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Questions and answers p. 6

Recently, I began to feel pain when urinating. I suspect that I have some kind of illness. I would like to get an online consultation with a doctor or is it better to come for a check-up to a urologist?
Answer: 22.12.2020

Pain during urination can be associated with infection, pathological changes in the anatomy of the urinary tract. To make a diagnosis, it is required to make an appointment with a urologist to collect anamnesis, conduct an examination and prescribe some tests.

Basenko Valentyn Valentynovych
Urologist. Highest category.
A small dark spot appeared on the penis. I have already consulted a urologist in Kropyvnytskyi, but unfortunately, the treatment did not help. Perhaps this is just an age spot and nothing needs to be treated? Or could it be an infection? What is the best way to deal with this situation?
Answer: 22.12.2020

If age spots appear on the genital organ, then there can be many variants of diseases, ranging from a simple age spot to Bowen’s disease. Age spots are different, usually not very saturated in color, of different sizes, structures, with indistinct boundaries, they may rise above the surface of the skin, or hair can grow from it. To make a diagnosis, you definitely need to make an appointment with a urologist to examine this spot.

Basenko Valentyn Valentynovych
Urologist. Highest category.
For half a year the temperature has been constantly elevated to 37 °C, blood tests show an increased content of eosinophils, erythrocytes and leukocytes. What could it be? Thank you!
Answer: 09.12.2020

Temperature of 37.0 is considered normal. Elevated level of eosinophils indicates an allergic reaction. Increased content of erythrocytes and leukocytes - there may be different options. Therefore, it is necessary to make an appointment with a therapist for a more thorough examination and additional diagnostics.

Hello. Two years ago, I had a sharp pain in the scrotum, after which it sometimes continued throughout this time. About a year ago, during palpation, I felt a lump on my right testicle (about 1.5-2 mm in diameter) similar to a bubble, all this time it did not change in size, the testicle did not increase. A couple of days ago, I noticed a slight increase in the inguinal lymph nodes on the right side, in comparison with the other side, the differences are minimal, they do not hurt. Could you please tell me what to do?
Answer: 09.12.2020

It is necessary to see urologist on an empty stomach to give a blood sample for oncomarkers of the prostate, ultrasound examination of scrotum and for palpation.

Eroshenko Igor Aleksandrovich
Urologist. The first category.
Hello, I have a problem, I have a growth on the penis frenulum; it is quite large and my sexual partner noticed that during ejaculation, sperm came out with blood. Could you please explain to me what it is and how to get rid of it?
Answer: 09.12.2020

First of all, you need to make an appointment with urologist for examination. Most likely, the appearance of blood in the semen is associated with inflammation of the prostate gland, and its inflammation may be associated with infection that somehow got into the penis urethra. To do this, it is necessary that the doctor refers you to preliminary tests and, based on the results, prescribes treatment.

Eroshenko Igor Aleksandrovich
Urologist. The first category.
Recently I noticed that one breast became larger than the other. There was a difference before, but now it became clearly noticeable. I'm starting to worry, I had problems with hormones and now I don’t know what doctor to see, is it a question for the gynecologist who treated me or to a mammologist after all?
Answer: 09.12.2020

Hormonal diseases can cause asymmetry in the mammary glands - in very rare cases from early childhood. In this situation, you need a consultation by mammologist and, possibly, later by a plastic surgeon.

Kosheleva Yana Yuriyivna
Mammologist, oncologist. Second category.
What should I do if I feel a ball in my breast? The fact is that I have been breastfeeding the baby for a year now. Recently, purely by chance, I felt a strange ball in my breast that moves under the skin. Could this ball appear in connection with breastfeeding? Do you have an online consultation by a mammologist? I can’t come to the hospital yet. Thank you in advance!
Answer: 09.12.2020

This “ball” in the breast could appear during breastfeeding, it’s called “galactocele”. In this situation, don’t worry too much. After the end of the lactation period, do ultrasound of mammary glands and contact a mammologist. It is difficult to assess the situation online.

Kosheleva Yana Yuriyivna
Mammologist, oncologist. Second category.
If my breasts hurt, they are noticeably enlarged and hardened, can these be symptoms of mastitis? My breasts have been hurting for about a week, I don’t know what to do about it. I can’t visit a doctor for a full examination yet. Do you see a mammologist online?
Answer: 09.12.2020

Yes, these could be symptoms of mastitis. You can contact a surgeon with this problem. If the body temperature rises, then call an ambulance. In this situation, there is online consultation.

Zapnyvitrenko Alina Mykolaivna
Doctor-mammologist. Second category.
Hello! I would like to ask a question to a mammologist. I am concerned about pains in the left breast, which radiate to the scapula and arm. A very strange pulling sensation. I did a self-examination at home, felt my breast, everything seemed to be in order. But still the pain is present and has not gone away for two weeks. Tell me please what should I do?
Answer: 09.12.2020

In this situation, you need to visit a neurologist and examine the thoracic spine. Such symptoms can occur in case of intercostal neuralgia, and cardiac pathology. You need to do ECG.

Zapnyvitrenko Alina Mykolaivna
Doctor-mammologist. Second category.
I have a rash on my body, the cause is not clear, perhaps it is hives. The other day I drank a couple of glasses of orange juice and the next morning my whole body was covered with large red spots and they were even on the scalp. The spots were very itchy, but in the evening everything went away, as if nothing had happened. I am not allergic and eat citrus fruits all my life and I have never had such a reaction. I would like to receive online consultation by a dermatologist, is it possible?
Answer: 04.12.2020

Unfortunately, allergic reaction is possible to all existing food products, medicines, household chemicals, etc. Allergic reaction can be of immediate and delayed type, therefore, n allergic reaction is not immediately possible to previously used products and medicines. However, what you are describing in detail is most likely a food allergic reaction for which you need to take therapeutic measures. Considering that all exotic fruits and vegetables are repeatedly processed with special substances, allergic reaction can be unpredictable to the products that are already familiar to you. Therefore, if you notice the rash symptoms, consult a dermatologist immediately, incl. online.

Tominets Oksana Vasilevna
Dermatologist. The highest category.
I have a question for the doctor, can you please tell me if I have a large mole on my neck, is it worth removing it and how safe is it? I heard that it is better not to touch or pluck moles at all, is it safe to remove a mole at all?
Answer: 04.12.2020

A large nevus on the neck skin is not a direct indication for removal. There must be a number of reasons for such a procedure, namely:

  • chronic traumatizing of nevus by a patient himself/herself;
  • doctor revealed signs of malignant degeneration of the nevus;
  • psychological discomfort caused by neoplasm.

It is important to note that the removal process itself is not the start of pathological changes in the nevus, because the doctor preliminarily examines it by dermoscopy method and therefore can provide a detailed assessment and prognosis. And finally, the final diagnosis will be confirmed by histological examination of the removed material. The latter is necessarily carried out by a certified laboratory and is a confirmation of the doctor’s diagnosis.

Tominets Oksana Vasilevna
Dermatologist. The highest category.
I have a small bean-sized knot on the right of my anus. I was advised to apply suppository with sea buckthorn. I took 9 of them. And today I noticed that this knot has increased and became a little larger in size and harder. Can you eliminate it without surgery?
Answer: 03.12.2020

Hello! Based on the complaints described by you, it is more likely to be a hemorrhoidal thrombosis. To make a decision on treatment tactics, a mandatory examination by a proctologist is required.

Zhura Oleh Valentynovych
Proctologist, surgeon. First category in proctology.
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