Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients
CT Report Hello Doctor, I have diabetes and have been experiencing frequent headaches lately, which makes me worry about a stroke. I had a neck ultrasound and a brain MRI done in June, and I would like your assistance in understanding any important points to note. Thank you. Car...
Dr. Cai Zongzhang Reply:
Hello, Xiaoping: Both the carotid ultrasound and MRI show no abnormalities, indicating that there are no serious pains in the organs. It is recommended to improve sleep, increase physical activity, and enhance the control of blood sugar and lipids to alleviate symptoms.[Read More] Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients
Overcoming Ejaculation Issues: Seeking Urology Solutions
Self-defense issues Hello doctor, I used to handle my genital area by lying down, but recently I've been trying to masturbate in a normal way and I'm unable to ejaculate. What can I do to resolve this? If I visit a urologist, what treatments or medications might be avai...
Dr. Liu Mingyue Reply:
Hello: Medication cannot be changed, so you need to take it slow. Change your habits, and I wish you good health.[Read More] Overcoming Ejaculation Issues: Seeking Urology Solutions
Assessing HIV Risk: Understanding Transmission and Symptoms After Oral Exposure
Risk assessment I had unprotected oral sex with someone I met online, and I came into contact with their prostatic fluid. I also have some cavities, but they only affect the dentin. They touched their genitals, and I'm unsure if there were any bodily fluids on their hands wh...
Dr. Du Shixi Reply:
Hello: For safety, it is still best to seek medical attention, and you should have another check-up in three months to avoid any gaps in care. Wishing you good health.[Read More] Assessing HIV Risk: Understanding Transmission and Symptoms After Oral Exposure
Understanding Dizziness After Ejaculation: Causes and Solutions
Dizziness the day after ejaculation? Hello doctor, I used to feel a bit fatigued and dizzy after masturbation, but my frequency is quite low, usually only once every 2 to 3 weeks. Recently, however, I have been experiencing dizziness the day after masturbation or even 2 to 3 days...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding Dizziness After Ejaculation: Causes and Solutions
Assessing HIV Risk: Understanding Transmission and Symptoms After Oral Exposure
Risk assessment I had unprotected oral sex with someone I met online, and I came into contact with their prostate fluid. I also have some cavities, but they only affect the dentin. They touched their genitals, and I'm unsure if there were any bodily fluids on their hands whe...
Dr. Du Shixi Reply:
Hello: If there has been contact with bodily fluids, it is best to seek medical attention promptly for safety reasons. If not, that is certainly preferable. Additionally, it is important to get tested again after three months to avoid any window period issues. Wishing you good he...[Read More] Assessing HIV Risk: Understanding Transmission and Symptoms After Oral Exposure
Struggling with Ejaculation: Urology Solutions for Sexual Health
Pressing on the genitals? Hello doctor, I used to manage my genital area by applying pressure while lying in bed, but recently I've been unable to ejaculate using a normal masturbation technique. What can I do to resolve this? If I visit a urologist, what treatment options m...
Dr. Du Shixi Reply:
Hello: Medication cannot be changed, so you need to take it slow. Change your habits, and I wish you good health.[Read More] Struggling with Ejaculation: Urology Solutions for Sexual Health
Understanding Your Neurology Report: Key Findings and Next Steps
Examination Report Hello Doctor, this is the examination I had done in June last year. I would like to ask for your help in reviewing it for any issues that I should be aware of, as I have diabetes and have recently been experiencing headaches, which makes me fearful of a stroke....
Dr. Cai Zongzhang Reply:
Hello, Xiaoping: The right side examination report shows no evidence of cerebral infarction, and the degree of carotid artery atherosclerosis is mild. It is recommended to actively manage diabetes and to follow up with carotid ultrasound annually.[Read More] Understanding Your Neurology Report: Key Findings and Next Steps
Managing UTI Symptoms After Double J Stent Placement: Antibiotic Guidance
Urinary tract infection / Double-lumen catheter issues On January 3rd, I underwent a procedure to place a double J stent. After being discharged on January 4th, I began experiencing cloudy urine and painful urination, while also using antibiotics (Cefuroxime). However, the sympto...
Dr. Du Shixi Reply:
Hello: A double J stent is generally not placed for a long duration; it depends on the reason for its placement. If it needs to be left in for an extended period, prophylactic antibiotics are commonly used to prevent infection. Common side effects of having a double J stent inclu...[Read More] Managing UTI Symptoms After Double J Stent Placement: Antibiotic Guidance
Does Frequent Masturbation Affect Refractory Period Duration?
Masturbation issues? If a person masturbates more than twice a day, will it increase the refractory period? If the frequency of masturbation is reduced, is there a chance to shorten the refractory period?
Dr. Du Shixi Reply:
Hello: This situation may not be effective, as individual constitutions vary and results may differ. Wishing you good health.[Read More] Does Frequent Masturbation Affect Refractory Period Duration?
Understanding Persistent Head Pain: Causes and Treatment Options
I've been experiencing a persistent feeling of pressure and dull pain in my head lately? Hello Doctor, my situation is as follows: Recently, I have been experiencing pain on the left side of my head, specifically the top and the back left side, which started in early Decembe...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "gastroesophageal reflux... I almost always sleep with my head elevated on my side (using a pillow and a body pillow to alleviate discomfort), and I wonder if my sleeping position is causing headaches." Elevating the head can indeed lead to ov...[Read More] Understanding Persistent Head Pain: Causes and Treatment Options
Understanding Finger Weakness: Causes and Solutions for Right Index Finger
Unable to lift fingers? I am unable to fully extend my right index finger to form the number "1." The finger often can only be raised halfway before I feel weakness and cannot straighten it further, although sometimes I can lift it a little higher. It varies throughout ...
Dr. Jiang Junyi Reply:
Dear Mr. Ren, You mentioned that your fingers often can only be raised halfway before becoming weak and unable to straighten. This may indicate an abnormality in the extensor indicis muscle, which is primarily innervated by the median nerve extending from the cervical spine. How...[Read More] Understanding Finger Weakness: Causes and Solutions for Right Index Finger
Leg Numbness and Weakness After Walking: Diabetes Concerns
On Saturday, after walking a longer distance, I experienced numbness and weakness in my calves and thighs? Hello Doctor, my mother has a nearly 30-year history of diabetes. Recently, her hemoglobin A1c was 7.8. After visiting the clinic on Saturday, she walked about 800 meters to...
Dr. Jiang Junyi Reply:
Dear Ms. Xiao Wei, You mentioned that your mother experienced symptoms of numbness and weakness in her thighs after walking approximately 800 meters on Sunday. If the numbness is in the thighs, we may need to consider lumbar nerve root compression. Symptoms of peripheral nerve c...[Read More] Leg Numbness and Weakness After Walking: Diabetes Concerns
Understanding Grade 4 Kidney Lacerations: Symptoms, Recovery, and Care
Renal laceration? Hello Doctor, about 12 days ago I had a motorcycle accident and was found to have a grade IV renal laceration after a CT scan at the hospital. They performed an angiographic embolization at that time. I was hospitalized for 6 days and was treated with antibiotic...
Dr. Du Shixi Reply:
Hello: 1. Is it normal to see blood in urine? The reason could be that the wound has not yet stopped bleeding or that previously accumulated blood is being expelled -- accumulated blood is mostly dark. 2. If I have been lying down for too long and sometimes sit or walk, could thi...[Read More] Understanding Grade 4 Kidney Lacerations: Symptoms, Recovery, and Care
Understanding Herpes: Can You Have Sex with Positive HSV-1 Antibodies?
Herpes issues? I would like to inquire about my blood test results: 1. Herpes Simplex Virus Type 1 (HSV-1) IgG complement fixation antibody result is 1.79 (Positive). 2. Herpes Simplex Virus IgM antibody (HSV 1+2) result is <0.50 (Negative). I currently have no symptoms and wo...
Dr. Du Shixi Reply:
Hello: It's hard to say. If you're worried about transmitting it to others, it's better to take precautions. Wishing you good health.[Read More] Understanding Herpes: Can You Have Sex with Positive HSV-1 Antibodies?
Recurring Bacterial Infections in Semen: Causes and Solutions
Semen culture consistently shows different types of bacteria? Hello Doctor: Over the past year, I have experienced burning during urination, itching of the penis, and perineal pain. After seeing a doctor and undergoing semen culture, bacteria were found. After taking antibiotics,...
Dr. Xu Wencang Reply:
Please have the physician evaluate the treatment of chronic prostatitis with a course of antibiotics over a period of time.[Read More] Recurring Bacterial Infections in Semen: Causes and Solutions
Understanding White Bumps on the Inner Foreskin: Causes and Concerns
White spots on the inner side of the foreskin? Hello Doctor, I have had a long-standing issue. Every time I pull back my foreskin while showering, I notice many small white bumps clustered about one centimeter below the coronal sulcus, almost forming a complete circle. I would li...
Dr. Du Shixi Reply:
Hello: It is advisable to seek medical attention. If proper precautions are taken, it is mostly a sebaceous gland issue. Wishing you good health.[Read More] Understanding White Bumps on the Inner Foreskin: Causes and Concerns
Understanding Rising Prostate Index: Concerns and Solutions
My prostate index? My prostate-specific antigen (PSA) levels have been steadily increasing over the years, and last week it reached 30. I have undergone four biopsy procedures at Asia University Hospital, all of which were normal. However, the continuous rise in this index is con...
Dr. Du Shixi Reply:
Hello: A rise to 30 can be primarily attributed to inflammation or cancer. If you are open to it, I recommend seeking a second opinion at a medical center, as some physicians may have more expertise in this area. Wishing you good health.[Read More] Understanding Rising Prostate Index: Concerns and Solutions
Managing Recurrent Balanitis and Posthitis in Diabetic Patients
Balanitis and posthitis Hello Doctor, I would like to ask about my condition. I have type 2 diabetes and previously experienced bumps on the glans, for which my doctor prescribed Meconazole ointment, and it resolved. After more than a year, the issue recurred, and I applied Mecon...
Dr. Cai Zhuorong Reply:
If there are recurrent inflammations, circumcision may be considered.[Read More] Managing Recurrent Balanitis and Posthitis in Diabetic Patients
Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...
Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...[Read More] Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Understanding Mild Numbness in the Feet: Causes and Concerns
Slight tingling in the soles of the feet? Hello, doctor. Recently (about two weeks ago), I suddenly noticed a slight tingling sensation in the soles of my feet while sitting at work. However, I had not experienced this phenomenon before while sitting in the same chair and positio...
Dr. Jiang Junyi Reply:
Hello Mr. Hou, You mentioned experiencing slight numbness in your feet, which may be a symptom of plantar fasciitis and indicates peripheral nerve compression. Prolonged fixed positions, repetitive motions, and overtraining can lead to peripheral nerve compression. Activities su...[Read More] Understanding Mild Numbness in the Feet: Causes and Concerns