Hello dear
Understand your concern.
Cause of headache may be due to migraine mainly.
You should consult the DM
neurologist for headache as headache for longer time.
Need to go under CT/MRI of brain and neck to exclude brain/neck pathology.
Doctor may give following treatment of migraine.
Following are the treatment of your problem:
1. Pain relieving medication:
- first use:Ibuprufen 500 mg three times a day or you can use aspirin or acetaminophen
- If not responds, you can use
sumatriptan, combination of ergots and caffine
- In resistance case you can use opioids and glucocorticoids like prednisolone
- You can put ice pack on head.
Stay hydrated
eat health diet.
Life style changes should be done as below
1. Enough sleep
2. Muscle relaxation exercise
3. Rest and relaxation
4. Keep headache diary: Identify trigger factor and which treatment is effective
Alternate therapy:
Acupuncture therapy
Massage and music therapy
Cognitive behavioral therapy
Vitamin B-2 and CO Q can be useful in relieving pain.
Cause of erectile dysfunction:
fatigue, stress, relationship issues, performance anxiety, alcohol consumption,
diabetes, obesity, tobacco use,
enlarged prostate gland.
So please do health check up to exclude above causes.
Take following advice
1. Start exercising, losing weight, stopping smoking and alcohol if you are taking
2. Tablet viagra 50 mg taken about one hour before sexual activity. It may be taken between 30 minutes and four hours prior to sexual activity. maximum dose of 100 mg daily or reduced to 25 mg daily. Do not use more than one time daily
3.
Testosterone Replacement Therapy after hormonal test and consult with doctor
4. Alprostadil urethral suppository-erection usually starts within 10 minutes and lasts between 30 and 60 minutes.
OR drug :
paroxetine 10 mg 30-40 min before sex
5. Talk with your doctor
6. Do discussion with your partner that help in gaining psychological trust
7. Distract your mind from sexual stimulation
8. withdrawing the penis altogether,
9. purposefully ejaculating before sexual intercourse
10. using more than one condom
11. use squeez technique to reduce excessive arousal
Hope this may help you.
Take care
Best regards
Dr. Sagar