Frequent Urination at Night: Causes and Solutions for Better Sleep
Frequent urination and nocturia? Hello Doctor: When I lie down, especially flat on my back, I feel a soreness in my penis and scrotum, along with a strong urge to urinate, even though I just went to the bathroom not long ago. When I do urinate, it’s only a small amount, and I oft...
Dr. Cai Zhuorong Reply:
If acute urinary infections, stones, or conditions such as diabetes have been ruled out, the primary consideration should be chronic prostatitis.[Read More] Frequent Urination at Night: Causes and Solutions for Better Sleep
Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...
Dr. Jiang Junyi Reply:
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Do Vitamin Effervescent Tablets and Legumes Increase Kidney Stone Risk?
What is the relationship between vitamin effervescent tablets, legume products, and kidney stones? Hello Dr. Lee, I recently underwent a kidney ultrasound due to lupus erythematosus and discovered a 0.2 cm kidney stone. The last kidney ultrasound was about a year ago, and there w...
Dr. Li Xinyi Reply:
Generally, when an ultrasound detects a 0.2 cm stone, it is often not a stone but rather some calcifications. It is important to recommend a visit to a urologist for examination. If there are genuine concerns, at least a follow-up with the urology clinic every six months is advis...[Read More] Do Vitamin Effervescent Tablets and Legumes Increase Kidney Stone Risk?
Understanding Post-Stone Treatment Discomfort: What to Expect
Abnormal sensations after stone treatment? Hello Dr. Du: In May, I asked you a question, and later I visited the hospital for a consultation. The doctor believed I might have small stones and prescribed "Benzylpenicillin tablets, Piroxicam tablets, and Alverine citrate."...
Dr. Du Shixi Reply:
Hello: 1) Treatment for kidney stones may take a considerable amount of time; however, medications typically do not cause these symptoms, and kidney stones are not commonly associated with them. It is advisable to monitor the situation. Additionally, lifestyle modifications are i...[Read More] Understanding Post-Stone Treatment Discomfort: What to Expect
Do You Need a Follow-Up for a 0.2 cm Kidney Stone?
Is a follow-up appointment necessary for a 0.2 cm kidney stone? Hello Dr. Du, I have systemic lupus erythematosus and last week I underwent a kidney ultrasound at the urology department. The results showed no signs of inflammation or damage, but the doctor mentioned there was a...
Dr. Du Shixi Reply:
Hello: More than 90% of such stones will pass, and since they are 0.2 cm in size, they usually do not cause significant discomfort. If necessary, follow-up should be done every six months. It is important to focus on stone prevention by drinking plenty of water, reducing salt int...[Read More] Do You Need a Follow-Up for a 0.2 cm Kidney Stone?
Is Blood in Urine Always a Sign of Cystitis?
The presence of blood in the urine is it a sign of cystitis? Hello Doctor: I have been experiencing lower back pain (on the right side) for about a month, and then one day I suddenly had severe pain in my lower abdomen. A few days later, I noticed visible blood in my urine. The d...
Dr. Du Shixi Reply:
Hello: I have been experiencing lower back pain (on the right side) for about a month, and then one day I suddenly had severe pain in my lower abdomen. A few days later, I noticed visible blood in my urine. The doctor suggested it might be cystitis, but I don't experience pa...[Read More] Is Blood in Urine Always a Sign of Cystitis?
Is Blood in Urine Always a Sign of Bladder Infection?
The presence of blood in the urine is it a sign of cystitis? Hello Doctor: I have been experiencing lower back pain (on the right side) for about a month, and then one day I suddenly had severe pain in my lower abdomen. A few days later, I noticed visible blood in my urine. The d...
Dr. Du Shixi Reply:
Hello: Cystitis can potentially cause hematuria, so a urinalysis should be performed to check for inflammation. After recovery, a follow-up urine test should be conducted to check for red blood cells. There are many causes of hematuria, and it is difficult to definitively say tha...[Read More] Is Blood in Urine Always a Sign of Bladder Infection?
Can Kidney Disease Patients Take Dicyclomine for Ureteral Stones?
Urethral stones Hello Doctor: I am a stage 2 kidney disease patient. Yesterday, I visited a urologist and was diagnosed with a ureteral stone. The doctor prescribed Dicyclomine. Can kidney disease patients take this medication? Is Dicyclomine a treatment drug or just for symptom ...
Dr. Du Shixi Reply:
Hello: Dicyclomine can be used to assist in the expulsion of kidney stones and should be taken with adequate hydration. It can also improve symptoms of polyuria and urinary frequency. This type of medication is commonly used for kidney stones. As for Finasteride, it has minimal i...[Read More] Can Kidney Disease Patients Take Dicyclomine for Ureteral Stones?
Understanding Urinary Stones: Symptoms, Treatment, and Recovery
Urinary stone passage? Hello Doctor, I have been experiencing a sharp pain at the urethral opening yesterday and today. Yesterday, it was just an occasional sharp sensation, but today, I feel slight discomfort even when I'm not urinating. However, towards the end of urinatio...
Dr. Du Shixi Reply:
Hello: There is a chance of recurrence with kidney stones. Generally, passing a stone indicates that there may still be other stones present. It is advisable to visit a urology department for an examination to check for any remaining stones. Additionally, review your lifestyle ha...[Read More] Understanding Urinary Stones: Symptoms, Treatment, and Recovery
Unexplained Groin Pain and Urination Issues: Seeking Answers
Difficulty urinating, swelling and sharp pain on both sides of the abdomen, and inconclusive test results may indicate issues with the urinary tract, kidneys, or bladder. It is important to consider conditions such as urinary tract infections, kidney stones, or potential obstruct...
Dr. Du Shixi Reply:
Hello: Based on your description, if the large hospital has conducted examinations and found no abnormalities, it may not be a urological issue. You might consider seeing a pain management clinic for the pain problem. Wishing you good health.[Read More] Unexplained Groin Pain and Urination Issues: Seeking Answers
Severe Left Lower Abdominal Pain After Prostate Surgery: Seeking Medical Advice
Severe pain in the lower left abdomen one month after prostate surgery affecting daily life? Hello Doctor, My father underwent a prostatectomy one month ago and has been recovering at home. A week ago, he started experiencing severe pain in the left lower abdomen near the groin...
Dr. Cai Zhuorong Reply:
The condition you described is relatively uncommon and may require further examination.[Read More] Severe Left Lower Abdominal Pain After Prostate Surgery: Seeking Medical Advice
Post-Surgery Back Pain After Ureteral Stone Removal: What to Expect
Persistent lower back pain after the removal of a double J stent following urinary tract stone surgery? Hello Doctor, my mother underwent surgery for urinary tract stones two weeks ago. Last Thursday, she returned for a follow-up appointment to have the double J stent, which had ...
Dr. Du Shixi Reply:
Hello: Generally, if there is no injury, regarding infection, antibiotics will be prescribed. Drink plenty of water and avoid holding in urine; it will gradually improve. However, if back pain or hematuria worsens, or if you develop a fever, seek medical attention immediately. Wi...[Read More] Post-Surgery Back Pain After Ureteral Stone Removal: What to Expect
Understanding Prostatitis: Symptoms, Treatment, and Alternatives
Prostatitis Recently, I visited the urology department due to penile pain, which is most pronounced at the left anterior tip of the penis, with some discomfort also at the base. I underwent multiple urinalyses, all of which returned normal results, and X-rays ruled out previous u...
Dr. Du Shixi Reply:
Hello: Your description (especially the pain) requires a detailed examination, please go to a major hospital for an evaluation. As for your question to the doctor about whether there are other possible conditions besides prostatitis: it's hard to say, as prostatitis is inher...[Read More] Understanding Prostatitis: Symptoms, Treatment, and Alternatives
Unexplained Urinary Pain: Causes, Tests, and Treatment Options
Unexplained urinary pain? Hello Doctor, regarding my previous inquiry about recurrent urinary tract infections, I later followed up with my gynecologist, who indicated that my last three urine tests were normal and showed no signs of infection. I continue to maintain cleanliness ...
Dr. Du Shixi Reply:
Hello; 1. What tests should I undergo when visiting a urologist? --> Generally, a urinalysis, X-ray, and medication may be recommended. 2. Sometimes I experience lower back pain, but I'm not sure if it's muscular pain or related to the kidneys. Could this be a sign o...[Read More] Unexplained Urinary Pain: Causes, Tests, and Treatment Options
Interstitial Cystitis or Chronic Cystitis: Understanding Your Bladder Symptoms
Interstitial cystitis? Or chronic cystitis? Hello, doctor. Last year, during a health check-up, I had a urine test that showed trace blood (1+). After experiencing acute cystitis at the end of January, I began to have bladder discomfort and issues with urination. A urologist perf...
Dr. Li Minghui Reply:
Hello: Your issue is related to bladder symptoms, and it is important to confirm with a gynecologist that there are no gynecological problems. The relationship with sexual activity should also be considered. If urinalysis is normal and urodynamic testing is acceptable, it can onl...[Read More] Interstitial Cystitis or Chronic Cystitis: Understanding Your Bladder Symptoms
Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Treatment Options
Interstitial cystitis Hello, doctor. Last year, during a health check-up, I had a urine test that showed trace blood (1+). After experiencing acute cystitis at the end of January, I began to have bladder discomfort and issues with urination. A urologist performed bladder and kidn...
Dr. Du Shixi Reply:
Hello: Your issue pertains to bladder symptoms, and it is important to confirm with a gynecologist to rule out any gynecological problems. Consider whether sexual activity may be related as well. If urinalysis is normal and urodynamic testing is also acceptable, it can only be sa...[Read More] Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Treatment Options
Can Unpassed Kidney Stones Lead to Urinary Tract Infections?
Retained calculi If the stone fragments are not expelled after being shattered, can this lead to a urinary tract infection?
Dr. Du Shixi Reply:
Hello: Inflammation is rare because stones are theoretically clean. If there is a history of urinary tract infections, there is a higher chance of developing infected stones, or if there are underlying chronic diseases or immune disorders. Otherwise, the likelihood of inflammatio...[Read More] Can Unpassed Kidney Stones Lead to Urinary Tract Infections?
Understanding Urethral Mucosal Inflammation: Causes and Symptoms
Urethral epithelial inflammation Thank you for your previous response. I found some relevant health education information stating: "Regarding the urethra when not urinating, sensations often arise from the urethral epithelium and the subepithelial mucosal tissue due to infla...
Dr. Du Shixi Reply:
Hello: If the urine test results are normal, the likelihood of inflammation is low. If you're still concerned, repeating the urine test multiple times with normal results further decreases the chances. If there are stones causing abrasions or injuries, it is likely that the ...[Read More] Understanding Urethral Mucosal Inflammation: Causes and Symptoms
Understanding Urethral Pain After Lithotripsy: Causes and Treatments
Urethral pain I underwent extracorporeal shock wave lithotripsy on June 5th of this year. Recently, during a follow-up ultrasound, the doctor mentioned that there is only a small white spot left, which should be able to pass out with hydration. However, I have another concern. Be...
Dr. Jiang Junyi Reply:
Hello Peter, The symptoms you mentioned seem to suggest a consideration of perineal neuropathy. I wonder if you have a habit of long-distance cycling? Additionally, do you have any issues related to the prostate? At this point, antibiotic treatment may be necessary. Before using...[Read More] Understanding Urethral Pain After Lithotripsy: Causes and Treatments
Post-Extracorporeal Shock Wave Lithotripsy: Understanding Pain and Recovery
Post-extracorporeal shock wave therapy (ESWT) I underwent extracorporeal shock wave lithotripsy on June 5th of this year. Recently, during a follow-up ultrasound, the doctor mentioned that there is only a small white spot (0.38 cm) remaining, which should be able to pass out with...
Dr. Du Shixi Reply:
Hello: After lithotripsy, there shouldn't be too many side effects. If you experience painful urination, it may be due to the passage of stone fragments. Drinking plenty of water can help, as it may expedite their expulsion. Wishing you good health.[Read More] Post-Extracorporeal Shock Wave Lithotripsy: Understanding Pain and Recovery