Understanding Facial Twitches Before Sleep: Causes and Solutions
Facial twitching? Hello Doctor, I experience twitching from my left cheekbone to the corner of my mouth before going to sleep, but it does not occur while I am awake. The twitching usually lasts from half a second to four seconds and happens one to four times a night. This has be...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left cheekbone to the corner of your mouth is twitching." Your symptoms may suggest facial nerve spasms. The twitching of facial muscles is primarily associated with several factors: exercise, acute viral infections, anxiety, and med...[Read More] Understanding Facial Twitches Before Sleep: Causes and Solutions
Understanding Testicular Lumps: Causes and When to Seek Help
There is a lump located beneath the testicle? 1. While showering, I noticed a lump below my left testicle that feels like a blood vessel, but I'm not sure. When I palpate upwards, I can feel small, round nodules (approximately 0.1 mm in diameter) that are not painful. 2. Tod...
Dr. Du Shixi Reply:
Hello: If there has been a history of it, you should seek medical attention when possible. If there has been no history or if there is tenderness, you should be cautious. Wishing you good health.[Read More] Understanding Testicular Lumps: Causes and When to Seek Help
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 Urethral Discharge: Is It a UTI or Gonorrhea?
Urethral discharge The presence of white pus in the urethra accompanied by a burning sensation during urination may indicate a urinary tract infection (UTI) or gonorrhea.
Dr. Du Shixi Reply:
Hello: If there is sexual activity, white discharge may indicate non-gonococcal urethritis. It is advisable to seek medical treatment, drink plenty of water, and practice safe sex. Wishing you good health.[Read More] Understanding Urethral Discharge: Is It a UTI or Gonorrhea?
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?
Understanding Testicular Skin Pain: Causes and Solutions
Testicular skin prickling pain? Hello, I visited the Veterans General Hospital last month for an examination, and nothing significant was found during the physical examination. I would like to ask about an unexplained pain in my testicular area. I wake up at night due to pressure...
Dr. Jian Weihong Reply:
Hello: If a physician's examination shows no abnormalities, it is generally advisable to observe the situation and maintain clean and dry skin. Wishing you good health.[Read More] Understanding Testicular Skin Pain: Causes and Solutions
Understanding Recurrent Frenulum Tears: Causes and Care Tips
Regarding the re-tearing of a ligament tear after some time has passed? Hello, Director! Previously, I consulted you about a tear in the frenulum caused by insufficient lubrication while using a masturbation sleeve. At that time, the frenulum had a small V-shaped tear about 1mm i...
Dr. Du Shixi Reply:
Hello: It is possible that improper force during masturbation could cause tearing. Please be cautious, as repeated occurrences may lead to scar tissue formation. Wishing you good health.[Read More] Understanding Recurrent Frenulum Tears: Causes and Care Tips
Severe Abdominal Pain After Masturbation and Testicular Manipulation: Causes and Solutions
Severe abdominal pain after masturbation and handling the testicles? Hello, Doctor. Since high school, I have experienced severe lower abdominal pain and diarrhea with a certain probability after masturbation. Sometimes, when I massage my testicles, I also experience testicular p...
Dr. Du Shixi Reply:
Hello: It has been a long time (since high school). If the frequency is low (such as once every few weeks), it is generally not a major concern. However, if it occurs frequently, you should seek medical attention. Visiting a doctor during episodes of pain can help them make a mor...[Read More] Severe Abdominal Pain After Masturbation and Testicular Manipulation: Causes and Solutions
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
Understanding Unexplained Testicular Pain: Causes and Solutions
Unexplained pain in the scrotum? Hello, I visited the Veterans General Hospital last month for an examination, and nothing significant was found during the physical examination. I would like to ask about an unexplained pain in my testicular area. I often wake up at night due to p...
Dr. Du Shixi Reply:
Hello: If there are no abnormalities found upon examination by a physician, it is generally advisable to observe the situation and maintain clean and dry skin. Wishing you good health.[Read More] Understanding Unexplained Testicular Pain: Causes and Solutions
Understanding Neck Tension: Causes, Exercises, and Relief Options
Shoulder and neck issues? There are no specific underlying conditions. About three to four days ago, I started feeling a slight tightness in the back of my neck when I bend my neck while reading or looking at my phone, which I have never experienced before. This sensation only oc...
Dr. Jiang Junyi Reply:
Hello Mr. Lin, You mentioned that "the back of my neck feels a bit tight... it only happens when I sit and look down at a book... should I use cupping therapy to relieve it?" The common cause of neck pain is cervical myofascial pain syndrome. Prolonged periods of looki...[Read More] Understanding Neck Tension: Causes, Exercises, and Relief Options
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
Understanding Premature Ejaculation in Adolescents: Causes and Solutions
Sexual dysfunction Doctor, I would like to ask, every time I masturbate, I feel the urge to ejaculate within 40 seconds to 1 minute. This has been the case since I first started masturbating last year. The longest I can last is only 2 minutes. I hear my classmates can last over 1...
Dr. Sun Hongshun Reply:
Hello: "Eager to ejaculate" and "already ejaculated" are not the same! Additionally, you are only 15 years old and may be experiencing natural changes; it's just a phase. These issues will improve as you age and gain more experience, so there's no ne...[Read More] Understanding Premature Ejaculation in Adolescents: 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?
Understanding STD Risks and Testing After Safe Sex Practices
Sexually transmitted infection (STI) transmission issues? Hello, doctor. Three months ago, I had sexual intercourse with my girlfriend. Neither of us was each other's first. We used a condom during penetration, and she has since been tested for high-risk HPV, which came back...
Dr. Du Shixi Reply:
Hello: After examination, there is no need for concern. According to the following classification of sexual behavior risk levels, the low-risk activities include masturbation, hugging, and touching areas other than the genitals; low-risk activities include mutual masturbation, li...[Read More] Understanding STD Risks and Testing After Safe Sex Practices
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
Persistent Prepuce Edema: Seeking Solutions After Six Months
The foreskin has been swollen for six months and has not improved? Hello Doctor: I had a circumcision during the summer vacation. Initially, all the expected symptoms appeared after the procedure, and the sutured area healed quickly. However, I have persistent edema of the remain...
Dr. Du Shixi Reply:
Hello: If there is significant swelling, you may consult a plastic surgeon to determine if further intervention is necessary. Wishing you good health.[Read More] Persistent Prepuce Edema: Seeking Solutions After Six Months
Understanding Involuntary Ejaculation: Causes and Solutions
Involuntary ejaculation? Sometimes, after holding in urine for a long time, it becomes difficult to urinate when I finally reach the urinal, and I have to exert a lot of effort, which makes it take a long time to relieve myself. Additionally, while using the urinal, my penis invo...
Dr. Sun Hongshun Reply:
Hello D: At your vigorous age, this is completely normal, so there's no need to worry. Any symptoms you mentioned are "normal." As for methods to reduce libido, at this stage, you can only redirect your attention to academics or sports. I hope the above response is...[Read More] Understanding Involuntary Ejaculation: Causes and Solutions