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Kindly Help me to find out the right doctor and right treatment
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An_241435 posted:
Dear Sir/Madam
Iam suffering from below symptoms from past 4.5 yrs
1. After wake up from bed at early morning
a. Slight shiverring in left leg foot to the left leg hand.
b. Slight pain at the outer side of the left testicle and top of the left testicle to the left leg foot.Entire leg and knees are paining.pain is like a heart beat.(How heart beats like that pain comes and goes like a heart beat) and with shiverring.
2.After walking for a while of 10 to 15 Minutes
a. Slight shiverring in left leg foot to the left leg hand.
b. pain get increased at the outer side of the left testicle and top of the left testicle to the left leg foot.Entire leg and knees are paining.
c. When i pull testicles upwards, the pain was coming at outer side of the both testicle and nerve of the testicles joining at top of the testicles to the foot of the leg.
3.If i walk more than 15 to 20 mins, above pain was increasing more.
4.If i mastuberate,Iam getting pain after ejaculation and pain and burning sensation while urination.Pain around the testicles and abdomen for a few seconds after ejaculation.
5.If sperm comes at the time of dreams, then there was no pain or burning while urination and after ejaculation
6.When i sit for a more time example for more than 30 minutes, iam getting pain at buttucks.
7.Pain and burning sensation at the tip of the penis to the testicles.
For the above symptoms, i met urologist and he suggested me to go for below tests:
Haemotology Test Reports
1.Haemoglobin: 14.7 gr %
2.Total W.B.C Count: 8300 cells/cu.mm

Serology Test Reports
1.H.I.V : Negative
2.V.D.R.L: Non Reactive
3.Hbs Ag: Negative
4.Random Blood Sugar: 78 mg/dl
5.S.Creatinine: 1.0 mg/dl

Urine Tests
1.Albumin: Absent
2.Sugar: Nil
3.Microscopic Examination: Epithilial Cells: 1-2/HPF

Prostate Specific Antigen:(PSA) Total : 1.4
Ultrasound Scanning:
A.Abdomino-Pelvic Ultrasound Scan
Results:Liver,Gall Bladder,Kidneys,Pancreas,Spleen,Aorta,IVC,Portal,Splenic vein,Bladder are normal
Prostate Volume: 20 cc in size and echogenicity.
No significant abnormality nated.
B. Scortal Doppler Study
Test Results:
Right Testis:4.3x2.5x1.7 cms
Left Testis: 4.2x2.7x1.6 cms
Normal homogenous echoes
No focal lesions
Normal itratesticular arterial pattern
Epididymis-Normal
No e/o Hydrocele/Varicocele
Scortal wall appears normal.
No sonologically detectable abnormalities observed.
After seeing these tests, doctor suggested me to take the below medication for 5 days.
1.Pipragram-T 4.5 g injections twice a day,Mikafast 500 mg injections twice a day, buffet 40 mg injections twice a day, Nock-3 tablets twice a day,Hetrazan 100 tablets thrice a day,Contiflo-D tablets once in a day and becospecial tablets once in a day.
After this i got some relax, again i met the same doctor and explained that i have not cured completely.Then he given the below treatment.
1.Clavcure 625 mg twice in a day for 10 days
2.Pantocid DSR twice in ady for 10 days
3.Hetrazan 100 tabs thrice in a day for 3 weeks
4.Nock-3 tabs-twice in a day for 3 weeks &
5. Contiflo-D tabs - once in a day for 3 weeks.
I have started this treatment before 7 days, with this i got some more relief.But Symptoms are still existing.
Finally i want to inform you that one day i have made mastuberation while sitting on the bench.After that day only i got pain in the testicles and one day i made unprotected sex with my girl friend .Due to these reasons only iam facing these symptoms.
After seeing my test results and symptoms ,kindly tell me whether iam having any Sexually transmitted disease or i need to go for any surgery for testiclar pain or whether i have to meet neurologist for nerves pain?
Kindly tell me what is my disease and whom to meet for treatment i.e either Urologist / neurologist/urosurgeon/neuro surgeon?
From 4.5 yrs no doctor was telling what my disease called.I have met till now urologist,Sex specialist and surgeon.
Kindly advise me the right treatment, right doctor and what my disease called?
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Eugenio311 responded:
A few things come to mind as I read through your post. For the morning shaking/tremors I might first suspect something metabolic, like low blood sugar. (You mentioned a random blood sugar of 78. That is quite low for a "random" (non-fasting) reading.) Other possibilities would include some sort of focal seizure activity. It could also be due to stress/anxiety, toxicity to a medication or environmental exposure. (I'm not a doctor, but I do have background in primary health care),

Some of your other symptoms (testicular pain, pain after ejaculation, etc.) sound like with prostatitis, which can be bacterial or not. I don't recognize all the medications you've been prescribed, but at least 2 or 3 of them are antibiotics. Bacterial prostatitis often requires a very prolonged course of treatment, not a short 1-2 week course.

Your test results all sound good/normal. You don't mention your age or what kind of work you do that might give more clues as to what might be going on.

The pelvic/groin/leg/foot pain could be due to a misalignment of a spinal vertebra, causing a pinched nerve in the lumbar area with radiating pain. I don't know if you would consider chiropractic consultation or if that's even an option in your part of the world.

I do also have the impression that you are very anxious, and I know that stress can cause a lot of strange symptoms, so that might be something else to investigate. Sorry for the long reply. Best wishes, Eugenio
 
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Sheldon Marks, MD responded:
Lot of information to process- my knee jerk thought is epididymitis, which cause lengthy, protracted course of intermittent testicular pain, which waxes and wanes. Best treated with athletic supporter 24/7 for a few weeks, anti-inflammation medications for 2 weeks and no ejaculation for a 10 to 14 days. I think seeing a neurologist makes sense to with the leg symptoms.
 
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An_241435 replied to Eugenio311's response:
Dear Sir
My age is 29 and iam working as an Engineer.My work is only supervision of work.

Thank you for giving this information
 
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TNaresh replied to Sheldon Marks, MD's response:
Thank you for your reply sir


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