Brief Answer:
blood in latrine-there may be piles, provide more detail about white water

Detailed Answer:
Hello XXXX,

You have mentioned that daily night white water is coming out of penis.

I would like to know few details about the same.

-What is your age and since when do you have this problem?

-Is it semen or something else?

-Do you feel that this water comes only when you are excited for sexual feelings?

-Are you married? If yes duration of marriage life and does your wife have any genitourinary infection/problem?
If not married, do you masturbate or do the sex with your girlfriend? What is frequency of sex/masturbation?

-What type of weakness do you feel? Do you feel is it due to that leakage of white water?Are you able to do your daily routine work normally?


You also mentioned that blood comes when you go for stool.

This might be due to piles.

-When this blood appear? Initially before stool comes out or mixed with stool or after stool?

-Do you have any pain when you go for latrine?

-Do you have any problem indigestion or constipation?

For this you should go for stool routine and micro examination as well as per rectal examination by surgeon is needed to diagnose your problem.

Waiting for answers to help you further.


Regards,
Dr.Chintan Solanki.

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Brief Answer:
you do not have any pathological problem no need to worry

Detailed Answer:
Hello XXXXXXX

From your narration it seems that you have some trouble in English language.But I have tried my best to understand your problem.Problems are night fall and early ejaculation. You are young and no possibility of having any major problem.

Night fall is not a disease. It is a physiological phenomenon.When seminal vesicles(tubes in prostate gland of urinary bladder) are full of semen(white thick liquid) and frequency of masturbation or sex is low, excess semen comes out on its own during sleep.Semen production occurs daily in prostate. Newly produced semen needs space in storage vesicles. If production rate exceeds expulsion rate, stored semen has to come out on its own to give space to newly formed semen. So during night (specifically when exciting dreams come) semen comes out which we call night fall. It neither affects health nor the sexual life.
Same process can cause early ejaculation when excessive storage of semen is there in seminal vesicles.
For night fall treatment is increase the frequency of sex/masturbation.

Premature Ejaculation (PME) or early ejaculation defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.

In young age normal cause of PME is performance anxiety or low frequency of sex or masturbation.

There are few behavioral approaches as well as medicines which can help to treat PME.

1. Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).
2. Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time.

3. Sex counselling of your sexual behaviour and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.
4. You should do masturbation before sex(at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.

5. If you would not go for such practices and counselling as I mentioned above, you can start medicine. Clomipramine and paroxetine are choice of medicines which are used as antidepressants(For depression dose is higher). I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 10-20 days daily after dinner and later on just on the day when you do the sex.
One molecule called depoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.

To help you more I would like to know few things.

What is your frequency of sex or masturbation?

Feel free to discuss further.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
yes I can, aap is tarah likh shakte ho

Detailed Answer:
namskar, Mr. XXXXXXX

Ha me hindi samaj shkta hu. Aap or kuchh janna chahte ho to hindi me is tarah likh k puchh shakte ho.

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