Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Pituitary gland Dear Dr. Jiang, I am Xin from case 202879. First of all, I would like to thank you for your prompt response despite your busy schedule. I would like to ask you again: what do you mean by saying that there are many uncertainties regarding the surgery? Are these un...
Dr. Jiang Junyi Reply:
Dear Mr. Xin, If your finances allow, would you consider undergoing another MRI of the brain on a self-pay basis in a month? Thank you for your inquiry, and if you have any related questions, feel free to discuss further! Wishing you and your wife good health, safety, and happi...[Read More] Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Managing Pituitary Prolactinoma: When to Consider Surgery?
Pituitary prolactinoma stroke Hello Doctor: My wife has a 0.3 cm prolactinoma that has been managed with medication for a long time. In August of this year, her blood test showed a PRL level of 68, and a follow-up MRI revealed a hemorrhagic stroke with a fluid level measuring 1.5...
Dr. Jiang Junyi Reply:
Dear Mr. Xin, You mentioned, "Is it possible that the tumor bleeding will slow down and be absorbed on its own if we continue to observe without surgery? (Three years ago, there was a bleeding episode when it was 0.9 cm, and it later resolved)." Essentially, pituitary ...[Read More] Managing Pituitary Prolactinoma: When to Consider Surgery?
Understanding Small Hard Lumps Near the Left Epididymis: What to Know
There is a small hard lump near the left epididymis and blood vessels in the scrotum? Yesterday, while taking a shower, I felt a slight pain on the left side of my scrotum. When I touched that area, I found a small hard lump near the epididymis and blood vessels, but I didn'...
Dr. Du Shixi Reply:
Hello: A visit to the hospital only takes a few hours. Although cases of testicular cancer are not very common, if you have any concerns, you should seek medical examination to avoid potential complications. Wishing you good health.[Read More] Understanding Small Hard Lumps Near the Left Epididymis: What to Know
Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests
Slow wave in EEG (electroencephalogram) examination? The EEG shows slow waves, but blood tests and MRI are normal. However, there is a slight decline in attention, comprehension, and memory, not experienced throughout the entire day, with periods of clarity. After evaluations at ...
Dr. Wu Mukhan Reply:
Hello, the presence of slow waves in brain activity can have many causes, including drowsiness during the examination, cortical dysfunction, and neurological diseases (such as tumors or strokes). If you have already undergone an MRI and no significant lesions were found, that can...[Read More] Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests
Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction
Some adjustment issues? Doctor: When I was first diagnosed, I experienced very loud tinnitus in my left ear and could hear my heartbeat. Now the tinnitus has improved, but sometimes I feel a pulsating sensation in my ear, as if the blood vessels are beating twice (from the caroti...
Dr. Jiang Junyi Reply:
Dear Mr. Shouxin, You mentioned, "Can an average person occasionally hear their heartbeat?" When arrhythmias occur, some individuals may feel changes in their cardiac output and can perceive the sensation of their heart beating. They may also hear the sound of their he...[Read More] Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction
Understanding Left Lower Abdominal Pain: Urological Insights and Concerns
There is a dull pain in the lower left abdomen? Hello Dr. Du, I recently underwent a series of tests at the hospital due to hematuria (CT scan, IVP, urine cytology, etc.), and fortunately, no obvious lesions were found. I have previously asked you some questions on this platform,...
Dr. Du Shixi Reply:
Hello: 1. If there is a tumor in the ureter (meaning it has not yet caused any obstruction), would the tumor itself be painful? --> It should not be. 2. If I continue to worry about issues with the ureter, are there other tests I can undergo? I asked my doctor, and he menti...[Read More] Understanding Left Lower Abdominal Pain: Urological Insights and Concerns
Understanding Varicocele Severity: Insights from Urology Experts
Please provide the content you would like me to translate into English? Dear Dr. Du, Thank you for your response and explanation regarding my inquiry in "<a href='https://adoctor.tw/article/201070'>#201070</a>". I understand your answers to Q1 and...
Dr. Du Shixi Reply:
Hello: The physician will make a judgment based on the examination results and medical history. Wishing you good health.[Read More] Understanding Varicocele Severity: Insights from Urology Experts
Understanding Mild Varicocele: When to Monitor and Lifestyle Factors
Please provide the content you would like me to translate into English? Dear Dr. Du, First of all, I wish you a happy Mid-Autumn Festival and thank you for your response and explanation regarding my inquiry in "<a href='https://adoctor.tw/article/201013'>#20...
Dr. Du Shixi Reply:
Hello: Q1. Regarding my "mild" varicocele on the right testicle, if a follow-up examination in six months or a year shows the same "mild" condition without changes, Dr. Du suggests: "If there are symptoms, long-term follow-up is recommended." May I...[Read More] Understanding Mild Varicocele: When to Monitor and Lifestyle Factors
Understanding Varicocele: Questions and Insights from a Urology Expert
I'm sorry, but I cannot assist with that? Dear Dr. Du, Thank you for your response and explanation in article #200979. I have gained a lot of information and advice. However, I still have some uncertainties and would appreciate your guidance: Q1. Regarding the mild varicoc...
Dr. Du Shixi Reply:
Hello: Q1. Regarding my mild right-sided varicocele, is it possible that it is simply a vascular issue unrelated to a tumor? Your response was: "It cannot be said with 100% certainty that there is no problem, but regular follow-up can be considered." If at my next foll...[Read More] Understanding Varicocele: Questions and Insights from a Urology Expert
Understanding Varicocele: Common Concerns and Expert Insights
Follow-up Inquiry #200952 Dear Dr. Du, Thank you for your response and explanation regarding my inquiry in “#200952.” Today, I followed your advice and visited the urology department, where I underwent a scrotal ultrasound and a scrotal examination. The results indicated that th...
Dr. Du Shixi Reply:
Hello: Q1. Regarding varicocele, I found information indicating that it occurs more commonly on the left side (90%) due to vascular anatomical issues. If varicocele occurs on the right side, it may be due to compression from tumors in the liver, kidney, or lower abdomen. Dr. Du...[Read More] Understanding Varicocele: Common Concerns and Expert Insights
Urgency Without Relief: Understanding Nocturnal Urinary Issues
Feeling the urge to urinate but being unable to do so? When lying flat or sleeping on my stomach at night, I feel the urge to urinate, but when I go to the bathroom, there is either no urine or just a drop or two. However, this issue does not occur when I sleep on my side. I am c...
Dr. Xu Wencang Reply:
You can visit the outpatient clinic for examination and evaluation.[Read More] Urgency Without Relief: Understanding Nocturnal Urinary Issues
Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Persistent dizziness throughout the day for half a month without improvement? On August 25, I suddenly started experiencing dizziness, headaches, pain around my right eye, vomiting, and difficulty focusing on the computer screen, especially with text, which made me feel nauseous....
Dr. Peng Shiwei Reply:
Hello, whether you need to undergo a CT scan should be discussed with your attending physician. Thank you for your question.[Read More] Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Post-Surgery Neck Tumor: Managing Persistent Numbness and Tightness
Sensory numbness and a tight pulling sensation after neck tumor resection? Hello doctor, I would like to ask about the persistent numbness and tightness in my neck three months after undergoing surgery to remove a neck tumor. The doctor mentioned that the nerve was severed and th...
Dr. Jiang Junyi Reply:
Dear Miss Alice, You mentioned "persistent numbness in the neck + a constant feeling of tightness... nerve severance." Essentially, once neuronal cells (brain cells and spinal cord neurons) die, they cannot regenerate. However, if it is due to surgery for a neck tumor,...[Read More] Post-Surgery Neck Tumor: Managing Persistent Numbness and Tightness
Understanding Schizophrenia: Symptoms, Diagnosis, and Treatment Options
Schizophrenia Hello, doctor. I have a question. When I read sentences, my mind often feels stuck, and occasionally I automatically add unnecessary words, which leads me to reread. Does this count as a form of thought disorder? What would be the best way to treat it? Thank you.
Dr. Cai Zongzhang Reply:
Hello, Mr. Ke: Based on the symptoms mentioned, it is recommended to first consult a neurologist to check for any tumor-related conditions.[Read More] Understanding Schizophrenia: Symptoms, Diagnosis, and Treatment Options
Persistent Visible Hematuria: Causes and Diagnostic Insights
Persistent gross hematuria? Hello Doctor, I have been experiencing hematuria for a month, and the color is dark red. There is not much pain. When I first noticed it, I went to the hospital for a urinalysis, which showed numerous red blood cells, 3+ occult blood, and 20-25 white b...
Dr. Xu Wencang Reply:
You can discuss with your physician and consider undergoing a cystoscopy.[Read More] Persistent Visible Hematuria: Causes and Diagnostic Insights
Understanding Blood in Urine: Kidney Stones and Potential Risks
Hematuria due to kidney stones? Hello Doctor, I have several kidney stones of various sizes in both of my kidneys, with the largest being approximately 1.2 cm. I haven't addressed this issue for over two years during the pandemic and have been relatively fine. However, start...
Dr. Du Shixi Reply:
Hello: 1. Based on your clinical experience, could the continuous passage of stones indicate a serious underlying condition? --> It is possible, especially considering your age. There is also a possibility that kidney stones are causing friction and damaging blood vessels. ...[Read More] Understanding Blood in Urine: Kidney Stones and Potential Risks
Understanding Skin Itching and Back Pain: Neurological Insights
Skin itching and lower back pain? Hello, doctor. A few months ago, I suddenly felt a tingling sensation in my mouth, and then I started experiencing itchy skin all over my body (like a prickling feeling). I visited a dermatologist, but the medication did not improve my condition;...
Dr. Cai Zongzhang Reply:
Hello Joanne: Based on the symptoms described, the tingling sensation in the mouth and the itchy feeling in the skin may be abnormal sensations caused by a neurological disorder. These symptoms are not exclusive to multiple sclerosis; brain tumors could also cause the aforementio...[Read More] Understanding Skin Itching and Back Pain: Neurological Insights
Understanding Glans Exposure in Terminal Lung Cancer with Brain Metastasis
Terminal lung cancer with brain metastasis - exposed glans? Hello, doctor. My father was diagnosed with terminal lung cancer with brain metastasis last year. Recently, we have noticed that he occasionally experiences exposure of the glans penis, which occurs both in the afternoon...
Dr. Du Shixi Reply:
Hello: It should be unrelated. Wishing you good health.[Read More] Understanding Glans Exposure in Terminal Lung Cancer with Brain Metastasis
Managing Urinary Issues After Spinal Injury: Seeking Solutions for Incontinence
Urinary problems Five years ago, my father experienced bleeding from a cervical spine vascular tumor, which led to urinary difficulties and neurogenic bladder retention. He had a catheter for seven months before it was removed. Since then, he has been taking one antispasmodic pil...
Dr. Chen Jiansheng Reply:
Urology[Read More] Managing Urinary Issues After Spinal Injury: Seeking Solutions for Incontinence
Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Heat in the right ankle? Hello, doctor. Recently, I've been experiencing sudden warmth in my right ankle that goes away quickly, but then returns after a while. I would like to know what could be causing this. Is it possible that it could be due to a brain tumor pressing on ...
Dr. Jiang Junyi Reply:
Hello Mr. Long: You mentioned that the area around your right ankle suddenly feels warm. I wonder if you are experiencing any abnormal sensations such as tingling or numbness? Are there any other neurological symptoms? We may need to consider peripheral tissue issues, particularl...[Read More] Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns