Prostate Medications

There are various medication to help men with urinary symptoms that are likely related to prostate gland changes due to age (see Benign Prostatic Hypertrophy).  Generic names (brand names in parentheses) include: 1.ย  Alpha-Blockers — The most common ones are Tamsulosin (Flomaxยฎ), Terazosin (Hytrinยฎ), Doxazosin (Carduraยฎ), and Alfuzosin (Uroxatralยฎ).ย  Side effects may include dizziness uponContinue reading “Prostate Medications”

Painful Urination in Men

Abbreviations: UA = Urinalysis STD = Sexually Transmitted Disease (Gonorrhea, Chlamydia, Mycoplasma genitalium) UTI = Urinary Tract Infection (bladder infection from E. coli or other similar bacteria)) 1.ย  A man has new painful urination.ย  We do a rapid UA by dipstick in the office, and call it “Positive” if there’s Leukocyte Esterase (an enzyme inContinue reading “Painful Urination in Men”

Painful Urination in Women — Full Text

NOTE: “Urinary Tract Infection” (UTI, pronounced letter-by-letter “You-Tee-Eye”) (NOT โ€œYouteeโ€ nor โ€œOoteeโ€) can mean anywhere from the urethra, to bladder, to kidney (see Diagram —ย  Urinary System, and also Female Genital System).ย  Clinically, when we say “UTI“, we mean “bladder infection”. Women with painful urination from a UTI usually seek care within a day orContinue reading “Painful Urination in Women — Full Text”


This is a condition in which, for unknown reason, bits of endometrium wind up implanted in the myometrium (see Figure 4 of Diagram: Female Genital System — Anatomy).ย  Sometimes this happens throughout, sometimes just in a few places.ย  As such, the uterus is often enlarged. The main symptoms are heavy menstrual bleeding that’s often painful. Continue reading “Adenomyosis”

Painful Urination in Women

A healthy woman under 65 y.o. (or older, if very healthy), not pregnant, has painful urination, urinating small amounts frequently.  Possible Diagnoses: UTI (bladder infection from E. coli or similar bacteria) Sexually Transmitted Disease (STD) โ€“ Gonorrhea, Chlamydia, Mycoplasma genitalium Kidney Infection (Pyelonephritis) Vaginitis (see topic Vaginal Discharge) We do a rapid dipstick Urinalysis (UA)Continue reading “Painful Urination in Women”

Sore Throat — Pictures

1. True Exudate vs. Gunk in Tonsillar Crypts In the picture on our left, we see what exudate looks like, on both tonsils.ย  On our right, we see โ€œgunkโ€ (old food, etc.) filling holes in tonsils scarred from prior infections. 2.ย  Peritonsillar Abscesses with Deviation of Uvula 3.ย  Curled Uvula vs. Plain Pharyngitis vs. PeritonsillarContinue reading “Sore Throat — Pictures”

Hearing Loss — Sudden Onset

A patient calls, to say that yesterday they seemed to suddenly lose hearing in the Left Ear.ย  Today, they still can hardly hear from it. No pain; they simply can’t hear. FIRST โ€“ I ask if at the same time theyโ€™ve also have new vertigo (room spinning), slurred speech, and/or trouble swallowing.  A bad headacheContinue reading “Hearing Loss — Sudden Onset”

Memory Loss — Full Text

Everyone is afraid of getting Alzheimer’s Disease.  So it’s common for some people, especially as they age, to worry if they think they have memory problems.  Most are fine.  Basically, we try to distinguish among the following: No true memory problems Memory problems due to a medical condition Mild memory loss (called Mild Cognitive ImpairmentContinue reading “Memory Loss — Full Text”

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