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Blood in semen with pain in testicles, hyperthyroidism - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Testicle Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :   how can i help you
User :   Hi Doc trial chat session got timed out
Doctor :   k

User :   i was discussing the problems which my husband is facing for past few months
Doctor :   k
Doctor :   he is having the pain in testicles rit
Doctor :   thats what i got it
User :   yes
User :   right
User :   also the discharge is like a liquid rather than viscous
User :   we are very worried regarding the same
Doctor :   can you tell me few details before we proceed on to what the problem is and for specialist doctor appointments
Doctor :   k
User :   yes sure,.. plz ask me
Doctor :   where exactly is the pain?
User :   in the testicles.. not every day but twice in last 3-4 months it occured
Doctor :   is there any swelling ?
User :   no
Doctor :   k
Doctor :   is there any redness?
Doctor :   or feeling of warmth ?
User :   no .. but once he could see blood coming out of his penis while the discharge
Doctor :   since 3 months he is having the problem? but only twice he has experienced this pain
Doctor :   k
User :   the had the pain twice

Doctor :   was there any injury or fall or accident in the recent past?
User :   no nothing

Doctor :   was there any problem of blood passed in urine also?
User :   no not that also.. except once he saw few drops of blood with the sperms
Doctor :   is there any abdominal pain or burning sensation during passing urine?
Doctor :   k
User :   no

Doctor :   k
Doctor :   how many times has that blood come ?
User :   only once
Doctor :   k
Doctor :   is he sexually active?
Doctor :   if so with how many partners?
User :   yes he is active
User :   we are married ... and presently with me only is what i believe
Doctor :   k
Doctor :   just ask him if he had any relations before?
User :   yes he had one girlfriend and he was sexually involved with her
User :   but not anymore
Doctor :   k
Doctor :   he has lost any weight in the recent past?
User :   not weighed though but he has been staying away from home due to official trips
Doctor :   general weakness or tiredness
User :   and eating patterns have got badly disturbed
User :   hez not liking the food due to change of place
Doctor :   k
Doctor :   according to the history given by you i think this can be due to testicular problems or
User :   yes he feels tired very soon these days..other wise he is an active person.. into out door games
Doctor :   the organs which deliver semen like epididymis
User :   okay
Doctor :   is your family complete?
User :   no .. we havent planned a baby yet
Doctor :   has he undergone any operations in recent past
User :   no. he hasnt...
User :   could this be a serious concern?
Doctor :   ya this is a serious concern and you need to get a test done
User :   oh okay
User :   which test
User :   and i would really apreciate if u can suggest me a Doctor/Specialist for the same
Doctor :   after that i can say what the cause is and advice the treatment schedule and follow up of your cause
User :   thats perfect
Doctor :   was there any fever during the pain?
User :   no.. the pain usually lasts for 20-30 mins and he can even move during that

User :   if he lies down straight it he gets relieved without any treatment and then hez perfect
User :   *cant even move
Doctor :   what is his age?
User :   27
Doctor :   k
Doctor :   are you sure there is no swelling or masses felt?
User :   well i guess i am sure

User :   we stay as koramangala

User :   can u suggest me any doctor nearby or any where in bangalore
Doctor :   k
Doctor :  
complete blood test, urine culture and sensitivity, ultrasound of kub region and inguinal region, and testicular biopsy
User :   ohh k

Doctor :   these are the tests which i suggest
User :   alright

Doctor :   please confirm your details
User :   what details?
Doctor :   so that we will be contacting you for nearby doctor reference for consultation
User :   okay
Doctor :   [ Email: YYYY@YYYY ] [Mobile: 0000 ]
User :   thats correct
Doctor :   please fill up the feedback form and send back
Doctor :   k
Doctor :   at what time will you and your husband be free
User :   today by 5 PM
Doctor :   and when do you like to have consultation
User :   as early as possible
Doctor :   k
Doctor :   1 of our executives will contact you on phone and let you know the details
User :   we are leaving for Delhi on Wed and will be back on 26th, we can have an appointment on 29th or 30th also
User :   which wud be a weekend
Doctor :   and you can come back to chat
Doctor :   it is 24/7 open
User :   okay fine
Doctor :   and let us know what the doctor has prescribed
Doctor :   and tests advised
User :   fine
User :   Doctor.. i too have a concern for myself
Doctor :   so that we can follow it up
Doctor :   have you filled up the feed back form
Doctor :   ya sure go on
Doctor :   with your problems
User :   i have a problem of thyroid
Doctor :   k
User :   for past 3 years
Doctor :   what is the problem?
User :   i was suggested to take thethyronorm pills
Doctor :   have you filled up the feed back form and sent back?
User :   *thyronorm
User :   yes sent the form back
Doctor :   k thank you
User :   i started with 25 mg and reached upto 75 mg
Doctor :   and for what problem you were suggested those tablets
User :   thyroid
User :   i got my T3/T4/TSH tests done
Doctor :   k
User :   and it came out to be more than what it shud have been
User :   it varied from 5 to 7
Doctor :   ya did the doctor specify which problem of thyroid
User :   no
User :   i had few symptoms for the same
Doctor :   k
Doctor :   it is hyperthyroidism probably
User :   like panting, geting tired while walking, puffiness in eyes.. no control on hunger,
User :   anger
Doctor :   k
User :   and hoarseness in throat
Doctor :   k
User :   then i met a homeopathic doctor who asked me to stop taking thyronorm as according to him my thyroid level did not shoot up so much that i shud be on the tablets and he suggested me some homeopathic medicine
Doctor :   k
Doctor :   can you come back with all those reports
User :   it was to be taken thrice a day.. which i could not follow for long but indeed i did not fav\ce any problem while taking his medication
User :   but since i changed the city
Doctor :   and tests which you have got it done
User :   i decided to
User :   switch back to thyronorm as it was to be taken only once a day
User :   morning empty stomach
Doctor :   k
User :   in tests .. the level dint come down but it dint increase too
Doctor :   even now are you having the same problem
User :   now no other symptom except when i am exhausted my voice goes husky
User :   and if i am hungry i start feeling week and irritated if i dont eat
User :   specially in the morning
User :   i am now taking 25 mg again
Doctor :   k
User :   as told by one of the doctors
User :   but usually i find puffiness in my eyes when i wake up in the morning
User :   i am wondering why is that
User :   and what do i do for it
Doctor :   can you read the reports for me please
User :   i am not carrying them with me

Doctor :   the thyroid test reports
User :   i am in office
Doctor :   k
User :   but i remember my T3 and T4 was normal
User :   only TSH was increased
User :   in the range of 7
Doctor :   i think its a long time since u have done your test
User :   no i got them done last moth
User :   *month
User :   from St Johns blr
Doctor :   k
Doctor :   was it normal except for tsh
User :   yes it was
User :   even my HB is 13
User :   which is good
Doctor :   k
Doctor :   were you getting any headaches?
User :   not so often
Doctor :   was there any scan of head done?
User :   but at times
Doctor :   are you there?
User :   yes doc
Doctor :   was there any scan of head done?
User :   no
User :   are u thr?

Doctor :   ya
Doctor :   k
Doctor :   the doctor didn't tell you the probable cause
User :   no..

User :   just that he found out some symptoms and asked me to get the tests done
User :   and suggested me the dose
Doctor :   k
Doctor :   since you are having the medicines after a break
Doctor :   i suggest you to get a test scan done and also physical examination done
User :   okay

Doctor :   when you go with your husband for a surgeon
User :   thats fine
Doctor :   both of you will be reffered to a surgeon
User :   what all tests for my do u suggest
User :   *me
Doctor :   because since you took homeopathy medicine
User :   yes
Doctor :   for you thyroid scan is enough since the harmones test you have done
Doctor :   is there any vision problems?
User :   no
Doctor :   k
Doctor :   then the scan and physical examintion is enough for now
User :   alright doctor

User :   thanks a tonne
User :   i understand that will recv a call from ur side regarding the details
Doctor :   ya sure
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   sure thanks :)

User :   hi
Doctor :   hi
Doctor :   are you back?
User :   yes i forgot to mention one thing
User :   i had a word with my husband
Doctor :   ok

User :   he told me that the pain usually has happenned only when he is wearing a tight jeans
Doctor :   ok

User :   and if he is excited and erected for long but he is unable to masturbate or do sex
User :   he is also concerned if this could be because of bad diet which he is taking these days
Doctor :   NO
User :   nowadays
Doctor :   it has no relation with diet
Doctor :   he should wear lose underwear
User :   okay
User :   he has recently purchased the U shape briefs
Doctor :   ok
Doctor :   but plz ensure that they are lose enough
User :   first time the blood appeared when we had sex 5 times in one night
User :   3rd and fourth time very little discharge happened and 5th time it happened with the drop of blood
User :   there?
Doctor :   yes

User :   and my concern is that if the problem could be because he is sexually active with 2 partners at a time
Doctor :   no
Doctor :   it may not be the cause
Doctor :   there cannot be bleeding due to multiple partners
User :   then what could be the cause

User :   actually there are 2 things which we are mixing... first is he experiences pain in testicles wen he is erected for long and he is not in the position either to masturbate/do sex
Doctor :   ok
User :   second is the semen is more of liquid nowadays that the thick viscous semen how it used to be
Doctor :   thin semenis not the problem
Doctor :   it is due to some secretions
Doctor :   *semen
User :   okay
User :   he feels that the size of his right testicle is a little bigger than the left one
Doctor :   lets first go for physical examination and then decide later the cause
Doctor :   one of the testicles is generally high
Doctor :   and may be big
User :   okay
User :   i request you to kindly call us as soon as possible
User :   we dont wanna avoid this concern any further
Doctor :   ok
User :   u can takr my husband's number
User :   0000
Doctor :   i have conveyed the 0000 number to my team
User :   alright
User :   not an issue
Doctor :   if possible i will ask for this no

Doctor :   also
User :   okay
User :   thanks
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   bye
User :   one last question doc....
User :   how much would these tests cause
Doctor :   Plz logout and then again login from a seperate browser as this chat window has lot of contents and will hang at any time
Doctor :   is it ok?

User :   i need to leave for the day

User :   so if u can just tell me the appr cost
User :   of thses tests
Doctor :   wait i will check the previous history as i was not handling the chat in last occassion
User :   okay
User :   complete blood test, urine culture and sensitivity, ultrasound of kub region and inguinal region, and testicular biopsy
Doctor :   all these will cost less than 5000
User :   okay
User :   thanks
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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