Understanding Testicular Pain: Causes and When to Seek Help
Testicular pain Hello Doctor: Recently, I have been experiencing severe pain in my testicles and lower abdomen. However, after a night's sleep, the pain seems to go away, but it gradually returns in the evening. Initially, there is only mild pain in the testicles, but by bed...
Dr. Xu Weikai Reply:
PE: Hello, which side of the testicle is painful? Is the pain located in the testicle itself, on top of the testicle, or on the skin of the scrotum? Does the pain radiate to other areas, such as near the anus, groin, or lower back? How long does the pain last? When does it hurt t...[Read More] Understanding Testicular Pain: Causes and When to Seek Help
Understanding Kidney Stones: When to Consider Lithotripsy Treatment
Kidney stones The office conducts health check-ups every two years. Four years ago, I was diagnosed with a 0.3 cm kidney stone during my check-up. The doctor advised me to drink more water, as there was a chance it could pass. Two years ago, the stone increased to 0.5 cm, and the...
Dr. Zhou Xinpei Reply:
According to the regulations of the National Health Insurance Administration, extracorporeal shock wave lithotripsy (ESWL) can be performed for kidney stones larger than 0.5 cm. This treatment does not require hospitalization and can be scheduled in the outpatient clinic from Mon...[Read More] Understanding Kidney Stones: When to Consider Lithotripsy Treatment
Understanding Transrectal Ultrasound Accuracy for Prostate Health
Transrectal Ultrasound Examination of the Prostate Hello, doctor. I apologize for asking again, but I would like to inquire about the accuracy of transrectal ultrasound examinations for the prostate. I previously underwent a transrectal ultrasound at Wan Fang Hospital, where the ...
Dr. Xu Weikai Reply:
All tests are merely references and not absolute. For most individuals, they can serve as reference values, but they may not necessarily apply to everyone. In other words, while the PSA levels for most people fall between 0 and 4, indicating benign conditions, some individuals wi...[Read More] Understanding Transrectal Ultrasound Accuracy for Prostate Health
Understanding Kidney Stones: Painful Ejaculation and Urinary Symptoms
Ejaculation is blocked by stones, causing significant pain? I have been experiencing persistent soreness in my left lower back and discomfort in my abdomen. I frequently feel the urge to urinate, and after urinating, I often feel the need to have a bowel movement, but there is ve...
Dr. Zhang Chengye Reply:
It is advisable to seek medical evaluation to check for any residual stones that may have fallen into the urethra.[Read More] Understanding Kidney Stones: Painful Ejaculation and Urinary Symptoms
Understanding Renal Edema: Navigating Urological and Gynecological Challenges
Uncertain cause of renal edema and subsequent developments? I'm sorry, the article is quite long. Actually, I underwent laparoscopic surgery in early June, but only had a double J stent placed and did not have the fibroid removed, so the problem remains unresolved, and I...
Dr. Zhang Chengye Reply:
In response to your inquiry, please find the answers below for your reference: 1. Insufficient data, unable to provide an answer. 2. From a urological perspective, the placement of double J stents may temporarily alleviate hydronephrosis. 3. The reasoning is the same as point 2....[Read More] Understanding Renal Edema: Navigating Urological and Gynecological Challenges
Understanding Left Abdominal Pain: A Guide to Urology Consultations
Left abdominal pain and lower abdominal pain? Hello doctor, I have been experiencing discomfort on both sides of my abdomen for a long time. After undergoing a colonoscopy last year, my condition did not improve and has become increasingly severe, resulting in daily left abdomina...
Dr. Zhang Chengye Reply:
Please first go to the urology outpatient clinic for a urine test and a renal ultrasound examination, and then we will determine the next steps.[Read More] Understanding Left Abdominal Pain: A Guide to Urology Consultations
Understanding Ureteral Stones: Treatment Options and Laser Therapy
Ureteral stones Hello, Dr. Yan! Today, I went to Chang Gung Memorial Hospital due to "abdominal pain." After examination, the doctor informed me that I have small stones in my ureter. The recommended treatment is to drink plenty of water to help pass the stones (althoug...
Dr. Yan Dawei Reply:
Urinary tract stones causing renal edema require endoscopic treatment; if pneumatic lithotripsy is ineffective, laser treatment may be considered. If the procedure is to be performed on the same day, fasting is necessary.[Read More] Understanding Ureteral Stones: Treatment Options and Laser Therapy
Understanding Prostatitis: Symptoms, Treatment, and Recovery Time
Prostatitis Hello, Dr. Hsu. I previously asked about a urinary tract infection. After consulting with a physician, I was diagnosed with prostatitis, but both my urine and prostate secretions did not culture any bacteria. The doctor prescribed me a 10-day course of 500 mg Levaquin...
Dr. Xu Weikai Reply:
Andy: Hello, prostatitis can sometimes be caused by bacteria, and in such cases, antibiotics may need to be administered for 3 to 12 weeks. This treatment duration is quite long. Additionally, bacterial cultures can only be obtained from urine in about 50% of cases. Performing pr...[Read More] Understanding Prostatitis: Symptoms, Treatment, and Recovery Time
Understanding Testicular Pain: Causes and When to Seek Help
Bladder and testicular pain? Hello, doctor! Recently, I've been experiencing intermittent testicular pain. I went to the hospital and had an X-ray, which showed no stones, and my urine tests were normal. The doctor advised me to come back when my symptoms worsen. The symptom...
Dr. Xu Wencang Reply:
Hello: In response to your question, experiencing discomfort during sexual activity due to the contraction of the cremaster muscle is noted. It is recommended that you have regular follow-up appointments to monitor for potential varicocele. Thank you![Read More] Understanding Testicular Pain: Causes and When to Seek Help
Understanding Enlarged Urethral Opening: Symptoms and Solutions
Enlargement of the urethral opening? Before the urethral opening became enlarged, there was bleeding. It has not healed yet, and there is a slight pain during urination. During ejaculation, the semen flows out, and the urine stream is not as strong as before. Is there a way for t...
Dr. Liu Jiaju Reply:
Based on your description of painful urination, further examinations such as a urinalysis or imaging studies may be necessary to rule out the possibility of a urinary tract infection or stones. Additionally, considering your young age and the presence of urinary difficulties and ...[Read More] Understanding Enlarged Urethral Opening: Symptoms and Solutions
Can You Take Cranberry Supplements with Calcium Oxalate Stones?
Calcium oxalate stones Can individuals with calcium oxalate stones take cranberry supplements? Also, how many milligrams of vitamin C can be consumed in a day?
Dr. Lin Hexing Reply:
Hello, sir: Cranberries can be consumed, but it is recommended that you take cranberry juice, about 500 cc daily, as it is more cost-effective and has been clinically proven to have preventive effects. The general recommended daily intake of vitamin C is 60 milligrams. Finally, I...[Read More] Can You Take Cranberry Supplements with Calcium Oxalate Stones?
Understanding Severe Left Lower Back Pain: Possible Kidney Issues Explained
Severe pain in the lower left back? Hello Dr. Hsu, I have consulted you in the past regarding various health issues, and I truly appreciate your thorough and warm explanations. I am reaching out again with some questions, hoping not to take up too much of your valuable time. Re...
Dr. Xu Weikai Reply:
Hello, first of all, I would like to clarify that the diagnosis mentioned above is merely a suspicion and not a definitive diagnosis. This means that due to various factors, general physicians often need to consider multiple diagnoses and arrange for several tests to reach a fina...[Read More] Understanding Severe Left Lower Back Pain: Possible Kidney Issues Explained
Dietary Restrictions and Post-Surgery Concerns for Ureteral Stones
Urethral stones What foods should be avoided with urethral stones? Can potatoes be eaten with urethral stones? Why is there acidity after surgery? Why is there blood in the urine after surgery? Thank you! ^_^
Dr. Xu Weikai Reply:
Piglet: Hello, regarding urinary stones, avoid consuming overly salty foods. Limit soup intake, reduce salt consumption, and minimize beverage intake. Drink plenty of plain water, aiming for 3000cc daily, or maintain a daily urine output of 1500cc. If you can adhere to these guid...[Read More] Dietary Restrictions and Post-Surgery Concerns for Ureteral Stones
Post-Surgery Diet Tips for Kidney Stone Patients: Foods and Remedies
Kidney stone surgery? After kidney stone surgery, it is important to pay attention to your diet. You should focus on staying hydrated and consuming a balanced diet that includes plenty of fruits and vegetables. Some fruits that may be beneficial include lemons, oranges, and water...
Dr. Lin Hexing Reply:
Hello, thank you for your question. Here are the dietary recommendations for urinary stones: It is essential to drink plenty of water, aiming for over 3000 cc daily to maintain a urine output of more than 2000 cc. Avoid excessive salt intake and limit consumption of dark green ve...[Read More] Post-Surgery Diet Tips for Kidney Stone Patients: Foods and Remedies
Understanding Testicular Pain: Causes and Diagnosis
Pressure on the right lower abdomen can cause pain in the testicle? I initially thought it was appendicitis or something similar, but after a thorough examination, I discovered that the pain originated from pressure. I would like to ask the doctor for assistance, thank you.
Dr. Xu Weikai Reply:
Hello, abdominal pain can involve a wide range of diagnoses, and without further examinations, it is difficult to make a definitive diagnosis. Tests such as urinalysis, ultrasound, testicular examination, and X-rays can be performed to check for conditions like stones, infections...[Read More] Understanding Testicular Pain: Causes and Diagnosis
Managing Kidney Stones: Beyond Hydration for Pain Relief
Ultrasound examination revealed tiny sand-like particles in the kidneys? During a previous ultrasound, the doctor kindly examined other areas and found some grit in my kidneys. Since then, I occasionally experience abdominal pain. Besides drinking more water, are there any other ...
Dr. Lin Wenxu Reply:
Hello, sir: Thank you for your inquiry. In response to your question, I would like to provide the following advice: Based on your description, it is not possible to determine a diagnosis. I recommend that you visit a urology clinic for a detailed examination. Wishing you peace an...[Read More] Managing Kidney Stones: Beyond Hydration for Pain Relief
Can Vitamin B Help with Urinary Stones? Dietary Tips for Relief
Stone issues Can individuals with urinary stones take vitamin B? What can be consumed to improve the condition? Thank you.
Dr. Yan Dawei Reply:
Vitamin B is not very helpful for urinary stones; if the stones are small, drinking plenty of water can help, but if they are too large, medication or other treatments will be necessary.[Read More] Can Vitamin B Help with Urinary Stones? Dietary Tips for Relief
Can Vitamin B Help Improve Ureteral Stones or Cause Side Effects?
Urethral stones Can taking vitamin B improve urinary tract stones, or could it potentially have adverse effects? Thank you.
Dr. Xu Weikai Reply:
Hello, regarding vitamin B complex, it has no effect on kidney stones. Note: Vitamin C is related to urinary stones, and excessive amounts can easily lead to stone formation. If there are any unclear points, feel free to ask again for further discussion and research. Sincerely, D...[Read More] Can Vitamin B Help Improve Ureteral Stones or Cause Side Effects?
Understanding Urinalysis in Health Checkups: Key Insights for Urological Health
Regarding urine tests in health examinations? Hello, regarding the health check items in large hospitals (such as National Taiwan University Hospital), the tests for urine pH, urine glucose, urine protein, urine occult blood, and other ten tests, along with microscopic examinatio...
Dr. Xu Weikai Reply:
Anan: Hello, a routine urinalysis (as you listed) can serve as a preliminary screening for initial kidney disease, stones, infections, diabetes, liver, and biliary disorders. However, a correct diagnosis still requires correlation with relevant tests or clinical presentations for...[Read More] Understanding Urinalysis in Health Checkups: Key Insights for Urological Health
Understanding Penile Stones: Causes, Symptoms, and Health Implications
Penile glans and coronal sulcus calculi? Actually, this happened a long time ago, but I would like to ask for clarification. Between 1997 and 2001, I had a habit of drinking coffee and long-distance running, but I did not drink much water. In 2001, I noticed a swollen mass under ...
Dr. Xu Weikai Reply:
It appears to be just smegma, which can accumulate over the years and form a hard appearance, resembling a stone, and is unrelated to uric acid. Smegma is a substance left behind after the epidermal turnover of the penis, and everyone produces it daily, similar to dandruff. It ca...[Read More] Understanding Penile Stones: Causes, Symptoms, and Health Implications