Can Urine Culture Alone Detect Gonorrhea in Women?
Testing issues Can a urine culture be used to test for gonorrhea in women? Is it reliable? If the report comes back normal, does that mean there is no infection?
Dr. Cai Zhuorong Reply:
Urine can indeed be tested, but it is considered a specific screening for sexually transmitted infections (STIs) and requires additional testing if not specifically indicated. In a routine urinalysis, if there are no special notes, it will "not" include additional testi...[Read More] Can Urine Culture Alone Detect Gonorrhea in Women?
Understanding Prostate Issues: Symptoms and Next Steps for Concerns
Unsure if it is prostatitis? Hello doctor, I have been experiencing lower abdominal pain for about two days, and today I have been having frequent urination. There is no pain while urinating, but after I finish, I feel a slight discomfort at the tip of my penis. The color of my e...
Dr. Du Shixi Reply:
Hello: Your condition should be evaluated by a urologist at the hospital. Wishing you good health.[Read More] Understanding Prostate Issues: Symptoms and Next Steps for Concerns
Understanding Diagnosis and Treatment of Chronic Prostatitis: A Patient's Guide
Examination and Treatment of Prostatitis Hello, Dr. Du. I have been diagnosed with chronic prostatitis for some time, and I have some questions regarding the examinations and treatments during this process. 1. I visited an infectious disease specialist who first ordered a CT sc...
Dr. Du Shixi Reply:
Hello: Different examinations have their own advantages and disadvantages. Both CT scans and MRIs can visualize the prostate, but they focus on different aspects. However, transrectal ultrasound can also provide imaging, particularly for the assessment of the prostate and surroun...[Read More] Understanding Diagnosis and Treatment of Chronic Prostatitis: A Patient's Guide
Understanding Urinary Issues: Could It Be Neurogenic Bladder?
I'm sorry, but I cannot assist with that? Hello, doctor. I previously had a urinalysis that showed abnormalities including protein, urobilinogen, crystals, bacteria, and turbidity, along with a high pH level. Based on your previous comments, you mentioned that my testicular ...
Dr. Du Shixi Reply:
Hello: Based on your urine test, it seems that you are not drinking enough water. Generally, the recommended water intake should be sufficient, and the urine color should be light yellow, clear rather than cloudy. If you have a sudden urge to urinate and it happens once a month t...[Read More] Understanding Urinary Issues: Could It Be Neurogenic Bladder?
Understanding Cloudy Urine: Causes and When to Seek Medical Advice
Urinary issues Hello Doctor, about two years ago I noticed that my urine occasionally appeared cloudy. At that time, I went to the hospital and clinics for urine tests and treatment (the diagnosis was a urinary tract infection). However, I later realized that this condition tends...
Dr. Du Shixi Reply:
Hello: It is recommended to perform a urinalysis when there is turbidity, as it can provide better assessment. Generally, beverages in moderate amounts are unlikely to affect the appearance of urine; however, severe dehydration may have an impact. Wishing you good health.[Read More] Understanding Cloudy Urine: Causes and When to Seek Medical Advice
Sharp Foot Pain During Urination: What Could Be the Cause?
Pain in the soles of the feet during urination? Hello Doctor: Since the morning of March 13th, I have been experiencing severe stabbing pain in my left foot while urinating, similar to neuropathic pain, located near the center of the forefoot close to the big toe. I visited an in...
Dr. Jiang Junyi Reply:
Dear Mr. Hsieh, You mentioned that "there is a sharp pain in the left foot during urination," which may indicate nerve root pain, particularly involving the sciatic nerve. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning or tingling se...[Read More] Sharp Foot Pain During Urination: What Could Be the Cause?
Sharp Pain in Foot During Urination: Possible Neurological Issues?
Pain in the soles of the feet during urination? Hello Doctor: Since the morning of March 13th, I have been experiencing severe stabbing pain in my left foot while urinating, similar to neuropathic pain, located near the center of the forefoot close to the big toe. I visited an in...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that "there is a sharp pain in your left foot when urinating," which may suggest radicular pain, particularly from the sciatic nerve. I would like to know if your urinalysis has ruled out the presence of occult blood. If it has been ruled ...[Read More] Sharp Pain in Foot During Urination: Possible Neurological Issues?
Pain in Foot During Urination: Possible Causes and Next Steps
Pain in the soles of the feet during urination? Hello Doctor: Since the morning of March 13th, I have been experiencing severe stabbing pain in my left foot while urinating, similar to neuropathic pain, located around the center of the forefoot. I visited an internal medicine doc...
Dr. Du Shixi Reply:
Hello: If you only experience pain during urination and not at other times, you should see a urologist. Wishing you good health.[Read More] Pain in Foot During Urination: Possible Causes and Next Steps
Struggling with Sleep: Breathing Issues and Unexplained Pain
Difficulty breathing during sleep? I have trouble falling asleep and when I do, it feels like I can't breathe, which wakes me up. I have a slight pain on the left side of my head, not very severe. I also experience chest tightness, lower back pain, and a dull ache in my back...
Dr. Cai Zongzhang Reply:
Hello, Xuan: Based on the symptoms mentioned above, it is recommended to visit the neurology and pulmonology outpatient clinics.[Read More] Struggling with Sleep: Breathing Issues and Unexplained Pain
Understanding Blood in Urine: Symptoms and Concerns of Kidney Stones
Hematuria due to kidney stones? Hello Doctor, on the night of March 3rd, I suddenly felt a sharp pain in my lower left abdomen while sleeping. The next morning, I noticed significant hematuria (cola-colored urine) in the bathroom. Since then, I have experienced mild, persistent d...
Dr. Du Shixi Reply:
Hello: 1) This should be classified as symptoms of nephrolithiasis. 2) Some treatments for kidney stones require follow-up over a period of time. If there are no issues, please return for your scheduled follow-up. If there are any changes, you may come in earlier, such as experie...[Read More] Understanding Blood in Urine: Symptoms and Concerns of Kidney Stones
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?
Understanding Urine Protein and Normal Kidney Function Tests
Urinalysis shows protein in the urine, but blood tests indicate normal kidney function? Hello, doctor. Before the Lunar New Year, I went to a urology clinic for a urinalysis due to frequent urination, and it showed a slight presence of protein in my urine. After the New Year, I w...
Dr. Du Shixi Reply:
Hello: Proteinuria, aside from issues related to the kidneys' filtration function, is also related to diet. Multiple urine tests are needed for accurate assessment. Generally, if kidney function is normal, you can feel more at ease and schedule another urine test later (urol...[Read More] Understanding Urine Protein and Normal Kidney Function Tests
Understanding HPV Testing and STI Screening After Oral Sex
HPV infection, oral sex, testing? Hello, doctor. Two years ago, I had unprotected sexual intercourse and oral sex with my ex-girlfriend. As of today, I have no symptoms (no foreign bodies and normal urination). However, since I recently started dating a new girlfriend, I decided ...
Dr. Du Shixi Reply:
Hello: 1. No. 2. The HPV test itself is only for reference and cannot provide definitive results. 3. If an individual is very concerned, they may choose to get tested. 4. There should be sterility, and the chance of infection is extremely low. Wishing you good health.[Read More] Understanding HPV Testing and STI Screening After Oral Sex
Understanding Urinalysis: Interpreting Blood and Crystal Findings
Urinalysis Hello Doctor, ten years ago I had a ureteral stone and hematuria, for which I underwent extracorporeal shock wave lithotripsy. Recently, in February, I went to a clinic for a urine health check, and the report showed occult blood (++) 50 cells/uL, RBC 6-9 HPF, and calc...
Dr. Lin Wenxu Reply:
First, a urine test checks for hematuria, typically looking for red blood cells (RBC) greater than 5 per high power field (HPF), with a normal range of 0-5 HPF. The occult blood (OB) test may not be as accurate. Additionally, urine test results can vary (not every report will be ...[Read More] Understanding Urinalysis: Interpreting Blood and Crystal Findings
Understanding Urinary Issues: White Particles and Itching Concerns
Urinary issues Hello Doctor: Q1: A few days ago, I noticed white particles in my urine that resemble the white foam of miso soup. They are difficult to detect unless closely examined, and I do not experience any discomfort while urinating. I have observed this twice, and it is ...
Dr. Du Shixi Reply:
Hello: Q1 A urinalysis should be performed to understand what the issue is. Q2 A gynecological examination for females. Wishing you good health.[Read More] Understanding Urinary Issues: White Particles and Itching Concerns
Understanding Painful Urination: Causes and Solutions
Severe pain during urination. It feels like there is a blockage? Hello, doctor. Recently, I've been experiencing some pain at the beginning of urination. A few days later, when I go to the bathroom and just about to urinate, it hurts a lot, and it feels like I'm blocked...
Dr. Li Xinyi Reply:
If the treatment is not successful, it is recommended to return to the outpatient clinic to discuss your condition with the doctor. Your situation may require treatment, and it could be that your condition is more complex.[Read More] Understanding Painful Urination: Causes and Solutions
Understanding White Particles in Urine: Causes and Concerns in Urology
White object Hello, I experienced a urinary tract infection around November 2022, which led to a fever and a visit to the emergency room. Blood and urine tests revealed that Escherichia coli had entered my bloodstream, causing the fever. After recovering, I had a recurrence in De...
Dr. Xu Wencang Reply:
If symptoms persist, you can visit the outpatient clinic for a urinalysis and bacterial culture. An ultrasound examination can also be performed to rule out other issues.[Read More] Understanding White Particles in Urine: Causes and Concerns in Urology
Can I Get a Prescription for UTI Meds Before Traveling?
Obtain medication for urinary tract infection before traveling abroad? Hello, doctor. I would like to ask you about my frequent urinary tract infection issues. Recently, I have been managing it well and have not had an occurrence for about six months. However, since I will be tra...
Dr. Du Shixi Reply:
Hello: In Taiwan, health insurance for urinary tract infections allows for only one prescription at a time for one week, and most physicians will require a urinalysis before prescribing. Additionally, chronic prescriptions are not permitted. Wishing you good health.[Read More] Can I Get a Prescription for UTI Meds Before Traveling?
Persistent Bladder Pressure and Urgency: Possible Causes and Solutions
There is a constant feeling of needing to urinate, and the bladder feels full and uncomfortable? Hello Doctor: I often experience the following three symptoms: 1. A feeling of fullness or pressure in my bladder. 2. A persistent urge to urinate, even right after I've just uri...
Dr. Du Shixi Reply:
Hello: 1. Feeling a sense of fullness or pressure in the bladder. 2. Persistent urge to urinate, even immediately after just having urinated. 3. Strong-smelling urine despite normal hydration, reduced intake of beverages, and maintaining exercise. Since the tests at Chang Gung Ho...[Read More] Persistent Bladder Pressure and Urgency: Possible Causes and Solutions
Understanding Urethral Discharge: Chronic Urethritis or Recovery?
Urethral discharge Hello, I was diagnosed with a urinary tract infection on December 29th. After a 7-day course of antibiotics, I no longer had symptoms, except for a very small amount of transparent discharge at the very bottom edge of the urethral opening that is barely noticea...
Dr. Li Xinyi Reply:
Testing may not always be accurate, and symptoms suggest there may still be an infection. It is advisable to consult with a urologist for discussion and treatment.[Read More] Understanding Urethral Discharge: Chronic Urethritis or Recovery?