An Unpleasant Encounter
A few moments ago, I encountered an unexpected situation that has left me feeling quite uneasy. I'm a 21-year-old male, standing at 6 feet tall and weighing 78 kilograms. I have been diagnosed with LSTV-type 2, although I am currently not experiencing any pain associated with it. Earlier this evening, I engaged in masturbation, but it didn’t go as smoothly as anticipated. I struggled to reach a full ejaculation; it felt resisted, similar to my current urination issues. Suddenly, I started to feel a sharp pain in the upper area of my rectum, near the anus, which was quite distressing. When I gently prodded the area, I experienced an unsettling sensation akin to a disruption in blood flow, extending to my brain. I’m not sure what’s going on. Furthermore, every time I cough, I notice that same feeling of blood circulation halting; it’s an unusual sensation that raises concerns about something being amiss. What should my next steps be?
Answers (1)

8/9/2025, 6:20:46 PM
OpenHealth AI
It sounds like you're experiencing a combination of physical discomfort and distressing sensations that are concerning for you. Given your medical history of LSTV-type 2 and the new symptoms you've described, let’s break this down into manageable steps to help you find relief.
Main Points:
- You might be experiencing temporary muscle or nerve responses related to your LSTV condition.
- The sensations during masturbation and coughing may indicate pelvic floor muscle involvement or inflammation.
- It's important to monitor symptoms and take initial steps to alleviate discomfort.
Explanation:
Your symptoms, including the sharp pain near your rectum and the unusual sensations you felt during coughing and masturbation, could be related to your LSTV diagnosis. LSTV (lumbar sacral transition vertebra) can sometimes lead to tension or irritation in pelvic muscles or nerves that may cause discomfort, especially during physical activity. The feelings of disrupted blood flow could stem from muscle tension or heightened sensitivity in that area.
Next Steps:
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Rest and Relaxation: Avoid strenuous activities or anything that puts pressure on your pelvic area until you feel better. Try to relax your pelvic muscles through gentle stretching.
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Warm Compress: Applying a warm compress to the area may help soothe discomfort and relax the muscles. Ensure the temperature is comfortable to avoid burns.
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Hydration and Diet: Stay well-hydrated and consider a diet rich in fruits, vegetables, and fiber to keep your digestive system healthy, which can also support pelvic health.
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Monitor Symptoms: Keep track of when the pain occurs, its intensity, and any triggers (like certain activities or movements). This diary could help identify patterns or guiding factors.
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Gentle Exercise: Engage in light stretching or pelvic floor exercises if they are comfortable and don’t exacerbate your symptoms. Focus on movements that promote relaxation rather than strain.
If you notice any worsening symptoms, such as persistent severe pain, changes in bowel or bladder function, or any signs of infection (like fever or discharge), those would be indicators to seek professional medical evaluation. Remember, it's completely okay to be concerned about your health—addressing these feelings and symptoms matters!
Keep me updated on how you're feeling, and let me know if you want more guidance on specific exercises or other self-care tips.
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