Depression and Erectile Dysfunction

Dear Dr Nawaz,
Adab, Please find my details and help me out to come out of my problems.I hope you are the one who could take me out of these hopeless problems as I have left all the hopes of getting cured.

1. ID :- ibadat369
2. Age :-48 Year
3. Sex :- Male
4. Single/Married :- Married
5. weight :-96 Kgs
6. Height …. :- 174 cms
7. country :-India ( North)
8. climate :- Hot and humid
9. List of your complaints:-
Severe depression, Erectile dysfunction, very early ejaculation, High BP, High TSH, high cholesterol, high triglycerides , very Low testosterone level, fatigue all day long , palpitations and fear of death .Loose stools,2-3 times in the morning from 6-9AM.
1.Test under gone:- TSH- Higher than normal Now under control with Thyroxine .25 mg
2. Triglycerides more, Cholesterol very high :- I was given allopathic Roseday 10 tablet daily. Homeopathy I was given Choesrinum and crategus Q. I do not what is my cholesterol now.
3. Testosterone level:- very low got 3 injections of testvirone 250 mg ( One in a month)( Weakness in legs was cured after taking these injections. But now again the weakness has come back.
4. B12 Level was low last year when tested. I was given eldervit injecton weekly for 4 weeks. Now I have not got it checked.
5. I got on injection of 3 lac units of vit d.
6. My liver is enlarged and fatty. SGPT was abnormal. It was treated with allopathic medicines. Now it is ok.
6. Palpitations:- Due to palpitations I got TMT done thrice, but it was normal.
7. My uric acid remains on higher side:- I take zyloric medicine for that.

10. Since how long are you suffering from each complaint:-
I had malaria for many months at the age of around 12-13 years. I used to have fever. Take medicine then go for blood test for malaria which used to be negative. This happened 6-7 times. Then doctor told me next time you have fever do not take medicine. Get blood test done. This time it was diagnosed as malaria and treated.
I masturbated a lot from the age of around 14 year’s up-to 27- 28 year’s.
At the age of around 24 years I had an attack of bronchitis and had to be treated.
I had mild fever for many years at the age of around 26 years. It was diagnosed after 5-6 months and got treatment for this. I started drinking alcohol at the age of around 20 years and continued regularly almost daily up-to the age of 28 years (around 180 ml daily). I continued drinking occasionally up till recently. Now I very rarely drink once in six months type.
I was married at the age of 27 years.
As I was having erectile dysfunction and very very early ejaculation. I repent for masturbating for so long and thought I have commited a crime and did unjustice to my wife.. I was very upset with myself. Then onwards my problems started.Prior to marriage I was very active and did not have any sort of medical problem. I was not able to look into eyes of my wife. I started withdrawing myself from family and friends and relatives. Even at that time also I did not get erectile dysfunction treated ( which was the only problem at that time ) due to shyness. I tried some sex tonics but they did not work. Afterwards at the age of around 42 years I went to urologists , they put me on sidnefill/tidnefill. Which I take some time now also.
11. Diabetic or non-Diabetic : non diabetic
12. Desire sweets/sour/salt: Moderate
13. Thirst: always very thirsty, lips always remain dry, nose also remains dry
14. Tongue and Taste:- white coated
15. Current BP (without medicine and with medicine):- 100/140

16. What exactly is happening?

17. How do you feel?
I feel like to sleep all day long by closing my eyes quietly in a dark room. I feel there is no strength left in me. My legs feel strength less. I feel no joy in life. I do-not feel like to talk to anyone.
18. How does this affect you?
It affects my mood. I do not feel like to go to office. If possible I like to stay home by making some excuse or the other. I am postponing the things. I procrastinate. I do not want to do any effort. I can not take decisions. I do not take bath. I don’t exercise. I do not follow up things. I am very careless. My memory has weakened. I am not a tough decision maker.

19. How does it feel like? It feels like I am worthless. I am not able to put in my 100%.
20. What comes to your mind? Fear of loosing job, fear of something terrible happening, fear of heart disease, people conspiring against me, fear of never recovering from illness
21. One situation that had a
big effect on you? When during first night I was not able to perform I felt very dejected and cursed myself.

22. How did that feel like? I was feeling like what have I done. Why have I gone for running my life and that of my wife.
23. What sensation do you experience in that situation? All senses are dull. No joy in anything. I do-not have any friends.

24. What are you showing by that gesture of your hand (Habits or Actions)?

25. Current and previous remedies/medicines you are taking or took in the past?
For depression I have taken both homeopathic and allopathic medicines. I go to one psychiatrist get treatment from him. He tries this medicine or that medicine up-to 8-10 months but when I do not get relief I go to another psychiatrist. This has continued for last around 9-10 years without any relief. I have been treated by 10 psychiatrists without relief. I have had homeopathic treatment also from many doctors but to no relief. Some of the medicine I remember were :- Aconite,Sulphur, Phosphorous, Arg Nit, Conium, Psorinm, Ars Alb, Hyos, Nat Mur, Agnus, selenium etc.
For erectile dysfunction I take some times sidnefil/tidnefil. Which does not suit e. My nose becomes stuffy. My BP lowers.
For BP I take atnelol 50. I sometimes take Zyloric for uric acid.

26. Family Background :- Younger sister died of an heart attack at the age of 36 years. Father also died of heart attack at the age of 72 years. Mother is suffering from sugar and heart disease.

27. Educational Qualifications of the patient:- I am B. Tech.

28. Nature of work, what do you do for living? Sitting job. Managing a project of computer labs in around 225 schools.

29. Desires, likes and dislikes for food :- No special likes or dislikes

30. Name of foods which increase your problem:- None

31. Mind-behavior, anger, irritability, hurry, impatient…and so on..:-
I am impatient .I feel like not to talk to any one. I feel like to remain in side my home. I feel like to keep my eyes closed and sleep whole day long in a dark room. I do not want lights to be on. I like my mobile to be on silent mode and do not want to answer any calls. I fear death. I get palpitations. I under went TMT test for fear of heart disease. I fear what will happen in future. I fear company may remove me from job. I may be job less. I fear what will happen to my children. People in my company are conspiring against me to remove me from my job. How my daughter will go to school? Unwanted fears and thoughts of future.
I am vvery careless about money matters. Even I am very careless about claiming back money from company which I shold claim as it is my money. But I some time loose that money as I do not claim in time and I do not get it back due to time lapse.
How are you different from other persons, public speaking or not , you can describe all of the details about your behavior, love and affections.
I shiver when I have to speak in public. I can not say no to any body. I am a very generous person. My throat sometimes feel chocked while listening to some sentimental music. Other wise I donot weep on death of some one even my near one’s.
Suppose I have talk to some regarding some matter I will keep postponing the things thinking that there may not arise some difficult situation out of this. So let it be like that. But ultimately when there is pressure then either there comes some problem due to no timely action from my end. I suffer a lot due to indecision, postponing the things, running away from facing the situations.

32. Aggravation (increases-time, season,)& Amelioration (Decreases):-

33. Attached here your photographs of the affected area. (if required/optional)

34. Location of the disease:- Mind
35. Side of the problem (Right or Left), (Upper or Lower part of body) :-
36. Color of the secretions/discharges e.g urine, stool, sputum, Saliva etc.:- Urine is pale in colour. Stool is loose yellow in colour. Sweating is very very offensive. I sweat a lot. It looks as if someone has poured a bucket full of water on me. People too are surprised to see amount of sweat. It smells very odd. It leaves whitish/yellowish marks on my garments. It is very difficult to stand near me due to offensive smell.

For Females Only
37. When is the period during the month approx date? Any monthly cycle issues? Regular, early, late, before problems, after problems, pain, any other discharges?
38. Are you pregnant? If yes, please give pregnancy start date? Any current issues?

Regards,
Ibadat369