- male
- 40 Years
- 21/12/2021
How to know if my ED is physical or psychological?
Answered by 1 Apollo Doctors
Some tests can be done to know if there is any organic or physical cause and also detailed history including psychological evaluation helps.
Dr. Ranjith Suggests...
Consult a Urologist
Answered 04/07/2025
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Understanding Erectile Dysfunction (ED)
- ED is the inability to achieve or maintain an erection. Common causes include physical conditions like diabetes and psychological factors such as stress.
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Physical vs Psychological Causes
- Physical Causes: Diabetes, heart disease, hormonal imbalances.
- Psychological Causes: Stress, anxiety, depression.
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Signs Suggesting Physical Causes
- Persistent ED without situational triggers.
- Lack of nocturnal or morning erections.
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Signs Suggesting Psychological Causes
- ED linked to specific situations or partners.
- Presence of morning or nocturnal erections.
- Sudden onset related to stress or emotional issues.
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Diagnostic Steps
- Medical evaluation including history and physical exam.
- Tests: blood sugar, hormone levels, cardiovascular assessment.
- Psychological assessment if indicated.
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When to See a Specialist
- Referral to a urologist or mental health professional.
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Treatment Overview
- Tailored treatment depending on cause.
- Options include lifestyle changes, medications, and counseling.
Recommended next steps
Consult a Urologist or Take a PPBS Test (Post-Prandial Blood Sugar) Test
Answered 20/08/2025
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Dark chocolate, Oranges,Green leafy vegetables, salmon fish
Answered by 1 Apollo Doctors
I'm dealing with a urinary tract infection and my test results are a bit worrying. They showed that there are many pus cells, occasional epithelial cells, and a few gram-negative bacilli. It also mentioned an E. coli colony count of 100,000ml. I'm not sure what to do next, could you guide me on the best way to treat this?
Urinary tract infections (UTIs) can be uncomfortable and painful. Based on your test results: _Gram Stain Results_ 1. _Pus cells_: Indicates a significant infection. 2. _Occasional epithelial cells_: Normal finding. 3. _Few gram-negative bacilli_: Suggests a bacterial infection. _Culture Results_ 1. _E. coli_: A common cause of UTIs. 2. _Colony count > 100,000mL_: Indicates a significant bacterial load. _Treatment Recommendations_ 1. _Antibiotics_: Your doctor will likely prescribe antibiotics to treat the E. coli infection. Common options include: - Nitrofurantoin - Trimethoprim-sulfamethoxazole - Ciprofloxacin 2. _Duration of treatment_: Typically 7-14 days, depending on the severity of the infection and your overall health. 3. _Pain management_: Your doctor may recommend pain relievers, such as acetaminophen or ibuprofen, to help manage discomfort. 4. _Hydration_: Drink plenty of water to help flush out the bacteria. 5. _Urinary analgesics_: Medications like phenazopyridine can help relieve burning sensations during urination. _Follow-up_ 1. _Complete the antibiotic course_: Finish the full treatment course, even if symptoms improve before completing the medication. 2. _Follow-up urine culture_: Schedule a follow-up urine culture to ensure the infection has cleared.
Answered by 1 Apollo Doctors
Im 32 and have been experiencing issues with ejaculation during sex. On top of that, I can't seem to maintain an erection. Can you help me understand what's happening and what I should do?
Mouth Ulcer Treatment_ 1. _Assessing current treatment_: You've tried various treatments, including Smily cream, Kenacort gel, B-complex capsules, Pantop 40, B-Biotic capsules, and Zytee gel. 2. _Pain management_: For pain relief, your healthcare professional might recommend topical anesthetics like lidocaine or benzocaine. 3. _Promoting healing_: To promote healing, your healthcare professional might suggest: - Topical antibiotics to prevent infection - Anti-inflammatory medications to reduce swelling - Mouthwashes or gels containing ingredients like chlorhexidine, hydrogen peroxide, or aloe vera 4. _Digestive issues_: For stomach discomfort and digestion problems, consider: - Antacids or acid reducers to alleviate heartburn and acid reflux - Probiotics to support gut health - Dietary changes, such as avoiding spicy or acidic foods _Considerations and Next Steps_ 1. _Consult a specialist_: Schedule an appointment with a dentist or an oral medicine specialist to evaluate the mouth ulcer and provide personalized guidance. 2. _Biopsy or further testing_: If the ulcer persists or is severe, your healthcare professional might recommend a biopsy or further testing to rule out underlying conditions. 3. _Adjust treatment plan_: Based on the specialist's evaluation, adjust your treatment plan to better manage symptoms and promote healing.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.