Discussion on Testosterone Replacement Therapy
- Rep Power
stress/autonomic nervous system/digestion/erectile dysfunction
About 8 months ago, I got involved in some online gambling. My body was under extreme stress and I could feel my stomach tightening up and had the nervous stomach feeling. A couple weeks into the gambling, I noticed pain/swelling coming from my middle/right of stomach (right upper quadrant). The swelling could range from about the size of golf ball, to half a baseball. I also noticed that I could not poop anymore (constipation) and felt very weak in the legs, had headaches, dizzyness, etc. Many symptoms of very high stress.
For the next few months, I visited docs running tests to see what it might be. One thing that showed up on an endoscopy was a doctor said I had, "very poor gastric motility consistent with severe gastroparesis." However, I had a gastroparesis test done month or two after this, and it came back normal.
In September, a surgeon I was referred to tried doing a pain shot in the area to bring me some relief. I was hoping this would work because my research led me to believe that what I could have been experiencing was a chronic abdominal wall pain, from nerve entrapment, nerve compression, nerve irration in the area, etc. After this shot did not help me, I read that massaging the area and putting pressure on it might restore blood flow and this could possibly help. Massaging the area ended up making problem worse and my stomach become very distented, bloated, more painful, symptoms worse, etc. My stomach is distented so much that it becomes very painful on a daily basis.
Since September, I have visited gastro docs at 3 big hospitals in florida, cleveland clinic, shands, and mayo. The mayo doc thinks some of pain might be coming from acid reflux (because I have a history of gastric ulcer and other acid reflux damage) and he thought maybe part of pain/swelling was coming from my spine because I have some disk deterioration. The Cleveland doc thought it was abdominal wall pain most likely being caused from some kind of nerve entrapment or nerve irration and this could be causing the muscles are the area to swell. She wanted me to see a pain management doc for nerve shots and utilize surgery as a last resort. The Shands docs wants to redo the gastroparesis test, do a small bowel bacteria overgrowth test, she said pain shots may or may not help, and she really didn't seem like she knew what to do.
I am very concerned now because it seems my autonomic nervous system might not be functioning right. In the past few months I have noticed my erectile dysfunction is gotten very bad, I cannot urinate like I used to (hold it in too long), sweat more often, have alot of chest pain, and have alot of headaches and feel dizzy often throughout the day. I looked it up and autonomic nervous system is connected with stress and maybe the extreme stress I went through for a few months could have altered this system in some way.
My questions to you are:
1. What do you think is causing the pain/swelling? It is near my right rib, but the pain can sometimes spread out in the middle and lower right of abdomen.
2. Do you think the high level of stress could have damaged or affected my autonomic nervous system? If yes, how do I go about trying to fix it.
3. What should I do about the erectile dysfunction issue? I already have had low T for many years and this has made things much worse.
Some important things for you to know:
--I have noticed since this happened that my stools will often be clay colored or very light brown.
--When I drink a green superfood vegetable drink, it used to turn my stools green colored. It now does not affect the color of stool at all.
--I am taking clomid right now to help raise my natural T level. I have not felt any positive benefit so far.
--When I stopped gambling completely, I felt so tired I could barely stand up. I ended up taking small doses of cortef and this helped me regain some energy.
--I do not have any more night time erections and this is affecting my sleep. Worse sleep.
--Taking prilosec (acid reducer) does seem to help a little with the pain in middle of stomach. Still have alot of pain in right area of abdomen.
--Have daily headaches, feel dizzy, etc. I am thinking this is blood pressure, blood sugar, or both.
--Since this happened, my appetite has increased alot. I have gained weight and body has basically went to shit. I think the appetite increase is probably due to increased blood sugar levels, higher insulin, loss of blood sugar control, etc.
--I am working with a surgeon who will do an exploratory laproscopy to see if he can find the problem. He mentioned there could be some scar tissue or something similar to this in the area that is causing a problem. I am trying to save this a last resort, and find another way to treat this if possible.
--There are probably more, but this is all I can think of right now.
My thoughts on the issue:
I do not think the pain and swelling are going to go away on its own. I think the area in my abdomen with the pain is causing some of other problems with digestion and could be affecting my autonomic nervous system.
I believe it is most likely nerve entrapment or nerve irration in the area and this causing the muscles in the area to swell. Abdominal wall pain in some form. The second thing it may be, but unlikely, is some kind of blood flow problem. Not having the proper blow to digestive system could cause constipation, but I am not sure. It could be a combination of these 2, or maybe none of them.
I am very concerned about the ED issue and need to address it asap. I do have an aggressive plan to treat my low T levels and I think I that will really need to focus on balancing all my hormone levels.
I am also pretty concerned about my autonomic nervous system. I am hoping it will get better with time and when I rebalance my hormone levels. I think my smpyphatic nervous system became very overactivated, and this caused alot of problems. I looked into trying to activate my parasymphatic nervous system through medications or lifestyle changes, but have not been able to locate too much info.
Any thoughts or recommendations is greatly appreciated. Thank you.
Are you kidding? You post all that on Ology as your first post and expect a diagnosis?
Maybe you need to see a shrink too....
- Rep Power
Originally Posted by Greybeard
I do not expect a diagnosis. Just thought I would explain my situation and see if anyone could recognize something that I was missing or knew some way to help out. I know it is complex problem, but I have deal with it nonetheless.
I have thought about seeing a counselor and might go pretty soon. I am having a hard time dealing with all of this. Anyone would in my situation.
Regardless if I can fix the abdomen problem and autnomic nervous system issues, I will be working very hard to raise my T level and rebalance out my hormone levels in the next few months. I will be making a seperate post about this and I hope you can make positive contribution. Hopefully by rebalancing my hormones, some of things I have been experiecing lately since this happened (ED/impotence) will get much better.
I can say with all sincerity that I really hope you find something to fix your problems.
I am not expert or even a "Vet" in the world of AAS, but your problems sound brutal...
ED would be the lowest on my priorities if I were you.
Just curious but what is your previous (if any) AAS use and what sort of shape were you in prior to all this coming about?
I mean were you healthy and active? Did you regularly engage in physical activities?
For me, the fact that on-line gambling brought this on is beyond belief...
Were you in debt to the mafia or what to cause this kind of stress? Seriously...
Perhaps a better diet could help your problems out?
Were you extremely overweight prior to all this occuring and what is your current weight / bodyfat?
Sorry I don't have any answers for you...
- Rep Power
Low testosterone = low resistance to stress. I have tried competing in the business and academic world with low testosterone and it is practically impossible. Combine that with the estrogenic hormones in meat and Bisphenol A and pesticides and our world is full of estrogen. I think once you try a 250mg shot of cypionate you will regret not trying it sooner. I mean other hormones can go out of wack but many members on this forum seem tougher in general than other forums...cough*allthingsmale forum* cough.
Anyway bro I can't tell you what is living in your stomach but the original reason you got sick was from not enough test. Can't hurt to try. Don't expect a gastroenterologist to solve any problem - they are basically high paid people to tell you that you have "IBS". lol and maybe clip out cancerous growths in your colon from low testosterone.
- Rep Power
Thanks for the reply. Yes, my health problems have been pretty brutal for awhile now. Hopefully my quality of life will improve soon.
Originally Posted by Greybeard
ED is somewhat on the low priority list right now for me, I am just worried about all of the sudden not getting any erections at night at more. I had not had a good/strong erection in about 7-9 years due to a very out of balance hormone system, but I always seemed to be able to get an erection at night every once in awhile. Now I noticed my erections in general are very weak and almost non-existent anymore.
I took prohormones to help with football when I was 14. Felt great physcially until about 17-18. Then noticed drop in libido, sexual function, etc. At 19, I did a deca/d-bol cycle with no test and this shut me down bad. Never did any post cycle therapy (pct). And did a large amount of drugs and alcohol from 16-23 yrs of age. At 25 went to see the docs at have been working for the past few years to make some progress, with no luck.
Tried taking testosterore cream and shots in the beginning of this journey and it caused me to have extreme chest pain and felt like me heart was hurting/palpitating. Next 1.5 years, tried to figure out other ways to improve my hormone levels or get healthier, but it has not worked.
I have now realized that I have to raise my T in order for me to truly get healthy again. I cannot live with a 150-300 t level forever. My body just continues to deteriorate and compounds health problems.
I used to be an absolute beast back in the day around 16-17 yrs old. I was recruited for the top colleges in football and was putting up crazy numbers on bench, powerclean, squat, 40 yd dash, etc. Everything has went downhill since then. Now I am 27, 310 pounds, and have been struggling with health problems for awhile.
Online gambling did cause an extreme amount of stress my body already was prone to not handle stressful things at all and I got very addicted to it fast. And I was wagering large amounts of money.
I do need help in the diet area. I have tried paleo recently and the too low of carbs seems to zap all my energy and I can't do anything. And I also have blood sugar regulation problems, so I need a decent amount of carbs each day.
The problem is carbs really mess up my blood sugar and cause me get hungry soon after eating them. So I have to carefully choose which ones I eat. Pasta and rice are no good. Bread is ok, but causes problems. Any type of oats, or wheat flour, wheat grains, causes problems.
If you can think of something basic or refer to somewhere/someone who can help me with my diet that would be great.
I think then when my T levels improve, my blood sugar regulation will get better, and I will be able to handle more foods a little better.
About the original stomach problem, I am going to post another reply to this thread with more info. If you see anything that might be going on, please let me know.
If you can think anything about the hormones, that would be good as well.
I tried taking clomid for the past few weeks and it does not seem to be helping. I am going to moving on to testosterone replacement therapy (TRT) soon. Probably with low doses of T-gel, dhea cream, preg cream, and add in Human Chorionic Gonadotropin (HCG) and or Aromatase inhibitor (AI) later on down the line.
- Rep Power
Originally Posted by cjw2021
I agree about the low testosterone, low resistance to stress connection. I did not realize this until I was through several stressful situations and could not adapt at all.
I know that I need to raise my T levels and that my low T levels has caused many health problems for me in the past. I tried doing shots in the past, but my body could not handle them. Maybe the dose too high, not sure.
I am going to go real slow with low doses of T and add in some other things and make it work somehow. I most likely will have some questions along the way and it would be great if the forum members on here could help me in the process.
- Rep Power
I'm going to try some isocort or hydrocortisone/cortef for my issues as my adrenaline is just surging all of the time and it is wasting energy in the body. I'm hoping the cortisol will help.
sounds like you fucked up your endocrine system when you were younger. Either way, i would see an endo immediately, and any other specialists, as well as a counselor to work on the depression.
Low T = low immune system function in alot of people. That coupled with your endo probs (what it sounds like, i'm no doctor) could be the root of all this.
Go see them now. Good luck.
- Rep Power
I would quit gambling dude. Remove the stress and see if it eases up. Stress is still one of the most common killers in the world. Best sress relief would be to remove the cause of the stress. It will take time to relax too. Dont not gamble for a day and say it's not better guess I can still gamble.
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