Understanding Erectile Dysfunction and Pain at the Base of the Penis
Erectile dysfunction accompanied by pain at the base of the penis, leaning to the left? Seven years ago, I sustained an injury to the lower right side of the base of my penis and right testicle, resulting in bruising and hematoma. Now, when I urinate, the stream deviates to the l...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding Erectile Dysfunction and Pain at the Base of the Penis
Understanding Painful Urination Without Inflammation: A Urology Perspective
Painful urination examination shows no inflammation? Hello Doctor, I would like to provide some recent details to assist you in your assessment. On May 22, I had unprotected oral sex with a partner and protected intercourse. On June 5, I experienced some discomfort in my urethra ...
Dr. Du Shixi Reply:
Hello; Regarding your situation: 1. Is it common for urethritis to cause painful urination for such a long time? -- It can persist if not fully healed. 2. Is it normal to still experience pain during urination even when urine tests show mild inflammation or no inflammatory respon...[Read More] Understanding Painful Urination Without Inflammation: A Urology Perspective
Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective
Heavy and weak hips, abnormal tightness in leg muscles? Hello Doctor, I have been experiencing a heavy and weak sensation in my hip. When I try to sit up straight in a chair, it feels like my back muscles are doing all the work to lift my body. If I stand on my feet for a while (...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "the hip feels very heavy and weak, and when trying to sit up from a chair, it feels like the back muscles are the ones pulling the body up; standing on both feet for a while (5 minutes) makes them feel very tight, heavy, and weak; when one...[Read More] Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective
Effective Care Tips for Scrotal Skin Abrasions and Infections
Management of Scrotal Skin Abrasions Hello, doctor. Recently, I have developed a skin abrasion on my scrotum due to friction from my underwear. The next morning, I noticed that my underwear had pus on it. I went to the emergency room (there were no outpatient services on Sunday),...
Dr. Lin Wenxu Reply:
Dear Mr. Bitter Melon, Please keep the wound dry and monitor for any redness, swelling, or discharge. If these symptoms worsen, you should return for an earlier follow-up appointment. Sincerely, Dr. Lin Wen-Hsu, Urology Department, Nantou Hospital[Read More] Effective Care Tips for Scrotal Skin Abrasions and Infections
Understanding Head Pressure: When to Seek Neurological Help
Inquiry about Head Pressure Until yesterday, I had been staying up late for a week to complete assignments, with a sleep schedule of going to bed at 8 AM and waking up at 3 PM. For the past two nights, I experienced significant swelling in my head (above the temples on both sides...
Dr. Jiang Junyi Reply:
Dear Mr. Wood, You mentioned that "after a week of continuous late nights... my head is very swollen (above the temples on both sides)," and we should first consider tension-type headache. The symptoms of this type of headache are as follows: 1. It is often bilateral...[Read More] Understanding Head Pressure: When to Seek Neurological Help
Understanding and Managing Recurrent Foreskin Injuries: A Urology Perspective
Phimosis issues? Hello Doctor: I would like to ask about a wound on the opening of my foreskin (the wound looks like a scratch from a knife). It heals in a few days, but after a few days, another wound appears in a different location. This has been going on for several weeks, and...
Dr. Du Shixi Reply:
Hello: It is recommended that you seek medical attention for your condition, as medication may be necessary. Please find time to visit a healthcare provider. In the meantime, keep the affected area clean and dry, and make sure to dry it thoroughly if it gets wet. If you notice an...[Read More] Understanding and Managing Recurrent Foreskin Injuries: A Urology Perspective
Understanding Hand Tremors: When to Seek Neurological Help
Tremor issues? My son experiences involuntary hand tremors when he holds a coffee cup and puts it into a bag. We took him for an examination, and there were no thyroid issues. The doctor mentioned that this is a primary issue. His father feels that this is unusual since our son d...
Dr. Cai Zongzhang Reply:
Hello, Xiao Zhen: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Hand Tremors: When to Seek Neurological Help
Should You Visit the ER for Severe Headaches and Nausea?
Do headaches, vomiting, and chest pain require a visit to the emergency room for evaluation? Hello Doctor, I would like to ask about the symptoms I started experiencing a few days ago. I have been having intermittent headaches, and after seeing a doctor, I was told it might be du...
Dr. Cai Zongzhang Reply:
Hello, Xiao Hao: If your headache continues to worsen and does not improve with rest, it is recommended to visit a neurology outpatient clinic.[Read More] Should You Visit the ER for Severe Headaches and Nausea?
Persistent Numbness in Right Big Toe After Injury: Causes and Solutions
Toe issues with numbness upon touch or pressure? Six months ago, an object fell and pressed on my right big toe, causing no external injury or bruising. I experienced pain for a few days, and while walking, I didn't feel much discomfort. However, when I pressed on the big to...
Dr. Cai Zongzhang Reply:
Hello Lin: The symptoms mentioned above are likely caused by nerve damage in the right thumb. It is recommended to visit a neurology clinic for examination and treatment.[Read More] Persistent Numbness in Right Big Toe After Injury: Causes and Solutions
Feeling Breathless Before Sleep: Understanding Sleep Disruptions
Waking up feeling like you've forgotten to breathe just as you're about to fall asleep? For the past couple of days, I've been experiencing a sensation of forgetting to breathe just as I'm about to fall asleep. I wake up briefly, feel alert for a while, and th...
Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may indicate sleep apnea; however, there are other potential causes. It is recommended to visit a neurology outpatient clinic.[Read More] Feeling Breathless Before Sleep: Understanding Sleep Disruptions
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
Struggling with Urination: A Young Adult's Journey with Urological Issues
Can only sit while using the toilet? Hello, I am Hsu Shuwei, a 23-year-old student with a physical and mental disability. Occasionally, I engage in masturbation. In early April, I masturbated and managed to hold back ejaculation until the morning. Later, I realized this was not r...
Dr. Du Shixi Reply:
Hello: Please visit a urology department at a major hospital for an examination. Currently, you should stay hydrated, maintain a light diet, and engage in gentle exercise. Wishing you good health.[Read More] Struggling with Urination: A Young Adult's Journey with Urological Issues
How to Monitor Suspected Adrenal Nodules: A Urology Guide
How to pursue? Low-dose computed tomography (LDCT) of the chest indicated a suspected small nodule on the left adrenal gland. How should I proceed with follow-up? I visited a urology clinic, but the physician did not provide specific guidance, only mentioning that I should monito...
Dr. Xu Wencang Reply:
Generally, it is non-functional; however, it is important to monitor blood pressure and conduct blood tests to determine if there is any functional impairment.[Read More] How to Monitor Suspected Adrenal Nodules: A Urology Guide
Understanding Knee Sensory Loss: Causes and Treatment Options
Diminished sensation in the anterior aspect of the knee? Hello, Doctor. I have been practicing aerial yoga once a week and occasionally doing light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my knee...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, You mentioned, "I feel numbness and still have the sensation of wanting to take anesthetics." This is a typical symptom of peripheral nerve injury. The statement "I feel pain when pressing on the inner side of my knee" indicates localized tissu...[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options
Understanding Persistent Low-Grade Fever and Bacterial Infections in Urology
Persistent low-grade fever, bacterial infection? Since February of this year, I have been experiencing intermittent low-grade fevers ranging from 36.8 to 37.5 degrees Celsius. I do not have any significant discomfort, but I feel slightly feverish, fatigued, and my eyes are very s...
Dr. Xu Wencang Reply:
If there is a high fever, emergency care is required, followed by a follow-up in the outpatient clinic to monitor the results of the bacterial culture, as well as symptoms and urinalysis.[Read More] Understanding Persistent Low-Grade Fever and Bacterial Infections in Urology
Understanding Diplopia: Follow-Up Tests and Stroke Risk Management
Follow-up examinations for binocular diplopia? Hello Doctor: Recently, I experienced double vision after suddenly looking at certain objects, but my vision returned to normal afterward. I went to the hospital for an examination, and the ophthalmology report showed no issues. Howe...
Dr. Jiang Junyi Reply:
Hello Mr. Green Tea, You mentioned "normal blood sugar levels" in relation to cardiovascular disease risk factors. In addition to diabetes, other risk factors include hypertension, smoking, and hyperlipidemia. Prolonged exposure to these risk factors can lead to athero...[Read More] Understanding Diplopia: Follow-Up Tests and Stroke Risk Management
Understanding Dizziness: Causes and Solutions for Better Health
Causes of Dizziness I have a female friend who has been unable to stay up late recently; otherwise, she feels discomfort in her head when lying down. It is said that this might be caused by insufficient blood flow to the head, possibly due to weak heart function. She drinks a lit...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "lying down makes my head feel uncomfortable, and I heard it might be due to blood not reaching the head, possibly because the heart isn't strong enough..." You might be referring to syncope. It is more likely to occur when standi...[Read More] Understanding Dizziness: Causes and Solutions for Better Health
Understanding Recurrent Dizziness: Insights from Neurology and ENT
Dizziness issues? Hello, doctor. Thank you very much for your previous response. I am the person who asked question #195465. My dizziness issue has been recurring since the second half of last year. In February of this year, I consulted a neurologist who diagnosed me with vestibu...
Dr. Jiang Junyi Reply:
Hello, Miss: Vestibular migraine may be related to the pathophysiological mechanisms of migraine, such as vasoconstriction and vasodilation, neural hyperexcitability, or central nervous system dysfunction. It is recommended that you use a medication like Naoqing for prevention du...[Read More] Understanding Recurrent Dizziness: Insights from Neurology and ENT
Persistent Eye Blinking and Strain: Understanding Neurological Causes
Incessant blinking and excessive effort in eyelid movement? Hello, doctor. Since the beginning of 2021, I started wearing orthokeratology lenses, but I stopped using them in early 2022 due to an infection and inflammation. After a few days of treatment with steroid eye drops pres...
Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned that "the blinking in Tourette syndrome does not feel as forceful and does not have a foreign body sensation..." Generally speaking, symptoms of Tourette syndrome can be temporarily suppressed by willpower, but this is often followed by a ...[Read More] Persistent Eye Blinking and Strain: Understanding Neurological Causes
Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help
Diminished sensation in the anterior knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my knee, similar to ...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, You mentioned that "there is a sensation of numbness and a desire for anesthesia." This is a typical symptom of peripheral nerve injury. The statement "there is pain when pressing on the inner side of the knee" indicates localized tissue inflam...[Read More] Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help