Abdominal Pain and Diarrhea After Masturbation in Men

I am a male, and I experience stomach pain and diarrhea the day after masturbation?

Hello, doctor.
I recently visited both the urology and neurology departments, but it seems neither could resolve my issues.
I'm not sure if I consulted the wrong specialties.
I've been experiencing these symptoms since middle school, where I notice that after masturbating, I have a chance of experiencing abdominal pain the next day.
Whenever I have abdominal pain, I can confirm that I masturbated the day before.
Additionally, during episodes of abdominal pain and diarrhea, I feel as if semen is coming out of my urethra (and I even suspect some might be coming out of my rectum, but I'm not certain).
During these abdominal pain episodes, I also experience cold sweats and confusion.
This condition has persisted until now (I am 28 years old) and occurs intermittently.
I really want to understand why I am not functioning normally like other men, so I would like to ask which specialty I should consult.
Please, doctor, I need your help as this has been troubling me for a long time.
Just today, while riding my motorcycle, I suddenly experienced abdominal pain and confusion, which caused me to collide with someone.
I hope you can provide some guidance.
Thank you very much!
Here are some symptoms I believe may be related to the above issues:
1.
During my military service, after a blood test, I suddenly felt dizzy and fainted about 5-10 minutes later, although the test results were normal.
2.
A few months ago, after recovering from a cold, I experienced persistent dizziness throughout the day.
The doctor was unsure of the cause and prescribed medication for dizziness, which helped me gradually recover.
3.
Currently, I have symptoms of prostatitis, feeling incomplete urination, and I am undergoing treatment.
However, it seems to worsen after I masturbate.
4.
During my last episode of dizziness, I underwent an EEG, and the doctor noted that my left ear responded slightly slower than my right ear.
However, he was uncertain if this was due to the machine's accuracy or within a reasonable range of deviation.

Xiao Bai, 20~29 year old female. Ask Date: 2018/12/05

Dr. Cai Dongqi reply Family Medicine

Hello, I would like to know if you underwent an ultrasound examination during your medical visit.
Since you are experiencing abdominal pain, have you consulted a gastroenterologist? An ultrasound or more advanced imaging studies might help identify the underlying cause.

Reply Date: 2018/12/05

More Info

Understanding abdominal pain and diarrhea after masturbation can be complex, especially when the symptoms have persisted for many years. Based on your description, it seems that you have experienced a consistent pattern where abdominal pain and diarrhea occur after masturbation, along with other symptoms such as cold sweats and altered consciousness. This situation can be distressing and may require a multifaceted approach to diagnosis and treatment.

Firstly, it's important to consider the physiological aspects of masturbation. During sexual arousal and orgasm, the body undergoes various changes, including increased heart rate, muscle contractions, and the release of hormones. For some individuals, these physiological responses can trigger gastrointestinal symptoms, particularly if there is an underlying sensitivity or condition affecting the digestive system. Stress and anxiety, which can be heightened during sexual activity, may also exacerbate gastrointestinal symptoms, leading to abdominal pain and diarrhea.

Your history of experiencing dizziness and fainting after blood tests, as well as ongoing issues with prostatitis, suggests that there may be a broader systemic issue at play. Prostatitis, or inflammation of the prostate gland, can lead to a variety of symptoms, including pelvic pain, urinary issues, and sometimes gastrointestinal discomfort. The relationship between the prostate and the pelvic region can be complex, and inflammation in one area may influence sensations and symptoms in another.

Given your symptoms, it would be advisable to consult with a urologist who specializes in male reproductive health, particularly since you have a history of prostatitis. A urologist can evaluate whether your symptoms are related to prostate health or if there are other underlying conditions that need to be addressed. Additionally, a gastroenterologist may also be helpful in assessing any gastrointestinal disorders that could be contributing to your symptoms, such as irritable bowel syndrome (IBS) or other functional gastrointestinal disorders.

It’s also worth considering the role of anxiety and stress in your symptoms. Anxiety can manifest physically in many ways, including gastrointestinal distress. If you find that your symptoms worsen during periods of stress or anxiety, it may be beneficial to explore stress management techniques or speak with a mental health professional. Cognitive-behavioral therapy (CBT) and mindfulness practices can be effective in managing anxiety and may help alleviate some of the physical symptoms you are experiencing.

In summary, your symptoms of abdominal pain and diarrhea following masturbation, along with other related issues, warrant a comprehensive evaluation. Consulting with a urologist and possibly a gastroenterologist can help identify any underlying conditions. Additionally, addressing any psychological factors through therapy or stress management techniques may also provide relief. It’s crucial to communicate openly with your healthcare providers about all your symptoms and concerns to ensure a thorough assessment and appropriate treatment plan.

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