Suffering from two problems: Over reactive Bladder and Premature Ejaculation

Hello Doctor,
First of all thanks for your queries

So here are the answers

In terms of Personality: I am more of a lonely guy, not a party setter kind of. I have quite few friends, not good at making lots of friends. In a group I am more of a shy person, where I will be the least speaking one.

In terms of thoughts ..I can say I gets arousal very soon, with just the idea of sex. I am not sexually pervert, but to some extent I think I am above average in terms of sexual thoughts coming to my mind.

Habits: I am tetoteller. I do take non veg ocasionally

Likes and dislikes: I guess I am very normal person, and don't have any perfrences/dislikes as such.

I like all types of food, all types of climate.


Color of urine i have observed depends on after how much time I am going for emptying my bladder, and in that duration, how much water i have taken. So in night while sleeping if I have taken very less water, urine color will be yellow, on the other hand if i have more water urine color will be pale yellow. In daytime as water intake is more during urine intervals so urine will be white/transparent in color, which i assume is normal as per human body.

I don't see any secretions as such. but normally if I have consitpation, then i see secretions, while passing stool.

As i said above I am less of party setter person. I normally don't mix well in a group, and I can't talk something unlogical in a group. In a group my conversation will be mostly a one to one conversation, and rarely it will be targetting the whole audience. I have few friends, and normally i hang around in pairs and very rarely in group. And all this, I think is a limiting factor of my persoanlity.

Fears: I don't have any fears as such. but I am bit emotional person and gets attached to women (of my age) in a very short time, which as per my friends shouldn't be the case, and which I see as a limitation of my emotional persoanlity and sometime feels that i shouldn't be so much emotional towards girls.

One more thing i want to add regarding secretions. while watching some porn lot of pre-cum oozes out, which I think makes the way for PE to be more earlier.

Hello Doctor,

Thanks for your further intrest and queries.

Here are the answers

Due you experience increase in desire to urinate at night?

Not really. If i drink say 1 to 1 1/2 glasses of water before going to bed, I feel the desire to urinate, but most of the times it's only once.
In case if had less water in night Say just 3/4 of glass, then usually i don't wake up in night.

Almost a year and half back I noticed that few (about 10-20) drops of urine used to ooze out during early morning hours, or sometimes i have dream of urination, and during the same time physically i urinated while sleeping. A process similar to night fall. It happened in early morning hours.

After that I am little bit cautious and rarely drink more than 1 glass of water before going to bed. I do take hot milk almost regularly just before bed, but that doesn't seem to affect me as much as drinking water does.

I normally sleep for 6 to 6.5 hours, not because I lack sleep, but to get up early and do some studies in morning time. Mostly I sleep by 12 in midnight and wake up 6 or 6:30



Due you have to wait until the urine flow starts?

It's been rather opposite in my case. I feel very strong strong urge to pass urine and sometimes I feel the muscles on tip of penis unable to prevent the urine pressure and sometimes i have to use my hand (which is very embarassing for me) to prevent urine gushing out of penis.

could you explain the stream? is it feeble? does the urine flow drop by drop?

As I mentioned above, i have very strong flow of urine gushing out and I think it's due to extreme pressure which i feel in my bladder, and for me it feels like I haven't urinated for ages.

Do you sometimes feel the amount of urine you have discharged all day is much more than you drank?

I think it's proportionate. and directly related to amount of water taken, and what I have observed is If i have taken lots of water I need to go to rest room every 40 mins, this is my time measured observation. But if I have taken less water sometimes I can stretch upto 2 hours, which not too much time also in my viewpoint for a healthy person.

You mentioned constipation, is it like the stool is constipated and hard but once the first bit of stool passes the rest is soft.

I must admit that I don't have healthy digestive system right from childhood. My timings for answering the call of nature hadn't been regular ever. I am trying hard to maintain morning time, but usually I end up in maintaining morning time on average in 10 out of 30 days in a month. Rest of the days i need to depend on office rest rooms.

So stool formation also changes on day by day basis, sometimes it's first bit hard and rest of it soft and sometimes entire stool is hard.

Hello Doctor,

Thanks very much for your suggestions and taking time for studying my case. Really appreciated.

Does taking yoghurt affects tonsilitis in a negative way, I mean does it induces infection in tonsils.

Normally i do take yoghurt but not daily, as i read somewhere that taking youghurt aggreveates tonsil infection.

Thanks again.

Hello Doctor,

Thanks again for your inputs and queries. Here are my responses.

Due you have a history of tonsil problems? Do they stay swollen and enlarged?

Yes, I do have. They stay swollen and enlarged, but i don't take medicine, untill the situation becomes really worse in case of infection. But i have learnt to live with them since my childhood.

how would you meet an old friend after a long time? would you be very very emotional?

No, I would be meeting or showing expressions as if it's nothing extraordinary. Internally also i don't feel much emotions, but I might be little bit excited than what I am showing or pretending to be.

Are you very sensitive to what other think and talk about you?

I don't know exactly about this. But i think my behaviour would be normally what other poeople do. But I am not very keen on gossip part.

What about your self confidence, does it happen that if you have to go up on stage and give a speech, you will be very nervous but when you get up there you do a pretty good job?

I used to be very good orator in my school days, and used to give dictations in class as my voice was very clear and deep throat with high pitch. But as i entered into higher studies, where i need to communicate whith people using different languages and different dialects, i have now reached a stgae where sometimes i want to say a word in one language, but end up in saying a word which has no meaning at all. I think it's because my mind would have picked up the right word, but by the time i gets signal to my tongue to pronoucne it by brain would have looked into 2-3 similar words in other languages and in the process i end up saying a mixture of word, which has no meaning. As i need to switch languages quite often at my work place also, I am stammering on few words now, earlier in school days when I can pronounce any difficult word with great ease now i have some hesitation while speaking few words and end up in stammering.

So as i said i used to good orator in my school, I still know my inherent potential, so initially I might be relutant to speak on stage, but when I go on stage, or take centre role in meetings, I speak quite well, although now i have to put on some effort to avoid stammer.
Also i have noticed that now i don't speak from deep throat but from upper portion of mouth, as result of which my voice lacks the pitch what i used to have.

Other than are you a cold person or hot?
Do you take cold easily?

Sorry I didn't understand this properly.
I usually don't pick cold easily. I like hot food, hot drinks, water at normal room temperature. I don't drink chilled water, but i do take cold drinks sometimes

How are u at work? do u like work assignments? do u like people telling you what to do? do you delay work or always try to do it in the first instance?

I am good at work. I like work assignments, but again depends routine work is boring for everybody and same is the case with me. I don't like my juniors telling me what to do, but i think it's with everybody else. I am bit of procastinator in terms of finshing up the work, but again depends on lot of factors, if it's normal routine work, mostly i won't be taking it up at first instance, but something exciting work excites me equally.

Thanks again.

Sorry for using lot of 'buts' I think I should improve on this

Hello Doctor,

Sorry for my ignorance, Do you mean that I have take these doses just on one day and no dose for rest six days of the week?

thanks for your response.

Sorry for late response,

Had been travelling so couldn't take the medicine as suggested by you. I will update you soon with results.

Thanks

Hello Doctor,

Sorry for my late response, As I have been travelling a lot. I have bought the medicine as suggested by you, there are approximately 40 pills in a small bottle, but I don't know how many pills are considered as one dose.

Please advice.

Hello Doctor,

I have taken the medicine yesterday. Basically what I did is take approx 20 pills (i guess 1 pellet is 9-10 pills) mixed in 200ml of water and took 3 spoons of liquid one each at morning, afternoon and evening evenly spaced at 8 hours of duration.

Is it the right method to take the medicine?

You have mentioned earlier to report in a weeks time after taking medicine, could you please let me what behaviour I have to observe in this time period?

Thanks

Hello Doctor,

It's been almost a week when I took the medicine. Please guide me further.

Thanks

Hello Doctor,

Honestly speaking, I didn't find any change menatally or physically, But if you want to know about any specific details please let me know.


Thanks