About 5 Weeks Ago I Had Some Diarrhea Because Something
Need to complete course of antibiotics
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
Atleast 3-5 days of antibiotic is required to clear any possible infection in bladder or urethra. If infection is in prostate or kidneys, then it requires 7-10 days of treatment. However it doesnot seem to be coming from prostate or kidney. Leukocytes with no infection can be present in a cleared infection, in which case leukocytes get to normal after a few days. It could also be sterile pyuria. In sterile pyuria, antibiotics are not recommended. Causes of sterile pyuria could be sexually transmitted diseases, kidney stones, intestinal infection or autoimmune conditions. In your case diarhea could be a possible cause for this. Drink cleaner water and eat hygienic home cooked foods.
Leukocytes in urine doesnot seem to be related to masturbation. Drink lots of clean water (with low TDS) to wash out any germs from urinary tract and GIT.
I donot think a urologist consult is needed for now. Firstly take antibiotic for atleast 5 days. Then give your body a few days time to heal and then repeat the urine test. You can reduce the masturbation for few days if its uncomfortable. Also wear a condom for sexual intercourse. After all these steps, if urine still shows leukocytes, then STD panel tests maybe done.
Orgasm related issue seems related to fatigue due to ongoing diarhea and antibiotic use.
Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
It could be related to what you are going through
Detailed Answer:
Thanks for clarifying all the points.
It seems related to your ongoing health issues. As I stated earlier, the reduced sexual satisfaction seems related to effect of diarhea + antibiotic use. As such health issues can cause fatigue, these can also cause lowered sexual satisfaction, somehow related to nerves. It is expected to clear, as the health issue clears.
These health issues cause an extra stress on mind too.
Hope it answers your query. Let me know if you have more doubts.
Dr Vaishalee
Ejaculatory anhedonia + urinary retention
Detailed Answer:
Hi again
So you are having symptoms of ejaculatory anhedonia and urinary retention/overactive bladder.
Some common causes for both problems occurring together are prostate problem, nerve/brain problem and medicine (like anti-depressants). After ruling out any medicine use and recovering from the diarhea, I would run an ultrasound scan for prostate. Also get B12 and folic acid levels checked in blood and take supplements accordingly. If these are negative, then a neurology consult and tests for brain and spine radiology (preferably MRI) will be needed.
Masturbation doesnot cause such symptoms.
Dr Vaishalee