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Night fall
I am getting night fall / semen release at night also penis foreskin getting itching, i am 50 now , please help me on this
Answers (24)
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Hello. I understand your concerns, as experiencing these symptoms at age 50 can be confusing. It is important to look at the 'nightfall' and the 'itching' both individually and how they might be connected.
1. Foreskin Itching (Balanitis)
Persistent itching of the foreskin at this age is often caused by Balanitis (inflammation of the glans).
The Diabetes Connection: As Dr. Saini mentioned, this is a very common early sign of high blood sugar (Diabetes). When sugar levels are high, it can appear in the urine or skin secretions, encouraging the growth of yeast (fungal infection) under the foreskin.
Hygiene: Ensure you are retracting the foreskin and cleaning the area with plain water only; avoid harsh soaps which can worsen irritation.
2. 'Night Fall' (Nocturnal Emission)
While more common in teenagers, nocturnal emissions can occur in older men. However, at age 50, it is important to ensure this is truly semen and not involuntary leakage or a discharge related to an infection or prostate health.
Recommendations and Next Steps
To get to the root of this, I recommend the following:
Blood Work: Get a Fasting Blood Sugar and HbA1c test. This is the most critical step to rule out underlying Diabetes as the cause of the itching.
Urine Routine: A simple urine test can check for sugar and signs of a urinary tract infection (UTI).
Physical Examination: Consult a Urologist. They can examine the foreskin to confirm if it is a fungal infection (requiring an antifungal cream) and check your prostate health, which can sometimes be linked to changes in urinary or seminal flow.
Medication Note: While antifungal creams (like the one suggested by the previous doctor) can treat the itch, they will not solve the problem if high blood sugar is the underlying cause.
Please prioritize the blood sugar check, as managing that will likely resolve the skin irritation permanently.
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Consult a sexologist
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This problem is usually not serious and is commonly seen due to mild infection, irritation, dryness, or sometimes high sugar levels. Occasional semen release during sleep can happen at any age and is generally not harmful.
Next Steps
If symptoms persist kindly consult
Health Tips
proper hygiene often improve the itching within a few days.
Keep the area clean and dry, avoid harsh soaps, and wear loose cotton underwear and kindly get tested for blood sugar level.
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Hi. Is any history of Diabetes ?. Apply cream lucizit twice a day .
Do HbsAg, igE Total blood tests .
Medicines are available for E.D from
Dr R S SAINI faridabad.
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Consult Urologist
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Night fall can occur at any age. For itching take tab cetrizine 10mg one daily for 5 to 7 days.
Apply cosvate gm ointment twice daily over it for 14 days.
Get blood sugar done and share results . Please consult online after 14 days.
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Diabetes
Kindly consult
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At 50 it needs to be evaluated properly .
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Free online consultations for age 50 years and older.
Best wishes
www.jgsr-health-education.in
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Sure
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It is relatively common issue at this age
For irritation of foreskin kindly provide some more history
Kindly consult for further queries
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-Occasional nightfall at this age is usually not harmful
-Foreskin itching may be due to fungal infection, irritation, poor hygiene, or diabetes-related changes
Next Steps
-Candid Cream/Clotrimazole 1% cream apply twice daily over affected area for 2–3 weeks
-Tab Levocetirizine 5 mg at night for 5 days if itching is significant
-Keep area clean and dry, avoid harsh soaps and tight underwear
-Check fasting sugar/HbA1c if recurrent itching or redness present
Health Tips
-Avoid self-scratching or steroid creams without advice
-Consult urologist/dermatologist if swelling, discharge, pain, ulcers, or persistent itching occurs
-Contact me anytime on Practo for further consultatio
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Kindly do connect and consult
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Consult with urologist
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Occasional nightfall can still happen at this age and is usually not harmful, but foreskin itching may suggest irritation, fungal infection, or diabetes related changes and should not be ignored.
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Occasional nightfall/semen release can happen even at this age and is usually not harmful. The foreskin itching is more suggestive of a local fungal infection, irritation, diabetes or poor hygiene. Keep the area clean and dry, avoid harsh soaps, and avoid scratching.
You should get checked for blood sugar/diabetes and consult a physician or urologist/skin specialist if there is redness, white discharge, swelling, pain, burning during urination or persistent itching. Treatment depends on the exact cause after examination.
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You didn't mention whether you are married or not and also whether you have any means of natural release of semen by sexual intercourse.
You should consult a General Physician or a Dermatologist in your area for a local examination.
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"At the age of 50, experiencing nocturnal emissions (nightfall) along with itching on the foreskin is not very common and needs a clinical evaluation. Itching on the foreskin is most often a sign of Balanitis (a fungal or bacterial infection), which is frequently seen in individuals with high blood sugar levels. Nightfall at this age can sometimes be related to prostate health or hormonal changes. It is important to rule out diabetes, as sugar in the urine can promote fungal growth and itching in the genital area
Next Steps
Genital Hygiene: "Clean the area under the foreskin daily with only lukewarm water. Avoid using scented soaps or body washes, as they can further irritate the skin."
Keep it Dry: "Fungal infections grow in moisture. Ensure you dry the area gently but thoroughly after bathing or using the washroom."
No Self-Medication: "Do not apply any over-the-counter steroid creams, as they can make a fungal infection much worse if not used with an antifungal agent."
Health Tips
Do connect and consult with me for better treatment plan and advice
feel free to connect...ON practo app
For a proper prescription (Antifungal creams/tablets) and a detailed treatment plan based on your sugar reports..
Book a full consultation session via my Practo profile."......
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Physical examination needed
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Dr. Yuvraj Arora Monga
General Physician
29 yrs exp
Delhi
This can be due to fungal infection/balanitis, poor hygiene or sweating, Type 2 Diabetes, dry skin or allergy, urinary/genital infection, stress or anxiety, or sexual thoughts/arousal causing occasional nightfall.
You should Clean and dry the foreskin gently every day Avoid tight underwear Avoid excessive soap or chemical products Maintain good blood sugar control Consult a doctor if there is redness, white patches, cracks, bad smell, swelling, or burning Avoid self-medication or steroid creams without medical advice
You should visit our clinic. We will examine you properly, go through the required investigations, and advise medications accordingly.
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
It is normal. However further history will help identify the cause
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you kindly consult and provide detailed history for proper diagnosis and further management
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