Understanding Urethritis and Testicular Pain: Symptoms and Causes
Regarding urethritis and epididymitis/orchitis? Recently, I've been experiencing frequent urges to urinate, but when I get to the urinal, I can't seem to urinate or it takes a while before I can. Could this be urethritis? Sometimes I also feel a slight pain in my testic...
Dr. Xu Weikai Reply:
Hello, you need to have your urine checked and undergo some related tests to determine the cause. It could be an infection, neuropathic pain, or urinary stones, among other possibilities. If you have any further questions, feel free to ask, and we can discuss and research it toge...[Read More] Understanding Urethritis and Testicular Pain: Symptoms and Causes
Understanding Persistent Bladder Pain: Causes and Treatment Options
Persistent pain in the bladder area? Hello Doctor! I would like to ask for your advice. At the beginning of September, I suspected I had a urinary tract infection. All tests from Western medicine came back normal, with no pathogenic bacteria detected, but I still experienced symp...
Dr. Xu Weikai Reply:
David: If it is temporarily inconvenient to perform a cystoscopy, you can start by keeping a voiding diary: 1. Record the time and volume of each urination. 2. Note the time and amount of water intake. 3. Keep this record for at least 3 days, preferably a week, to get a better un...[Read More] Understanding Persistent Bladder Pain: Causes and Treatment Options
Understanding Left Abdominal Pain: Possible Causes and Treatment Options
Left abdominal pain? I am experiencing pain in my lower left abdomen and left testicle (a large area, with the most pain near the lower left abdomen close to the genital area). There is also soreness from my left lower back to my hip, along with symptoms of residual urine, urinar...
Dr. Xu Weikai Reply:
Shane: Hello, you are overestimating me. You have seen so many doctors, and based solely on your description, I cannot make an accurate diagnosis. I suggest consulting your physician to see if you can visit other specialists, such as a neurologist or a rehabilitation specialist. ...[Read More] Understanding Left Abdominal Pain: Possible Causes and Treatment Options
Understanding Testicular Discomfort: Causes and Recommendations
Testicular discomfort? Hello Dr. Hsu: In the past two to three days, I've been experiencing a sensation in my right testicle as if it has been grabbed or lightly struck. It's not very painful, but it is somewhat uncomfortable. Certain sitting positions make the sensatio...
Dr. Xu Weikai Reply:
Kus: Hello, I don't have any suggestions. I cannot provide any advice. Testicular pain can have many possible causes, ranging from testicular torsion that requires emergency surgery to minor localized strains. How can I offer suggestions? Other possibilities include infectio...[Read More] Understanding Testicular Discomfort: Causes and Recommendations
Can Herniated Discs Cause Testicular Pain? Understanding the Connection
Could it possibly be a herniated lumbar disc? Hello, Dr. Hsu! I recently came across a clinical report online (content as follows): Mr. Jiao, a 35-year-old man, has been experiencing frequent pulling pain in his testicles, accompanied by discomfort in the groin area. He was diagn...
Dr. Xu Weikai Reply:
The symptoms caused by a herniated disc depend on which segment of the spine is affected, as the clinical manifestations vary by segment. For detailed distinctions in symptoms, it is advisable to consult specialists in neurology, rehabilitation medicine, or orthopedics. Sciatica ...[Read More] Can Herniated Discs Cause Testicular Pain? Understanding the Connection
Understanding Prostate Issues and Kidney Stones: Treatment and Management
Prostate and Urinary Tract Stones Hello, Dr. Hsu. About 7 to 8 years ago, I had a urinary stone episode that woke me up in the middle of the night due to pain. The doctor treated me with medication for the stones, and I haven't had that issue since. However, a few years late...
Dr. Xu Weikai Reply:
1. The prostate gland tends to enlarge with age, and symptoms may become increasingly severe. Generally, there are two treatment options: medication and surgical intervention. Both are quite effective. Note: Medication requires lifelong adherence, while surgery may have a possibi...[Read More] Understanding Prostate Issues and Kidney Stones: Treatment and Management
Understanding Varicocele Discomfort: Treatment and Lifestyle Considerations
Regarding discomfort in the scrotum and testicles (continued) Thank you, Dr. Hsu, for your response! Today, I went to the hospital for an ultrasound examination, and it seems that varicocele is acting up again! However, I am puzzled. If varicocele is caused by the dilation of blo...
Dr. Xu Weikai Reply:
Anonymous: Hello, varicocele is caused by impaired blood flow. Some physicians may use circulatory medications. A semen analysis can determine if there is a semen infection. Although kidney stones may currently be asymptomatic, it is still important to drink plenty of water to pr...[Read More] Understanding Varicocele Discomfort: Treatment and Lifestyle Considerations
Can Kidney Stone Patients Eat Brown Rice and Whole Wheat Bread?
Can patients with kidney stones eat whole grain brown rice? 1. Can patients with kidney stones eat whole grain brown rice? 2. Can patients with kidney stones eat whole wheat buns or whole wheat toast? 3. What dietary considerations should be taken into account for patients wi...
Dr. Li Yilun Reply:
There are no research reports indicating a correlation between kidney stones and brown rice or whole grain foods. Patients with kidney stones should increase their water intake to 2000-3000 cc, depending on individual constitution. Other dietary recommendations should be based on...[Read More] Can Kidney Stone Patients Eat Brown Rice and Whole Wheat Bread?
How Long Should You Wait Between Extracorporeal Shock Wave Lithotripsy Sessions?
How long does it take to undergo extracorporeal shock wave lithotripsy (ESWL) after being scheduled for the procedure? My mother underwent surgery in mid-July, but the stones were not completely removed, and this is her second surgery! Although the stones have decreased in size, ...
Dr. Xu Weikai Reply:
Ms. Huang: Hello, in general, extracorporeal shock wave lithotripsy (ESWL) performed by a qualified urologist rarely causes significant damage to the kidneys. Therefore, there is no specific timeframe regarding when one can undergo another procedure. It largely depends on whether...[Read More] How Long Should You Wait Between Extracorporeal Shock Wave Lithotripsy Sessions?
Understanding Right Testicular Pain: Causes, Symptoms, and When to Seek Help
Right testicular pain? Hello doctor, I am currently 23 years old. Today, I suddenly experienced pain in my right testicle, and as far as I remember, there hasn't been any significant trauma to that area in the past few days. It has been a few hours now, and the pain has subs...
Dr. Xu Weikai Reply:
Mr. Chiang: Hello, you may be experiencing testicular torsion that has resolved on its own. Other conditions such as inflammation or kidney stones could also present similar symptoms. If there are any unclear points, feel free to ask again, and we can discuss and research further...[Read More] Understanding Right Testicular Pain: Causes, Symptoms, and When to Seek Help
Understanding Bladder Pain: Stones or Tumors at 23?
I'm not sure if it's a stone? I am 23 years old and three weeks ago, I had a 0.4 cm stone in my bladder, which caused hematuria. I consulted a doctor who advised me to drink more water and prescribed medication, but I have been feeling uncomfortable in my bladder for th...
Dr. Xu Weikai Reply:
Mr. Zheng: Hello, regarding lesions in the bladder, including tumors or stones, the most accurate method is to perform a cystoscopy. During a cystoscopy, if small stones are observed, they can be removed at the same time; if a suspected tumor is seen, it can also be excised. Note...[Read More] Understanding Bladder Pain: Stones or Tumors at 23?
Understanding Ureteral Stones: Symptoms, Diagnosis, and Concerns
Urethral stones On the 22nd, I underwent a urethral imaging procedure. In the afternoon, the outpatient doctor said that no stones were observed and suggested that they might have already been expelled. However, I have been experiencing abdominal soreness for the past few days. I...
Dr. Li Yilun Reply:
Is the examination you underwent performed with a contrast agent injected intravenously? Such examinations are typically referred to as intravenous pyelography, primarily used to assess the kidneys, ureters, and bladder for any abnormalities. No significant findings were noted. I...[Read More] Understanding Ureteral Stones: Symptoms, Diagnosis, and Concerns
Unusual Tingling Sensation at the Penis-Scrotum Junction: Is It Normal?
After DIY, there is a strange tingling sensation at the junction of the base of the penis and the scrotum? Recently, after a DIY ejaculation, I held back from finishing, and afterward, I started feeling a strange tingling sensation at the junction of the base of my penis and my s...
Dr. Lin Hexing Reply:
Hello: If the symptoms are solely related to masturbation, there is no need for any examinations. However, since you have a history of urinary stones and it is uncertain whether they have passed, it is necessary to consult a urologist to determine if your urinary symptoms are rel...[Read More] Unusual Tingling Sensation at the Penis-Scrotum Junction: Is It Normal?
Understanding Frequent Urination and Incomplete Emptying After Kidney Stone Surgery
Frequent urination with a sensation of incomplete emptying? Hello Dr. Chou! I am a patient with kidney stones. Two years ago, I visited Chang Gung Memorial Hospital for kidney stones, and last year, the stones recurred, so I went to Tri-Service General Hospital for treatment. Aft...
Dr. Zhou Xinpei Reply:
Hello: Based on the symptoms you described, it is recommended that you visit the outpatient clinic for a detailed evaluation to clarify the issue. Thank you![Read More] Understanding Frequent Urination and Incomplete Emptying After Kidney Stone Surgery
Recurrent Urinary Tract Infections and Fever in Older Adults: What to Know
Recurrent urinary tract infections with high fever? Hello Doctor, my father went to the emergency room at a major hospital two months ago due to a persistent high fever, and he was diagnosed with a urinary tract infection (UTI). Recently, he started experiencing fever and chills ...
Dr. Xu Weikai Reply:
Hello Mr. Robin, First, we need to investigate the underlying causes of recurrent urinary tract infections (UTIs). Repeated occurrences are unlikely to be due to simple UTIs and often involve additional urinary tract issues or lifestyle factors. For instance, if benign prostati...[Read More] Recurrent Urinary Tract Infections and Fever in Older Adults: What to Know
Managing a 0.7 cm Kidney Stone: Tips for Travel and Pain Prevention
0.7 cm renal stone Due to a bladder infection, a 0.7 cm kidney stone was unexpectedly discovered. There have been no unusual symptoms except for frequent urination and occasional mild abdominal discomfort. The stone's position and angle make it difficult to treat with shock ...
Dr. Li Yilun Reply:
According to current health insurance regulations and literature reports, kidney stones larger than 0.5 cm can be considered for extracorporeal shock wave lithotripsy (ESWL) treatment. If the stone is confirmed to be 0.7 cm in the kidney and symptoms are relatively mild, treatmen...[Read More] Managing a 0.7 cm Kidney Stone: Tips for Travel and Pain Prevention
Choosing the Right Health Check for Kidney Stone Issues and Back Pain
If you have issues with kidney stones, how should you choose a health examination? Doctor: I have been experiencing issues with kidney stones. Recently, I went to the emergency room for a kidney stone examination, but no stones were found. However, I have started to experience lo...
Dr. Li Yilun Reply:
We apologize for the delayed response due to the internet system not notifying us of the issue. The health check-up does not include kidney stone screening. If you experience any discomfort, we recommend consulting a urologist. The physician will determine the need for a urinalys...[Read More] Choosing the Right Health Check for Kidney Stone Issues and Back Pain
Understanding Low Semen Volume: Causes and Concerns in Urology
Decreased semen volume? Hello, doctor. I would like to ask you a question. I haven't engaged in masturbation for a while (about 16 days), and when I finally did, I noticed blood coming out during the process (before ejaculation). I went to see a doctor who ordered an X-ray a...
Dr. Liu Jiaju Reply:
Hematospermia is mostly benign and tends to improve over time. Possible causes include inflammation of the reproductive system, infections, or vigorous sexual activity leading to microvascular rupture. If it persists, it may be necessary to rule out the possibility of prostate st...[Read More] Understanding Low Semen Volume: Causes and Concerns in Urology
Understanding Ultrasound in Urology: Bladder and Kidney Function Tests
Ultrasound Issues Bladder ultrasound and kidney ultrasound primarily assess the structure and function of the urinary system. Specifically, they are used to evaluate: 1. **Bladder Ultrasound**: - Bladder volume and capacity - Presence of urinary retention or obstruction ...
Dr. Xu Weikai Reply:
Hello, as you mentioned, a bladder ultrasound is used to examine the bladder and surrounding tissues, while a kidney ultrasound is used to assess the kidneys and nearby structures such as the adrenal glands. If there are any unclear points, feel free to ask again, and we can disc...[Read More] Understanding Ultrasound in Urology: Bladder and Kidney Function Tests
Understanding Unusual Head Sensations: When to Seek Neurological Evaluation
Recently, I've been feeling strange in my head, as if there is something stuck at the back of my brain? Hello, I have gallstones and have previously experienced vertigo, but I was taken off medication by my doctor five years ago because I hadn't had an episode in over t...
Dr. Huang Zixuan Reply:
If you are concerned about conditions related to epilepsy, it is recommended to undergo an electroencephalogram (EEG) at a hospital. Additionally, it is advisable to keep a record of the times when you experience these uncomfortable sensations, as having a complete record will he...[Read More] Understanding Unusual Head Sensations: When to Seek Neurological Evaluation