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Suggest Treatment For Lower Back Pain, Rectal Discomfort And Erectile Dysfunction

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Posted on Sat, 14 Nov 2015
Question: my symptoms are lower back bain , rectal discomfort , ED, sometimes testicule pain and groin discomfort sometime ....
and i did those tests :
urinalysis : negative , urine culture: no growth( negative) , chlamydia: negative , gonorrhea: negative,
PSA : OK (low), syphilis: negative HIV:negative
doctor
Answered by Dr. Matthew J. Mangat (52 minutes later)
Brief Answer:
Some more specific tests needed.

Detailed Answer:
Hello XXXX and welcome to HCM.
As an Urologist,i must assure you, STD is ruled out.
1. For the rectal pain, you should have a direct per rectal examination done.
If possible, get it done by a competent surgeon.
2. The low back pain, may or may not not be, related to it.
This will require an ultrasound scan of the abdomen.
This could give us an idea,about a cause for both,rectal pain and low back pain.
Do you have constipation.?
If you start exercising for about an hour daily, it'll help relieve the back pain.
3. For ED (erectile dysfunction), you need to have the following tests done.:
Blood routine, sugar and LFT.
If you're a smoker, it helps to reduce smoking to minimal.
The same applies to alcohol intake.
4. Testicular pain, if recurrent, will need ultrasound doppler scan of the scrotum.
According to these reports, an Urologist can advise further treatment.
You can also get an expert opinion about further treatment from me.
Wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Matthew J. Mangat (18 minutes later)
no constipation ....
what does that means STD is ruled out ?
what std can make that?
do you think is prostatitis ?
doctor
Answered by Dr. Matthew J. Mangat (20 minutes later)
Brief Answer:
STD panel tests, are a group of basic screening tests.

Detailed Answer:
Hi again.
STD negative, is reports of Gonorrhoea,Chlamydia,Syphillis, and HIV being negative.
VDRL and HBsAg also, should be negative for complete screening.
Doing it, is advisable for your safety,if you've had sex, with more than one partner.
Prostatitis is a possibility, which i can opine, only after seeing the reports of tests advised.
Wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Matthew J. Mangat (21 minutes later)
some one said me Genital herpes or hpv can cause that ...
3 years ago my wife had a surgery for hpv ..... do u think
those can cause that
doctor
Answered by Dr. Matthew J. Mangat (7 minutes later)
Brief Answer:
HPV has warts arouns skin or inside opening of urinae passage.

Detailed Answer:
Hi again.
Your symptoms are certainly not of genital herpes.
HPV(human papilloma virus), is to considered in people with warty growths around tip of penis,or around it. You don't have anything resembling that.
Sexual contact with untreated partner can cause it.
As she's already been treated, you don't need to consider it for the time being.
Hope your doubts are cleared.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Matthew J. Mangat (15 minutes later)
ok good

to make sure ,my last question, can the virus HSV-2 cause prostatitis ?
doctor
Answered by Dr. Matthew J. Mangat (1 hour later)
Brief Answer:
HSV-2 virus transmitted after anal sex,from infected partners.

Detailed Answer:
Hi XXXX.
Why're you worrying about, possibilities that don't apply to you.
HSV-2 and prostatitis, is not seen usually, so Urologists, don't even test for it.
If you're having regular anal sex, with an infected partner,then you need to have a rectal examination done, by a surgeon, to look for any anal lesions.
Otherwise, don't bother about it.
You're most welcome to ask any doubt you may have.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1898 Questions

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Suggest Treatment For Lower Back Pain, Rectal Discomfort And Erectile Dysfunction

Brief Answer: Some more specific tests needed. Detailed Answer: Hello XXXX and welcome to HCM. As an Urologist,i must assure you, STD is ruled out. 1. For the rectal pain, you should have a direct per rectal examination done. If possible, get it done by a competent surgeon. 2. The low back pain, may or may not not be, related to it. This will require an ultrasound scan of the abdomen. This could give us an idea,about a cause for both,rectal pain and low back pain. Do you have constipation.? If you start exercising for about an hour daily, it'll help relieve the back pain. 3. For ED (erectile dysfunction), you need to have the following tests done.: Blood routine, sugar and LFT. If you're a smoker, it helps to reduce smoking to minimal. The same applies to alcohol intake. 4. Testicular pain, if recurrent, will need ultrasound doppler scan of the scrotum. According to these reports, an Urologist can advise further treatment. You can also get an expert opinion about further treatment from me. Wish you well.