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Trembling of hands

I am masturbate since 14 yrs now am suffer from severe premature ejaculation of 10 seconds  trembling of hands I'm also have internal piles ,what need I do?
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Dr. Chethan R S
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Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, oral medications and counseling. For your piles: Soak regularly in a warm bath or sitz bath.Soak your anal area in plain warm water 10 to 15 minutes two to three times a day. A sitz bath fits over the toilet. You can get one at most drugstores. Keep the anal area clean. Bathe (preferably) or shower daily to cleanse the skin around your anus gently with warm water. Soap isn't necessary and may aggravate the problem. Avoid alcohol based or perfumed wipes. Gently dry the area with a hair dryer after bathing. Don't use dry toilet paper. To help keep the anal area clean after a bowel movement, use moist towelettes or wet toilet paper that doesn't contain perfume or alcohol. Apply cold. Apply ice packs or cold compresses on your anus to relieve swelling. With these treatments, hemorrhoid symptoms often go away within a week. See your doctor if you don't get relief in a week, or sooner if you have severe pain or bleeding. consult surgeon...
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