Question 1

I'm a 27-year-old guy from Chennai and I've been feeling like my penile frenulum seems a bit too short. I recently heard about frenuloplasty, but I'm not sure where to start. Could you advise on who would be the right specialist to consult and where I might be able to get this procedure done?

Accepted Answer

Dengue is not contagious in the classical sense, as it cannot be spread directly from person to person. However, it can be transmitted through:

1. Mosquito bites: The primary vector for dengue is the Aedes mosquito, which feeds on the blood of infected individuals and then transmits the virus to others.
2. Blood transfusions: In rare cases, dengue can be transmitted through blood transfusions from an infected donor.
3. Organ transplantation: Dengue can also be transmitted through organ transplantation from an infected donor.

To prevent dengue, take the following precautions:

1. *Eliminate mosquito breeding sites*: Remove standing water from containers, flowerpots, and other areas around your home.
2. *Use mosquito repellents*: Apply insect repellents containing DEET, picaridin, or oil of lemon eucalyptus to exposed skin and clothing.
3. *Wear protective clothing*: Wear long-sleeved shirts, long pants, and socks when outdoors, especially during peak mosquito hours.
4. *Use mosquito nets*: If you're sleeping outdoors or in an area without screens, use a mosquito net to cover your bed.
5. *Install window and door screens*: Make sure screens are in good condition and free of holes.
6. *Use air conditioning*: Mosquitoes are less active in cooler temperatures, so using air conditioning can help reduce the risk of bites.
7. *Get vaccinated*: If you live in or plan to travel to areas with high dengue transmission, consider getting vaccinated. The Dengvaxia vaccine is available in some countries for individuals aged 9-45.

Symptoms of dengue typically appear within 3-14 days after being bitten by an infected mosquito. The symptoms can range from mild to severe and may include:

1. *Fever*: High temperature, usually above 104F (40C).
2. *Severe headache*: Pain is often described as piercing or burning.
3. *Pain behind the eyes*: Eye pain is common, especially when moving the eyes.
4. *Joint and muscle pain*: Pain and stiffness in the joints, muscles, and bones.
5. *Rash*: A red, patchy rash may appear on the skin, usually 2-5 days after the onset of fever.
6. *Nausea and vomiting*: Some people may experience stomach upset, nausea, and vomiting.
7. *Fatigue*: Feeling extremely tired and weak.

In severe cases, dengue can lead to:

1. *Dengue hemorrhagic fever (DHF)*: A rare but life-threatening complication characterized by severe bleeding, low platelet count, and blood plasma leakage.
2. *Dengue shock syndrome (DSS)*: A severe complication of DHF, characterized by a sudden drop in blood pressure, leading to shock and potentially life-threatening complications.

Question 2

I've noticed that after I eat really spicy foods and then go to the bathroom, it feels like it burns and there's some pain when I pee. Is this something I should be worried about?

Accepted Answer

Could be a sign of a urinary tract infection (UTI). I recommend taking an over-the-counter medication called AZO Urinary Pain Relief to help alleviate the burning sensation and pain. You can also drink plenty of water to help flush out the bacteria causing the infection. If the symptoms persist or worsen, please consult a doctor for further evaluation and treatment.

Question 3

I've been having issues with frequent urination and incomplete emptying of my bladder for years now, and honestly, it's really frustrating. I've seen a urologist and went through all sorts of tests like kidney and abdomen ultrasounds, cystoscopy, blood sugar checks, and everything came back normal. I've also taken different medications for urinary and bladder infections, as recommended by my doctor, but nothing has worked. Lately, I've noticed this white liquid occasionally in my urine at night, and it's freaking me out a bit. I've tried so many things, but I'm not seeing any results. Can you help me figure out what's going on?

Accepted Answer

Consult a urologist again to discuss:
    - Urodynamic tests to assess bladder function
    - Pelvic floor physical therapy
- Consider consulting a nephrologist to rule out kidney issues
- Get tested for:
    - Urine culture and sensitivity
    - Prostate-specific antigen (PSA) test (if not done already)
- Lifestyle changes:
    - Practice pelvic floor exercises (Kegel exercises)
    - Manage fluid intake
    - Avoid irritants like caffeine and spicy foods

More Urology Health Queries

I'm a 27-year-old guy from Chennai and I've been feeling like my penile frenulum seems a bit too short. I recently heard about frenuloplasty, but I'm not sure where to start. Could you advise on who would be the right specialist to consult and where I might be able to get this procedure done?

I've noticed that after I eat really spicy foods and then go to the bathroom, it feels like it burns and there's some pain when I pee. Is this something I should be worried about?

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