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Overweight, gynecomastia & low libido

Hi I am 35 yrs old married with no children, suffering from following complaints for last five years:

1. My height is 180cm, weight 87 kg (BMI about 26.5 which has been recognized as overweight). Most of the fats are accumulated at abdomen (big tummy!), around waist.
2. I have developed asymmetric male breast (gynecomastia) since my adolescence with the left one slightly larger and tenders occasionally. This has caused a severe social and psychological impact on me.
3. The libido has been drastically reduced. It appears at an interval of 12-15 days. I am also suffering from premature ejaculation (in only 3-4 strokes).
4. I face severe body ache and headache in the evening time that relieves after sleeps.

I like cold climate, take bath twice in a day, i have acidity/reflux problem which is mostly in the evening, i crave for fries and less sweets.

My thyroid has been tested normal, urine no complications and hemoglobin normal.

Doctors, I would be grateful if I am suggested some effective remedy.

Truly,
Abhi
 
  abhi4321 on 2008-10-20
This is just a forum. Assume posts are not from medical professionals.
Patient ID: Sex: Age: Nature of work: Habits:


Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering?

2. What other physical sufferings do you have in your body?

3. What mental sufferings / feelings do you have associated with your physical sufferings?

4. What exactly do you feel when you are at your worst? Describe the sensation in your own words.

5. When did it all start? Can you connect it to any past event or disease?

6. Which time of the day you are worst?

7. What are the things which aggravate your suffering and which are those which ameliorate the same? Example- time, temperature, pressure, rubbing, washing, eating, tight clothing etc.


8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?

9. When do you feel better, during hot weather or cold weather, humid or dry weather?

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

- How do you feel before or during a thunderstorm?

- Do you like being consoled during your tough times?
- Are you sensitive to external stimuli like smell, noise, light etc?

- Do you have any typical habit or gesture like nail biting, causeless
Weeping, talking to one self etc?

- How do you feel about your friends, family, your children and especially your husband / wife?

11. What are your fears and do you dream of any situation repeatedly?


12. What do you crave for in food items and what are your aversions?

13. How is your thirst: Less, Normal or Excessive?

14. How is your hunger: Less, Normal or Excessive?

15. Is there any kind of food which your body can’t stand?

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?

17. How is your bowel movement and stool type?

18. How well do you sleep? Do you have a particular posture of sleeping?

19. Do you think you are able to satisfy your sexual desires in general?

20. Do you have any strange, peculiar or unusual symptom or feelings? How are you different from others?

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?

22. What major diseases are running in your family?

23. Describe, how do you look like? Describe your overall appearance.
(For Females)
24. If your menstrual cycles are not normal, please describe the irregularities, like pains, moods, flow type, clots etc.

25. What major diseases have you had in your life and when. Please write them in a chronological manner.
 
rishimba last decade
Dear Dr Rishimba,

Thank you for the followup reply. I am quoting the required fields below:

Patient ID:
Sex: Male Age: 35 Nature of work: Engineer Habits: Fried snax, TV watching, Late morning wake up,


Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering?

1. Overweight with big tummy.
2 Gynecomastia since my adolescence.
3. Low libido and premature ejaculation (in only 3-4 strokes).
4. Severe body ache and headache in the evening time that relieves after sleeps.

2. What other physical sufferings do you have in your body?

Acidity and indigestion.

3. What mental sufferings / feelings do you have associated with your physical sufferings?

I have developed asymmetric male breast (gynecomastia) since my adolescence with the left one slightly larger and tenders occasionally. This has caused a severe social and psychological impact on me.

4. What exactly do you feel when you are at your worst? Describe the sensation in your own words.

I tries to isolate myself from everyone.

5. When did it all start? Can you connect it to any past event or disease?

Recurring.

6. Which time of the day you are worst?

Evening.

7. What are the things which aggravate your suffering and which are those which ameliorate the same? Example- time, temperature, pressure, rubbing, washing, eating, tight clothing etc.

Cold weather, cold water, bathing.


8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?

No

9. When do you feel better, during hot weather or cold weather, humid or dry weather?

Cold weather.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

Mild, Changeable, Quiet, Lazy.

- How do you feel before or during a thunderstorm? Relaxed.

- Do you like being consoled during your tough times? Yes
- Are you sensitive to external stimuli like smell, noise, light etc? Yes

- Do you have any typical habit or gesture like nail biting, causeless
Weeping, talking to one self etc? Yes nail beating.

- How do you feel about your friends, family, your children and especially your husband / wife?

I like all should follow what I like and prefer.

11. What are your fears and do you dream of any situation repeatedly?

I fear to dream losing my near and dears.


12. What do you crave for in food items and what are your aversions?

Fry

13. How is your thirst: Less, Normal or Excessive?

Normal but excessive at mid-night.

14. How is your hunger: Less, Normal or Excessive?

Normal

15. Is there any kind of food which your body can’t stand?

Sour and spicy.

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?

Sweat normal and odorless.

17. How is your bowel movement and stool type?

Burping sometime and stool inconsistent.

18. How well do you sleep? Do you have a particular posture of sleeping?

Right sided with leg pillows.

19. Do you think you are able to satisfy your sexual desires in general?

No, it lacks.

20. Do you have any strange, peculiar or unusual symptom or feelings? How are you different from others?
No such.

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?

None yet.

22. What major diseases are running in your family?

High BP. My BP is slightly more than normal.

23. Describe, how do you look like? Describe your overall appearance.
(For Females)
24. If your menstrual cycles are not normal, please describe the irregularities, like pains, moods, flow type, clots etc.

25. What major diseases have you had in your life and when. Please write them in a chronological manner.

1975: Hooping cough
1988-2002: IBS and Worm related problems
 
abhi4321 last decade
Dr Rishimba, above are that required for your diagnoses. Waiting for your reply.

Regards,
Abhik
 
abhi4321 last decade

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