Blood after ejaculaton

Male pt of age 45 Chief Complaints On off increase blood pressure Weakness mild Blood comes after sperm ejaculation not everytime but He notice twice in this month Sex time decrease On off body pain History History of occasional alcohol drink not on daily basis No history of trauma History of recurrent uti Vitals Bp: 154/90 Pulse:90 Spo2:98 App/sleep/urine/bowel:Normal Investigations Cbc: esr:20 I advice Cbc Lft Kft. Lipid profile Diagnosis ??? Management ??? Need opinion

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45 YEARS OLD MALE HAS NOTICED BLOOD COMING OUT AFTER SPERM EJUCULATION TWICE A MONTH PROBABLE CAUSES PROSTATIC CONGESTION MAY BE FEMALE PARTNER IS NOT EITHER STIMULATED OR RELAXED SO WHEN THE PUSY OF FEMALE IS TIGHT AND FORCED PENETRATION OF PENIS IN TIGHT PUSY MAY HAVE CAUSED SOME INJURY AND AFTER SPERM EJUCULATION BLOOD MIGHT HAVE BEEN NOTICED WELL OCCASIONAL ALCOHOL INTAKE AND HYPERTENSION COULD COULD CAUSE REDUCTION IN SEX TIME ADVISED ULTRASOUND FOR PROSTATE SIZE AND DURING SEX MAKE SURE FEMALE PSRTNER IS RELAXED

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May be a case of prostatic calculus.. Sr.uric acid. Sr.calcium. Usg of kub Ncct of kub(p). Miroscopic examination of Prostatic secretion to rule out chronic infections.(to be collected after giving prostatic massage)

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