Recently Answered Questions
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Query: Hi doctor, I am a 35 year old male. Two weeks ago, I noticed that my semen was brownish. Again yesterday and today, it is the same reddish-brown, and I think it is more watery than usual. I do not have any other symptoms. I do have a varicocele, but I do not think this condition is related to varic... Read Full »
Answer: Hi, Welcome to icliniq.com. The reddish-brown color of the semen indicates a condition called hematospermia. The most common cause for this condition is idiopathic inflammation of the prostate or seminal vesicles. Do you have any feeling of dysuria (difficulty in urination or painful urination) or... Read Full »
My father has a third-degree prostatomegaly with a decreased PSA. What to do?
Query: Hello doctor, This query is regarding my father. He is 65 years old. He suffers from BPH from the last five years and takes Alfusin-D for the same. Five years back, when he was diagnosed, his PSA was 2.8 ng. Last year, we repeated his test and the PSA was 0.9 ng/ml with normal DRE. An ultrasound of ... Read Full »
Answer: Hello, Welcome to icliniq.com. The PSA (prostate-specific antigen) has decreased due to Dutasteride component of Alfusin-D. I suggest he get the screening done yearly for a year or two. Then, a two-yearly screening of PSA and DRE (digital rectal examination) is alright as his PSA is low in spite... Read Full »
Is surgery inevitable for an enlarged prostate?
Query: Hi doctor, My father is having enlarged prostate and has to undergo prostatectomy surgery. But, it is getting delayed due to ITP (idiopathic thrombocytopenic purpura). Right now he is under urine catheter. From past 12 days he is using Silodal-D 8 mg. Doctor said that after 20 days the prostate glan... Read Full »
Answer: Hi, Welcome to icliniq.com. Your father was on medication and has history of urine retention in the past. Currently, he is on catheter. Chances of medical management will not be successful. He needs surgery of either TURP (transurethral resection of the prostate) or HoLEP (Holmium laser enucleati... Read Full »
Is it normal to need manual stimulation for penile erection?
Query: Hi doctor,I am 28 years old. I feel my libido has been quite low, and is it normal to have the need for manual stimulation to get hard? And it stays hard for 10 to 20 seconds without touching at all. I took tablet Viagra for erectile dysfunction. Kindly help. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your symptoms are common in young men who masturbate early in life. I would suggest you try reset therapy. That means lowering your testosterone and regulate down the nerve communication between the brain and genitals with the hope that after ... Read Full »
What is the treatment for prostate swelling in my father-in-law, who uses a catheter for urination?
Query: Hello doctor, My father-in-law has prostate swelling. The doctor wants immediate surgery, but I want to wait and see. His PSA was 7.87 ng/mL, the blood and urine tests were normal. In the ultrasound, the weight of the prostate was 41.1 grams. Is surgery drastic in this case? Can he use medicines and... Read Full »
Answer: Hello, Welcome to icliniq.com. What are his symptoms? Does he have a poor flow of urine? Does he have to strain? Was uroflowmetry test done to check for urine flow? Just for prostate enlargement, surgery is not required. Treatment is based on the above reports. Thanks. Revert with more information... Read Full »
How effective is Dutasteride in treating hair loss?
Query: Hello doctor, I am suffering from hair loss. I am taking Dutasteride (Avodart) 0.5 mg but want a stronger dosage but cannot find it available anywhere. Can I take one 0.5 mg tablet in the morning and one at night every day to raise my dosage, or is this dangerous? Thanks. Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for the query. I can understand your concern. According to your statement, you have been suffering from hair loss. Avodart contains Dutasteride, which is mainly used for prostatic enlargement. FDA has not approved this drug for the treatment of hair loss, but s... Read Full »
For a BPH patient, what are the side effects of stopping Veltam plus?
Query: Hello doctor,My father, 74 years of age, has BPH. He had UTI four years ago and was diagnosed with BPH. PSA was 60 and last three years was on Urimax and past few months on Veltamplus. His PSA is 0.9 prostate size 45 cc and PVR is 70 ml. His symptoms have been the urinary frequency of every two hour... Read Full »
Answer: Hello, Welcome to icliniq.com. I would suggest you continue medicines as at present his flow (which is good) and postvoid (which is less, it should be less only) are because of medicines. I think if he stops the medicines then his urinary symptoms may get worse or postvoid may also increase. Ther... Read Full »
Can you provide a second opinion for prostate operation?
Query: Hi doctor, I am a 74 year old male. 15 days ago, I have had high fever (103 degrees F) with shivering. The actual problem started before 20 days and I was unable to pass urine for three days. I was admitted to hospital due to fever and then discharged after five days of stay. I guess, It was found ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through all your reports (attachment removed to protect patient identity). Yes, the prostate gland is enlarged and weighing more than 100 g. You also have other comorbidities like ischemic bowel disease and diabetes. At this juncture, I would suggest you tabl... Read Full »
Are there any medicines to regrow hair?
Query: Hi doctor, I am suffering from hair loss. Now I am 50% bald. Some of my friends have regained their hair. My baldness is hereditary. I am also an alcoholic. I need some effective medication for hair regrowth. Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query and do understand your concern. Is the hair lost from the temple and vertex of the scalp? Is it diffuse hair fall? As you have said it is genetic, I am assuming it is male pattern baldness. But, photographic evaluation of the extent and typ... Read Full »
How can I control my excess precum?
Query: Hello doctor, I am a 35-year-old male. I am concerned about the amount of precum when aroused. From my understanding, a teaspoon full would be normal. I have probably four times more. It is disturbing and I would like to reduce it via medication. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Precum is the fluid coming naturally out before ejaculation, its function mainly is to lubricate during intercourse. It man contain sperms as well. This fluid comes naturally and it is good for us actually. And the amount will vary with age and sexual desire. There are... Read Full »