Understanding Neurofibromatosis: When to Seek Further Testing for Your Child
The necessity of examination for neurofibromas? Hello Dr. Jiang, my child was not diagnosed with café-au-lait spots at birth, but we discovered more than six café-au-lait spots of various sizes when he turned one month old. There appear to be about a dozen spots visually. I have ...
Dr. Jiang Junyi Reply:
Hello, Ms. Jun: You mentioned, "Are the symptoms related to neurofibromatosis hereditary?" This can be assessed through genetic testing. Below is information from the Pediatric Neurology Department of Kaohsiung Veterans General Hospital. For infants and young children...[Read More] Understanding Neurofibromatosis: When to Seek Further Testing for Your Child
Understanding Sudden Vision Changes: Possible Causes and Concerns
Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...
Dr. Peng Shiwei Reply:
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...[Read More] Understanding Sudden Vision Changes: Possible Causes and Concerns
Understanding Pathology Reports for Adrenal Tumors and Liver Cysts
Pathology Report of Adrenal Tumor The pathology report indicates the following findings: **Adrenal Gland (Right Adrenalectomy for Pheochromocytoma)** **Gross Description:** - Specimen A: Right adrenal gland - Specimen size: 4.8 cm x 4.2 cm x 1.8 cm - Weight: 16.4 g - Tumo...
Dr. Du Shixi Reply:
Hello: The report does not indicate any malignant findings, but this condition requires long-term follow-up, and the management should be based on the physician's outpatient recommendations. Wishing you good health.[Read More] Understanding Pathology Reports for Adrenal Tumors and Liver Cysts
Should I Remove a 1.6cm Tumor on My Left Testicle or Monitor It?
There is a tumor in the lower left side of the testicle? Doctor, there is a 1.6 cm tumor in the lower left side of my testicle. I had blood tests done, and the doctor said the results were normal. Should I have it surgically removed, or should I observe it for a while?
Dr. Lin Wenxu Reply:
Hello Mr. Chen: It is recommended that you seek medical attention in person to address your concerns. Dr. Lin Wen-Hsu from the Urology Department at Nantou Hospital.[Read More] Should I Remove a 1.6cm Tumor on My Left Testicle or Monitor It?
Understanding CT Scan Results for Brain Issues: Key Questions Answered
CT Report for Brain Issues After getting my new glasses, I felt an immediate increase in my prescription. I noticed a faint shadow in areas with light, and I have been experiencing some headaches. Concerned that it might be caused by a brain tumor, I underwent a brain CT scan. Th...
Dr. Jiang Junyi Reply:
Hello Mr. Li: First of all, the symptoms of "brain tumors" can vary depending on the location in the brain. You mentioned that "after getting new glasses... it feels like the prescription suddenly increased," which may require ruling out refractive issues. Cou...[Read More] Understanding CT Scan Results for Brain Issues: Key Questions Answered
Post-Surgery Symptoms After Adrenal Tumor Laparoscopy: What to Expect
Symptoms that may occur after surgery? Hello Dr. Du, I'm back again ><"" I have completed laparoscopic surgery for my adrenal tumor. I would like to ask a few questions. The surgery was on June 10, and I was in a home care unit for one day before being transf...
Dr. Du Shixi Reply:
Hello: 1. Before the surgery, the patient with angina was taking Isosorbide Mononitrate, for arrhythmia was taking Concor, for sweating issues was prescribed Clonidine, and for sleep problems was taking Stilnox. 2. The physician discontinued Isosorbide Mononitrate and Concor be...[Read More] Post-Surgery Symptoms After Adrenal Tumor Laparoscopy: What to Expect
Morning Headaches: Causes, Concerns, and When to Seek MRI
Waking up with a headache every morning? I have been experiencing headaches for about two years, and in recent months, I have been waking up almost every morning with a throbbing pain in my head. After getting up and moving around, the pain tends to ease, but I continue to feel d...
Dr. Wu Mukhan Reply:
Hello, the most common causes of chronic headaches are migraines and tension-type headaches, which are functional issues of the nervous system. Generally, they can be diagnosed without imaging studies, and most cases can improve with outpatient treatment. If the headache is cause...[Read More] Morning Headaches: Causes, Concerns, and When to Seek MRI
Understanding Adrenal Tumor Surgery: Insights and Patient Concerns
Surgery for adrenal tumors? Hello Dr. Du, it's me again. 1. I have a question regarding the adrenal tumor issue I previously inquired about. I ultimately went for an examination at National Taiwan University and will undergo surgery on the 10th. I would like to ask if an a...
Dr. Du Shixi Reply:
Hello: 1. I previously inquired about the adrenal tumor issue, and I ultimately went for an examination at National Taiwan University Hospital. I will be undergoing surgery on the 10th. I would like to ask if an adrenal tumor can change from non-functional to functional pheochr...[Read More] Understanding Adrenal Tumor Surgery: Insights and Patient Concerns
Understanding Blood in Urine After Bladder Tumor Surgery: Causes and Concerns
Hematuria On May 1, I underwent a bladder tumor resection. Since being discharged, I have been passing blood clots of varying sizes every 2 to 3 days, and I experience hematuria (blood in urine) about once a week. Could this be due to the wound not healing properly, or could it i...
Dr. Du Shixi Reply:
Hello: Generally, if there is bleeding from a wound, it usually does not recur that quickly. If there is still hematuria, avoid walking too fast, limit the duration of hiking, and do not hold urine for too long to prevent bleeding from the wound. If bleeding occurs after medicati...[Read More] Understanding Blood in Urine After Bladder Tumor Surgery: Causes and Concerns
Post-Surgery Hematospermia and Hematuria: Understanding Causes and Recovery
Hematospermia combined with hematuria, with persistent bleeding after surgical treatment? Several years ago, I experienced hematospermia of unknown origin, which resolved after receiving treatment at a clinic (semen analysis showed no issues). Recently, I noticed the presence of ...
Dr. Du Shixi Reply:
Hello: May I ask if the issue is due to the surgical wound not fully healing, or is it because blood in the seminal vesicles has not been expelled? -- If the blood is bright red, it indicates fresh bleeding; if it is dark, it is more likely old blood or could potentially be due t...[Read More] Post-Surgery Hematospermia and Hematuria: Understanding Causes and Recovery
Understanding Elevated PSA Levels and Prostate Cancer Treatment Options
Elevated PSA Levels and Cancer Treatment Hello Doctor: My father is 70 years old. At the end of last year, he was referred to a major hospital due to elevated PSA levels and urinary difficulties detected at a clinic. The physician recommended laser surgery to treat benign prostat...
Dr. Jian Weihong Reply:
Hello: 1. The PSA level has been elevated for over two months following surgery. Although surgery and inflammation can cause an increase, it should ideally decrease. If inflammation is present, it should be well-controlled. Additionally, what is the current assessment of the tu...[Read More] Understanding Elevated PSA Levels and Prostate Cancer Treatment Options
Understanding BPH Treatment and Cancer Risks in Older Patients
Treatment for Benign Prostatic Hyperplasia (BPH) Hello Doctor: My father is 70 years old. At the end of last year, he was referred to a major hospital due to elevated PSA levels and urinary difficulties detected at a clinic. The doctor recommended laser surgery to treat benign pr...
Dr. Du Shixi Reply:
Hello: 1. The PSA level has been elevated for over two months due to surgery. While surgery and inflammation can cause an increase, it should generally decrease. If inflammation is present, it should be well-managed. Additionally, what is the current stage of the tumor? This is...[Read More] Understanding BPH Treatment and Cancer Risks in Older Patients
Managing Bilateral Adrenal Tumors: Insights After Ovarian Cancer Treatment
Bilateral adrenal tumors measuring 5 centimeters each? Dear Doctor, My wife was diagnosed with stage 3c ovarian cancer over a year ago, with a tumor measuring 15 centimeters. A pre-operative CT scan also revealed a 5-centimeter tumor on each adrenal gland. However, the focus of...
Dr. Du Shixi Reply:
Hello: Some adrenal tumors are benign and do not require surgery; they only need regular blood tests, imaging assessments, and follow-up with a specialist. Wishing you good health.[Read More] Managing Bilateral Adrenal Tumors: Insights After Ovarian Cancer Treatment
Understanding Prostate Cancer Staging: Implications of Perineural Invasion
Prostate cancer I underwent a Da Vinci radical prostatectomy for prostate cancer, and the pathology report indicates pT2N0, grade 2, Gleason 3+4, Stage IIB. However, there are additional findings of perineural invasion: Present. I preserved one side of the neurovascular bundles, ...
Dr. Jian Weihong Reply:
Hello: You have localized prostate cancer (stage T1-2 N0), which is classified as localized prostate cancer. Your pathology report indicates stage 2B. Wishing you good health.[Read More] Understanding Prostate Cancer Staging: Implications of Perineural Invasion
Understanding Prostate Cancer Staging After Da Vinci Surgery: Key Insights
Da Vinci Prostate Cancer Radical Surgery I underwent a Da Vinci radical prostatectomy for prostate cancer, and my pathology report indicates pT2N0, grade 2, Gleason score 3+4, Stage IIB. However, there are additional findings of perineural invasion: Present. I preserved one side ...
Dr. Du Shixi Reply:
Hello: You have localized prostate cancer (stage T1-2 N0), which is classified as localized prostate cancer. Your pathology report indicates a Gleason score of 2B. Wishing you good health.[Read More] Understanding Prostate Cancer Staging After Da Vinci Surgery: Key Insights
Understanding Cystoscopy: Is It Necessary for Blood in Urine?
Cystoscopy issues Hello, Doctor! I would like to ask about experiencing visible blood in my urine for the past few days, which returned to normal after about two days. I have also had some mild pain in my abdomen and lower back. I visited a doctor who performed an ultrasound (whi...
Dr. Xu Wencang Reply:
The physician will further evaluate that a flexible cystoscopy can be performed in an outpatient setting. If anesthesia is required for a pain-free procedure, the anesthesia fee will need to be paid out of pocket.[Read More] Understanding Cystoscopy: Is It Necessary for Blood in Urine?
Persistent Dizziness: When to See a Neurologist and What to Consider
Dizziness persisting for a period of time? Hello, Dr. Jiang. I have been experiencing dizziness for about a month now. The dizziness is quite mild, but I feel it for most of the day. Recently, it has improved a bit compared to before; I don't feel dizzy all day, but I still ...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "My father previously had a brain tumor; is there a genetic link to brain tumors?" I would like to know what type of brain tumor your father was diagnosed with. Currently, only a small percentage of brain tumors, about 5%, are associated with...[Read More] Persistent Dizziness: When to See a Neurologist and What to Consider
Post-Radiation Facial Numbness After Trigeminal Neuroma Treatment: What to Do?
Facial numbness after radiation therapy for trigeminal nerve tumor? After undergoing radiation therapy for a trigeminal nerve tumor, will facial numbness improve two months later? I have consulted my doctor and have been taking vitamin B for three months, but there has been no si...
Dr. Cai Zongzhang Reply:
Hello: The function of the trigeminal nerve is to control the sensory functions of the face. After treatment for trigeminal neuralgia, it is difficult to avoid residual facial numbness; however, this symptom is not life-threatening and can be managed with ongoing treatment in the...[Read More] Post-Radiation Facial Numbness After Trigeminal Neuroma Treatment: What to Do?
Persistent Dizziness: When to Seek Neurology Consultation?
Dizziness persisting for a period of time? Hello, Dr. Jiang. I have been experiencing dizziness for about a month now. The dizziness is quite mild, but I feel it for most of the day. Recently, it has improved a bit compared to before; I don't feel dizzy all day, but I still ...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "My father previously had a brain tumor; is there a genetic link to brain tumors?" I would like to know what type of brain tumor your father was diagnosed with. Currently, only a small percentage, about 5%, of brain tumors are associated with...[Read More] Persistent Dizziness: When to Seek Neurology Consultation?
Understanding Bladder Cancer Causes and Early Detection Strategies
Causes of bladder cancer? Dear Dr. Lee, 1. Reports indicate that the majority of bladder cancer cases are linked to smoking. I have no history of smoking and have had minimal exposure to secondhand smoke, as I am an office worker. Why might I still develop this condition? Could ...
Dr. Li Xinyi Reply:
Bladder cancer is indeed associated with smoking, but it is also linked to exposure to certain toxins and unknown herbal substances, as well as genetic factors. It is not possible to predict who will or will not develop bladder cancer. Are you asking me if there was a medical err...[Read More] Understanding Bladder Cancer Causes and Early Detection Strategies