Question 1

I'm a bit worried about some test results I got. It says I have two non-obstructing calculus in my right kidney, one measuring 3.5mm and another 4.0mm, located in the interpole and lower pole calyx. The left kidney also has two non-obstructing calculus, measuring 3.6mm and 4.4mm in the same areas. Should I be concerned about these? Are there any symptoms I should watch out for or lifestyle changes I need to make?

Accepted Answer

You have multiple small kidney stones (calculus) in both kidneys, but they are not currently obstructing the flow of urine. Here's a summary:

_Right Kidney:_

- 2 small stones (3.5mm and 4.0mm) in the interpolar and lower pole calyx

_Left Kidney:_

- 2 small stones (3.6mm and 4.4mm) in the interpolar and lower pole calyx

_Recommendations:_

1. _Drink plenty of water_: Aim for at least 8-10 glasses of water per day to help flush out the stones.
2. _Dietary changes_: Consider reducing your intake of animal proteins, sodium, and oxalate-rich foods (e.g., spinach, beets, rhubarb).
3. _Monitoring_: Schedule regular follow-up appointments with your doctor to monitor the stones' size and position.
4. _Pain management_: If you experience any pain or discomfort, consult your doctor for guidance on pain management.

_When to Seek Medical Attention:_

1. _Severe pain_: If you experience severe pain or discomfort.
2. _Blood in urine_: If you notice blood in your urine.
3. _Fever_: If you have a fever over 101.5F (38.6C).
4. _Vomiting_: If you experience persistent vomiting.

Question 2

I'm a bit worried because my foreskin seems longer than usual. It fully covers the penis even when I'm fully erect. Can you advise on what this might mean or if there's something I should be doing about it?

Accepted Answer

A painless lump on your inner thigh can be concerning.

_Possible Causes_

1. _Lymph node enlargement_: Could be due to infection, inflammation, or other conditions.
2. _Cyst or abscess_: A fluid-filled lump that may require drainage.
3. _Lipoma or fatty tumor_: A benign growth composed of fat cells.
4. _Other possibilities_: Ingrown hair, skin tag, or a vascular anomaly.

_Consult a_

1. _Primary Care Physician (PCP)_: Start with your PCP for an initial evaluation and guidance.
2. _Dermatologist_: If your PCP suspects a skin-related issue, they may refer you to a dermatologist.
3. _Surgeon or General Physician_: Depending on the diagnosis, you may need to consult a surgeon or general physician for further evaluation and treatment.

_What to Expect During Consultation_

1. _Physical examination_: The doctor will examine the lump and surrounding area.
2. _Medical history_: Share your medical history, including any previous conditions or surgeries.
3. _Imaging tests_: The doctor may order imaging tests (e.g., ultrasound, MRI) to determine the lump's composition and size.

Question 3

I'm really worried because my sperm count has dropped and my penis feels weak. I used to be addicted to drugs but I've stopped now, and I'm not seeing any improvement. What should I do to get my reproductive health back on track?

Accepted Answer

Congratulations on quitting drugs, a crucial step towards recovery; to address low sperm count and penis weakness, consider consulting a urologist or an andrologist for personalized guidance, and in the meantime, adopt a healthy lifestyle by eating a balanced diet rich in antioxidants, exercising regularly, managing stress, and getting enough sleep, as these changes can help improve fertility and overall sexual health.

I'm a 28-year-old male with phimosis, and while it hasn't caused me any major issues so far, I'm a bit worried because it seems unusual to still have this at my age. Is there any way to treat phimosis without surgery? It's kind of embarrassing, and I'm not sure if this is normal for someone my age.

Topical steroid creams and stretching exercises may help phimosis. It's not uncommon in adults and treatable without surgery in many cases.

More Urology Health Queries

I'm a bit worried because my foreskin seems longer than usual. It fully covers the penis even when I'm fully erect. Can you advise on what this might mean or if there's something I should be doing about it?

I'm really worried because my sperm count has dropped and my penis feels weak. I used to be addicted to drugs but I've stopped now, and I'm not seeing any improvement. What should I do to get my reproductive health back on track?

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