Follow-Up on Asymptomatic Urinary Tract Infection: When and What to Check
Urinary Tract Infection Re-evaluation Hello, during a health check-up, I was diagnosed with a urinary tract infection due to elevated red blood cells and white blood cells in my urine. Since I have no symptoms, no treatment is necessary. How long should I wait before getting rech...
Dr. Du Shixi Reply:
Hello: In a normal urinalysis, both red blood cells and white blood cells should be absent. If leukocyte esterase is positive (+/-) but there are no white blood cells and red blood cells are present, this is not indicative of a urinary tract infection. It is recommended to rechec...[Read More] Follow-Up on Asymptomatic Urinary Tract Infection: When and What to Check
Understanding Morning Urine Bubbles: When to Seek Medical Advice
Urinary issues? Hello, I recently noticed that there are some bubbles in my urine during the first two urinations after waking up. The bubbles are not thick or foamy, and they do not cover the entire surface of the water. The urine is not cloudy, and as I increase my water intake...
Dr. Du Shixi Reply:
Hello: 1. Is it normal to have this condition in the morning but not in the afternoon or evening? Is there a need for a urine test, or can I just observe it for a while longer? --> It’s advisable to get checked when you have the opportunity; it may not necessarily indicate a...[Read More] Understanding Morning Urine Bubbles: When to Seek Medical Advice
Understanding Painless Hematuria: When to Consult a Urologist
Please help me ask questions regarding painless hematuria for my mother? A 65-year-old female underwent lumbar spine surgery six months ago (in May 2021). Prior to the surgery, her urinalysis showed a positive result for occult blood (OB: 2+), while other values such as RBC and W...
Dr. Du Shixi Reply:
Hello: 1. Should I go to a urologist or gynecologist for a detailed examination to rule out potentially more serious issues since there is no pain associated with the hematuria? --> If there is no visible hematuria, observation is acceptable. The first test, OB2+, with no RBCs...[Read More] Understanding Painless Hematuria: When to Consult a Urologist
Understanding Prostatitis: Causes, Treatment, and Recurrence Risks
Prostatitis Hello, doctor! Two weeks ago, I visited a urologist due to incomplete bladder emptying and frequent urination. The doctor told me that I likely have prostatitis and prescribed medications including Munkang, Tamsulosin, and Weikang, advising me to take them for two wee...
Dr. Li Xinyi Reply:
It is indeed possible that antibiotic treatment may take a month or even longer. Whether there is a tendency for recurrence depends on whether the original cause has been completely addressed, or if there are underlying lifestyle issues, such as a tendency to hold in urine.[Read More] Understanding Prostatitis: Causes, Treatment, and Recurrence Risks
Understanding Hematuria Without Bacteria: Urology Insights
Urinary occult blood without bacteria? Hello Doctor, I experienced recurrent urinary tract infections earlier this year and in the middle of the year. After actively increasing my water intake (at least 1500 ml per day), along with taking cranberry probiotics and doing iodine sit...
Dr. Du Shixi Reply:
Hello: 1. Is it possible that the urine test was related to the discharge? (I previously had a urinary tract infection but did not have blood in the urine) --> A urine test is a simple examination, but results can vary each time due to the body's condition and food inta...[Read More] Understanding Hematuria Without Bacteria: Urology Insights
Understanding Urine Bubbles: Is It Proteinuria or Something Else?
Urinary bubble issue? Hello Doctor, I have noticed that whenever I don't drink a lot of water, my urine tends to have bubbles, both large and small. I would like to ask if this could be a sign of proteinuria? Previously, when I consulted a urologist, I was told that it is us...
Dr. Du Shixi Reply:
Hello: I have always noticed that when I don't drink a lot of water, my urine tends to have bubbles, both large and small. I would like to ask the doctor if this could be a sign of proteinuria? Previously, when I consulted a urologist, I was told that it is usually due to im...[Read More] Understanding Urine Bubbles: Is It Proteinuria or Something Else?
Chronic Prostatitis and Semen Analysis: Understanding Bacterial Findings
Chronic prostatitis and semen analysis? Hello, Doctor. Due to frequent urination, prolonged waiting time to urinate, and lower abdominal pain after masturbation around mid-September, I sought medical attention. Urinalysis, uroflowmetry, and abdominal ultrasound were performed, al...
Dr. Du Shixi Reply:
Hello: The information provided here is for reference only and cannot replace a physician's examination, testing, or diagnosis. 1. Is it possible that the presence of Staphylococcus epidermidis was due to improper cleaning before the sample collection (only disinfecting th...[Read More] Chronic Prostatitis and Semen Analysis: Understanding Bacterial Findings
Understanding Urinary Tract Issues: Foreign Object Insertion, Infection, and Fever
Foreign body insertion, urinary issues, fever? Hello Doctor, here’s the situation: Two weeks ago, I inserted a suction catheter into my urinary tract quite deeply. When I removed the catheter, it was filled with blood, and my urine was also bloody. After two or three days, the bl...
Dr. Li Xinyi Reply:
It sounds like prostatitis. The absence of bacteria in the urine culture does not rule out a bacterial infection. You should promptly visit a urologist for proper treatment. Describe your symptoms to the doctor, and he will understand right away.[Read More] Understanding Urinary Tract Issues: Foreign Object Insertion, Infection, and Fever
Understanding Kidney Stones: Symptoms, Risks, and When to Seek Help
Renal calculi Hello Dr. Du: I consulted you in September and would like to ask about the latest situation. Over the past few weeks, I have occasionally experienced discomfort on the right side of my lower body (feeling slightly swollen) and occasional back pain, but my urination ...
Dr. Du Shixi Reply:
Hello: Regular follow-up is sufficient, and there is no need to visit another hospital for examination. The current goal is to prevent the stones from growing larger while waiting for them to pass. Wishing you good health.[Read More] Understanding Kidney Stones: Symptoms, Risks, and When to Seek Help
Understanding Urethritis: Medications, Fever, and Dietary Tips
Medications and urethritis associated with fever? Hello Dr. Du, I later went to the hospital for a urinalysis, blood tests, and a urine culture (the results of the culture will be available next week). The doctor confirmed that I have urethritis and prescribed three medications: ...
Dr. Du Shixi Reply:
Hello: Cefixime capsules 100mg should be taken as two capsules at a time. I also have Debarilin tablets 500mg and Iwell tablets. After receiving the medication yesterday, I mistakenly thought I should take one capsule of Cefixime every 12 hours, and I only realized I needed to ta...[Read More] Understanding Urethritis: Medications, Fever, and Dietary Tips
Understanding Varicocele Surgery: Key Questions and Considerations
Issues Related to Surgery for Varicocele I discovered an unknown lump above my testicle (which is not painful). After examination, the doctor did not find any abnormalities during the physical exam, the urinalysis was normal, but the ultrasound revealed a varicocele. The doctor d...
Dr. Du Shixi Reply:
Hello: 1. Is surgery necessary without any examinations? -- An ultrasound can diagnose varicocele. 2. Does varicocele always cause infertility? -- Not necessarily. 3. Is surgery required even if there are no pain symptoms or discomfort affecting daily life? -- It depends on t...[Read More] Understanding Varicocele Surgery: Key Questions and Considerations
Confusion Over Urological Issues: Seeking Clarity on Prostate Health
I'm confused? Hello, doctor. Due to a single episode of prolonged ejaculation, I am experiencing sexual dysfunction. I have consulted several doctors: 1. One suggested it might be a psychological issue and prescribed blood circulation and pain relief medications. 2. Another ...
Dr. Jian Weihong Reply:
Hello: 1. Retaining semen should not cause the majority of the symptoms you mentioned. 2. As for antibiotics, all three can treat infections, but Cefixime is more effective against bacterial infections. The other two are commonly used for urinary tract infections, depending on th...[Read More] Confusion Over Urological Issues: Seeking Clarity on Prostate Health
Understanding Cloudy Urine: Causes and When to Seek Help
Urinary issues Hello doctor, sorry to bother you. In the past day or two, I've noticed that my urine appears slightly cloudy after urination. The color is normal, sometimes leaning towards yellow and other times more pale yellow, but it feels like there are some impurities. ...
Dr. Li Xinyi Reply:
Although your description seems fine, based on your symptoms, cloudy urine is likely due to changes in temperature after urination, which can alter the solubility of substances present. However, without a visit to a urologist for examination, it is still uncertain whether there i...[Read More] Understanding Cloudy Urine: Causes and When to Seek Help
Understanding Erectile Dysfunction: Causes, Treatments, and Confusion
Sexual dysfunction Hello, doctor. I have a question. During masturbation, I experience numbness in my penis and have lost the usual sensitivity and pleasure, or the pleasure feels weak, making it take a long time to reach ejaculation. I often feel like I can't ejaculate at a...
Dr. Du Shixi Reply:
Hello: The information provided here is for reference only and cannot replace a physician's examination. 1. During masturbation, if you experience numbness in the penis and a loss of the usual sensitivity and pleasure, or if the feeling of euphoria is diminished to the poi...[Read More] Understanding Erectile Dysfunction: Causes, Treatments, and Confusion
Unusual Urine Odor: Possible Causes and When to Seek Help
The urine has a strange odor? I have noticed that the smell of my urine is quite unusual. It is strong, but it doesn't have the typical odor of urine, fish, or feces (and it doesn't resemble the smell of rotten apples or maple syrup, as those smells are not pleasant eit...
Dr. Chen Jiansheng Reply:
Please seek medical examination.[Read More] Unusual Urine Odor: Possible Causes and When to Seek Help
Understanding Erection Hardness Issues: Causes and Solutions
Erectile hardness issues? Hello, Dr. Du. I apologize for disturbing you during your busy schedule. I have been masturbating since middle school and have developed a liking for watching adult content while doing so. In the past, I didn't know how to control myself, so I would...
Dr. Du Shixi Reply:
Hello: 1. Is it better to completely abstain from masturbation or to try to refrain for a longer period? -- No need. 2. Because my foreskin is longer, it doesn't fully retract when erect, but I can easily push it back with my hand. Could the softer appearance be an illusio...[Read More] Understanding Erection Hardness Issues: Causes and Solutions
Understanding HPV: Symptoms, Treatment, and Prevention in Urology
Suspected infection? Hello, doctor. Last Friday, I experienced slight discomfort (a mild heat sensation) while urinating, so I went to the urology department for a routine urine test. I suddenly remembered that I had previously noticed a small growth resembling a polyp under my s...
Dr. Du Shixi Reply:
Hello: 1. Can cauliflower grow as a single unit or as thin strands? --> Cauliflower can grow in various forms, and there are many types that do not all look the same. 2. It has been present for a while (approximately three to four months in my memory), and the quantity has...[Read More] Understanding HPV: Symptoms, Treatment, and Prevention in Urology
Understanding Urination Issues in 12-Year-Old Boys: Causes and Solutions
Urinary issues Dear Doctor: A 12-year-old boy is experiencing post-void dribbling and feels like his bladder is not completely empty, even though he cannot urinate further. After his penis retracts, he notices a few drops of urine. He has only recently informed his parents about ...
Dr. Du Shixi Reply:
Hello: You may need to visit the urology department for an examination, including urinalysis and post-void residual measurement. Based on personal experience, if the first two tests are normal, it could be an issue related to the foreskin. It's important to pay attention to ...[Read More] Understanding Urination Issues in 12-Year-Old Boys: Causes and Solutions
Persistent Urinary Blood in Health Check: Should You See a Urologist?
Hematuria is consistently detected during health check-ups? Hello Doctor: I currently have a habit of undergoing annual health check-ups, but every time the report comes out, the urine occult blood result is always highlighted in red. It was 2+ two years ago and 1+ last year, and...
Dr. Du Shixi Reply:
Hello: Given your age, it is advisable to pay attention to the color of your urine. If you notice blood in your urine, you should undergo invasive examinations. If there is no blood in your urine, regular urinalysis is recommended. If you experience any urological symptoms, you s...[Read More] Persistent Urinary Blood in Health Check: Should You See a Urologist?
Understanding Chronic Prostatitis: Symptoms, Treatment, and Concerns
Chronic Prostatitis/Chronic Pelvic Pain Syndrome A 27-year-old male presented with symptoms of frequent urination, lower abdominal discomfort, and prolonged urinary hesitancy. Upon visiting a urologist, he underwent urinalysis, urinary flow rate measurement, and a post-void ultra...
Dr. Du Shixi Reply:
Hello: 1. Can I maintain my frequency of masturbation during the treatment period (currently twice a week)? Should I reduce or completely avoid it? --> The frequency should not be high. If you notice that symptoms worsen after masturbation, you should stop. 2. Should I limi...[Read More] Understanding Chronic Prostatitis: Symptoms, Treatment, and Concerns