Question 1

Can you tell me if having sudden urges to watch porn when I'm alone, or imagining being in bed with a naked woman, is considered an addiction? I'm worried about how often these thoughts are coming up, and I really want to understand if this is normal or if I should be concerned. Any advice on how to manage these feelings would be really helpful.

Accepted Answer

Smoking can contribute to testicular pain, although it's often an indirect cause. Here's what you need to know:

_Possible Reasons for Testicular Pain Due to Smoking_

1. _Varicocele_: Smoking can damage blood vessels, leading to varicocele, a swelling of veins in the scrotum that can cause testicular pain.
2. _Inflammation_: Smoking can lead to chronic inflammation, which may cause testicular pain.
3. _Reduced blood flow_: Smoking damages blood vessels, reducing blood flow to the testicles, potentially causing pain.

_Diagnosis_

To diagnose the cause of your testicular pain, consult a urologist or a primary care physician. They may recommend:

1. _Physical examination_: A thorough examination of the testicles and scrotum.
2. _Ultrasound_: To check for varicocele, hydrocele, or other abnormalities.
3. _Blood tests_: To rule out infections or inflammation.
4. _Smoking cessation_: Quitting smoking can help alleviate symptoms.

_Treatment_

Treatment will depend on the underlying cause of your testicular pain. Your doctor may recommend:

1. _Varicocele repair_: Surgery to repair varicocele.
2. _Pain management_: Medication to manage pain and inflammation.
3. _Smoking cessation programs_: Resources to help you quit smoking.

Quit smoking to reduce your risk of developing testicular pain and other smoking-related health issues.

Question 2

I'm scheduled for arthroscopic ACL reconstruction surgery next month but I'm currently taking Luramax 40, Apizole, and Sizopin for my mental health. Could these meds cause any complications during the surgery? Do I need to stop taking them beforehand and if so, how long before the surgery should I stop?

Accepted Answer

As such there is no direct impact of medicine on surgery or vice versa. But couple of things to bear in mind are.... any surgery can be stressful as it involves being in hospital, off your regular routine / work, pain etc. And stress can result in deterioration in mental health condition. Just make sure you have good support network and you are in touch with your psychiatrist before and after surgery to monitor your mental state and to review medicines as necessary. Secondly, as long as you have no other medical conditions, medicine is stopped only on the day of surgery. Once you start on oral feeds medicine can be resumed. Please inform the anaesthetist about your medicines and have your psychiatrist's contact number handy for your orthopedist to contact if necessary. Best wishes

Question 3

Why do many teenagers feel depressed?

Accepted Answer

Probably due to more pressure at home/school, low self esteem, alcohol/smoking etc

How do I know if Im bipolar?

One can suspect a person having bipolar disorder if they are experiencing periods of mania and depression but you can only know for sure once you consult a specialist (Psychiatrist).

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