Duration of Antiepileptic Medication After Traumatic Brain Injury
Regarding the prevention of traumatic brain injury with the use of antiepileptic drugs? Dr. Jiang, I had a car accident previously that caused a subarachnoid hemorrhage, so I am taking preventive medication. How long do I need to take the anticonvulsants? What is the likelihood o...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, the incidence of seizures following a traumatic brain injury that causes intracranial hemorrhage is about 5-15%. However, this depends on the severity of the brain injury and the extent of the damage to the brain. The potentia...[Read More] Duration of Antiepileptic Medication After Traumatic Brain Injury
Understanding Penile Pearly Papules: Causes and Treatment Options
Coronal groove nodule Doctor, I have a hard lump at the lower edge of the coronal sulcus. It only becomes noticeable and painful during intercourse in the later stages of an erection; otherwise, when not erect, there is no lump. The doctors I consulted said they couldn't see...
Dr. Li Xinyi Reply:
It could be chronic microtrauma, such as soft tissue inflammation caused by vigorous sexual activity, which may result in a slower recovery. If there are any concerns, it is advisable to visit a urologist for an in-person examination and discussion with the doctor.[Read More] Understanding Penile Pearly Papules: Causes and Treatment Options
Understanding Sudden Pain in the Penis or Testicles After Masturbation
Masturbation issues? I would like to ask the doctor about experiencing sudden pain in the penis or testicles for a few seconds after masturbation or occasional erections, but it resolves after a while. Is this normal? Could it be related to the fact that I have been engaging in l...
Dr. Li Xinyi Reply:
Excessive and prolonged masturbation can cause trauma to the tissues of the penis, including the lymphatic and nerve structures, as well as injury to the pelvic floor muscles. Consequently, various symptoms may arise.[Read More] Understanding Sudden Pain in the Penis or Testicles After Masturbation
Understanding Head Pain: Possible Causes After a Recent Accident
Head issues Hello Doctor, I would like to ask about some recent symptoms. I've been experiencing some headaches in the left posterior part of my head (sometimes other areas hurt, but not often). The pain is not severe; it comes in waves and usually focuses on one point. Some...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical myofascial pain. During head trauma, the neck muscles can sustain injuries due to external forces. If the cervical spine is improperly used at this time, such as by looking down while using electronic devi...[Read More] Understanding Head Pain: Possible Causes After a Recent Accident
Persistent Mild Penile Pain: Causes and Concerns Explored
Mild penile pain for several months? Hello, Dr. Tsai. Recently, I've been experiencing a vague discomfort in my genital area, with mild pain that has persisted for about six months. There has been no trauma, and I maintain proper hygiene daily. I only know that I had a sexua...
Dr. Cai Zhuorong Reply:
There are a few cases of gonorrhea transmitted through oral sex in the medical literature, and chlamydial urethritis is also not entirely impossible. It is recommended that you undergo testing again.[Read More] Persistent Mild Penile Pain: Causes and Concerns Explored
Understanding Body Rocking Sensation: Is It Dizziness or Something Else?
Body swaying sensation Hello Doctor, I have been experiencing a sensation of my lower body swaying back and forth or side to side a few times while sitting or lying down over the past three days. This occurs every 30 to 40 seconds, but I do not feel it when walking. Could this be...
Dr. Hong Weibin Reply:
Hello: The sensation of swaying while sitting or in a stationary position is referred to as disequilibrium. This is primarily caused by issues with the vestibular system in both ears, and to a lesser extent, by problems in the cerebellum. Common causes may include infections, tra...[Read More] Understanding Body Rocking Sensation: Is It Dizziness or Something Else?
Why Does My Head Hurt After Boxing? Understanding Post-Workout Pain
Experiencing pain at the back of the head the day after boxing? Experiencing dizziness immediately after being hit during boxing, even if the back of the head was not struck, can be attributed to several factors. The impact may have caused a concussion or a mild traumatic brain i...
Dr. Jiang Junyi Reply:
Hello: The most common cause of bilateral neck pain is cervical myofascial pain, which may occur due to soft tissue injury from external force. It is recommended to: 1. Rest: Resting allows the muscles to utilize their self-repair capabilities, and vigorous exercise should be avo...[Read More] Why Does My Head Hurt After Boxing? Understanding Post-Workout Pain
Understanding Penile Curvature and Discomfort During Erection: Causes and Concerns
Erectile dysfunction? Hello, doctor! My penis bends to the left when erect, and the section that curves becomes tight and dark during the erection process, as if blood flow is not smooth. The shape changes such that the front and back sections are enlarged, but the middle section...
Dr. Li Xinyi Reply:
It could be Peyronie's disease, which may be related to chronic minor trauma and genetic factors. It is advisable for you to first visit the urology department at a major hospital, specifically the erectile dysfunction clinic (even though you may not have significant erectil...[Read More] Understanding Penile Curvature and Discomfort During Erection: Causes and Concerns
Testicular Injury: Should You Worry About Fertility Issues?
Testicular issues? Hello doctor, last week while playing basketball, I got kicked in the testicles. It was quite painful at the moment, and I wasn't sure if it was just psychological. The dull pain lasted for about an hour, but after I focused on other things, I didn't ...
Dr. Li Xinyi Reply:
Generally, treatment is required for testicular rupture caused by trauma or traumatic epididymitis. Based on your description, there should be no issues; however, if you have concerns, it is advisable to consult a urologist for an examination and discuss it with the physician.[Read More] Testicular Injury: Should You Worry About Fertility Issues?
Understanding Hematuria: Causes and When to Seek Medical Help
Hematuria Blood in the urine, sometimes appearing as blood streaks, without accompanying lower back pain or a burning sensation during urination, can have several potential causes. Since the urine test showed traces of blood but no bacteria, it may suggest a few possibilities suc...
Dr. Li Xinyi Reply:
Given your age, the most likely cause is a stone. You should see a urologist for an examination and discuss it with your doctor![Read More] Understanding Hematuria: Causes and When to Seek Medical Help
Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Riding a motorcycle in the rain can be dangerous, leading to accidents and head injuries? Hello, Doctor. I had a motorcycle accident on December 21, 2019, where I fell while wearing a helmet and hit my head. At that time, I felt a pressure and pain in the right side of my head, a...
Dr. Hong Weibin Reply:
Hello: The observation period for head trauma is generally about 7 to 14 days. A small number of patients with head injuries may experience delayed intracranial hemorrhage or axonal injury to the brain. During the observation period, the main concern is the potential for such ble...[Read More] Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Understanding Epididymal Cysts and Varicocele: Your Concerns Addressed
Epididymal cysts and varicocele issues? I have felt a hard, round lump about 0.3 cm in size around my left epididymis. It feels smooth and moves when touched. I previously went to the hospital for an examination, and the doctor said it was an epididymal cyst and that it wouldn&#x...
Dr. Du Shixi Reply:
Hello: Blisters are relatively easy to understand, but they may not necessarily contain water; they could be filled with other fluids. There are varying opinions on this, but the tactile sensation is generally the same. How long does a normal epididymal cyst typically take to dis...[Read More] Understanding Epididymal Cysts and Varicocele: Your Concerns Addressed
Post-Surgery Anxiety and Restlessness from New Antiepileptic Medication
Post-operative agitation and anxiety as side effects of using the medication Uriel after a subdural hematoma surgery? Hello Doctor, my father is 66 years old and has a history of epilepsy, Parkinson's disease, and head trauma. He used to take two tablets of Depakene 500mg an...
Dr. Jiang Junyi Reply:
Hello: You can first discuss your concerns with the primary care physician. If the primary care physician is unfamiliar with the medications, they typically consult with a specialist at the hospital via phone, which is the practice at our institution. Regarding the medications De...[Read More] Post-Surgery Anxiety and Restlessness from New Antiepileptic Medication
Understanding Urethral Stricture: Treatment Options and Concerns
Urethral stricture Hello, Doctor. I have been experiencing a very low urine flow for some time, taking about 1.5 to 2 minutes to urinate. I previously ignored this situation, but recently I went to the hospital for a cystoscopy. The attending physician diagnosed me with urethral ...
Dr. Cai Zhuorong Reply:
Q: I have seen cases where only a catheter was used for dilation. Is this method feasible? A: Urethral dilation can be performed using devices called urethral sounds, or by using an OTIS urethrotome or optical urethrotome for incision. A catheter still needs to be placed for se...[Read More] Understanding Urethral Stricture: Treatment Options and Concerns
Understanding Head Trauma: Symptoms and Risks of Brain Injury
Head trauma Doctor, may I ask: I bumped the right side of my head against a wall five days ago. I only have slight headaches and neck and shoulder pain, with no other discomfort. Is this a normal condition after a head injury, or is there a possibility of a slow brain bleed or in...
Dr. Hong Weibin Reply:
Hello: Head injuries require caution, as there is a possibility of delayed intracranial hemorrhage. You may seek assistance from a neurologist for evaluation and follow-up in the outpatient clinic 1-2 times. Wishing you a speedy recovery.[Read More] Understanding Head Trauma: Symptoms and Risks of Brain Injury
Understanding Head Trauma: Symptoms and Risks of Intracranial Bleeding
Head trauma Hello Doctor: On October 11, I hit the right side of my head against a wall. It was very painful at the moment, but after a few minutes and until the next day, there was no pain. Starting on October 13, I began to experience pain on the right side of my head extending...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emerge...[Read More] Understanding Head Trauma: Symptoms and Risks of Intracranial Bleeding
Understanding Nerve Damage After a Fall: Symptoms and Concerns
I accidentally fell backward while exercising? Two days ago, I accidentally fell backward while exercising and hit my head. The next day, I went to see a doctor because my shoulder was very sore. The doctor advised me to let my muscles rest for a few days. However, when I got hom...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indeed warrant consideration of nerve compression. Taking the ulnar nerve as an example, resting the elbow on a hard surface or applying pressure to the elbow can likely lead to ulnar nerve pathology. Activities such as typing on a computer or scarring and fi...[Read More] Understanding Nerve Damage After a Fall: Symptoms and Concerns
Severe Head Pain During Orgasm: Causes and Concerns Explained
Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained
Understanding Right-Sided Top Head Pain: Is It Migraines?
Pain on the right side of the scalp? Hello, doctor. I have been unable to find much information online about pain at the top of my head, so I am reaching out to inquire. Recently, I have noticed that whenever I experience a headache, it is always on the right side of the top of m...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) It is often bilateral, located in the occipital and parietal regions, and sometimes the pain can be widespread. The nature of the pain is dull, aching, wi...[Read More] Understanding Right-Sided Top Head Pain: Is It Migraines?
Understanding Testicular Bruising After Trauma: Causes and Concerns
Testicular hematoma Hello, doctor. A few days ago, I was in a car accident, and the skin on my testicles was slightly scraped. The next day, I noticed some purple discoloration on my testicles, similar to a bruise, but it doesn't hurt unless I touch it. I am also taking anti...
Dr. Du Shixi Reply:
Hello: If you have a wound, you should inform your physician and undergo an examination during your follow-up visit. Significant injuries may swell and be tender to the touch. For now, keep the area dry and monitor for any swelling or tenderness. If these symptoms occur, seek med...[Read More] Understanding Testicular Bruising After Trauma: Causes and Concerns