Understanding Post-Circumcision Growths: Treatment Options Explained
Foreskin issues Hello, doctor. About 10 years ago, I had a circumcision, and since then, I have noticed the growth of something resembling granulation tissue or a small lump in the area that was cut. Although this has been present for a long time and I have not engaged in any uns...
Dr. Du Shixi Reply:
Hello: It is recommended to seek medical evaluation. If it has developed after surgery, it may be a scar or granulation tissue formed due to individual constitution, especially if it has appeared recently. A medical examination should be conducted first. Wishing you good health.[Read More] Understanding Post-Circumcision Growths: Treatment Options Explained
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
Understanding Semen Residue: Myths and Facts About Urination and Pregnancy
Semen issues Hello, doctor. 1. After ejaculation during masturbation, is there residual semen in the urine when I go to the bathroom? 2. If there is residual semen in the urine after ejaculation and a woman immediately uses the same bathroom, is there a possibility of her comi...
Dr. Du Shixi Reply:
Hello: 1. Is it possible to have residual semen in the urine after ejaculation from masturbation? --> Yes, it is possible. 2. If there is residual semen in the urine after masturbation and a woman immediately goes into the bathroom afterward, is there a possibility of her c...[Read More] Understanding Semen Residue: Myths and Facts About Urination and Pregnancy
Should You Consider Penile Vein Ligation Surgery for Venous Leak?
Is penile venous stripping surgery recommended for venous leakage? I do not have any other diseases, but I have been diagnosed with venous leakage issues by both Cheng Kung University Hospital and Dr. Hsu Geng-Rong in Taipei. I would like to address this problem. Would you recomm...
Dr. Xu Wencang Reply:
You are only 24 years old; it's advisable to evaluate multiple options before making a decision. Penile prosthesis implantation is irreversible, so it may be better to try other treatments first.[Read More] Should You Consider Penile Vein Ligation Surgery for Venous Leak?
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 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
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
Alternatives to Surgery for Phimosis: Effective Solutions Explained
Alternatives to surgery for phimosis? I apologize, doctor, but I would like to ask a question. I feel that I might have phimosis, so I asked my parents if I could have surgery. However, they told me that surgery is not necessary and that I just need to push the foreskin back to t...
Dr. Lin Wenxu Reply:
Dear Student: It is recommended to consult a physician in person for a confirmed medical diagnosis. If phimosis is determined, surgical intervention is the only option with no alternatives. Dr. Lin Wun-Hsu, Urology Department, Nantou Hospital.[Read More] Alternatives to Surgery for Phimosis: Effective Solutions Explained
Understanding Pain Around the Big Toe: Possible Causes and Solutions
Pain in the front side and underneath of the big toe? Doctor, my big toe is experiencing pain around the nail and underneath the toe. It feels sore and has a tingling sensation. There is slight redness on the surface, and taking medication for gout has not been effective. I would...
Dr. Wu Mukhan Reply:
Hello, gout typically occurs at the metatarsophalangeal joint of the big toe, which is different from the location you described and is less likely to be gout. If there is redness, swelling, and pain, there may be inflammation or infection. It is recommended to visit a dermatolog...[Read More] Understanding Pain Around the Big Toe: Possible Causes and Solutions
Understanding Lower Back Pain: Causes and When to Seek Help
Lumbar pain Yesterday, I spent the entire day moving heavy objects. Since I rarely exercise, I relied heavily on my lower back for strength. After finishing the lifting, I felt fine until bedtime. However, this morning when I woke up, I noticed pain on my right side, specifically...
Dr. Jiang Junyi Reply:
Dear Mr. Yang, You mentioned, "It hurts a little when I press on it, but only on the right side. I'm not sure if this pain is due to a tendon strain or if it has affected my lumbar vertebrae or coccyx." Your symptoms, particularly the presence of tenderness, are m...[Read More] Understanding Lower Back Pain: Causes and When to Seek Help
Risk of STIs from Masturbation in Public Restrooms: What You Need to Know
The possibility of contracting a sexually transmitted infection (STI) from masturbation in a public restroom? Hello doctor, thank you for reading this: Not long ago, I engaged in masturbation in a school restroom. I entered and opened the restroom door curtain without washing my ...
Dr. Du Shixi Reply:
Hello: Masturbation is unlikely to be a concern, but if there has been unprotected sexual activity, it is important to be cautious. If you are still very worried, consider getting tested after three months. Wishing you good health.[Read More] Risk of STIs from Masturbation in Public Restrooms: What You Need to Know
Understanding Abnormal Sensations in Feet: Causes and Solutions
Abnormal sensation Hello Doctor, I have recently been experiencing a strange sensation in my feet, where they often feel cold (or hot? It's a peculiar feeling that starts from my toes and extends upwards). Although my feet feel cold, their actual temperature seems normal. I&...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "the neurologist said an MRI was not necessary, and only advised me to exercise more, maintain a regular sleep schedule, and eat more B vitamins, without prescribing any medication. At that time, I did not have the unusual symptom of coldn...[Read More] Understanding Abnormal Sensations in Feet: Causes and Solutions
Understanding Spinal Issues: Neurological Pain and Diagnosis
Spinal issues Due to pain in the lumbar spine, nerve conduction studies and electromyography were performed during military service medical examination. Attached are the relevant reports and X-rays. I would like to inquire whether there is a nerve issue, as the pain is severe eno...
Dr. Jiang Junyi Reply:
Dear Mr. W: (As the attached file is no longer readable.) You mentioned experiencing pain so severe that you cannot stand or sleep, and that it extends to your toes. This may indicate symptoms of nerve compression due to a herniated disc or peripheral nerve compression. 1. The...[Read More] Understanding Spinal Issues: Neurological Pain and Diagnosis
Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
My dad's soft palate is not moving? Hello, Doctor. My father suffered a stroke affecting the left and right corona radiata, which has resulted in very unclear speech, significant nasal voice, excessive drooling, inability to elevate his tongue, and weakness in elevating the ...
Dr. Peng Shiwei Reply:
Hello, from a neurology perspective, both limb weakness and soft palate weakness can be caused by a stroke. Therefore, it is recommended to focus on rehabilitation. I am not sure if your father is undergoing speech therapy. Generally, the first 3 to 6 months after a stroke is con...[Read More] Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
Understanding Memory Loss: When Familiar Experiences Fade Away
No memory or impression? Hello, Doctor. I have been experiencing something for quite some time now. I often have no memory of events I have shared with friends and family, even during outings. Regardless of whether my friends mention these experiences or I see photos of us togeth...
Dr. Peng Shiwei Reply:
Hello, I believe your condition warrants a visit to a neurology outpatient clinic to determine the specific issue. Thank you for your inquiry.[Read More] Understanding Memory Loss: When Familiar Experiences Fade Away
Post-Exposure HIV Prevention: Options and Insights for Urology Patients
Sexually Transmitted Infection (STI) Prevention Is there a post-exposure prophylaxis (PEP) medication for HIV that I can take? I'm currently having trouble sleeping, not eating well, and feeling very anxious.
Dr. Du Shixi Reply:
Hello: Medication can be administered, but not all hospitals are able to do so. You can check the CDC website for information on medical institutions and their outpatient hours for reference. Wishing you good health.[Read More] Post-Exposure HIV Prevention: Options and Insights for Urology Patients
Does Sertraline Cause Erectile Dysfunction in ADHD Patients?
Is it possible for the selective serotonin reuptake inhibitor (SSRI) sertraline to cause erectile dysfunction? Hello Doctor, I have ADHD and after my diagnosis today, the doctor prescribed me sertraline. I would like to ask if this type of medication, aside from causing delayed e...
Dr. Sun Hongshun Reply:
Hello Mr. Li: Currently, the selective serotonin reuptake inhibitor (SSRI) sertraline that you are taking is primarily used to prolong ejaculation time by utilizing the medication's side effects. Your physician likely prescribed this type of medication to meet your needs and...[Read More] Does Sertraline Cause Erectile Dysfunction in ADHD Patients?
Post-Urination Itching and Discomfort Under the Foreskin: Causes and Solutions
Itching of the foreskin after urination? Hello, doctor. I would like to ask about a condition I've been experiencing for the past month. After urination, the surface of my foreskin feels itchy, similar to being bitten by a mosquito, and it is accompanied by a stinging sensat...
Dr. Du Shixi Reply:
Hello: It could be a case of balanitis, which may cause a white discharge. It's important to keep the area clean and dry, rinse with clean water, and dry thoroughly. If there is diabetes, it should be managed. If it does not improve in a few days, seek medical attention. Wis...[Read More] Post-Urination Itching and Discomfort Under the Foreskin: Causes and Solutions
Does Sexual Activity Before Blood Tests Affect Free/Total PSA Ratio?
Will engaging in sexual intercourse the day before a blood test affect the Free/Total PSA Ratio? On April 26, I had a routine check-up at a general clinic and my PSA level was found to be 4.6. Later, on May 10, I went to a tertiary hospital for further blood tests, and the result...
Dr. Li Minghui Reply:
Hello: There is no reliable data to reference regarding whether the PSA ratio is affected by ejaculation. Wishing you good health.[Read More] Does Sexual Activity Before Blood Tests Affect Free/Total PSA Ratio?