[35M] Experiencing nausea and mild abdominal pain during physical exertion

Patient Description

A 35-year-old male reports experiencing nausea and crampy to dull abdominal pain during masturbation, which has been occurring for about a month. The nausea is rated as a 3 or 4 in severity and is accompanied by a sense of dehydration and the need to defecate. Similar symptoms have occurred twice outside of masturbation: once during overhead presses at the gym and once while brushing snow off a car. The abdominal pain also manifests in the lower back. Bowel movements appear normal, with no noted changes in bowel habits, stool appearance, or presence of blood. The patient denies any recent weight loss, changes in appetite, fever, chills, lightheadedness, palpitations, or shortness of breath. There is no mention of pre-existing conditions, chronic illnesses, or other symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Vasovagal Syncope: This is a condition where your body overreacts to certain triggers, such as the sight of blood or extreme emotional distress. The trigger results in a sudden drop in your heart rate and blood pressure, which reduces blood flow to your brain and can cause you to faint. Masturbation, physical exertion, and straining (like when you're lifting something heavy) can all be triggers. The symptoms usually last less than a few minutes and may include nausea, sweating, lightheadedness, and a need to defecate.

    • Treatment typically involves avoiding triggers and taking precautions when they can't be avoided. In some cases, medications or therapies may be recommended.
  • Prostatitis: This is an inflammation or infection of the prostate gland that can cause pain in the lower back and genital area, urinary issues, and sexual dysfunction. It can be caused by many different things, including infections, injuries, and stress. The symptoms can come on gradually or suddenly and can vary in intensity.

    • Treatment depends on the cause and may include antibiotics, pain relievers, and other therapies.
  • Post-Orgasmic Illness Syndrome (POIS): This is a rare condition in which a person develops flu-like and allergy symptoms after orgasm, whether with a partner, through masturbation, or spontaneously at night. Symptoms usually appear within a few minutes to a few hours after orgasm and can last for a few days.

    • Treatment is usually focused on managing symptoms, and can include taking antihistamines or nonsteroidal anti-inflammatory drugs (NSAIDs) before or after sexual activity.

What you can do

  1. Try to avoid triggers that you've noticed cause your symptoms.
  2. Stay hydrated and maintain a balanced diet.
  3. Avoid heavy lifting and sudden changes in body position.
  4. Try to rest and take it easy when you can, especially if you're feeling unwell.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool or urine
  • Unexplained weight loss
  • Persistent or worsening symptoms

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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1 yr ago

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People Also Ask


What is vasovagal syncope and how can it be managed?

Vasovagal syncope is a condition where the body overreacts to certain triggers, causing a sudden drop in heart rate and blood pressure, leading to fainting. It can be managed by avoiding known triggers, staying hydrated, and sometimes using medications or therapies as advised by a healthcare provider.


What are the symptoms and treatment options for prostatitis?

Prostatitis is an inflammation or infection of the prostate gland, causing pain in the lower back and genital area, urinary issues, and sexual dysfunction. Treatment depends on the cause and may include antibiotics, pain relievers, and other therapies.


What is Post-Orgasmic Illness Syndrome (POIS) and how is it treated?

Post-Orgasmic Illness Syndrome (POIS) is a rare condition where flu-like and allergy symptoms occur after orgasm. Treatment focuses on managing symptoms, often with antihistamines or NSAIDs taken before or after sexual activity.


When should I seek medical attention for abdominal pain and related symptoms?

You should seek medical attention if you experience severe abdominal pain, blood in your stool or urine, unexplained weight loss, or persistent or worsening symptoms.


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