Stones, Urology FAQ

Can Patients with Stroke Safely Undergo Extracorporeal Shock Wave Lithotripsy?

Can extracorporeal shock wave lithotripsy be performed after a stroke? My father had a stroke on December 19, 2008. Currently, he has good mobility and can take care of himself, but he continues to take medication, including anticoagulants to prevent cerebral embolism. Recently, ...

Dr. Cai Zongyou Reply:
Hello: The information you provided is currently insufficient to make a judgment. However, the situation you mentioned presents a dilemma akin to having to choose between two conflicting priorities. Both treating and not treating the stones carry risks. I recommend that you visit...

Managing Kidney Stones and Hydronephrosis After Stroke Recovery

Post-stroke renal stones and hydronephrosis? Doctor, my father had a stroke on December 19, 1997, and is currently undergoing rehabilitation. The neurologist has indicated that he has shown significant improvement and is now able to perform daily activities independently. He was ...

Dr. Liu Jianting Reply:
It's really concerning! There are risks associated with surgery within six months. If the stones are causing hydronephrosis, it may be advisable to consult a urologist for an evaluation and to determine the safest course of action.

Understanding Frequent Urination: Causes and Concerns in Daily Life

Frequent urination..? Hello Doctor: 1. If I feel the urge to urinate every hour during work hours (approximately drinking 1600 CC), does that count as frequent urination? 2. After my lunch break, I only drink about 100 CC of water, but I feel a strong urge to urinate just a few m...

Dr. Cai Zongyou Reply:
Hello: The normal bladder capacity for an adult is approximately 350 to 400 milliliters. If we consider an average daily fluid intake of 2000 milliliters, the normal frequency of urination should be about five to six times a day. Therefore, if the number of times one urinates in ...

Understanding Urine Test Results: Impact of Dehydration and Kidney Stones

Urinalysis for health check-up? Hello doctor, I recently went for a health check-up at the hospital. Since I left home early in the morning without drinking any water, and I hadn't hydrated the night before, my urine was very dark. Will this affect the results? For the urine...

Dr. Liu Jianting Reply:
The most important aspect of the urine report is that a 0.3 cm stone found on ultrasound should be monitored. There is a significant chance that it may pass on its own. Water is the best beverage and drinking more is harmless. If you are still concerned, take the report to a hosp...

Managing Recurrent Urinary Tract Infections in Postmenopausal Women

Recurrent infection Age: 56 years, Gender: Female. She experienced menopause at the age of 49 and currently has menopausal issues. There is a 0.4 cm stone in the right kidney. Two to three years ago, she was hospitalized for stone removal and lithotripsy (staghorn stone), after w...

Dr. Lin Hexing Reply:
Hello, Ms. Chen: Thank you for your question. Your issue is quite significant, and currently, there is no definitive solution. First, you are diagnosed with staghorn calculi, which is a type of infectious stone. It is essential to manage the infection effectively, ideally by usin...

Chronic Back Pain at 40: Is It a Kidney Issue or Something Else?

Having persistent lower back pain, could it be a sign of kidney problems? Hello Doctor: I am 40 years old and have been experiencing persistent lower back pain. Could this be related to kidney issues? Is there a connection with consuming milk powder? Am I at risk for kidney stone...

Dr. Lin Hongwei Reply:
There are many causes of lower back pain, including issues related to bones, nerves, muscles, fascia, and infections. Kidney disease itself does not necessarily cause lower back pain; however, if accompanied by hematuria or excessive foamy urine, or if there is a family history o...

Managing Discomfort from Kidney Stones: Essential Tips for Patients

Kidney stone-related back pain? I have a history of right kidney stones and am a carrier of hepatitis C. Recently, I have been experiencing discomfort (not pain) in the lower left back area. Doctor, what precautions should I take? Are there any methods for improvement?

Dr. Zhou Hengguang Reply:
(1) Kidney stones do not always cause pain; in fact, many instances of lower back pain are caused by injuries to the muscles and tendons adjacent to the spine. (2) For patients with kidney stones, general maintenance includes drinking plenty of water, reducing salt intake, avoidi...

Left Flank Pain: Understanding Causes and When to Seek Help

Left flank Dear Doctor: I have previously experienced severe pain in my left flank and had an X-ray that showed no signs of kidney stones. I have taken pain medication, but in recent days, the pain in my left flank has recurred and feels somewhat sore. I'm unsure what the is...

Dr. Zhou Hengguang Reply:
Left-sided lower back pain, along with some urinary symptoms (such as painful urination, frequent urge to urinate, and difficulty urinating), should raise concerns about potential kidney disease. Pay attention to pain in the lower back or lower abdomen! Possible causes include: 1...

Understanding Frequent Urination in Young Children: Causes and Concerns

Pediatric frequent urination Hello, my daughter will turn three next month. Over the past week or two, she has been experiencing frequent urination, almost every few minutes, and she also wakes up at night to urinate, even wetting the bed. Could this be a urinary tract infection?...

Dr. Tu Xiuhong Reply:
Hello: Is it urinary tract inflammation? Please visit a pediatric clinic or urology clinic for examination. Wishing you peace and health.

Persistent Blood in Urine: What to Do When Facing Urological Issues?

What should I do if I have persistent hematuria? Hello Dr. Liu, My father is a 63-year-old patient with kidney stones and bladder stones. He has undergone extracorporeal shock wave lithotripsy for kidney stones on both sides three times, as well as cystoscopy for stone removal. ...

Dr. Liu Jianting Reply:
It's really tough. I've handled a few similar cases myself, and I believe the current physicians can manage it well!

Should You Avoid Urology Appointments During Your Period?

Urinary Stone Special Clinic Hello Doctor: Due to the contaminated milk powder incident, I would like to schedule a special outpatient appointment for urinary stones, but I happen to be on my menstrual period. Should I avoid scheduling during this time? Also, what physiological p...

Dr. Zhang Chengye Reply:
Hello: Our hospital's urology outpatient clinic offers kidney ultrasound examinations or urinalysis, which are not related to the menstrual cycle. Please feel free to visit our urology outpatient clinic.

Understanding Urological Concerns: Comfort and Health Tips for Daily Commuters

Could you please provide more context or content for translation? Hello, Dr. Hsu: I have some questions I would like to ask you! <1> I ride a motorcycle to class every day, and it takes about an hour from my home to school. I sit for the entire hour, and I always wear tight...

Dr. Xu Weikai Reply:
Hello, 1. Excessive heat from seating, tight pants, or significant pressure on the perineum while cycling can potentially harm local tissues (such as the testicles and sexual nerves). It is advisable to wear loose-fitting clothing for better health. Erection and ejaculation are...

Persistent Blood in Urine After Catheterization: What to Do Next?

If your father has been experiencing continuous hematuria (blood in urine) for nearly three weeks after catheter insertion, it is crucial to seek medical attention immediately. Persistent hematuria can indicate underlying issues such as infection, trauma, or complications related...

Dr. Xu Weikai Reply:
Hello, first of all, we should consider the severity of the hematuria. Aside from the color, generally speaking, if the bleeding is more significant, blood clots will appear in the urine bag. If the amount of bleeding is minimal, there will not be any clots. If the bleeding is no...

Understanding Urological Pain: Causes, Treatments, and When to See a Doctor

excuse me? Hello: You previously mentioned that after urination, there may be muscle strain, and sometimes exerting too much effort can cause localized nerve pain. Generally, applying a warm compress to the affected area should help improve the condition. Experiencing this occasi...

Dr. Xu Weikai Reply:
Hello, regarding your question, it can be said that if local heat application improves the condition, it may indicate localized strain or neuropathic pain. As for the frequent occurrences, there might be a localized lesion, similar to what you mentioned in point 3. If your situat...

Understanding Urinary Changes and Erectile Dysfunction: When to Seek Help

Erectile dysfunction Hello doctor, I have noticed that my urine has been very yellow and has a strong odor for the past month. Could this indicate a problem? Also, is this related to my kidneys and sexual function? I've recently observed that my erectile function is not as g...

Dr. Xu Weikai Reply:
Hello, changes in the odor and color of urine may indicate infection, bleeding, or stones, and further examination is necessary. Generally, these changes are not related to sexual function; however, conditions such as stones or infections can sometimes affect the kidneys. There a...

Post-URS Stone Surgery: Understanding Blood in Urine and Recovery Concerns

Ureteroscopy with Stone Management (URS-SM) - Hematuria Issues? Dear Dr. Chang, I have some questions regarding urinary tract stones and the ureteroscopy with stone manipulation (URS-SM) procedure. 1. How many days is it normal for hematuria to persist after the surgery? Is it...

Dr. Zhang Chengye Reply:
Hello: 1. If the double J stent is removed within three days, the presence of a retained double J catheter may cause mild hematuria, which typically resolves within seven days. 2. If it has not been more than seven days and the double J stent remains in place, hematuria may persi...

Managing Kidney Stones After Surgery: Next Steps for Patients

Post-treatment for kidney stones? I apologize for the inconvenience. I previously consulted a doctor regarding my lithotripsy procedure, and I recently underwent the surgery. However, during my follow-up appointment, it was confirmed that the position of the stones has not change...

Dr. Chen Zhirong Reply:
The composition of the stone, its location within the urinary system, and the duration of its formation collectively determine the density of the stone, which is crucial in assessing whether the stone is solid and hard. Additionally, the physician's technical skill and profi...

Exploring Kidney Stone Symptoms and Alternative Testing Methods

Suspected kidney stones? Hello, Dr. Hsu. About 14 years ago, I experienced severe pain in my left lower abdomen and visited a clinic where the doctor diagnosed me with varicocele. After receiving an injection (presumably a painkiller), the pain subsided. Since then, I have occasi...

Dr. Xu Weikai Reply:
Hello, regarding kidney stones, they can generally be diagnosed through X-rays, ultrasound, and urine tests. If all three tests are normal, the likelihood of having stones is low. If you prefer not to undergo an X-ray, a combination of ultrasound and urine tests can provide nearl...

Managing Kidney Stones Detected by Ultrasound: Next Steps Explained

Ultrasound examination revealed kidney stones? I apologize, but during an ultrasound, a 0.7 cm stone was found in the left kidney. I would like to ask about the next steps for management. Should I drink more water or beer, or do I need to seek assistance from a physician for remo...

Dr. Zhang Chengye Reply:
Hello: It is essential to drink plenty of water. The common methods for stone removal are extracorporeal shock wave lithotripsy (ESWL) or percutaneous nephrolithotomy (PCNL), both of which are covered by health insurance. However, the treatment method should be determined based o...

Post-Surgery Recovery: Managing Dizziness and Concerns About Future Kidney Stones

Extracorporeal Shock Wave Lithotripsy (ESWL) Hello Dr. Hsu, I previously consulted you regarding my father who underwent ureteroscopy for stone removal. The surgery has been completed, but he has been experiencing weakness and occasional dizziness for nearly 20 days post-operatio...

Dr. Xu Weikai Reply:
Hello, after ureteroscopy for stone removal, if there are no special circumstances, you should get out of bed and move as soon as possible to regain your strength. Generally speaking, if you lie in bed for 3 days after surgery, it may take about a week to recover your original st...

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