Erectile DysfunctionI am 65, male for last 4 months ED problem. Although having full erection in early morning before leaving the bed.
Is is normal with age? or can be treated?
ratnaakasturi on 2020-12-03
There are many possible causes of ED, and they can include both emotional and physical conditions. Common causes include:
hypertension, or high blood pressure
low testosterone levels or other hormone imbalances
certain prescription medications, such as those used to treat high blood pressure or depression
consuming too much alcohol
using tobacco products
certain health conditions, such as Parkinson’s disease or multiple sclerosis (MS)
damage to the pelvic area through injury or surgery
Peyronie’s disease, which causes scar tissue to develop in the penis
pls send the following detail
Name : (Mr./Mrs./Miss/Mast/Baby) First Middle Surname.
Date of Birth : Age Sex : S/M/U/W LMP
Blood Presser…………………. Height…………………….. Weight………………………WBC……………..TSH……….
A. K/C/O : [Duration is important. e.g. HTN since 2 yrs. etc.]
B. Investigations :
Date : Haemogram / Blood Report/ Urine Report/ CT scan/ MRI/USG Abdomen & Pelvis/ Thyroid Function Test, etc.
Write any abornomality:
C. Chief C/O: Write the complaints with sides & duration.
Give them separate nos. [e.g. 1] Abdominal pain(Rt. side)Since 8 days. Etc.
Please start with History of C/C : How complaints started?
H/o C/C : Write every complaint individually with-
Onset, decline, causation.
Character of Pain.
Duration of Pain.
Modalities : Movements/ Positions/ Thermals/ Food Habits/ Seasonal/
D. Ask for any recurrent complaint. Ex. Fever, Cold, Coryza.
E. Past H/o : Any major illness (along with side if present) e.g. H/o Typhoid/ Malaria / Jaundice/
Fracture/ Fall/ Injury/ Accident.
And H/o Vaccination – Hepatitis B / Dog bite Vaccination, etc.
F. Family H/o
G. Physical Generals :
• Habit : Alcohol / Drugs/ Smoking/ Tobacco, etc. (Since how many tears?)
• Diet : Veg./ Mixed.
• Appetite : Any alteration?
Whether patient can tolerate hunger?
• Desire : With reference to taste and not any particular food item. e.g. Sweet, Pungent, Spicy,
Sour, Fatty(Oily, ghee), Non- veg, milk, milk products, tea, coffee, Vegetables, Fruits, Ice Cream, Cold Drinks etc. is important. Also ask for any desire for indigestible food items.
• Aversion : Main taste e.g. Sweet, Sour, Fatty, Non-veg etc. is also important.
• Food :
• Head :
• Eyes :
• Ears :
• Nose :
• Mouth : any odour
• Tongue : Dry/Moist/ Coating/ Cracked/ Fissured/ Imprints of teeth
• Thirst : Thirsty/ S.Q.S.I./L.Q.S.I./Thirstless.
• Teeth : Carries of teeth.
• Gums : Bleeding Gums.
• Taste : Any particular taste in mouth
• Throat :
• Chest :
• Stomach/ Abdomen :
• Bowel : Character of stool is important. Dry/ Hard/ Soft/ Loose. Color, Smell, Straining or not? Etc.
• Skin :
• Chest& Back :
Lower Extremities :
• Perspiration :
Scanty/ Profuse. On which part of the body?
Hot/ Cold sweating.
• Sleep :
Time : Daytime any sleeping habit / Night time sleep hrs.
Position : Whether lies on back / sides-which side ?
Talking/ Walking sleep during?
Eyes open / closed sleep during.
• Dreams :
ii. Duration of cycle
iii. Color of discharge/ Any clots, etc.
v. Any pain Before / During etc.
• In General Discharges : Color/ Smell/ Quantity –scanty/ profuse etc. (very important)
H. Mind :
• Education :
• Occupation : (Working / Retired)
• Childhood at which place? –City/ Town
• Marital Status : Married / Unmarried
• Childhood :
Family : Joint / Separate
Financial Condition : Sound/ Poor/ Rich etc.
Nature : Obstinate/ Mild/ Pampered/ Short Tempered/ Irritable.
Desires Company or Not?
Fear of/ Stage courage
Any impactful/ disturbing incidence in childhood.
Angry when? How is it expressed ?
Timid / Daring.
• After Marriage.
(Suppression injustice and relation with inlaws, Adjustment)
• NOW :
Specially ask about main feelings : Anger, Sadness, Hypocrisy, Jealousy, etc. (Please, write in Rubric form)
Family: Joint / Separate
Financial Condition : Sound / Poor/ Rich etc.
Mild/ Short Tempered
Angry when ? How is it expressed?
Talkative/ Less talkative.
Affectionate / Reserved/ Censorious.
Reaction to Jesting
Reaction to Criticism.
Reaction to Reprimand
Reaction to Mortification
Any major conflicts
Sympathy about ?
About Time Punctuality.
Reaction to Lie & Injustice.
Fears ? (Being alone, Dark, Water, Height, Quarrel, Exam, Robbers, Animals, Downward Motion)
Sensitive (Physically & Emotionally)
About Social Activities.
Relation with others :
ï¾ Husband/ Wife
ï¾ Son / Daughter.
ï¾ Colleagues, etc.
• A/F :
oAnxiety about what ?
Loan, Court case, Money, Future, Health, Disease, Death, Job, Settlement, Children.
Any Anticipatory Anxiety
Death of Relatives :
Reaction : Grief, Sad, Forsaken, Helpless, Weeping.
Fall/ Accident/ Injury/ Fracture/ Sprain/ Loss of fluid.
Suppression of anger.
Any major setback in life.
Your Observation(Physical Appearance/Dressing).
Bathing Hot / Cold / Luke Warm Hot / Cold / Luke Warm
Fanning requires or not? requires or not?
Covering Thick / Thin? (1 or 2,etc) Thick / Thin? (1 or 2,etc)
• Open air : desires or not
• Require Sweater in Winter ?
• Chills begin from which part?
[Edited by deoshlok on 2020-12-05 01:11:05]
♡ deoshlok 2 months ago
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