Question 1

I'm noticing that when I pee, there are two streamsone's stronger and the other's weaker. This causes a lot of spraying, but there's no pain or burning. I'm trying to figure out what's going on. Could this be something I should be worried about?

Accepted Answer

The presence of two streams of urine, with one being weaker, and spraying, without pain or burning sensation, could be indicative of a urethral stricture, bladder neck contracture, or a condition called urethral duplication, but it's essential to consult a urologist

Question 2

Hey doc, I've been feeling a bit worried lately. My partner and I have been trying to conceive for a while with no luck. I recently started reading about sperm count issues, and now I'm anxious if that could be my problem. Could you give me some advice on how I might increase my sperm count naturally? Are there lifestyle changes or specific foods that might help? I'd appreciate any guidance you can offer.

Accepted Answer

Here are some evidence-based ways to increase sperm count:

*Lifestyle Changes*

1. *Maintain a healthy weight*: Excess weight can lead to hormonal imbalances, affecting sperm count.
2. *Exercise regularly*: Regular exercise can improve sperm quality and count.
3. *Reduce stress*: High stress levels can negatively impact sperm count. Practice stress-reducing techniques like yoga or meditation.
4. *Get enough sleep*: Aim for 7-8 hours of sleep per night to help regulate hormones and sperm production.

*Dietary Changes*

1. *Eat foods rich in antioxidants*: Foods high in antioxidants, such as fruits, vegetables, and nuts, can help protect sperm from damage.
2. *Include zinc-rich foods*: Zinc is essential for sperm production. Include zinc-rich foods like oysters, beef, and chicken in your diet.
3. *Increase omega-3 intake*: Omega-3 fatty acids, found in fatty fish, nuts, and seeds, can help improve sperm quality.

*Supplements*

1. *Vitamin D*: Vitamin D deficiency has been linked to low sperm count. Consider taking a vitamin D supplement after consulting with your doctor.
2. *Zinc supplements*: If you're not getting enough zinc from your diet, consider taking a zinc supplement.
3. *Folic acid*: Folic acid can help improve sperm quality and count.

*Avoid*

1. *Smoking*: Smoking can significantly reduce sperm count and quality.
2. *Excessive alcohol consumption*: Limit your alcohol intake to moderate levels (1-2 drinks per day).
3. *Tight clothing*: Wearing tight clothing can increase scrotal temperature, potentially harming sperm production.
4. *Hot tubs and saunas*: Avoid frequent use of hot tubs and saunas, as they can increase scrotal temperature.

Question 3

I'm dealing with a stubborn 6 mm kidney stone at the UV junction that's causing mild hydronephrosis in my right kidney. The doctor put me on urimax 0.4 mg for 10 days. It's been 15 days now, and the back pain is still around, sometimes even getting unbearable. We're trying to flush it out by drinking lots of water, but it seems like nothing's changed. What should we do next?

Accepted Answer

The medication prescribed by your doctor, capsule Urimax 0.4 mg, is commonly used to help pass kidney stones by relaxing the muscles in the urinary tract. However, since the pain is still persistent and sometimes unbearable, it may be necessary to consider a different approach. In this case, you can discuss with your doctor about adding a medication like Tamsulosin (Flomax) to help with the passage of the kidney stone. Additionally, if the pain continues to be severe, your doctor may consider other interventions such as lithotripsy or surgery to remove the stone. It's important to keep hydrating well and follow up with your doctor for further evaluation and management.

Patient may require surgery since the stone size is 12mm, surgery opinion for further management.

More Urology Health Queries

I'm noticing that when I pee, there are two streamsone's stronger and the other's weaker. This causes a lot of spraying, but there's no pain or burning. I'm trying to figure out what's going on. Could this be something I should be worried about?

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