I have swollen veins on my penis, which are very large. I have discomfort, especially after masturbation. They had disappeared for some time, but have recurred. I am 22 years old and have varicose veins on my legs. What can be the problem?
01 Feb 2024 - 1 min read
I am a 31-year-old male with a normal BMI, and no other known health issues, non-smoker, non-drinker, and no drug use ever. My appendix got removed 10 years ago. I have been experiencing high PSA and occasional frequent urination for one year now. The latest total PSA is 9.95. Urine or semen culture is always negative for bacteria so I decided to wait for EPS before taking Ciprofloxacin. I have taken fosfomycin empirically for two weeks last month, symptoms subsided but came back a few days after Abx termination. Lately, feeling a bit under the weather, I do not have but definitely feeling weak and malaise-like. Some flank right-side discomfort is also present. So I decided to do some tests. My concerns and questions are:
1. Is this kidney infection from the lower urinary tract?
2. Why were hyaline cast and renal tubular epithelial cells found?
Seems high amounts, especially RTECS. Very concerned since RTECS with a hyalin cast can suggest something.
3. What do you suggest I should do next? Please suggest further tests and medication. I also read if left untreated, long-term kidney scarring can happen. Hoping it is just an infection that Abx can handle and not something else like acute tubular necrosis. Pleae help.
24 Jan 2024 - 1 min read
My PSA levels went up from 1.4 to 2.38 during my physical, and the digital rectal examination (DRE) did not find any issues. I have another PSA test scheduled for next month, and I am very concerned. Should I consider requesting an MRI or a biopsy before that test? It is important to note that I had BPH years ago, possibly aggravated by cycling with an uncomfortable seat. I continue to ride regularly, and I can not recall if I rode close to the exam date. My current medications include Lorazepam for stress and Amitriptyline in a subclinical dosage for IMS. Please help.
14 Jan 2024 - 1 min read
I am consulting for my wife. My wife was consulting a general physician for a routine check-up. As per her doctor, the urine analysis showed abnormal ratios. As per reports, there is blood in the urine. The second albumin-to-creatinine ratio dropped from the previous level of 22 to 7.50 mg/g, however, it is still high. Later the ultrasound revealed the presence of a right ureteric stone. I have consulted a kidney specialist and he told us to consult a urologist. As per the kidney specialist, there is hydronephrosis on the ultrasound report and it is causing back pressure on the kidneys. Kindly advise on the treatment course. I am attaching her blood tests and ultrasound reports. Kindly review.
12 Jan 2024 - 1 min read
I am suffering from a bump below my anus. I have many bumps like that. Can you suggest me some medication for the bumps to stop temporarily and clear my existing ones?
08 Jan 2024 - 1 min read