Recently Answered Questions
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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. There is ... Read Full »
I have gallbladder issues. What to do?
Query: Hello doctor, I had got an abdomen ultrasound done for other reasons but, the radiologist observed the following 'gallbladder is partially distended and showing few small concretions at the GB neck. Chronic patient of the prostate. Size 47 by 41 by 38 mm, volume 39 cc. Pre-void urine 281 cc, post v... Read Full »
Answer: Hello, Welcome to icliniq.com. How old are you? There is no need to worry. Small concretions are commonly found in the gallbladder. Also, the prostate size is enlarged and it is probably due to a benign prostatic hypertrophy. You should get Serum PSA (prostate-specific antigen) levels done, whi... 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 m... 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 »
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 »
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 table... 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 enucleatio... Read Full »
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 »