Renal Dietetics

Doctors
Dr. Sophia B Meis - Internal Medicine
Dr. Sophia B Meis Internal Medicine (Medical School, Medical degree, DO, Residency in Internal Medicine, Fellowship in Endocrinology, Diabetes, and Metabolism, Class of 2000, Medical Education, Residency - ID, Fellowship 2) 24 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Dr. Alvin J Freeman - Pediatrician
Dr. Alvin J Freeman Pediatrician (Medical School, Medical degree, DO, Residency in Pediatrics, Internship-Internal Medicine, Fellowship in Pediatrics, Pediatric Gastroenterology, Fellowship 2, Residency - ID, Internship, Class of 2000) 20 years experience Dr. Cecilia Moy
Schumacher Place, COLUMBUS
Dr. Amanda E Gordon - Internal Medicine
Dr. Amanda E Gordon Internal Medicine (Medical School, Residency, Medical degree, DO, Residency - ID, Residency in Internal Medicine) 22 years experience Central Ohio Primary Care
Columbus 43220, COLUMBUS
Canal Winchester, COLUMBUS
Dr. Leah Muthuri - Internal Medicine
Dr. Leah Muthuri Internal Medicine (Medical Education, Residency in Internal Medicine, Medical School) 21 years experience Ohio State Lung Care Martha Morehouse Outpatient Care
Fifth by Northwest, COLUMBUS
Health Q&A
Taut bands in pelvic floor

I have taut bands or taut muscle in pelvic floor Mainly levator ani, puborectalis muscle. Left and right both. More towards 5 to 8 clock. Psyio not helping much. I hv pulled this muscle aggressively during my sons vaginal birth. I have problem in passing urine nd stools. Rest all test are normal. I feel something moving in pelvic. Muscles don't feel soft. It feels foreign like steel, metal. Folded. I just keeping pushing it down unconsciously nd releasing it. I am comfortable doing daily activities, wearing tight clothes or sit comfortably. Pelvic don't feel normal like before . Pls suggest whether I shuld go for dry needling, or botox or tpi as I don't hv much pain.

Unmarried-Vericocele-natural pregnancy

Hello Doctors, I am 32, unmarried, with varicocele & 10000cfu infection in semen culture. After taking fertility supplements, fish oil, and improving my diet for 3 months, my semen parameters changed: Volume: 3.1 → 3.3 ml Total sperm count: 99.2 → 115.5 million Concentration: 32 → 35 million/ml Total motility: 29% → 49% Progressive motility: 19% → 35% Vitality: 75% → 79% Morphology: 3% → 4% Liquefaction time: 30 min → 1 hr 15 min Pus cells: 16–18/HPF in both reports .  Can I conceive naturally in the future? Do I need varicocele treatment or further tests for elevated pus cells and delayed liquefaction? I'm going to marry in next 6 months. please tell weather natural pregnancy is possible or not?

Erectile Dysfunction

I am facing erection problems from past 1 yr and premature ejaculation both together . taking tadalafil 5 mg daily only slight improvement

Cuts and swelling of foreskin

I am a diabetic patient. I am 40 years old. I am facing cuts and swelling of foreskin. I contacted the doctor and he suggested to apply kwitderm cream and Utimade-D capsules and MG-NEXT tablet daily twice. I am taking medicine from last 15 days but still I am facing the same problem. No improvement in my condition. Now the doctor is advising me for circumcision. Please suggest what to do.

Sexual Function Changes

1.Reduced ejaculatory pleasure: For the past 6 months, ejaculation has felt less pleasurable than before. 2.Recent reduced libido and orgasm pleasure: Recently experienced a sudden decrease in sexual desire on 16 oct and pleasure during masturbation. 3.Reduced erection firmness: Erections became less firm after the recent episode. That is when I tried to test my sexual desire and erection today 17 Oct 4.Changes in bladder sensation: Since last 6 months I sometimes feel little urge to urinate while sitting or lying down, but the urge increases when standing or walking. 5.Prolonged masturbation and edging: For the past 6–12 months, I have often masturbated for 45–60 minutes or longer, repeatedly delaying ejaculation. I am worried about these symptoms and would appreciate medical guidance on their possible causes and what I should do next to get back to normal sexual condition.