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I've been having pain in my left lower abdomen for a couple…

Customer Question
I've been having pain...

I've been having pain in my left lower abdomen for a couple of months now.

Doctor's Assistant: How long have you had the pain? What seems to make the pain better or worse?

I've had the pain for close to a year now. Maturbation and exercise seem to make it worse

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I've not been able to get a full erection also when i'm with my girlfriend. And i seem to pre ejaculate at times.

Submitted: 6 months ago.Category: Medical
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Answered in 12 minutes by:
12/27/2017
Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,792
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago

What is your age?

What are the investigations done?

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Customer reply replied 6 months ago
I'm 30And I haven't consulted any doctor yet.
Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago

Your symptoms are likely due to prostatitis.

This is a non STD prostate infection due to pyogenic organisms which causes referred pain to penis. To confirm the diagnosis, following are helpful;

1) A digital rectal exam by doctor would elicit tenderness on prostate.

2) A urine culture

3) Semen culture

4) Culture of prostate fluid after prostate massage expressed from penis.

The culture tests not only confirms the infection and causative organisms but also tells about the most efficacious antibiotic to treat it.

You may get the following investigations done (if not already performed);

1) All hormones; thyroid, prolactin, testosterone, adrenal functions.

2) Autonomic nervous system testing;

Penile thermal sensory testing

3) Somatic nervous system testing;

Penile glans biothesiometry

Bulbocavernosus reflex latency test

4) Penile magnetic resonance imaging (MRI)

5) Penile angiography

6) Duplex ultrasonography

7) Combined intracavernous injection and stimulation

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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