular sleep schedule and eat fruits normally, which may help you recover. Thank you for your inquiry.[Read More] Understanding Pain on the Right Side of the Glans: Causes and Concerns
Can Kidney Stone Patients Drink Soy Milk? Dietary Tips and Restrictions
Stone issues Hello, Doctor: My good friend is 60 years old and has kidney stones. Can he drink soy milk? Besides drinking more water, are there any dietary restrictions he should follow? Thank you!
Dr. Du Shixi Reply:
Hello: In clinical practice, I advise patients that all foods are acceptable, but hydration should primarily come from plain water. They should aim for light-colored urine, as dark urine indicates insufficient hydration. Therefore, soy milk can be consumed, but it should not exce...[Read More] Can Kidney Stone Patients Drink Soy Milk? Dietary Tips and Restrictions
Understanding Mild Positive Urine Blood Test Results: What to Do Next?
Urine occult blood test is mildly positive? Hello, doctor. I recently had a health check-up, and the result showed a mildly positive reaction for blood in my urine. What could be the possible issues? Additionally, can I go to a general urology clinic for a follow-up, or should I ...
Dr. Du Shixi Reply:
Hello: If you have a mildly positive urine occult blood test, you should visit the urology department at a hospital (some hospitals may also allow you to see a nephrologist). Many patients are unable to identify a definitive cause and only suspect certain issues (such as stones o...[Read More] Understanding Mild Positive Urine Blood Test Results: What to Do Next?
Understanding Sudden Back Pain and Blood in Urine: A Urology Perspective
Low back pain with hematuria and no abnormalities? Hello, Chief Physician. A few nights ago, I suddenly experienced lower back pain, which was a sharp pain right in the middle, without any deviation to the left or right. A few hours later, when I went to urinate, I noticed a sign...
Dr. Du Shixi Reply:
Hello: Some small stones may only present symptoms initially, and subsequent examinations may not confirm the diagnosis. However, the doctor prescribed medication, which includes a relaxant (to facilitate stone passage), pain relief (as some stones can cause pain during passage),...[Read More] Understanding Sudden Back Pain and Blood in Urine: A Urology Perspective
Dealing with Urinary Stones: Constipation and Discomfort After Treatment
Ureteral stones Hello, I would like to ask: After I had a ureteral stone procedure, I have been unable to have a bowel movement for three days now, and my abdomen feels distended and uncomfortable. I have also used an enema with no response, and the stone has not passed. What sho...
Dr. Sun Hongshun Reply:
Hello, please promptly return to the urology clinic for follow-up care and treatment. Wishing you good health.[Read More] Dealing with Urinary Stones: Constipation and Discomfort After Treatment
Understanding Frequent Urination: Causes, Treatments, and Solutions
Frequent urination issues? Hello, Doctor. I started experiencing frequent urination in early July (I feel the urge to urinate right after finishing, with varying amounts of urine. In the morning, I start running to the bathroom just before getting up, and I eventually get up beca...
Dr. Chen Jiansheng Reply:
Hello: Based on your description, it is possible that you have overactive bladder. In addition to medication treatment, behavioral therapy is also necessary, such as scheduled voiding, pelvic floor exercises, weight management, and reducing constipation. Most patients can improve...[Read More] Understanding Frequent Urination: Causes, Treatments, and Solutions
Understanding Follow-Up Care for Kidney Stones: What to Expect
Stone follow-up examination Dr. Du has been unable to provide answers to my questions. If I repeat my inquiries, please do not delete them. Thank you. Hello, today I went back to the hospital where I originally had my endoscopic surgery for a follow-up. Although I did not meet ...
Dr. Du Shixi Reply:
Hello: Some urologists perform kidney scans from the back, as it is sufficient to visualize the kidneys (there is no significant difference). Additionally, your stones may be very thin and scattered, requiring only observation without any intervention. If you can pay attention to...[Read More] Understanding Follow-Up Care for Kidney Stones: What to Expect
Prostatitis or Urethritis: Understanding Your Urological Symptoms
Prostatitis or urethritis Hello Doctor, I am currently working abroad. Almost two years ago, I returned to Taiwan for a comprehensive health check-up, and my PSA level was around 12. I consulted a urologist, but at that time, I did not have any obvious symptoms such as painful ur...
Dr. Sun Hongshun Reply:
Hello: Elevated PSA levels may indicate prostate cancer or prostate infection, among other conditions. It is recommended to undergo an ultrasound or even a biopsy at an outpatient clinic. Regarding the discomfort you mentioned, it could be due to a urinary tract infection, kidney...[Read More] Prostatitis or Urethritis: Understanding Your Urological Symptoms
Understanding Kidney Stone Recurrence: Questions for Your Urologist
Recurrence of stones? Hello, Doctor. I have some questions to ask you. 1. In January of this year, I underwent an abdominal ultrasound due to gastrointestinal discomfort, but I did not review the report until May when I experienced hematuria. I discovered that I had a kidney st...
Dr. Du Shixi Reply:
Hello: Kidney stones are prone to recurrence, so it's important for you to make lifestyle changes. Drink plenty of water, exercise moderately, limit sugary beverages, and avoid excessive salt intake. Some stones can be seen on abdominal ultrasound, but may appear very faint ...[Read More] Understanding Kidney Stone Recurrence: Questions for Your Urologist
Understanding Kidney Stone Recurrence: Causes and Prevention
Recurrence of kidney stones? I apologize for the inconvenience. I have been trying to submit my question regarding my health issue. In May, I underwent an endoscopy to remove a kidney stone that had fallen into the ureter. During follow-up visits in June and July, I was told that...
Dr. Du Shixi Reply:
Hello: Kidney stones can form quickly in situations where there is insufficient hydration or excessive sweating. It is recommended to ensure adequate fluid intake (preferably plain water), avoid beverages that contain stone-forming components, and engage in moderate physical acti...[Read More] Understanding Kidney Stone Recurrence: Causes and Prevention
Understanding Frequent Urination: Is It Linked to Kidney Stones?
Frequent urination issues? Hello, I experience frequent urination whenever I drink water, sometimes producing a large volume of urine and other times a small amount. The sensation of urgency varies. I have a history of kidney stones, but I am currently only undergoing regular che...
Dr. Du Shixi Reply:
Hello: Stone attacks can cause frequent urination, but it often varies, with some people needing to urinate shortly after drinking water. If you have kidney stones, you should return for a follow-up appointment every six months to a year. It's important to drink plenty of wa...[Read More] Understanding Frequent Urination: Is It Linked to Kidney Stones?
Understanding Frequent Urination: Causes and Concerns in Urology
Urinary issues Since last month, I have been experiencing a frequent urge to urinate, with an increased number of trips to the bathroom each day. Sometimes the urgency is so intense that I almost can't hold it (previously, I could hold it for a long time). Initially, I exper...
Dr. Sun Hongshun Reply:
Hello: Your symptoms may indicate a urinary tract infection, kidney stones, or overactive bladder. It is recommended to visit a urology clinic for a urine test or to arrange for other examinations. Wishing you good health.[Read More] Understanding Frequent Urination: Causes and Concerns in Urology