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Having digestion and constipation problem. Suffer fever, shivering and chills. Prescribed Tayo and Zentel. Recommend treatment?

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General & Family Physician
Practicing since : 1978
Answered : 6641 Questions
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Greeting,
Here I am trying to mention everything for your consideration and also attached my reports and prescriptions.

Gender: Male, Age: 30 Years, Married: Never, Height: 5.65”, weight: 74 Kg, Body type: Athletic

Living on rent out of home and eating outside mostly since last 8 years.

I used to stomach’s warm from childhood. And always have digestion and constipation problem.

As I was suffering from shivering & chilled ever in summer, one doctor gave me TB Treatment for 6 months from April 2012 to Aug 2012 as per his diagnosis. I attached his prescription
Later on mostly doctors told me you should not.

3 months ago I had taken Vitamin D deficiency treatment. Reports & prescription attached here some points
26 Apr 2013 -->
High Sensitivity C - REACTIVE PROTEIN (HSCRP) NEPHELOMETRY 0.22 mg/dl (0.20 - 0.38 -- High Risk)
25-OH VITAMIN D TOTAL           C.L.I.A           18.55     ng/ml ] (DEFICIENCY : <20 ng/ml)
LIPOPROTEIN (A)                NEPHELOMETRY      40.3 mg/dl (Adults < 30.0 mg/dl)
LYMPHOCYTE                     PERCENTAGE      45.8 % (M:20-40; F:20-40)
PLATELET COUNT                121                X 10³ / μL      (150-400)

PLATELET DISTRIBUTION WIDTH      17.3                %           (10.00)

MEAN PLATELET VOLUME           13.6                fL           (6.5-12.0)

May 2013 Treatment -->
1.     INJ ARACHITOL 6 L (each 15 days) * 2 months
2.     TAYO 60K 1 tab (Each week) * 3 months
3.     ZENTEL 400 mg tab (once)

Presently I am suffering for following issues;
1. After erection I have horrible pain in my testicles seems going to upper side on that time I have to take rest for hours to normal (last 3-4 years). But these days mostly I feel same
2. I am noticing weakness especially in morning, after urination, and when I gone through nightmare/masturbation (10-15 days interval), really feel I have no energy, Sensation in thigh and pain in knee/joints.
3. Light pain lower right side underneath of stomach (groin) when bend toward toes. [Notice from year back]
4. Randomly suddenly I feel stomach pain especially in morning sometime other times too and after few minutes its normal or after toilet (latrine). [From years ago]

"At breakfast I am having 5 white part of eggs, Oat with milk and one hard milk coffee"

I started gym again after one year gap and everything going cool and always trying to lift heavy weight but from last week due to weakness not able to do proper workout.

I am also planning for protein and multivitamins as my coach suggest please refer below link for details.
Protein: WWW.WWWW.WW

Could you please recommend me treatment/tests/doctor.
Looking forward for valuable response, kindly help me out !!

Thanks,
Posted Fri, 25 Oct 2013 in Medicines and Side Effects
 
 
Answered by Dr. Pavan Kumar Gupta 2 hours later
Brief answer...Need certain informations from you so as to answer your query properly.
Detailed answer....
Hello,
Thanks for the query.
I have gone through your query in detail and I need certain informations from you so that I am in a better position to answer.
1.. When do you get pain in your testicles,whether after ejaculation or after erection?
2.. Is there any pain or burning in your urine?
3.. Is there any swelling or lump in testis?
4.. For how long your symptoms are there?
5.. Do you feel weak after masturbation?
6.. Is there any abnormal discharge from your penis?
7... Is there any history of unprotected sex with strangers or sex workers?
8.. How often do you masturbate or have sex ?

As far as your pain in abdomen on bending is concerned,it could be due to muscular strain on your abdominal muscles.This could be due to lifting of  heavy weights and hence you must stop lifting weights for few weeks.
As far as sudden onset pain of abdomen and it getting relieved after going to toilet is concerned,it could be due to chronic amebiasis caused by regular eating of outside food,which mostly is unhygienic.For this you have to make arrangement so as to eat a home cooked food.
Please revert back to me with the reply so that we can go ahead with our discussion.
Thanks
Above answer was peer-reviewed by
 
Follow-up: Having digestion and constipation problem. Suffer fever, shivering and chills. Prescribed Tayo and Zentel. Recommend treatment? 36 minutes later
Thanks Sir,
Here please find the answers,
1.. When do you get pain in your testicles,whether after ejaculation or after erection?
ANS: After erection if not ejaculated then feel more time pain, after ejaculation feel better but still lightly pain

2.. Is there any pain or burning in your urine?
ANS: No but after urine at last movement feel like something is on my top going to out. But I never force and after sometime feel normal.

3.. Is there any swelling or lump in testis?
ANS: Testis is normal size but I think the surrounding glands swell while pain, When pain on peek testicles going to upper side.

4.. For how long your symptoms are there?
ANS: For testicles pain I think around 4 years, on doctor visit they replied your testicles are normal if you feel pain can take pain killer. One testicle report also attached (Reports.pdf-12 page)

5.. Do you feel weak after masturbation?
ANS: Yes

6..Is there any abnormal discharge from your penis?
ANS : No, As I notice. But from last week after urine I feel weakness.

7... Is there any history of unprotected sex with strangers or sex workers?
ANS: No

8.. How often do you masturbate or have sex ?
ANS: Masturbate weekly or fortnightly

Thanks
 
 
Answered by Dr. Pavan Kumar Gupta 6 hours later
Hello,
I have read your reply and find that you have basically two problems.
1.. There is pain in your testicles after erection which gets relieved by ejaculation.
2.. Feeling weak after masturbation.
Sexual arousal which doesn't culminate in ejaculation results in congestion in the tubes and seminal vesicles because more and more sperms get collected in them.This causes a dull pain in your testicles.It is a perfectly harmless and benign condition which becomes all right once semen comes out either after masturbation or sexual intercourse.
There is nothing to be done for this as it is a perfectly normal phenomenon.It is also called as BLUE BALLS of love.
As far as weak XXXXXXX after masturbation is concerned,some weakness is definitely expected because ultimately it is a physical exercise of your muscles resulting in expenditure of some calories.This weakness gets accentuate more if one starts feeling more guilty due to masturbation.However this weakness is short lived and hence should not be bothered about much.More you think of it,more weak you would feel .
I hope it helps however you may revert to me or any further query.
Best of luck
Thanks
Above answer was peer-reviewed by
 
Follow-up: Having digestion and constipation problem. Suffer fever, shivering and chills. Prescribed Tayo and Zentel. Recommend treatment? 38 minutes later
Thanks Sir,

Sorry for again bother you, have some concern and doubts,

1. Should I continue my work out? And can I take protein as my coach recommends me?
Refer Supplement Fact --
WWW.WWWW.WW
2.Feel weakness as I said, feel weakness like something from bones

3. Would you like to recommend me any pre caution or restriction? What about diet ?

4.My lower part not strong as upper portion as I feel as especially from knee to groin

5. Mainly concern about my testicle pain that I am bearing from many years, and I tried to share everything, reports and prescriptions to you for expert advice. Now I believe it will not create any problem in future

6.Someone recommend me warn lemon water with salt in early morning to avoid constipation. Can I continue in daily routine?

Thank you very much for your valuable support and guide dance.
 
 
Answered by Dr. Pavan Kumar Gupta 10 hours later
Hello,
You can carry on your exercises but in addition you must do aerobic exercises and you should try to reduce your weight.
In addition you should attempt to do weight training instead of weight lifting.
You can carry on with your protein supplements.
For weakness you should take some calcium and multivitamin on daily basis.
Since you are generally eating outside so take care of your nutrition by adding fresh fruits,salad and green vegetables,dry fruits like almond and walnuts,fish and chicken to your diet.This shall take care of your constipation also.
You must do brisk walking and running to strengthen your lower body.
For testicle pains,there is no medication required.Once the release of semen starts occuring on regular basis this pain shall go away.
Just to bring peace to your mind,you can get an ultrasound of abdomen and testicles done.
Drink plenty of water throughout the day.
In early morning you can take light warm water with lemon but there  is no need to add any salt in it.
Make sure to avoid transfats and  take less saturated fats in your diet.
Thanks
Above answer was peer-reviewed by
 
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