Monday August 20 2018

I get diarrhoea after sex

 

By Dr Vincent Karuhanga

Dr lately, whenever I have sex I experience a running stomach and run to the toilet immediately after. This problem started recently after getting a new man. By the way I recently got saved. What will happen if I have sex where there is no toilet?
Sarah

When a man has unprotected sex with a woman, he ejaculates semen into a woman’s reproductive system. This semen among others contains substances called prostaglandins.

These substances may then contract smooth muscles of the womb and may reach the nearby intestines and rectum hence contracting them as well. The contractions may then lead to immediate abdominal cramps and diarrhoea.

The same prostaglandins are produced during periods also leading to cramps and diarrhoea during periods.

Some women are more sensitive to these prostaglandins than others so that some women may have diarrhoea and cramping while others may not.

The sensitivity is especially marked when one gets periods when she has stress and anxiety. Maybe you are more anxious about your new relationship since you are now saved and consider sex a sin.

Also, some men produce more semen or even prostaglandins in semen than others, and this may be the reason why you were not having diarrhoea with one man but have it with the new one.

Protected sex with a condom to reduce the amount of semen and perhaps the total amount of ejaculated prostaglandins may help reduce the likelihood of diarrhoea after sex. Also emptying the bowels before sex may help keep the rectum empty of stool with less likelihood of wanting to go to toilet after sex.

A drug working against prostaglandins may be prescribed by your doctor so that if you took it at least an hour before sex it may help out in case other measures fail.

How best can my mother live with diabetes?

My mother is 43 years old and has lived with diabetes for five years now. She is on medication and takes it religiously. However, she has started experiencing occasional blurred vision and swollen feet. She also occasionally gets constipated coupled with generally body weakness. Please kindly advise us on what to do and if possible refer us to any doctor or hospital where we can get assistance.
Diana

Diabetes is a disease that occurs when one’s blood sugar of the type glucose; that is used to give us energy, is too high. This may happen because the body is producing little, no or ineffectual insulin; the hormone that regulates the amount of glucose in our bodies. The sugar which would have entered and been utilised in body tissues to give energy instead remains in blood not only leading to weakness but also its elimination through too much urination.

Poor control of diabetes may lead to long term complications on the heart, blood vessels, kidneys, eyes, teeth, feet and nerves, among others. Some people even with good control over a long time may still develop complications requiring them to be addressed appropriately. Nerve damage in the feet or poor blood flow to the feet increases the risk of various foot complications like tingling feet sensation, swelling and wounds though kidney complications may also lead to foot problems in diabetes such as swelling. Damage to the nerves controlling the digestive tract can lead to constipation, diarrhoea and incontinence of stool.

Diabetes can also damage the blood vessels of the retina (diabetic retinopathy), and can also increase the risk of cataracts and glaucoma (high pressure in the eyes) all which if not treated may lead to blindness.

Please tell your doctor about your concerns so that if necessary he can refer you to an eye or diabetes specialists.

My 4-year-old has started producing smelly nosal mucus. Is this so called Ekiboobe run in families
because even my father had it? Do I also have it seeing that lately, people turn away as they talk to me?
Mrs Mulumba R

Children just like adults may produce lots of mucus with a runny nose because of common colds or nasal allergies. Both may go on to produce a complication of sinusitis or non-cancerous swellings in the nose called nasal polyps usually associated with a breath odour as well as a foul-smelling nasal mucus discharge.

When children or those with mental issues present with a foul nasal mucus discharge, a foreign body should be suspected since such people will put objects in the nose and not reveal anything. Phantosmia is a hallucination of the smelling or olfactory system whereby one genuinely feels he has a smell yet it may not be there. This fueled by smell on the body being an embarrassment may even make one feel another person who touches his nose has noticed the smell (olfactory reference syndrome).
Since allergies may run in families, then one may have smelly nosal mucus because one of their relative has it.

Dr, I had protected sex though we had prior got intimate without penetration. However, she called me nine days later telling me she was pregnant. Surely, could I have made her pregnant without penetration?
Sam

Fertilisation occurs when a sperm penetrates a female egg and this fertilised egg then may take 6-12 days to move and implant in the womb for pregnancy to occur. Blood tests for pregnancy are more sensitive than urine tests and may detect pregnancy just after implantation (from about six days to eight days after ovulation). Most urine tests become positive for pregnancy after a missed period. Since her pregnancy was detected after 9 days, maybe she was hoodwinking you or she did a blood test for pregnancy.

Though pregnancy mostly happens when a man has penetrative sex, it is possible for a woman also to get pregnant without penetrative sex if a man ejaculates at the vaginal entrance and the sperms swim into the vagina to reach the fallopian tubes.

Sperms are absent in pre-ejaculation penile fluids (pre-cum) of the first round or other rounds when a man urinates after sex. Therefore, if you neither ejaculated on the outside nor did not penetrate before sex it is unlikely you are the one who made the woman pregnant if at all she is really pregnant. You require to wait for her to deliver and do DNA tests.

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