Question 1

Hey, so my dad's testicles started bleeding even though he didn't get hurt or anything. We noticed his blood pressure was really high at 19090 mmHg when we went for first aid. They said a vein might have burst, causing the bleeding. Could his high blood pressure be the reason for this? Also, what should we do next? Should we go see a doctor straight away or anything else we need to consider?

Accepted Answer

Yes, high blood pressure (19090 mmHg) can cause a varicocele (enlarged vein) to rupture, leading to testicular bleeding; immediate medical attention is crucial to rule out other potential causes, such as testicular torsion or tumor, and to prevent further complications.

Question 2

I'm married for a year now, and we're thinking about having kids. But I've been struggling because I haven't ejaculated even once in the past year. I also lose my erection when the vagina gets wet, and it feels like there's no hold during intercourse. I'm really confused about what's going on. Could it be because I haven't been circumcised? I'm looking for some advice.

Accepted Answer

You may be experiencing erectile dysfunction and difficulty with ejaculation. Circumcision is unlikely to be the cause of these issues. I recommend you consult with a doctor to rule out any underlying medical conditions. In the meantime, you can try medication like Viagra (sildenafil) to help with erectile dysfunction. Additionally, you can consider using medications like Clomiphene to improve sperm production and ejaculation.

Question 3

I'm dealing with a urinary tract infection and my test results are a bit worrying. They showed that there are many pus cells, occasional epithelial cells, and a few gram-negative bacilli. It also mentioned an E. coli colony count of 100,000ml. I'm not sure what to do next, could you guide me on the best way to treat this?

Accepted Answer

Urinary tract infections (UTIs) can be uncomfortable and painful. Based on your test results:

_Gram Stain Results_

1. _Pus cells_: Indicates a significant infection.
2. _Occasional epithelial cells_: Normal finding.
3. _Few gram-negative bacilli_: Suggests a bacterial infection.

_Culture Results_

1. _E. coli_: A common cause of UTIs.
2. _Colony count > 100,000mL_: Indicates a significant bacterial load.

_Treatment Recommendations_

1. _Antibiotics_: Your doctor will likely prescribe antibiotics to treat the E. coli infection. Common options include:
    - Nitrofurantoin
    - Trimethoprim-sulfamethoxazole
    - Ciprofloxacin
2. _Duration of treatment_: Typically 7-14 days, depending on the severity of the infection and your overall health.
3. _Pain management_: Your doctor may recommend pain relievers, such as acetaminophen or ibuprofen, to help manage discomfort.
4. _Hydration_: Drink plenty of water to help flush out the bacteria.
5. _Urinary analgesics_: Medications like phenazopyridine can help relieve burning sensations during urination.

_Follow-up_

1. _Complete the antibiotic course_: Finish the full treatment course, even if symptoms improve before completing the medication.
2. _Follow-up urine culture_: Schedule a follow-up urine culture to ensure the infection has cleared.

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