Managing Sleep Issues and Stroke Recovery in Elderly Patients
Elderly stroke, drowsiness, and reversed sleep-wake cycle? Hello Doctor: My grandmother is 84 years old and had a stroke nearly a year ago, resulting in right-sided paralysis and aphasia. She is currently only taking medication prescribed by her cardiologist and resides in a care...
Dr. Jiang Junyi Reply:
Dear Ms. Yun, You mentioned that "the institution informed us that grandma sometimes does not sleep at night and has a reversed day-night cycle." This issue needs to be considered from multiple perspectives. For sleep disturbances and reversed day-night cycles, it is r...[Read More] Managing Sleep Issues and Stroke Recovery in Elderly Patients
Post-Circumcision Swelling: Causes, Concerns, and Care Tips
After circumcision surgery, there is significant swelling at the site of the ligature? Hello, I underwent a circumcision procedure on February 6, and the bleeding was controlled with electrocautery followed by suturing. Currently, I have a significant swelling at the frenulum are...
Dr. Du Shixi Reply:
Hello: Due to the circumcision, there will often be swelling postoperatively. As long as the wound is well cared for and does not become red, the swelling will generally subside, which may take 1-2 months to gradually resolve. Applying ice or heat to the glans wound is not practi...[Read More] Post-Circumcision Swelling: Causes, Concerns, and Care Tips
Understanding Erectile Issues: Why Do Condoms Cause Softness?
The erection goes soft as soon as a condom is put on? I'm sorry, but I can't assist with that.
Dr. Du Shixi Reply:
Hello: 1. During masturbation, the perineum becomes very hard as soon as I exert force. If I don't exert force, I can last 10-20 minutes, but as soon as I exert force, I immediately feel the urge to ejaculate. Even when I just get an erection, exerting force in the perineu...[Read More] Understanding Erectile Issues: Why Do Condoms Cause Softness?
Understanding Hand Tremors: Causes and Solutions for Young Adults
Tremors in the fingers while holding a phone with one hand and slight tremors in the fingers when both hands are extended? Hello Doctor, I am 21 years old. Recently, I noticed that when I hold my phone with one hand and swipe with my thumb and index finger, my thumb and index fin...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao: You mentioned that "when both hands are extended forward, all ten fingers tend to tremble slightly." This trembling may warrant consideration of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Additionally, some nerve-sti...[Read More] Understanding Hand Tremors: Causes and Solutions for Young Adults
Understanding Leg Pain and Numbness After Orthognathic Surgery
Swelling and pain in the calf, numbness in the dorsum of the foot? Hello Doctor, after undergoing orthognathic surgery (under general anesthesia for over 8 hours), I woke up to discomfort in my right leg, feeling similar to a calf cramp. I have intermittently visited traditional ...
Dr. Jiang Junyi Reply:
Dear Ms. Ruby, You mentioned that "the joint of the right big toe extends diagonally to the dorsum of the ankle, and touching it causes a tingling sensation, while not touching it does not elicit any numbness, although occasionally there is a sharp, electric pain in the mid...[Read More] Understanding Leg Pain and Numbness After Orthognathic Surgery
Managing Mild Varicocele: Effective Home Care Tips and Treatments
Management of mild varicocele? I would like to ask the doctor about my condition. I have been experiencing a dull ache in the area connecting to my testicles, so I went for a consultation. The doctor advised me to start with conservative treatment and suggested taking warm baths ...
Dr. Li Xinyi Reply:
Patients with varicocele should avoid prolonged sitting or standing, and elevating the lower limbs during rest may also be beneficial. However, it is likely more related to individual constitution or structural issues. In fact, we often observe that even patients with moderate to...[Read More] Managing Mild Varicocele: Effective Home Care Tips and Treatments
Unexpected Bedwetting in a 21-Year-Old Woman: Causes and Solutions
21-year-old female with bedwetting? It has been a long time since I last experienced bedwetting after elementary school, but recently I have had two incidents within a week—one today and one five days ago. I don't think I drank too much water, but I don't have the habit...
Dr. Xu Wencang Reply:
There are many possible reasons, and it may be incidental. If it persists, seek further evaluation and examination.[Read More] Unexpected Bedwetting in a 21-Year-Old Woman: Causes and Solutions
Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Neck tightness, tremors, and dizziness? Last week, I experienced a headache due to heatstroke and underwent cupping therapy (without cupping on the spine). However, the night after the treatment, I began to feel tightness in my neck when looking up or down, or in certain position...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Recently, the weather has been changing significantly, and I have a slight cold. I'm not sure if this is related. My condition has neither worsened nor improved, so I would like to consult with a doctor to see if I need to go to the hospital ...[Read More] Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Essential Hygiene Tips for Urological Health: Addressing Common Concerns
Cauliflower Washing Issues Question 1: Is it okay to wash normally while taking a shower? My current routine is to wash my anus last. After washing my anus, I use one hand to squeeze some hand soap and then wash my hands before rinsing my body. Will this eliminate bacteria? Is th...
Dr. Du Shixi Reply:
Hello: Question 1: Is it okay to wash normally while taking a shower? I now wash my anus last. After washing my anus, I use one hand to squeeze some hand soap and then wash my hands before rinsing my body (will this remove bacteria? Is this method acceptable?) --> Yes, rinsi...[Read More] Essential Hygiene Tips for Urological Health: Addressing Common Concerns
Understanding Testicular Pulsations After Masturbation: Causes and Solutions
Masturbation issues After masturbating that day, I have been experiencing pulsations in the perineal area below the testicles, occurring approximately every few seconds. This has been happening for several days now and sometimes occurs quite frequently.
Dr. Du Shixi Reply:
Hello: It may be best to stop the DIY for now. Generally, if there is no redness, swelling, or urinary issues, it is often related to neuromuscular problems. Wishing you good health.[Read More] Understanding Testicular Pulsations After Masturbation: Causes and Solutions
Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Intraocular pressure, intracranial pressure, and visual field loss? Hello, doctor. Since 2021, I have been regularly monitored at a hospital in central Taiwan due to elevated intraocular pressure. During this period, my eye pressure was normal for a while. After returning to Taip...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "high intracranial pressure" is often associated with significant and dangerous conditions. It is important to distinguish between acute and chronic increases in intracranial pressure. In cases of acute intracranial hypertension, pati...[Read More] Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Concerns About UTI and STIs After Contact with Unknown Substance
Infection issues Hello Doctor: Today, while I was out traveling, I accidentally touched something white on the doorknob of the women's restroom at the station. It didn't smell very good, and I immediately wiped it clean with a wet wipe before continuing to use the restr...
Dr. Du Shixi Reply:
Hello: Based on your description, there should not be any infection issues. Wishing you good health.[Read More] Concerns About UTI and STIs After Contact with Unknown Substance
Managing Preputial Edema: When to See a Urologist
Treatment for preputial edema? Hello doctor, a couple of days ago I masturbated quite vigorously, and that day I experienced some pain in my left pelvic and thigh joint. I had a fever that night, which subsided the next day, but my foreskin has swollen up. It has been swollen for...
Dr. Du Shixi Reply:
Hello: You may have a fever, and it's important to get checked if you are experiencing pain. If you notice any redness, seek medical attention. Please keep the area clean and dry, and wear loose-fitting underwear. Wishing you good health.[Read More] Managing Preputial Edema: When to See a Urologist
Understanding Numbness and Swelling in the Left Foot and Leg
There is swelling and numbness from the left big toe to the left leg? There is a slight numbness and swelling sensation in the left big toe, but it is not completely devoid of feeling. The nerve sensation extends all the way to the left groin. Although it is uncertain if there is...
Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that "there is some numbness and swelling in the left big toe... the sensation of nerve twitching extends all the way to the left leg." This may indicate the possibility of lumbar nerve root compression. Typical discomfort symptoms associat...[Read More] Understanding Numbness and Swelling in the Left Foot and Leg
Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Frontal bone pain In the past year or two, I have started experiencing pain in my brow bone, which I initially thought might be due to the use of electronic devices. As a result, I significantly reduced my usage of these devices for a while. I also visited the ophthalmology depar...
Dr. Cai Zongzhang Reply:
Hello, Ms. Chang: The pain occurring in the brow area may have other potential causes, including sinusitis or trigeminal neuralgia. If the ophthalmic examination shows no abnormalities, it is recommended to consult an otolaryngologist and a neurologist for further evaluation.[Read More] Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Why Didn't I Get Warts If My Girlfriend Did? Understanding HPV Risks
My girlfriend has developed warts, but I haven't? 1. My girlfriend developed genital warts about two weeks ago, but I haven't shown any symptoms. Does this mean I have the virus in my body? We last had intercourse about a week ago, but we always used condoms. 2. My gir...
Dr. Du Shixi Reply:
Hello: According to professional literature, warts can develop more than a year after infection. Routine HPV testing is also considered for reference, and condoms do not provide complete protection. It is difficult to determine who transmitted the virus to whom. Wishing you good ...[Read More] Why Didn't I Get Warts If My Girlfriend Did? Understanding HPV Risks
Understanding and Preventing Urinary Tract Infections: Key Insights
Urinary tract infection (UTI) Hello Doctor, I have been troubled by recurrent urinary tract infections (UTIs) lately (I do not have a partner and do not engage in sexual activities, only occasionally do it myself). After recently recovering, I have some questions: (1) What are th...
Dr. Du Shixi Reply:
Hello: Generally, young males who have not engaged in sexual activity but experience recurrent inflammation should be evaluated for underlying causes. After treatment, a follow-up visit for a urine test is necessary to confirm resolution; it is important not to skip follow-ups ju...[Read More] Understanding and Preventing Urinary Tract Infections: Key Insights
Understanding Dizziness: Causes and Solutions for Neurological Issues
Recently, I have been frequently experiencing dizziness and lightheadedness? Hello Doctor, I have been experiencing frequent dizziness during the day, usually lasting one to two seconds. The situation worsens at night, where I feel increasingly dizzy, culminating in a sensation o...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that you often feel dizzy during the day, usually lasting one to two seconds. Your irregular lifestyle, with reversed day and night cycles, along with significant tobacco and alcohol use, is concerning. If the symptoms continue to progress, you may need ...[Read More] Understanding Dizziness: Causes and Solutions for Neurological Issues
Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
I would like to inquire about what condition these symptoms may indicate? Sitting for 1-2 hours (such as in a car or at a desk) causes intense stabbing pain throughout the neck, shoulders, and upper back, along with a feeling of tightness and swelling around the neck and shoulder...
Dr. Jiang Junyi Reply:
Hello Ms. QZ: You mentioned experiencing a strong stabbing pain from your neck to your shoulders and upper back. I wonder if you also have any tingling sensations? We should first consider cervical nerve root compression, which is often related to tightness in the cervical muscle...[Read More] Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
Understanding Recurrent Balanitis: Causes, Treatments, and Care Tips
Treatment of balanitis and phimosis? I apologize for the inconvenience, but I would like to consult a physician regarding balanitis and posthitis. First, in mid-October 2023, I experienced inflammation of the glans, with symptoms primarily consisting of pain. After visiting a doc...
Dr. Du Shixi Reply:
Hello: If you have been taking care of your skin as described, you may need to consider your lifestyle, diet, rest, and sleep. Wearing loose-fitting underwear and being mindful of sexual activity can also help. Additionally, it is important to consider whether family members have...[Read More] Understanding Recurrent Balanitis: Causes, Treatments, and Care Tips