Question 1

Can lithotripsy work for a 22mm kidney stone? I'm really scared of surgery and hoping there's another option

Accepted Answer

Stones that are smaller than 2 cm in diameter are the best size for SWL. The treatment might not be effective in very large ones. SWL is more appropriate for some people than others. Because x-rays and shock waves are needed in SWL, pregnant women with stones are not treated this way.

Question 2

I'm really worried because my urine culture test showed an E. coli count of 80,000, and it's been like this for a while now. My urologist prescribed antibiotics a few months back, and after taking them for two weeks, the count went up when I stopped. The medicine was switched, but now Im seeing E. coli again. I got an ultrasound KUB which turned out normal and did semen cultures as well, which showed another infection. Even after another round of antibiotics, the infection was still there. Ive been experiencing sharp abdominal pain and sometimes in the rectum, with my urine smelling bad. Why do I keep getting these recurring infections in both my urine and semen cultures? What could be causing this, and what tests should I consider doing next?

Accepted Answer

It sounds like you're dealing with a persistent E. coli infection that may not have fully cleared despite antibiotics. Chronic or recurrent infections can be due to incomplete treatment, an underlying issue like a urinary tract abnormality, or antibiotic resistance. It's important to consider a urine culture with antibiotic sensitivity testing, possibly imaging studies beyond ultrasound (like CT or MRI), and reviewing the semen culture results to address any underlying causes. A urologist or infectious disease specialist could help explore further options.

Question 3

I'm a bit puzzled and concerned because my urine culture and sensitivity test results came back showing no bacterial growth, yet I occasionally notice these small, white tissue-like threads floating in my urine. I'm trying to figure out what these might be. Could it be something I should worry about even if no bacteria was found?

Accepted Answer

_Overcoming Porn Addiction: Medical Help and Treatment Options_

Porn addiction, also known as compulsive sexual behavior, is a recognized mental health condition. Seeking help is the first step towards recovery. Here's an overview of available medical help and treatment options:

_Treatment Approaches:_

1. *Cognitive-Behavioral Therapy (CBT)*: A therapist helps identify and change negative thought patterns and behaviors associated with porn addiction.
2. *Mindfulness-Based Therapies*: Techniques like mindfulness and meditation help manage cravings and develop self-awareness.
3. *Medications*: In some cases, medications like selective serotonin reuptake inhibitors (SSRIs) or naltrexone may be prescribed to manage symptoms like depression, anxiety, or cravings.
4. *Support Groups*: Joining support groups, like Sex Addicts Anonymous (SAA) or Sex and Love Addicts Anonymous (SLAA), can provide a sense of community and accountability.

_Where to Seek Help:_

1. *Psychiatrists*: Medical doctors specializing in psychiatry can provide therapy and prescribe medications.
2. *Licensed Therapists*: Trained therapists, like psychologists or licensed counselors, can offer CBT, mindfulness-based therapies, or other forms of talk therapy.
3. *Rehabilitation Centers*: Specialized rehab centers or clinics may offer comprehensive treatment programs for porn addiction.
4. *Online Resources*: Online therapy platforms, support groups, and forums can provide accessible help and community support.

_What to Expect During Treatment:_

1. *Initial Assessment*: A thorough evaluation to understand the addiction's severity and impact.
2. *Personalized Treatment Plan*: A tailored plan addressing specific needs and goals.
3. *Regular Therapy Sessions*: Ongoing therapy to work through challenges and develop coping strategies.
4. *Progress Monitoring*: Regular check-ins to assess progress, address setbacks, and adjust the treatment plan as needed.

_Remember:_

1. *Seeking help is the first step*: Acknowledging the addiction and seeking help is a crucial step towards recovery.
2. *Recovery is possible*: With the right treatment and support, it's possible to overcome porn addiction and develop healthier habits.
3. *Be patient and persistent*: Recovery is a process that takes time, effort, and dedication.

See a specialist for accurate diagnosis and targeted treatment.

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Can lithotripsy work for a 22mm kidney stone? I'm really scared of surgery and hoping there's another option

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