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question:I have fast & irregular heart beats every time I take something for premature ejaculation, and I need a safe topical or pills for premature ejaculation because I am afraid from sudden death. my age is 47 years. I do not have any heart disease or hypo/hyper tension. So, could you recommend a drug or generic name for premature ejaculation that not affect heart and beats? Thanks

answer:Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.All the drugs for premature ejaculation affects the heart.In fact the mechanism of action of this drugs are because of the vascular effect.I advice you to first get examined your cardiovascular system. This will give us idea that whether your system sustains the drug or not.You can take sildenafile citrate tablet under your doctors guidance. This will give you erection. If your heart is good enough than you will not have any problem with this drugs.Please avoid overdoses of this drugs.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.

question:Hi im 16, male and i have a problem with my penis, first of all its very painful to pull back my foreskin and when it is erect and i manage to pull it back gradually it hurts and the tip of my penis goes purple/red. Secondly my bell end seems to be very dry and is only lubricated when i ejaculate, im not sure whether this is normal or not. Please help?? please note if you need any further details or images i would be willing to provide them

answer:Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.You should examine yourself for tight foreskin.In some times it may be possible that it is much narrow anf causes a problem in vascular tissues of the penis.In some extreme case surgical correction of foreskin is necessary. This operation is circumscion.This will relieve you from the purple turning shaft problem.Some times extreme purple may lead to necrosis so urgent care is required otherwise surgical removal of penis is necessary in such cases.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.

question:I have been experiencing tingling sensation on my inner thighs and inner shins on and off for several months. There is no sign of any rash. I also experience a stinging pain after urination and the foreskin is always slightly red and uncomfortable. In case it may be relevant I also have quite a lot of lower back pain. Any help much appreciated!

answer:HI, I can understand your concern for your symptoms, The redness can be due to phimosis and balanitis, the pain can be due to urinary tract infection, rule out for diabetes and thyroid level. I Hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day

question:Hi, I have a small pea-sized lump which is inside the tube-like upper part of the scrotum. I have been evaluated by my local GP who said it is likely a varicocele, but after some research I think it is an epididymal cyst. This is only because a varicocele looks like it is a swelling of the whole vein itself, whereas in my case, it is a small hard, concentrated lump, within a tube . I am not one to go against my doctor as he is much more knowledgeable in the field than I am, but am just looking for a quick second opinion. Also, I have regularly checked my testicles following the discovery of the lump, and have found no problems and they feel normal. However I am feeling some discomfort around the abdomen and groin area which I read can be a symptom of TC. The discomfort isn t really painful or an ache, it is simply a feeling of discomfort. Could this be linked to the lump in the tube . Any help is appreciated as I do not think it is TC, but I can never be too careful. Thank you in advance.

answer:HelloThanks for query.The hard pea sized lump in scrotum above the Testis is mostly a Spermatocele (Epididymal Cyst) as rightly suspected by you.However this needs to be confirmed by Ultrasound Scanning of Scrotum This is a benign cyst and does not need any treatment and you do not have TC .Discomfort that you have does not need any active intervention or treatment.Dr.Patil.

question:Hi, i m 18 years old and i m suffering from itching around my genital areas and some small types of mums are there on my penis and it is very itching. Some time back i saw some small types of insect near my penis.Is it any serious problem. Please help me.

answer:Hi,You should see a Dermatologist for proper advice on what treatment to be started.It could very well be an insect bite and I usually prescribe Tab Fexofenadine 120mg twice daily for 5 to 7 days along with some ointment to soothe the itching. But an examination by the Dermatologist would be best.Take care,Dr Rishi, New Delhi, India.

question:i m uncircumsized and i had unprotected sex with a girl 2 weeks ago and after i pulled out i looked that there some red bumps/dots on top of my penis s head. THe next day the bumps had gone but there was all these redness all over the head. I freaked out and i brought polysporin ( anitbacterial cream) and jock itch cream. i used jock itch cream only one time and then i used polysporin for one week(2 times a day morning-night). During these 2 weeks my penis created a rash and my skin started to peel off. i stopped using polysporin and i am trying to schedule an appointment to a doctor cause i dont know what to do. I wanna know what if this is an STD or whatever it is? I just cant stop thinking about it PLEASE HELP ME!!!

answer:Hi,Please see your GP or a Dermatologist who can help you out.You might require to get tested for an STD.The earlier the better and more chances of treating it properly.I usually advice my patients Tab Azithromycin 1gm as a single dose treatment.I suggest you see the Dermatologist or Venerologist for proper treatment.Take care,Dr Rishi, New Delhi, India.

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