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Swelling in the lower abdomen after sexual intercourse - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I am 39 years old male. I experience swelling in the lower abdomen after sexual intercourse. I get a dizziness (sleepiness) for the next 12 hours.s it because of prostate swelling or vesicle swelling?
Doctor :   Hi
Doctor :   How can I help you ?
User :   I have posted my health problem .
User :   shall I repeat it?
Doctor :   May I ask you a few more questions pertaining to your problem.
User :   yes
Doctor :   May I know your age please ?
User :   39
Doctor :   May I know since when you are having this problem ?
User :   Almost 5 years
Doctor :   Ok.
Doctor :   How large is the swelling ?
User :   I am staying away from my family for this long .
User :   But I experinced this when ever I had sx with my wife
Doctor :   Ok.
Doctor :   How large is the swelling
User :   My stomach become loose. evidently it comes out . as bulge
Doctor :   Ok.
User :   visble as a big tummy.
Doctor :   Ok.
Doctor :   Where is the exact anatomical location of the swelling.
User :   recently i experienced back pain and my lower abdomen was bulgy
Doctor :   Is it central.rt.,lt.lower quadrants ?
User :   for past 4-5 days
Doctor :   Ok.
Doctor :   Did you have intercourse in the last few days ?
User :   the abdomen just above the penis region
User :   1 week before
Doctor :   Ok.
Doctor :   Did you have any reeling sensation or any fainting like experience or extrem tiredness ?
User :   My eyes look red and i am tired with a dizzy feeling
User :   no extream tiredness so far.
Doctor :   Ok.
User :   But fall sleep whenever possible
User :   And I am not active
Doctor :   Have you checked for Diabetes ?
User :   yes i do not have diabetic problems
Doctor :   Ok, That is encouraging.
Doctor :   I shall give you a provisional or differential diagnosis : Doctor :   And recommend you some tests after that : User :   ok... I did not understand wht u meant by this term
User :   ok
User :   tests ok
Doctor :   Before that one last symptom check ?
User :   ok
Doctor :   Do you have any Urination problems ?
Doctor :   Any burning, itching,
User :   no
Doctor :   storage problems ?
Doctor :   or any leaking ?
User :   only thing i noticed is that my urine is always bit yellowish
User :   and I got it checked
User :   they said it is normal
Doctor :   Ok.
User :   no leaking
User :   during intercourse I used to stop ejaculation.
Doctor :   1. It may be Interstitial Cystitis , presenting with vague symptoms like this.
Doctor :   Ok.
Doctor :   Please go on.
User :   that used to give some pain / uneasines for next day
User :   but it disaapears after that
Doctor :   Ok.
Doctor :   1. It may be Interstitial Cystitis , presenting with vague symptoms like this.
Doctor :   2. It may be a hernial sac.
User :   oh
Doctor :   for both these you need to get an Ultrasound ?
User :   what is this cystitis?
Doctor :   Have you done an ultrasound ?
User :   no
Doctor :   it is idiopathic infection of bladder.
User :   It is associated with sexual activity?
Doctor :   3. Sometimes it could also be due to a testicular / vas deferentla / ductal cause
User :   ok
Doctor :   4.Or the blockage of seminal receptacle and infection or stasis.
Doctor :   I would recommend a proper lower abdominal ultrasound for that.
User :   ok
User :   With this test i should consult a urologist or sex doctor//?
Doctor :   2. A ureterogram to see any problem in ureters/bladder.
Doctor :   You can visit a Urlogist who would be the best speciality to handle your case.
User :   which type of pysician should I be consulting?
Doctor :   Not a sex specialist.
User :   ok
User :   any remedies to reduce this dizziness
Doctor :   I feel it is a reason to hurry and not delay any further as already it has been 5yrs.
User :   ok.. ok
User :   thank you doctor for the adise.
User :   will i be able to chat with you later
Doctor :   Dizziness, May I know your height and weight ?
User :   I am 178 hight
User :   178 cm
Doctor :   Ok.
User :   and weiht 93--- to 100kg variation
Doctor :   Dont you feel you a bit over weight ?
User :   yes
Doctor :   This can cause dizziness.
User :   93 is okay
User :   when it becomes 100 kg i can feel the difference.
User :   So get back to morning exercises
User :   /yoga
Doctor :   After sexual intercourse the blood usually decreases to your Brain/CNS and that might be one reason.
User :   ok
Doctor :   You need to loose at least 13 kgs if 93.
Doctor :   If 100 kgs. at least 20 kgs.
User :   Okay doctor i will do that weight reduction
Doctor :   This can be the most important reason for dizziness, tiredness, sleepy feeling.
User :   when it is 87 kg I look very lean/slim
User :   and quiet comfortable.
User :   but this problem persists
User :   irrespective of my weight
Doctor :   Thank you for consulting me.
User :   bye
Doctor :   Take care
Doctor :   bye for now.
User :   thank you
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