Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties
Cervical spine dysfunction I have been experiencing shoulder and neck pain for a long time. Since the end of September last year, I started having some difficulty swallowing. I went to an otolaryngologist who confirmed that there were no growths in my throat. I was then referred ...
Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "swallowing is still difficult, and I have recently noticed that the pain in my shoulders, neck, and back has become more severe... Could this be related to my cervical spine?" I suggest considering the symptoms related to the cervical ...[Read More] Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties
Post-Prostate Surgery Medication: Should You Continue Taking UroLift?
Medications After Prostate Surgery Hello, doctor. Three years ago, I underwent prostate surgery. After the surgery, my attending physician prescribed UroLift for benign prostatic hyperplasia, one tablet daily. After three months, the dosage was changed to one tablet every two day...
Dr. Du Shixi Reply:
Hello: If it helps with urination, I personally recommend long-term use. Wishing you good health.[Read More] Post-Prostate Surgery Medication: Should You Continue Taking UroLift?
Post-Operative Care After Cystoscopy for Bladder Stones: Key Considerations
Post-operative care issues after cystoscopy for bladder stone removal? Hello, my father is 73 years old. He was diagnosed with prostate adenocarcinoma in 2018 and underwent a prostatectomy, followed by radiation therapy in 2019. Recently, he experienced hematuria and underwent a ...
Dr. Du Shixi Reply:
Hello: Since I did not perform the examination, generally, wounds heal within 1-2 months. If you are concerned, you can have another cystoscopy done 1-2 months after stabilization to check if the bladder wound has healed before making any decisions. Maintaining a calm mindset is ...[Read More] Post-Operative Care After Cystoscopy for Bladder Stones: Key Considerations
Post-CO2 Laser Surgery Care for Genital Warts: Common Concerns and Tips
What is the post-operative care for CO2 laser surgery for warts? Hello doctor, I underwent CO2 laser surgery last week to treat warts on my foreskin and glans. I have been applying the silver sulfadiazine cream prescribed by the doctor twice daily, in the morning and before bed, ...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Post-CO2 Laser Surgery Care for Genital Warts: Common Concerns and Tips
Post-Circumcision Care: Understanding Healing and Complications
Post-circumcision care Hello doctor, it has been a month since my circumcision surgery. The surgical wound is wrinkled, and there are scabs and peeling. The frenulum also has a thin layer of skin adhering to it, and there are large scabs at the edges. Is this normal?
Dr. Sun Hongshun Reply:
Hello Fox: Based on what you described (not seeing the wound), it is possible that it is still in the transitional phase and has not fully healed. Generally, it should improve within the next two weeks. If you have any concerns, feel free to return for a follow-up appointment.[Read More] Post-Circumcision Care: Understanding Healing and Complications
Post-Surgery Pain After Inguinal Hernia Repair: Causes and Solutions
Tearing pain near the incision site after inguinal hernia surgery? Hello doctor, I underwent inguinal hernia surgery at a hospital in Taichung on March 20, 2024, and I paid out of pocket for a biological mesh costing 30,000 TWD. Since the surgery, I have been experiencing sharp, ...
Dr. Lin Wenxu Reply:
Hello Mr. Ada: Regarding your postoperative recovery status, it is advisable to return for a follow-up consultation with your attending physician. Dr. Lin Wen-Hsu, Urology Department, Nantou Hospital.[Read More] Post-Surgery Pain After Inguinal Hernia Repair: Causes and Solutions
Managing Residual Debris After Childhood Circumcision: What to Do?
After circumcision in childhood, it is still easy to accumulate smegma even after the stitches are removed? Hello doctor, over 20 years ago I had a circumcision, and after the stitches were removed, the surgeon informed my family that there would be a hole left behind where debri...
Dr. Du Shixi Reply:
Hello: It should be just maintaining cleanliness, no further surgery is needed. Wishing you good health.[Read More] Managing Residual Debris After Childhood Circumcision: What to Do?
Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...
Dr. Jiang Junyi Reply:
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Understanding Possible Symptoms of Tourette Syndrome in Adults
Symptoms of suspected Tourette syndrome? Hello, doctor. I have a friend who is 26 years old, and after spending a long time together, I've noticed several symptoms that seem to suggest Tourette syndrome. 1. He often makes a light coughing sound or clears his throat when he i...
Dr. Jiang Junyi Reply:
Hello Mr. Tim, You mentioned that one shoulder tends to shrug habitually, which may suggest Tourette syndrome. However, if it does not affect your daily life, you can coexist with this condition peacefully. It is generally recommended to maintain a regular lifestyle, with early ...[Read More] Understanding Possible Symptoms of Tourette Syndrome in Adults
Managing Left Shoulder Pain After Dislocation: Treatment Options
Left shoulder bone pain? Two years ago, I fell from a ladder and dislocated my shoulder. Recently, I've been experiencing pain that worsens with changes in the weather, and my arm and shoulder often feel sore. I also have numbness in my hand and difficulty lifting it, and it...
Dr. Huang Hongling Reply:
It is recommended to first visit an orthopedic outpatient clinic for evaluation![Read More] Managing Left Shoulder Pain After Dislocation: Treatment Options
Understanding Urinary Issues: Causes and Solutions for Better Health
Urinary problems During the day, I often find it difficult to urinate and need to exert effort to produce only a small amount. At night, I wake up about three times to urinate, but again, I have to strain to get just a few drops. I had gynecological surgery in the past and my ute...
Dr. Du Shixi Reply:
Hello: It is best to seek medical examination. If you prefer not to or if the symptoms are mild, you can perform Kegel exercises. Wishing you good health.[Read More] Understanding Urinary Issues: Causes and Solutions for Better Health
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...
Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned experiencing "pulsating pain in the left posterior part of the head for a few seconds, and occasionally feeling a slight pressure pain in the head." This may be related to muscle and fascia tightness in the cervical spine, as well as cervic...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Muscle Twitches and Weakness: Understanding Neurological Symptoms
Muscle twitching Hello, doctor. I am the patient who consulted you last time after hitting my head. I have been really busy at work and unable to visit the hospital for a check-up, so I have been observing my condition. I have noticed that from February 28 to now, March 14, I hav...
Dr. Jiang Junyi Reply:
Hello Mr. Pan: You mentioned "weakness in the limbs accompanied by muscle twitching and spasms." Generally speaking, the causes of limb weakness and muscle twitching can involve not only the muscles and nerves but also some metabolic disorders such as thyroid dysfunctio...[Read More] Muscle Twitches and Weakness: Understanding Neurological Symptoms
Post-Circumcision Complications: Addressing Tightness and Pain Issues
Post-circumcision issues: stenosis? Hello, doctor. The surgeon made me feel very casual about my situation, so I would appreciate your answers to my questions. Thank you. Originally, I only had a condition of phimosis, where the foreskin could be retracted normally when not ere...
Dr. Du Shixi Reply:
Hello: 1. There is a hard structure resembling a blood vessel located directly beneath the right side of the wound, extending from the center to the posterior ligament [Image 2]. This appeared approximately 8 days post-surgery, and during an erection, the hardness causes pressu...[Read More] Post-Circumcision Complications: Addressing Tightness and Pain Issues
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello Doctor, I have been experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom or after ...
Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned "fourth cranial nerve palsy." Generally speaking, strabismus is caused by abnormal function of the six extraocular muscles. In the case of nerve palsy, it may be necessary to identify the underlying cause of nerve inflammation. If symptoms ...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Understanding Resistance in Erection: Causes and Treatment Options
Erection is met with resistance when directed upwards? Hello doctor, since I was young, my erection has been about 80 degrees, and there is no curvature. However, when I try to raise it, there is resistance, and going beyond 90 degrees can be uncomfortable and even a bit painful....
Dr. Du Shixi Reply:
Hello: Since I was young, my erection has been around 80 degrees, and there is no curvature. However, when I try to raise it, there is resistance, and going beyond 90 degrees can be uncomfortable or even slightly painful. The hardness and other aspects are normal, and I have not ...[Read More] Understanding Resistance in Erection: Causes and Treatment Options
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using th...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai: You mentioned experiencing a pulsating pain in the left posterior part of your head for a few seconds, and the physician diagnosed it as a fourth cranial nerve palsy. For the headache component, it may be necessary to consider abnormalities in the cervical spine. ...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Should You Consider Circumcision? Understanding the Pros and Cons
Should circumcision be performed? Hello, doctor. I am an 18-year-old male. My foreskin can be easily retracted for cleaning when not erect, but it is difficult to retract during an erection, exposing only a small portion. However, I clean it daily while showering, and there are n...
Dr. Du Shixi Reply:
Hello: 1. Is circumcision necessary in this situation? Based on your description, surgery is not mandatory; some individuals choose to pay for it themselves, depending on personal decision. 2. Is this a severe case of phimosis? No. 3. Is this situation common? Yes, it is common...[Read More] Should You Consider Circumcision? Understanding the Pros and Cons
Managing Post-Prostate Cancer Surgery: Nighttime Urination and Treatment Options
Post-prostate cancer surgery Hello Director Lee, my father underwent a Da Vinci surgery for stage 2 prostate cancer last August and is currently living normally. However, he still experiences nocturia, and the frequency is higher than before the surgery! He also has issues with u...
Dr. Li Minghui Reply:
Hello: If you feel that urinary incontinence and nocturia do not require medication, you can choose not to take it. However, if you believe it affects your quality of life, it is advisable to consult a physician. There are various medications available that can help improve the c...[Read More] Managing Post-Prostate Cancer Surgery: Nighttime Urination and Treatment Options
Managing Post-Surgery Urinary Issues After Da Vinci Prostate Cancer Treatment
Da Vinci Surgery (Stage II Prostate Cancer) Hello, doctor. My father underwent a Da Vinci surgery for stage 2 prostate cancer last August and is currently living normally. However, he still experiences nocturia, and the frequency is higher than before the surgery. He also has som...
Dr. Du Shixi Reply:
Hello: If you feel that urinary incontinence and nocturia do not require medication, you can choose not to take any. However, if you believe they are affecting your quality of life, it is advisable to consult a physician. There are various medications available that can help impr...[Read More] Managing Post-Surgery Urinary Issues After Da Vinci Prostate Cancer Treatment