Understanding Double J Catheter Surgery for Kidney Stones and Hydronephrosis
Double J stent placement surgery The diagnosis on the medical certificate is right-sided kidney stones with hydronephrosis. The medical advice states that on October 7, a combined ureteroscopy and percutaneous nephrolithotomy (PCNL) was performed, along with the placement of a ri...
Dr. Du Shixi Reply:
Hello: 1. For the first surgery, does the order of the surgical names in the diagnosis report indicate the sequence of the procedures? → Not necessarily. 2. Is it mandatory to place a double-J stent after performing a combined ureteroscopic lithotripsy? → Generally, yes. 3....[Read More] Understanding Double J Catheter Surgery for Kidney Stones and Hydronephrosis
Understanding Ureteral Stones: Symptoms, Treatment, and When to Seek Help
Ureteral stones Doctor, I was diagnosed with a 4mm left upper ureteral stone in early July, and since then, I have undergone three sessions of extracorporeal shock wave lithotripsy by October. I have been passing small fragments of the stone. Last week, I returned to the hospital...
Dr. Li Minghui Reply:
Hello: The skin over the stone will not appear red, but pain may indicate the formation of a stone. If there is bruising or redness, please consult a surgeon. Wishing you good health.[Read More] Understanding Ureteral Stones: Symptoms, Treatment, and When to Seek Help
Understanding Ureteral Stones: Symptoms, Treatment, and Next Steps
Ureteral stones Doctor, I was diagnosed with a 4mm stone in my left upper ureter at the beginning of July. Since then, I have undergone three sessions of extracorporeal shock wave lithotripsy by October. I have been passing small fragments of the stone. Last week, I returned to t...
Dr. Du Shixi Reply:
Hello: The skin over the stone will not appear red, but pain may indicate the formation of a stone. If there is bruising or redness, please consult a surgeon. Wishing you good health.[Read More] Understanding Ureteral Stones: Symptoms, Treatment, and Next Steps
Understanding Kidney Stones and the Role of Intravenous Pyelography (IVP)
Inquire about kidney stones and intravenous pyelography (IVP) related questions? Hello, doctor! My family member was found to have a right kidney stone measuring approximately 0.8 cm at Hospital A. Currently, there are no symptoms, and after blood tests, urinalysis, X-rays, and u...
Dr. Du Shixi Reply:
Hello: I would like to ask if intravenous pyelography (IVP) is typically performed before treating urinary stones? --- For general stones, the National Health Insurance Administration requires at least an X-ray plus ultrasound or X-ray plus IVP if treatment is to be done, dependi...[Read More] Understanding Kidney Stones and the Role of Intravenous Pyelography (IVP)
Understanding Left Lower Abdominal Pain: Urological Insights and Concerns
There is a dull pain in the lower left abdomen? Hello Dr. Du, I recently underwent a series of tests at the hospital due to hematuria (CT scan, IVP, urine cytology, etc.), and fortunately, no obvious lesions were found. I have previously asked you some questions on this platform,...
Dr. Du Shixi Reply:
Hello: 1. If there is a tumor in the ureter (meaning it has not yet caused any obstruction), would the tumor itself be painful? --> It should not be. 2. If I continue to worry about issues with the ureter, are there other tests I can undergo? I asked my doctor, and he menti...[Read More] Understanding Left Lower Abdominal Pain: Urological Insights and Concerns
Can a 0.55cm Kidney Stone Pass on Its Own? What to Expect
Kidney stones An X-ray examination revealed a 0.55 cm stone in the kidney. Can this size pass on its own? (It seems that only stones smaller than 0.5 cm can pass.) If it can pass on its own, how long might it take? I am concerned about the possibility of obstruction and hydroneph...
Dr. Du Shixi Reply:
Hello: It is possible to pass it. Drink plenty of water and have regular follow-ups. If it increases in size, lithotripsy may be considered. Wishing you good health.[Read More] Can a 0.55cm Kidney Stone Pass on Its Own? What to Expect
Understanding Urinary Issues: Stones, RBCs, and Erectile Dysfunction
Urinalysis issues Recently, I have been experiencing frequent urination. I went to the hospital for a urinalysis, which showed elevated levels: RBC: 3-5, epithelial cells: 6-9, bacteria: 2+. An ultrasound was arranged, and it revealed a small stone. Are these values due to the st...
Dr. Du Shixi Reply:
Hello: It is not necessarily the formation of stones; urinalysis is unrelated to sexual function. Epithelial cells: 6-9 may be due to urine retention. Wishing you good health.[Read More] Understanding Urinary Issues: Stones, RBCs, and Erectile Dysfunction
Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis
Lumbar pain I have been experiencing lower back pain for over two years after giving birth. I have undergone traditional rehabilitation and paid for shockwave therapy, but despite continuous rehabilitation, I still wake up at night due to pain. Recently, when pressing on the post...
Dr. Jiang Junyi Reply:
Hello Ms. Siro: You mentioned that "the posterior pelvic region and right hip are very painful," which may still suggest an issue with the lumbar spine structure, such as lumbar spondylolisthesis, among others. In addition to pain relief medications, I recommend strengt...[Read More] Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis
Persistent Visible Hematuria: Causes and Diagnostic Insights
Persistent gross hematuria? Hello Doctor, I have been experiencing hematuria for a month, and the color is dark red. There is not much pain. When I first noticed it, I went to the hospital for a urinalysis, which showed numerous red blood cells, 3+ occult blood, and 20-25 white b...
Dr. Xu Wencang Reply:
You can discuss with your physician and consider undergoing a cystoscopy.[Read More] Persistent Visible Hematuria: Causes and Diagnostic Insights
Understanding Blood in Urine: Kidney Stones and Potential Risks
Hematuria due to kidney stones? Hello Doctor, I have several kidney stones of various sizes in both of my kidneys, with the largest being approximately 1.2 cm. I haven't addressed this issue for over two years during the pandemic and have been relatively fine. However, start...
Dr. Du Shixi Reply:
Hello: 1. Based on your clinical experience, could the continuous passage of stones indicate a serious underlying condition? --> It is possible, especially considering your age. There is also a possibility that kidney stones are causing friction and damaging blood vessels. ...[Read More] Understanding Blood in Urine: Kidney Stones and Potential Risks
Understanding Kidney Stones: Symptoms, Treatment, and Prevention Tips
Excretion and Prevention of Kidney Stones Hello, after experiencing severe pain in my left lower back, I went to the emergency room and was diagnosed with kidney stones. The doctor mentioned that the stones are relatively small, approximately 0.4 and 0.3 centimeters. I was advise...
Dr. Jian Weihong Reply:
Hello: After experiencing severe pain in my left lower back, I went to the emergency room and was diagnosed with kidney stones. The doctor mentioned that the stones are relatively small, approximately 0.4 and 0.3 centimeters. I was advised to drink plenty of water and take medica...[Read More] Understanding Kidney Stones: Symptoms, Treatment, and Prevention Tips
Understanding Causes of Blood in Urine: A Comprehensive Guide
What are the causes of hematuria? The elderly family member has mild hematuria of unknown origin. Urinalysis and blood tests are normal, except for a 4+ result for amorphous phosphates. Ultrasound of the urethra and kidneys is normal, and there are no findings of urinary stones. ...
Dr. Jian Weihong Reply:
Hello: Food and incomplete urination can both be potential causes. It is certainly necessary to conduct several tests, as sometimes it may just be a temporary phenomenon. Wishing you good health.[Read More] Understanding Causes of Blood in Urine: A Comprehensive Guide
Understanding Kidney Stones: Symptoms, Treatment, and Prevention Tips
Confirmed as kidney stones? Hello, after experiencing severe pain in my left lower back, I went to the emergency room and was diagnosed with kidney stones. The doctor mentioned that the stones are relatively small, approximately 0.4 and 0.3 centimeters, and advised me to drink pl...
Dr. Du Shixi Reply:
Hello: After experiencing severe pain in my left lower back, I went to the emergency room and was diagnosed with kidney stones. The doctor mentioned that the stones are relatively small, approximately 0.4 and 0.3 centimeters, and advised me to drink plenty of water and take medic...[Read More] Understanding Kidney Stones: Symptoms, Treatment, and Prevention Tips
Understanding Kidney Stones: Symptoms, Treatments, and Urine Color Changes
Kidney stone has passed, but intestinal factors are obstructing the ureter? At the beginning of July, I experienced hematuria and underwent examinations including ultrasound and X-rays, where the doctors reported no abnormalities, suggesting that I might have already passed the i...
Dr. Jian Weihong Reply:
Hello: I would like to ask if this is a true phenomenon of stone dissolution and expulsion, or if the color change in urine is simply due to the color of the medication? -- It may not happen quickly, but it is possible for the stone to move, which can change the urine color. If t...[Read More] Understanding Kidney Stones: Symptoms, Treatments, and Urine Color Changes
Understanding Kidney Stones: Symptoms, Treatments, and Urine Color Changes
The kidneys are beginning to show signs of edema? In early July, I experienced hematuria and underwent examinations including ultrasound and X-rays. The doctors reported no abnormalities and suggested that I might have already passed the issue. However, during the follow-up perio...
Dr. Du Shixi Reply:
Hello: I would like to ask if this is a true phenomenon of stone dissolution and expulsion, or if the color change in urine is due to the color of the medication? -- It may not happen that quickly, but it is possible for the stone to move, which can change the urine color. If the...[Read More] Understanding Kidney Stones: Symptoms, Treatments, and Urine Color Changes
Can Flexible Ureteroscopy Lithotripsy Help with My Kidney Stones?
Questions regarding flexible ureterorenoscopy and lithotripsy? Hello, Dr. Du! I have a ureteral stone that is lodged in my ureter, and I currently have a double J stent in place. My ureter is too narrow, and the stone is too large and hard. I have previously attempted traditional...
Dr. Du Shixi Reply:
Hello: In my personal opinion, a significant factor lies in the physician's judgment regarding whether the stone that cannot be treated with rigid endoscopy can be resolved. Additionally, the costs vary among hospitals, but they should be approved by the government. You can ...[Read More] Can Flexible Ureteroscopy Lithotripsy Help with My Kidney Stones?
Understanding Hydronephrosis: Connection to Increased Epithelial Cells?
Hydronephrosis issue A few days ago, I noticed white floating particles in my urine, but I don't have any significant pain or urgency. My family doctor tested my urine and said it doesn't seem like a urinary tract infection, recommending that I see a urologist. The urol...
Dr. Du Shixi Reply:
Hello: There is generally an issue with urinary retention related to the epithelium, and imaging studies also examine the gynecological organs. Wishing you good health.[Read More] Understanding Hydronephrosis: Connection to Increased Epithelial Cells?
Understanding Urological Infections and Kidney Health: Key Insights
Infection issues Hello, Doctor. 1. Is there a risk of infection if I accidentally touch a trash can or the tissues inside it while using a public restroom, and then proceed to clean my intimate areas or touch other parts of my body? 2. Can kidney stones recur repeatedly? 3....
Dr. Du Shixi Reply:
Hello: 1. If I accidentally touch a trash can or the tissues inside it while using the restroom, and then proceed to clean my intimate areas or touch other parts of my body, is there a risk of infection? ---> The risk is low. 2. Can kidney stones recur? ---> Yes, they can. ...[Read More] Understanding Urological Infections and Kidney Health: Key Insights
Understanding Uric Acid Stones and Prevention Strategies
About uric acid stones? Hello Doctor: A 39-year-old male, 163 cm tall and weighing 75 kg, has had a long-term uric acid level above 8 and recently experienced a gout attack. The doctor prescribed benzbromarone. Is this medication likely to cause kidney stones? What methods or tre...
Dr. Xu Wencang Reply:
Benbromarone promotes the excretion of uric acid through urine, which can easily lead to the formation of uric acid stones. An alternative is febuxostat, which reduces uric acid production in the liver and can help prevent uric acid stones.[Read More] Understanding Uric Acid Stones and Prevention Strategies
Understanding Urinary Tract Infections: Medication Effects on Urine Color and Kidney Health
Urinary tract infection (UTI), regarding the color of urine after taking medication and issues related to Tylenol (acetaminophen)? Hello doctor, I had a urinary tract infection last week and have seen the doctor three times already. The pain in my urethra keeps recurring, and the...
Dr. Jian Weihong Reply:
Hello: If there is no improvement, it is recommended to seek examination at a major hospital. A urinalysis should be conducted; if inflammation is present, it is often accompanied by lifestyle modifications such as dietary changes and rest, which can lead to significant improveme...[Read More] Understanding Urinary Tract Infections: Medication Effects on Urine Color and Kidney Health