Understanding Testicular and Penile Issues: A Guide for Concerned Patients
Testicular issues and penile issues? I have a severe case of gynecomastia, to the point where my nipples are inverted. I am not very willing to discuss this with my family, so I have not sought medical examination. The only times I have had check-ups were during my middle school,...
Dr. Du Shixi Reply:
Hello: It is recommended that you visit the urology department for an examination, as further evaluation and tests may be necessary for a better understanding. Wishing you good health.[Read More] Understanding Testicular and Penile Issues: A Guide for Concerned Patients
Improving Insufficient Blood Flow to the Penis: A Urology Perspective
Hypoperfusion Hello doctor, my erection seems normal at the base, but the glans is noticeably underfilled with blood, appearing small and soft. I only feel blood flowing towards the glans when I press on the base. How can I improve this? Thank you.
Dr. Sun Hongshun Reply:
Hello: How long have you been experiencing these symptoms? A small number of foreigners may experience erectile dysfunction due to having an excessively large penis. I recommend that you visit a hospital for a thorough examination.[Read More] Improving Insufficient Blood Flow to the Penis: A Urology Perspective
Concerns About Penile Deformation After Using Rings: What to Know
Penile deformity after using a penile ring? I am curious about an issue I have been experiencing after using a penile ring. I'm not sure if it was too tight or if I used it for too long, but the marks left on my penis have not faded or returned to normal. Although my erectil...
Dr. Lin Wenxu Reply:
It is recommended that you visit the hospital in person for a consultation, so that the physician can examine you and better understand your issues, making it easier to address your concerns. Dr. Lin Wen-Hsu from the Urology Department at Nantou Hospital.[Read More] Concerns About Penile Deformation After Using Rings: What to Know
Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Fasciculation with partial weakness? Hello Doctor, since March of last year, I have been experiencing muscle twitching all over my body. Sometimes the twitching is localized to my left upper arm, which feels slightly weak and the muscle has noticeably softened. My left arm is sli...
Dr. Peng Shiwei Reply:
Hello, if the electromyography (EMG) is normal, it cannot be diagnosed as ALS. However, based on your description, I would still prioritize considering neurological issues (such as brachial plexus or cervical spine problems). I'm not sure if the physician you consulted menti...[Read More] Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
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
Understanding Subcutaneous Nodules on the Penis: When to Seek Urology Care
There are small hard lumps beneath the skin of the penile shaft? Hello Doctor, my symptoms have persisted for over a month. I have a small round hard lump on the shaft of my penis, approximately 0.5 centimeters in diameter. It does not itch or hurt when touched, and it does not m...
Dr. Du Shixi Reply:
Hello: Please seek medical attention, wishing you good health.[Read More] Understanding Subcutaneous Nodules on the Penis: When to Seek Urology Care
Understanding Asymmetry in Male Urethral Folds: A Urology Inquiry
Follow-up Inquiry #192377 Dear Dr. Du, Thank you very much for your response and explanation in the consultation regarding question #192377. I generally understand the information provided. However, I would like to confirm one point with you: Regarding the inquiry ---> &quo...
Dr. Du Shixi Reply:
Hello: The glans urethra is a line that slightly separates during urination to allow urine to pass through. There should not be significant differences between the left and right sides. If you feel there is an issue with the urethral opening, it is advisable to seek medical evalu...[Read More] Understanding Asymmetry in Male Urethral Folds: A Urology Inquiry
Post-Surgery Nerve Compression: Understanding Symptoms and Treatment Options
Postoperative nerve compression phenomenon Hello Dr. Jiang, after undergoing brain tumor resection surgery, I have developed facial issues corresponding to CN4 to CN8 damage. Despite undergoing blood tests, nerve conduction studies, anticonvulsant medications, acupuncture, and ot...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned "CN4 to CN8 injury... could it be caused by postoperative nerve compression from scar tissue?" This aspect can be evaluated through imaging studies (such as a CT scan or MRI of the brain) and through nerve conduction studies (evoked potenti...[Read More] Post-Surgery Nerve Compression: Understanding Symptoms and Treatment Options
Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Postoperative neurological sequelae Hello, Dr. Jiang. I underwent brain tumor resection surgery two years ago, and I have been experiencing facial nerve issues corresponding to CN4 through CN8 (such as diplopia, tinnitus, facial paralysis, headaches, etc.). After undergoing treat...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "diplopia, tinnitus, facial numbness, and headaches," which may warrant consideration of hyperbaric oxygen therapy to improve circulation in the affected areas post-surgery. Additionally, recent repetitive transcranial magnetic stimulation ...[Read More] Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues
Tingling sensation in the skin above the toenail of the big toe? Hello, during the New Year period, I suddenly experienced a slight tingling sensation in the skin above my right big toe nail when it touched the blanket at night. After a few days, it improved and became less sensi...
Dr. Jiang Junyi Reply:
Hello Mr. AM: You mentioned that "the skin feels a tingling sensation whenever it is touched or lightly pulled," which may indicate a potential issue with peripheral nerve compression. Common symptoms of peripheral nerve compression include pain, numbness, and weakness....[Read More] Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues
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 Dizziness and Autonomic Nervous System Disorders
Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...[Read More] Understanding Dizziness and Autonomic Nervous System Disorders
Impact of Dairy Products on Antibiotic Efficacy in Urology Treatments
Antibiotics and Dairy Products Hello, due to the inability to ask questions regarding medication consultation, I am inquiring about a urological issue. I have been experiencing a slight irritation at the urethral opening during urination, and there is a noticeable irritation when...
Dr. Du Shixi Reply:
Hello: It should not be a concern, as long as you take the medication as prescribed. Not taking it on time or stopping the medication could potentially lead to drug resistance. Wishing you good health.[Read More] Impact of Dairy Products on Antibiotic Efficacy in Urology Treatments
Confusion Over HPV Diagnosis: Urology vs Dermatology Insights
The urine test for warts (condyloma) was negative, but the dermatologist still diagnosed it as warts. Thank you, doctor? Last year, between September and October, I had unprotected sexual intercourse three times with three different women. Then, around early November, I discovere...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Confusion Over HPV Diagnosis: Urology vs Dermatology Insights
Can You Test for Cauliflower Without Lesions? Urology Insights
Cauliflower without lesion examination Hello, doctor. I would like to ask two questions: 1. Is it possible to test for warts in the absence of lesions? 2. If so, how many days after engaging in unprotected sexual activity can the test be conducted? Thank you, doctor.
Dr. Du Shixi Reply:
Hello: 1. Can testing be done for warts in the absence of lesions? --> Yes, it can be done, but the results should be interpreted with caution. 2. If testing is possible, how many days after unprotected sexual intercourse can it be tested? --> The incubation period for wart...[Read More] Can You Test for Cauliflower Without Lesions? Urology Insights
Understanding Dizziness While Driving: Potential Neurological Concerns
Feeling dizzy and unwell while driving? Hello, doctor. I am inquiring on behalf of my family, specifically my mother, who is 28-30 years old. She traveled from Taipei to Yilan and Lala Mountain, driving through the Snow Tunnel and navigating over four hours of mountainous roads. ...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing dizziness and discomfort... taking medications for lowering blood sugar, and having a history of cancer with ongoing medication. If, in addition to dizziness, there are sudden neurological deficits such as limb weakness or slurred speech, the fir...[Read More] Understanding Dizziness While Driving: Potential Neurological Concerns
Can You Have Myasthenia Gravis Without Obvious Symptoms?
Can myasthenia gravis occur without obvious symptoms? Hello Doctor: Previously, I visited an ophthalmologist due to tightness around my eye muscles and dry eye syndrome. I informed the doctor that after using a medication containing "neostigmine" for about a month, my p...
Dr. Jiang Junyi Reply:
Hello, Miss: The main clinical manifestation of myasthenia gravis is muscle weakness, with weakness of the extraocular muscles that control eye movement being the most common. "Night sweats and palpitations" typically occur when the myasthenia gravis worsens and affects...[Read More] Can You Have Myasthenia Gravis Without Obvious Symptoms?
Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Numbness in the soles of the feet? Hello, doctor. Three years ago, I was diagnosed with autonomic nervous system dysfunction due to dizziness. After taking medication, my condition improved significantly, and I stopped taking the medication. However, I have experienced intermitte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned experiencing dizziness that sometimes occurs with movement. Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of vertigo related to changes in head position, such as bending ov...[Read More] Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues
Regarding cervical ultrasound follow-up examination? Dr. Peng, previously, due to dizziness, I underwent three cervical ultrasounds: in 1993 (at Shou-Ji Family Medicine), in 2014 (at Chang Gung Neurology), and in 20XX (at Shou-Ji Neurology). From 2003 to 2013, my dizziness was al...
Dr. Peng Shiwei Reply:
Hello Mr. Chang, no problem! You can register first, and then I will help you with the assessment. Thank you for your inquiry.[Read More] Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues
Understanding Facial Twitching: When to See a Neurologist
Facial twitching? Doctor, I started experiencing muscle twitching on the left side of my nose bridge while at work yesterday. The twitching is particularly noticeable when my body is relaxed, and it has persisted until now. Should I see a neurologist, or should I observe the symp...
Dr. Jiang Junyi Reply:
Hello Mr. Tian: You mentioned that "the muscle twitching on the left side of the nasal bridge, especially noticeable when the body is relaxed, has persisted until now." Facial movements are controlled by the facial nerve, and during the consultation, the physician will ...[Read More] Understanding Facial Twitching: When to See a Neurologist