Understanding Penile Skin Injuries: Causes, Treatments, and Concerns
Penile friction injury due to vigorous insertion? Hello, due to work commitments, I am unable to return to Taiwan for a consultation in the short term, and I would like to seek your professional advice. On February 21, I had sexual intercourse without lubrication, which resulte...
Dr. Du Shixi Reply:
Hello: Regarding your condition: This facility is unable to provide a diagnosis, as it is mostly due to the presence of wounds and subsequent poor care. Taking ACYCLOVIR before detection will not pose significant issues, unless there is an allergy. The interpretation of the prese...[Read More] Understanding Penile Skin Injuries: Causes, Treatments, and Concerns
Comparing Cialis: Eli Lilly vs. Sun Pharma - Which One to Choose?
Manufacturers of Cialis Is the 5mg Cialis from Eli Lilly in the U.S. the same as the one from Sun Pharma in India? It seems that the Indian version is significantly cheaper. Which one should we choose to take?
Dr. Du Shixi Reply:
Hello: There are original and generic medications. If the generic drug manufacturer is certified by medical institutions, there is no difference. Wishing you good health.[Read More] Comparing Cialis: Eli Lilly vs. Sun Pharma - Which One to Choose?
Understanding Nocturnal Emissions: Causes and Solutions for Men
Nocturnal emissions are quite bothersome? Hello, doctor. I really dislike experiencing nocturnal emissions, so for a long time, I have made it a habit to masturbate twice a week and wear loose-fitting underwear. Indeed, I haven't had any nocturnal emissions for several years...
Dr. Du Shixi Reply:
Hello: From what I understand, there is no method to completely prevent nocturnal emissions. Wishing you good health; obesity and injuries should not have a significant correlation.[Read More] Understanding Nocturnal Emissions: Causes and Solutions for Men
Understanding Numbness in Toes: Causes and When to Seek Help
Numbness in the toes? Hello, Doctor. Recently, I have noticed numbness in the last three toes of my right foot and on the dorsum of my foot, which feels like there is a layer of skin covering it. The toes, in particular, are quite severe. Sometimes it feels like ants are crawling...
Dr. Jiang Junyi Reply:
Hello Ms. Jhi: You mentioned that "the last three toes of my right foot and the dorsum of my foot feel numb, and it feels like there is a layer of skin covering them, especially the toes. Sometimes it suddenly feels like ants are crawling." Your symptoms are indicative ...[Read More] Understanding Numbness in Toes: Causes and When to Seek Help
Understanding Heat Sensation in the Outer Side of the Right Pinky Finger
Heat sensation on the outer side of the right palm (near the upper side of the little finger)? Hello Dr. Jiang, During the Qingming holiday, I suddenly noticed that the outer side of my right little finger near the top felt warm while I was cooking. It only lasted for a short ti...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "the outer side of your right little finger is feeling warm near the top..." This is a symptom of peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specif...[Read More] Understanding Heat Sensation in the Outer Side of the Right Pinky Finger
Understanding Glans and Foreskin Issues: Causes and Solutions
Issues related to the glans and foreskin? Hello, doctor. First, let me show you the images to assess the condition: https://lurl.cc/6YglA. The first image shows a laceration that occurs whenever there is a slight erection. The second image shows the normal state, which was not li...
Dr. Du Shixi Reply:
Hello: It is recommended that you seek medical attention. Additionally, if you engage in sexual activity, please use protection. If your parents have diabetes, it is advisable to have your blood sugar tested. Wear loose-fitting underwear. Wishing you good health.[Read More] Understanding Glans and Foreskin Issues: Causes and Solutions
Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties
Cervical spine dysfunction I have been experiencing shoulder and neck pain for a long time. Since the end of September last year, I started having some difficulty swallowing. I went to an otolaryngologist who confirmed that there were no growths in my throat. I was then referred ...
Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "swallowing is still difficult, and I have recently noticed that the pain in my shoulders, neck, and back has become more severe... Could this be related to my cervical spine?" I suggest considering the symptoms related to the cervical ...[Read More] Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties
Understanding Dizziness and Dry Mouth: Possible Causes and Solutions
Dizziness and dry mouth? Recently, I visited a clinic due to symptoms such as loss of appetite, bloating, and nausea, and was diagnosed with gastritis. I also mentioned to the physician that I have been experiencing dizziness, which the doctor believes may be caused by allergic r...
Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned experiencing dizziness along with symptoms such as a cold, dermatitis, urethritis, gastritis, and menstrual irregularities, which may indicate a deficiency in qi and blood. You asked whether this could be related to anemia or if a neurology consulta...[Read More] Understanding Dizziness and Dry Mouth: Possible Causes and Solutions
Understanding Testicular Pain: Causes, Risks, and Weight Loss Solutions
Testicular issues Recently, I have been experiencing intermittent sharp pain in my right testicle, so I visited a clinic. The doctor mentioned that my obesity (height 178 cm, weight 128 kg) and the smaller size of my right testicle compared to the left may cause it to move around...
Dr. Du Shixi Reply:
Hello: Recently, I have been experiencing intermittent sharp pain in my right testicle, so I visited a clinic. The doctor mentioned that my obesity (height 178 cm, weight 128 kg) and the fact that my right testicle is smaller compared to the left may cause it to move around and n...[Read More] Understanding Testicular Pain: Causes, Risks, and Weight Loss Solutions
Post-Surgery Pain After Inguinal Hernia Repair: Causes and Solutions
Tearing pain near the incision site after inguinal hernia surgery? Hello doctor, I underwent inguinal hernia surgery at a hospital in Taichung on March 20, 2024, and I paid out of pocket for a biological mesh costing 30,000 TWD. Since the surgery, I have been experiencing sharp, ...
Dr. Lin Wenxu Reply:
Hello Mr. Ada: Regarding your postoperative recovery status, it is advisable to return for a follow-up consultation with your attending physician. Dr. Lin Wen-Hsu, Urology Department, Nantou Hospital.[Read More] Post-Surgery Pain After Inguinal Hernia Repair: Causes and Solutions
Concerns About Urinary Tract Infections from Using Squat Toilets
Urination and concerns about potential infections? Hello Doctor, if there are small wounds in the genital and anal areas, is there a risk of infection when using a squat toilet? I am concerned that splashes from urine may cause discomfort. Could you please advise if there are any...
Dr. Du Shixi Reply:
Hello: Avoid direct contact, and if contact occurs, clean thoroughly. If you do this, there will be no issues. Wishing you good health.[Read More] Concerns About Urinary Tract Infections from Using Squat Toilets
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Suspected autonomic nervous system dysfunction? Hello Doctor, I have been experiencing episodes of physical agitation about 1 to 2 times a month. Even though I feel like I’m not thinking about anything in particular and don’t feel anxious, my body becomes agitated involuntarily. ...
Dr. Cai Zongzhang Reply:
Hello Mr. Cheng: Based on the symptoms mentioned, it is recommended to visit a neurology clinic for an examination to determine if there is a neurological disorder.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Persistent Pain and Numbness in the Outer Calf: A Neurological Concern
Tingling and prickling sensation on the outer side of the calf? Hello Doctor, my father is 75 years old and has been experiencing numbness and tingling on the outer side of his calf for the past five days. Pain relievers and injections have not alleviated the pain, which has prev...
Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that your father is experiencing "numbness and tingling on the outer side of the calf... and the orthopedic images show no abnormalities..." It may be necessary to consider peripheral nerve compression. Symptoms of peripheral nerve compres...[Read More] Persistent Pain and Numbness in the Outer Calf: A Neurological Concern
Understanding Recurrent Toe Pain: Causes and Solutions
The toes on the left foot are experiencing recurrent cramping pain? Hello Dr. Jiang, since the end of last year, I have been experiencing intermittent sharp pain between the 3rd and 4th toes on my left foot. Sometimes it occurs 5-6 times within an hour, and other times it happens...
Dr. Jiang Junyi Reply:
Dear Ms. Ying, You mentioned that "the area between the 3rd and 4th toes on my left foot experiences recurrent cramping pain, sometimes occurring 5-6 times within an hour, and other times only once every 2-3 days. Although the pain is not very intense..." Poor blood ci...[Read More] Understanding Recurrent Toe Pain: Causes and Solutions
Understanding Right Lower Abdomen Swelling: Symptoms and Solutions
Right lower abdominal swelling? Hello doctor, I have a swollen, round, movable area in the right groin that started two days ago. I began experiencing a fever over 39°C, along with pain in the lower right abdomen near the bladder and the right testicle (the right is larger than t...
Dr. Li Xinyi Reply:
I'm sorry for the oversight and the delay in addressing the issue. If you have a fever, it is advisable not to seek answers online and to promptly visit a urologist. The coldness in your limbs may still be related to the fever. Tobacco and alcohol should be considered as mer...[Read More] Understanding Right Lower Abdomen Swelling: Symptoms and Solutions
Understanding Left Eye Twitching and Finger Tremors: Causes and Solutions
Twitching of the left fingers and twitching of the left eye? The patient is currently 28 years old and has a chronic condition of allergic rhinitis, with no family history of hereditary diseases and no history of major surgeries. The left eyelid has been twitching, and the left t...
Dr. Jiang Junyi Reply:
Dear Ms. Jan, You mentioned that your husband has recently experienced "his left thumb being completely relaxed, with small involuntary movements." Generally, muscle twitching while awake may warrant consideration of certain metabolic disorders, such as hyperthyroidism...[Read More] Understanding Left Eye Twitching and Finger Tremors: Causes and Solutions
Understanding Sudden Loss of Erection During Masturbation: Causes and Solutions
Recently, sometimes during masturbation, I suddenly feel a twitch in my lower body and then it becomes somewhat flaccid? Hello, doctor. I am a high school student, and recently when I masturbate, I sometimes experience a sudden loss of firmness, but I can still ejaculate normally...
Dr. Du Shixi Reply:
Hello: If resting will help, it may indicate that you are overexerting yourself. Please pay attention to rest and exercise. Wishing you good health.[Read More] Understanding Sudden Loss of Erection During Masturbation: Causes and Solutions
Understanding Gonorrhea Treatment: Signs of Improvement After 5 Days
Gonorrhea treatment After taking medication for gonorrhea for 5 days, I have noticed a reduction in discharge, but there is still some discharge present, and I continue to feel a frequent urge to urinate. Does a decrease in discharge indicate improvement?
Dr. Du Shixi Reply:
Hello: There should be improvement. A course of treatment is necessary, and lifestyle precautions should be taken as there is a risk of recurrence. Wishing you good health.[Read More] Understanding Gonorrhea Treatment: Signs of Improvement After 5 Days
Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...
Dr. Jiang Junyi Reply:
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Understanding Urine Test Contamination and UTI Risks
Urinalysis issues Thank you for the doctor's response. Since the urine sample was taken at the hospital, I am concerned that if I did not clean myself properly after having a bowel movement at home in the morning, the urine could be contaminated by fecal matter that was not ...
Dr. Du Shixi Reply:
Hello: If there has been contact with feces, it is possible that it could affect the urine analysis, so it is generally recommended to collect a midstream urine sample for analysis.[Read More] Understanding Urine Test Contamination and UTI Risks