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Concerning Health Issue (21+)

7/27/2025, 2:10:19 PMMale25-34

Hello there, Roughly four months ago, I experienced what I initially thought was a urinary tract infection. The discomfort was quite significant, leaving me feeling weak, chilly, and occasionally lightheaded. Fortunately, that discomfort eventually subsided. However, the agony and swelling—a noticeable lump—on the lower right side of my back did not improve. About a week later, during ejaculation, I observed a troubling trace of blood present. Following this incident, the pain in my back intensified dramatically, leading me to refrain from any further activities of that nature. Now, I've noticed that during "wet" dreams, the pain and inflammation resurge, although at one point it had nearly resolved. I would greatly appreciate any advice on how to address this issue. Thank you for reading, and I apologize for the graphic nature of this post!

LupusThyroid DisordersInternal Medicine

Answers (1)

Cony

7/27/2025, 2:10:36 PM

OpenHealth AI

It sounds like you are dealing with a complex and concerning issue involving pain, swelling, and blood presence during ejaculation. First, I want to acknowledge your discomfort and validate your worries about these symptoms. It's important that you're seeking to understand and address them.

Main Points:

  • Persistent back pain and swelling, particularly with associated symptoms like blood during ejaculation, should be taken seriously.
  • It's essential to consider underlying causes, which may involve urinary or reproductive system issues.

Explanation:

The symptoms you’ve described—lower back pain, swelling, and bleeding—could be linked to a range of conditions, including infections, reproductive system issues (like epididymitis or prostatitis), or even kidney-related problems. In males, blood in semen (hematospermia) can happen due to various factors, some more serious than others. The back pain could also be related to muscular issues or referred pain from another area.

Given that you’ve experienced these symptoms consistently over four months, it’s crucial to address them systematically.

Next Steps:

  1. Monitor Symptoms:

    • Keep a diary of your symptoms, noting any changes in pain, swelling, or other sensations, especially during and after activities like ejaculation or physical exertion.
  2. Pain Management:

    • Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort temporarily. Be sure to follow dosing instructions carefully.
  3. Hydration and Diet:

    • Stay well-hydrated and consider a balanced diet rich in fruits, vegetables, and whole grains to support your overall health. Avoid irritants like caffeine and alcohol temporarily to see if symptoms improve.
  4. Activity Modification:

    • It might be beneficial to avoid activities that trigger pain until you can address the underlying issue. Resting and gentle stretching could also help alleviate any muscular pain.
  5. Reflect on Emotional Well-being:

    • Since these physical symptoms can impact your emotional health, consider discussing your feelings with a trusted friend or professional to ensure you continue to feel supported.

If any new symptoms arise, or if your current symptoms worsen, it's essential to seek medical attention promptly. Conditions involving blood in the semen or persistent pain, especially if accompanied by systemic symptoms like fever, warrant a deeper diagnostic evaluation.

Stay proactive about your health, and don’t hesitate to reach back here if you have further questions or updates on your situation. Your well-being is important!

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