Brief Answer:
As detailed below.

Detailed Answer:
Hi.
Thanks for your query and an elucidate history of complaints, medications, investigations albeit need more.
To recapitulate: Male/37 - chronic dysentery for 15 years (when you were 22) - mucus always - semen in urine - cold toes, feet, ears - pain and burning under right chest - always feel mild fever - no pain - many skin disease problems - knee, elbow and feet ...

Seen the reports: the ultrasonography on 15/2/16 showed diffuse nodular lesion but the CT scan on 3/3/16 shows normal liver with enlarged mesenteric lymph nodes - Rapid test of Hepatitis B HbsAg is positive and the liver functions show increased SGOT and SGPT on 16/2/16. The repeat tests are not available.

You have different problems:
1) Dysentery with mucus 15 years:
I would advise you the following in such a case:
- Thyroid function tests.
- Stool test for 3 consecutive days
- Colonoscopy, biopsy

2) semen in urine while at toilet: is usually the prostatic fluid, common in males.Comes out during pressure at toilet.
- Per-rectal digital (finger) examination of the prostate to see for the size, tenderness, irregularity etc. The ultrasonography is normal in this regards.

3) Skin and other problems like cold feet toes and ears, as you have mentioned may be due to the deficiencies due to chronic diarrhea and mucus in stool. These can present in various ways.

Hence I would further advise you the following:
Continue taking the present medication given by your Doctor/s.
Discuss and get started with a 5 day course of metronidazole.
Take therapeutic dosages of Vitamin A and D.
Probiotics, activated charcoal, curds, bananas.
Avoid all the foods and beverages that instigate or enhance your problems.
Rest of the treatment will be as per the reports that will be made available.

I hope this answer helps you to get an early and proper diagnosis and treatment. Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

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