Chronic Prostatitis: Treatment Options and Expert Opinions Explained
Chronic prostatitis Hello, doctor. I have a troubling issue I would like to consult you about. Initially, my symptoms included 3-4 episodes of nocturia. After treatment, my current symptoms are as follows: mild burning and itching sensation in the urethra, pain and itching in the...
Dr. Du Shixi Reply:
Hello: 1. According to Dr. B, the medication prescribed by Dr. A is for symptomatic treatment, and the idea that long-term use is necessary to achieve therapeutic levels is something I am hearing for the first time. I am aware that long-term use of non-steroidal anti-inflammato...[Read More] Chronic Prostatitis: Treatment Options and Expert Opinions Explained
Unexplained Urinary Pain: Causes, Tests, and Treatment Options
Unexplained urinary pain? Hello Doctor, regarding my previous inquiry about recurrent urinary tract infections, I later followed up with my gynecologist, who indicated that my last three urine tests were normal and showed no signs of infection. I continue to maintain cleanliness ...
Dr. Du Shixi Reply:
Hello; 1. What tests should I undergo when visiting a urologist? --> Generally, a urinalysis, X-ray, and medication may be recommended. 2. Sometimes I experience lower back pain, but I'm not sure if it's muscular pain or related to the kidneys. Could this be a sign o...[Read More] Unexplained Urinary Pain: Causes, Tests, and Treatment Options
Understanding Elevated PSA Levels: Concerns and Next Steps for Men
Elevated PSA levels? Hello Dr. Du: I have been troubled by a few questions, and I would like to ask for your assistance: 1. I am 30 years old. Since 2013, my annual health check-up reports have shown PSA levels consistently in the range of 3 to 4. In 2020-2021, I had closer moni...
Dr. Du Shixi Reply:
Hello: 1. I am 30 years old. Since 2013, my annual health check-up reports have shown a PSA level in the range of 3 to 4. From 2020 to 2021, I had closer monitoring with three tests, and the levels were still around 3. Later, I underwent a digital rectal exam and MRI at National ...[Read More] Understanding Elevated PSA Levels: Concerns and Next Steps for Men
Managing Overactive Bladder: Medication Options and Next Steps
Overactive bladder Hello, doctor. Recently, I have been experiencing frequent urination and a feeling of incomplete bladder emptying, so I went to the clinic for a consultation. After a urinalysis, it was found that there was no inflammation. The doctor diagnosed me with overacti...
Dr. Du Shixi Reply:
Hello: If symptoms of hyperactivity persist despite taking oxbutynin, it is recommended to arrange for an examination with a urologist. Wishing you good health.[Read More] Managing Overactive Bladder: Medication Options and Next Steps
Understanding Urinary Pain: Possible Causes and Solutions
Urinary issues I would like to ask the doctor a question. Recently, sometimes when I urinate, if I exert pressure on my abdomen, I experience a sharp pain at the urethral opening. However, this does not happen every time, and I do not feel pain when urinating while standing. This...
Dr. Li Xinyi Reply:
If you suspect a urinary tract infection, you should go to the hospital for a urine test to confirm the diagnosis. However, based on your description, it sounds somewhat like neuropathic pain. I recommend drinking plenty of water to ensure a daily urine output of 2000cc. Whenever...[Read More] Understanding Urinary Pain: Possible Causes and Solutions
Understanding Testicular Pain: Common Concerns and Care Tips
Testicular issues Hello, doctor. I have a question: sometimes I experience slight intermittent pain in my left testicle. I have previously undergone urinalysis, ultrasound, and physical examination, all of which were normal, so I assume there is no issue, right? Is it beneficial ...
Dr. Du Shixi Reply:
Hello: The left testicle sometimes experiences slight pain. I have previously undergone urinalysis, ultrasound, and physical examination, all of which were normal, so there shouldn't be any issues, right? --> Is it beneficial to massage the testicles before sleep, or coul...[Read More] Understanding Testicular Pain: Common Concerns and Care Tips
Interstitial Cystitis or Chronic Cystitis: Understanding Your Bladder Symptoms
Interstitial cystitis? Or chronic cystitis? Hello, doctor. Last year, during a health check-up, I had a urine test that showed trace blood (1+). After experiencing acute cystitis at the end of January, I began to have bladder discomfort and issues with urination. A urologist perf...
Dr. Li Minghui Reply:
Hello: Your issue is related to bladder symptoms, and it is important to confirm with a gynecologist that there are no gynecological problems. The relationship with sexual activity should also be considered. If urinalysis is normal and urodynamic testing is acceptable, it can onl...[Read More] Interstitial Cystitis or Chronic Cystitis: Understanding Your Bladder Symptoms
Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Treatment Options
Interstitial cystitis Hello, doctor. Last year, during a health check-up, I had a urine test that showed trace blood (1+). After experiencing acute cystitis at the end of January, I began to have bladder discomfort and issues with urination. A urologist performed bladder and kidn...
Dr. Du Shixi Reply:
Hello: Your issue pertains to bladder symptoms, and it is important to confirm with a gynecologist to rule out any gynecological problems. Consider whether sexual activity may be related as well. If urinalysis is normal and urodynamic testing is also acceptable, it can only be sa...[Read More] Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Treatment Options
Understanding Painless Hematuria: Possible Causes and Concerns
Inquiry about painless hematuria? Hello, doctor. I have searched through the question bank and found no similar issues, so I am inquiring. I have been living abroad for four months, and two weeks ago, I noticed blood on the toilet paper after urinating, but there was no blood in ...
Dr. Du Shixi Reply:
Hello: Based on your description, the urine in the toilet appears to be blood-free, but since there is blood on the toilet paper, it is still advisable to have both gynecological and rectal examinations confirmed by a physician. If there is blood in the toilet, further examinatio...[Read More] Understanding Painless Hematuria: Possible Causes and Concerns
Understanding Urinary Symptoms: When to Seek Further Testing
Urinary tract infection (UTI) issues? Hello, Doctor. I would like to ask about a recent issue I've been experiencing. I've noticed a slight burning sensation when urinating, but there is no pain or increased frequency of urination. However, I have detected a mild unusua...
Dr. Sun Hongshun Reply:
Hello! I would recommend that you go to the hospital for a blood test (renal function) and a urinary system ultrasound to clarify the reasons for your discomfort. Additionally, it is important to drink plenty of water. Wishing you a speedy recovery![Read More] Understanding Urinary Symptoms: When to Seek Further Testing
Understanding Urethral Pain After Lithotripsy: Causes and Treatments
Urethral pain I underwent extracorporeal shock wave lithotripsy on June 5th of this year. Recently, during a follow-up ultrasound, the doctor mentioned that there is only a small white spot left, which should be able to pass out with hydration. However, I have another concern. Be...
Dr. Jiang Junyi Reply:
Hello Peter, The symptoms you mentioned seem to suggest a consideration of perineal neuropathy. I wonder if you have a habit of long-distance cycling? Additionally, do you have any issues related to the prostate? At this point, antibiotic treatment may be necessary. Before using...[Read More] Understanding Urethral Pain After Lithotripsy: Causes and Treatments
Post-Extracorporeal Shock Wave Lithotripsy: Understanding Pain and Recovery
Post-extracorporeal shock wave therapy (ESWT) I underwent extracorporeal shock wave lithotripsy on June 5th of this year. Recently, during a follow-up ultrasound, the doctor mentioned that there is only a small white spot (0.38 cm) remaining, which should be able to pass out with...
Dr. Du Shixi Reply:
Hello: After lithotripsy, there shouldn't be too many side effects. If you experience painful urination, it may be due to the passage of stone fragments. Drinking plenty of water can help, as it may expedite their expulsion. Wishing you good health.[Read More] Post-Extracorporeal Shock Wave Lithotripsy: Understanding Pain and Recovery
Understanding Urination Delays: Causes and Concerns for Students
Urinary issues In the past two weeks, I've been experiencing a delay of about 5 seconds before I can urinate when I feel the urge, and sometimes it takes a little longer. I had a urinalysis done at a family medicine clinic last week, and the doctor said everything was fine. ...
Dr. Du Shixi Reply:
Hello: Drink plenty of water, avoid sitting for long periods, and make sure to get up and move around. Wishing you good health.[Read More] Understanding Urination Delays: Causes and Concerns for Students
Understanding Urinary Hesitation: Causes and When to See a Doctor
Urinary hesitancy issue? Hello, doctor. Recently, I have to wait about 5 seconds before I can start urinating when I go to the bathroom. Could this be due to kidney deficiency or some other issue? Do I need to see a doctor? I had a urinary tract infection at the end of April this...
Dr. Du Shixi Reply:
Hello: Is it kidney deficiency or something else? -- Kidney deficiency is not a diagnosis in Western medicine. If you are concerned about abnormal kidney function, swelling is usually one of the first symptoms. Should I see a doctor? -- You can have a urinalysis and blood tests. ...[Read More] Understanding Urinary Hesitation: Causes and When to See a Doctor
Understanding Chronic Prostatitis: Common Questions and Concerns
Please provide the content you would like translated into English? Hello, doctor. I apologize for interrupting you during your busy schedule. I am a person with a BMI above the normal range. A year ago, due to prolonged sitting and lack of exercise, I experienced pain in the groi...
Dr. Du Shixi Reply:
Hello: 1. If there is no sexual activity, is it still possible to contract a sexually transmitted infection, or could it be related to my chronic prostatitis? --> Possibly. 2. Could my weight also be a contributing factor? --> Lifestyle habits may have a greater impact; is ...[Read More] Understanding Chronic Prostatitis: Common Questions and Concerns
Understanding Antibiotic Use for Urinary Tract Infections: Recovery and Risks
Urinary tract infection: Issues with antibiotic use? A month ago, I experienced a "urinary tract infection" (pain during urination and discharge in urine). I consulted a doctor who performed a urinalysis and conducted X-rays and an ultrasound. The doctor mentioned that ...
Dr. Xu Wencang Reply:
For uncomplicated urinary tract infections, a five-day course of antibiotics is usually sufficient. If discomfort persists, return to the clinic for further evaluation.[Read More] Understanding Antibiotic Use for Urinary Tract Infections: Recovery and Risks
Understanding Cloudy Urine: Causes, Infections, and Treatment Options
Cloudy urine Hello Doctor: Following up on the previous question, the test report shows CRP <0.1. Aerobic result: Aerobic culture positive. Organism 1: Streptococcus agalactiae. I went to the hospital for a check-up due to cloudy urine. Please help me interpret the report. Is ...
Dr. Du Shixi Reply:
Hello: For your reference, 1) If the urine continues to show the same turbidity, you should seek medical attention. 2) If you experience urinary symptoms such as frequency, low volume per void, or dysuria, you should seek medical attention. 3) If there are no symptoms, and the ur...[Read More] Understanding Cloudy Urine: Causes, Infections, and Treatment Options
Understanding Urinary Tract Infections: Symptoms, Diagnosis, and Treatment
Urinary tract infection (UTI) Hello Doctor: I have had cloudy urine for about a month, and after undergoing an egg retrieval procedure at National Taiwan University in early April, my body temperature has been elevated, around 37 to 37.2 degrees Celsius (I usually have a lower bo...
Dr. Du Shixi Reply:
Hello: 1. What could be the reason for my cloudy urine? - If it is consistently cloudy, there may be a pathological cause. If it varies, you should increase your water intake to over 2000 ml per day, especially if you are not sweating excessively. Avoid sugary drinks. 2. Do I ...[Read More] Understanding Urinary Tract Infections: Symptoms, Diagnosis, and Treatment
Understanding Prostate Enlargement in Young Men: Causes and Solutions
Young individuals can experience issues with prostate enlargement? Hello Doctor, I am about to turn 37 this year. For the past few years, I have been experiencing frequent urination, feeling the urge to go to the bathroom often, but it is not uncontrollable. I initially thought i...
Dr. Li Minghui Reply:
Hello: What could be the reasons for this issue at my age? --> Is it normal that the doctor has not prescribed any medication to suppress or improve this phenomenon since the cause is unknown? --> Since urination is normal, what can I do on my own to improve this condition ...[Read More] Understanding Prostate Enlargement in Young Men: Causes and Solutions
Unexplained Urinary Issues: Seeking Answers for Frequent Urination
Unable to identify the cause of the illness? Hello, I suddenly noticed frequent urination in December 2020. I went to Chiayi Christian Hospital for a urinary tract imaging study, blood tests, and urinalysis, all of which were normal. The frequent urination persisted without impro...
Dr. Du Shixi Reply:
Hello: 1) Nerve issues may affect urination. If treatment shows little or no improvement, urodynamic studies may be considered, as catheterization is usually not performed as an initial test. 2) It is possible. 3) The likelihood is low. 4) Generally, there may also be accompanyin...[Read More] Unexplained Urinary Issues: Seeking Answers for Frequent Urination