Understanding Epididymitis: Symptoms, Diagnosis, and Treatment
Concerns about the epididymis? Hello, Doctor: I have several difficult questions that I hope you can help me answer. Thank you. Since August 19, I have been experiencing pain in my left groin area when pressing or walking. Initially, I thought it was a strain or a hernia, but a...
Dr. Xu Wencang Reply:
Epididymitis may show normal urinalysis results, but there will be swelling. Follow-up appointments are necessary for monitoring.[Read More] Understanding Epididymitis: Symptoms, Diagnosis, and Treatment
Understanding Urethral Pain: Causes and Concerns After Sexual Activity
Urethral pain Hello, Doctor Tsai. Two weeks ago, I had sexual intercourse with my partner twice in a short period (both times with a condom), and afterward, I started experiencing urethral pain. After observing the symptoms for three days, I went to the hospital and was prescribe...
Dr. Cai Zhuorong Reply:
Based on the symptoms you described, the more common possible diagnoses include: gonococcal or chlamydial urethritis, bacterial acute cystitis, ureteral stones, chronic prostatitis, among others. If symptoms do not improve, it is advisable to seek further evaluation and testing.[Read More] Understanding Urethral Pain: Causes and Concerns After Sexual Activity
Understanding Kidney Stones: Symptoms, Causes, and Management Tips
Suspected kidney stones? Hello Doctor: I had a problem with calcium oxalate kidney stones about a year ago, which stayed in my body for almost six months before gradually passing. During that time, I received one session of extracorporeal shock wave lithotripsy (ESWT). Recently, ...
Dr. Du Shixi Reply:
Hello: 1) Some small stones have been passed without symptoms or with mild symptoms. There are many reasons for concentrated or cloudy urine. It is recommended to drink plenty of water, but the key is to perform a urinalysis for proper assessment. If stones are confirmed, Buscopa...[Read More] Understanding Kidney Stones: Symptoms, Causes, and Management Tips
Understanding Urethral Discomfort: Causes and When to Seek Help
Urethral discomfort? Hello, doctor. I previously asked you about experiencing discomfort in the urethra (possibly the corpus cavernosum) after masturbating 2-3 times in a short period. I observed this discomfort from August 20 to August 26, and even after 6 days, there was still ...
Dr. Du Shixi Reply:
Hello: It is recommended to refrain from DIY activities and sexual intercourse for now. Continuing these activities in the short term may lead to a recurrence of symptoms. Generally, there may be an injury that requires time to heal. Wishing you good health. Please remember to dr...[Read More] Understanding Urethral Discomfort: Causes and When to Seek Help
Understanding Upper Left Buttock Pain: Muscle Strain or Kidney Issue?
Pain in the upper left side of the buttock? This afternoon, after having lunch, I noticed some discomfort in the upper left area of my buttocks when I moved. The pain occurs when my body is tilted in different directions or when I slouch, and it feels like a strain. Additionally,...
Dr. Du Shixi Reply:
Hello: It may be necessary to conduct a urinalysis to determine if there are any issues. I recommend drinking plenty of water. If the urinalysis shows no abnormalities, the problem in the lower back is likely not related to the kidneys. Currently, it would be advisable to pay att...[Read More] Understanding Upper Left Buttock Pain: Muscle Strain or Kidney Issue?
Does Drinking Water Affect Urinalysis Accuracy for Urethritis?
Accuracy of Urinalysis Hello Doctor: I have been experiencing a foul odor and a burning sensation during urination. This morning, I went to a small clinic for a urine test using a dipstick method, and the doctor informed me that I have mild urethritis. After returning home, I dra...
Dr. Du Shixi Reply:
Hello: 1) Drinking a large amount of water can have an impact, affecting the effectiveness of treatment. Additionally, using test strips may lead to inaccuracies; hospitals will centrifuge the sample and then use a microscope for assessment. 2) If you are observing yourself, mild...[Read More] Does Drinking Water Affect Urinalysis Accuracy for Urethritis?
Understanding Overactive Bladder: Causes, Treatments, and Management
Frequent urination issues? Two years ago, I started experiencing recurrent urinary tract infections. Although urination is not painful, I have been dealing with frequent urination and have visited the hospital to receive antibiotics, which have been effective. In July of this yea...
Dr. Wu Shuyu Reply:
Hello, it is quite difficult to determine whether functional issues will improve. Generally, we discuss whether they can be controlled. If medication is effective, it is recommended to continue the treatment. For further details on other treatments, please consult your urologist....[Read More] Understanding Overactive Bladder: Causes, Treatments, and Management
Could It Be Syphilis? Understanding Symptoms and Concerns
Could it be syphilis? In early April of this year, I had unprotected sexual intercourse. A few weeks later, I developed some itchy rashes on the left side of my vulva, which formed a larger area of small bumps. I also experienced itching around the anal area, and small rashes app...
Dr. Du Shixi Reply:
Hello: Syphilis presents with various manifestations, but blood tests are very accurate and rely on blood sampling for diagnosis. Blood tests can be conducted from April until now. Wishing you good health.[Read More] Could It Be Syphilis? Understanding Symptoms and Concerns
Understanding Bladder Dysfunction: Symptoms and Specialist Guidance
Bladder issues, thank you! Hello, Doctor: Recently, I have been experiencing difficulty urinating. I consulted a urologist, underwent a urinalysis, and had an ultrasound, which showed no signs of inflammation. The doctor prescribed medication for a week to help with urination, an...
Dr. Wu Shuyu Reply:
Hello, the symptoms you described could indeed indicate a bladder issue. Functional problems can sometimes make it difficult to accurately identify the cause and to rule out the influence of other organs. It is advisable to consult a urologist specializing in urinary disorders. T...[Read More] Understanding Bladder Dysfunction: Symptoms and Specialist Guidance
Understanding Lower Back Nerve Pain: When to Seek Medical Help
Lumbar radiculopathy Recently, I have been experiencing nerve pain in my lower back, which has occurred three times (approximately every 2-3 weeks). During these episodes, I feel restless and uncomfortable. After the episodes, I experience low-grade fever, and shortly thereafter,...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may cause localized inflammatory responses leading to back pain, as well as nerve root compression resulting in numbness and tingling extending to on...[Read More] Understanding Lower Back Nerve Pain: When to Seek Medical Help
Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Discomfort after consuming certain foods? Hello, doctor. I am 29 years old, and I started experiencing abnormal symptoms around February of last year (2019). Initially, I had difficulty breathing when lying down, feeling as if I couldn't catch my breath. I went to a clinic, ...
Dr. Hong Weibin Reply:
Hello: If all test results show no abnormalities, it is possible that there are no specific physiological issues. It is important to consider psychological, environmental, and stress-related factors. You may want to seek further evaluation and assistance from a psychiatrist. Wish...[Read More] Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Understanding Urinary Issues After Dialysis: Is It Normal?
My father has experienced some issues after starting dialysis? My father is 55 years old and is currently on dialysis three times a week. He is experiencing a situation where, on the day he finishes dialysis, he feels the urge to urinate but is unable to produce any urine. Is thi...
Dr. Du Shixi Reply:
Hello: My father is also a dialysis patient. When he first started dialysis, he experienced some issues, but it's important to communicate with the doctor. If the urine the next day (usually there is little or no urine on dialysis days) is very cloudy, a urinalysis should be...[Read More] Understanding Urinary Issues After Dialysis: Is It Normal?
Understanding Urological Issues: Blood in Urine and Prostate Concerns
Urinary System Examination Recently, I noticed a few drops of blood in my urine while having a bowel movement, which prompted me to visit the urology department at a medical center. I had a similar issue over three years ago and again in early April, at which time I consulted a r...
Dr. Du Shixi Reply:
Hello: 1. Is a prostate size of 5.8 × 5 × 3.6 cm considered large? -- It's moderate. 2. Sometimes urination is slow, but it's still bearable; is it better to take medication? -- Medication is recommended. 3. How often should a renal cyst be monitored? -- Every six month...[Read More] Understanding Urological Issues: Blood in Urine and Prostate Concerns
Understanding Gonorrhea and Chlamydia Treatment: A Patient's Journey
The issue of eradicating gonorrhea and Chlamydia infections? Hello Doctor, I engaged in unprotected oral sex with a stranger on a certain day, and seven days later, I noticed a yellowish-white discharge from the urethral opening and experienced painful erections. After my first v...
Dr. Du Shixi Reply:
Hello: The treatment for gonorrhea follows certain guidelines, which can be referenced. It is recommended to use doxycycline for 14 days; however, in some cases, issues may arise due to antibiotic resistance or non-compliance with the medication regimen, and there is no guarantee...[Read More] Understanding Gonorrhea and Chlamydia Treatment: A Patient's Journey
Managing Kidney Stones: What to Do When Treatment Options Are Unclear
Urinary tract stones, currently unsure how to proceed with treatment? Hello Dr. Du, last Thursday I experienced severe pain in my lower right abdomen and went to the emergency room. The pain came in waves, gradually increasing in intensity, then subsiding, with each episode lasti...
Dr. Du Shixi Reply:
Hello: For a stone measuring 0.5 cm, it is generally recommended to observe, take medication, and drink plenty of water, as most will pass naturally. Only a CT scan can detect these small stones. It is advisable to drink water in moderation to avoid excessive fullness, and to dri...[Read More] Managing Kidney Stones: What to Do When Treatment Options Are Unclear
Can Chronic Prostatitis Cause Autonomic Nervous System Disorders?
Can chronic prostatitis lead to autonomic nervous system dysfunction? Hello, I have been dealing with chronic prostatitis for a long time. I have undergone blood tests, urinalysis, urinary flow rate tests, and ultrasounds at the hospital, all of which came back normal. However, t...
Dr. Xu Wencang Reply:
You can consult a neurologist or psychiatrist for further evaluation and consider trying SSRIs that are used to treat premature ejaculation or depression.[Read More] Can Chronic Prostatitis Cause Autonomic Nervous System Disorders?
Understanding the Link Between Urethritis and Prostatitis: Key Insights
The issue of urethritis progressing to prostatitis? Hello, doctor! (Today is my 18th day of medication treatment.) I have experienced urinary tract infections five times in my life, with the most recent occurrence in April. After going to a large hospital for a urine test, it was...
Dr. Liu Mingyue Reply:
Hello: There are many types of prostatitis. Acute prostatitis may require hospitalization. As for a digital rectal examination by a physician, it may be difficult to make a judgment during an acute episode, as symptoms can sometimes worsen. Regarding lifestyle, it is important to...[Read More] Understanding the Link Between Urethritis and Prostatitis: Key Insights
Understanding Painful Urination: Causes and Next Steps for Relief
Experiencing pain or discomfort during urination? Hello Doctor, my mother has been troubled by pain and a burning sensation during urination for a long time. It hurts a lot after she urinates, and she notices a faint pink color on the tissue after wiping. Various hospitals have c...
Dr. Sun Hongshun Reply:
Hello: I would like to know if your mother has undergone a cystoscopy in addition to urinalysis, X-rays, and ultrasound. If not, please visit a hospital where the doctor will arrange for further examinations and treatment.[Read More] Understanding Painful Urination: Causes and Next Steps for Relief
Understanding Prostatitis: Treatment, Concerns, and Lifestyle Impact
Issues related to prostatitis? Hello, doctor! (Today is my 18th day of medication treatment.) I have experienced urinary tract infections five times in my life, with the most recent occurrence in April. After going to a large hospital for a urine test, it was found to be Escheric...
Dr. Du Shixi Reply:
Hello: There are many types of prostatitis, and acute cases may require hospitalization. As for a digital rectal examination by a physician, it may be difficult to make a diagnosis during an acute episode, as symptoms can sometimes worsen. Regarding lifestyle, it is important to ...[Read More] Understanding Prostatitis: Treatment, Concerns, and Lifestyle Impact
Understanding Hematospermia: Causes, Diagnosis, and Treatment Options
Persistent seminal fluid syndrome Hello Doctor: Three weeks ago, while I was doing it myself, I noticed a small amount of blood in the initial part of my semen. After experiencing this a couple of times, I went to see a doctor. During the consultation, the doctor asked about the ...
Dr. Cai Zhuorong Reply:
In a 36-year-old, hematospermia is mostly caused by inflammation, and antibiotics are indeed the first-line treatment. If symptoms persist, it is recommended to follow up with a urologist.[Read More] Understanding Hematospermia: Causes, Diagnosis, and Treatment Options