₦airaland Forum

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Gptech:
There's no Redmi 9s in Xiaomi portfolio of phones.

My mistake. The s was meant to serve as a plural but I can see how that will get confusing cos they name phones that way too

Mrluv:
you mean my phone doesn't have magnetometer or note 9s generally does not have

Redmi 9s in general.
Note 9s seems to have.

That phone doesn't have a magnetometer, as far as I can tell

Mrluv:
my redmi 9s does not have compass sensor is my redmi 9s fake

advanceDNA:
U have noticed she has not read the Quran and Hadith well.....only civilized gentle Muslims will see anything wrong or tackle the wrong their fellow Muslim do even if it's wrong...

Indoctrinate her well ooo....Christians must be her enemy, she must kill them and take their land and make them pay jizya

Thank you for the kind suggestions sir/ma.
Have a good day

NaijaSumi:
Mr President, you made Nigerians run on the suffering and smiling road which yourself, family members and fellow thieves in politics refuses to run same road. Is that not wickedness and evil at the highest hypocritical form.

Mr President, do know for sure that someday you shall be accountable to GOD for being Nigeria President. All the stolen funds, you will give account. All the wasted funds, evil policies, pretence and so many more, you will give account.

Best Wishes Sir

Well said

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AntiChristian:
Men and women are not Equal. You can't tell your mum she has the same right as your mum! Rather everyone has their own rights while one right is superior! Your bigotry stinks!
.....

Again, this passage emphasizes submission of wives to husbands.

Alslamaleikum.
You can't address misconceptions with further confusion.
It might be best to leave the matter if it is not understood or if there's no clear path to addressing it in one's mind.

Nanaiky:
As a Muslim, I think it’s wrong. You can say cover up etc. It’s a fund raising marathon not a sport per say. I tire oh, just because of boobs and butt. What were there thought process before arriving at the decision. Better not to use such controversial event for fund raising.

Alsalamaleikum. As a muslim, let me assure you that I understand what you are saying but I must still let you know your opinion can be made even better if you have interest in learning to that effect, and I'm happy to assist if that's the case.

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maasoap:
It doesn't matter what they are or do when taken individually, listen to me so that we can be on the same page and know what we're discussing. It does matter how they react when taken together and this what argument is all about.
So, go on the Google search and ask. Only then you can prove me wrong

Like I said, the year is 2025, a quick search will eliminate unnecessary confusion

maasoap:
It doesn't matter what they are or do when taken individually, listen to me so that we can be on the same page and know what we're discussing. It does matter how they react when taken together and this what argument is all about.
So, go on the Google search and ask. Only then you can prove me wrong

Hello everyone, I just need to speak up before I cause permanent damage to myself. Some months back I took a combination of clarithromycin, Omeprazole and amoxicillin one each and I went to bed but by morning my penis shrank and since then I've not gotten full function of my genitals, I thought it was reaction and it will subside soon, but after some weeks i went to a primary health care were they asked me to do urine culture test after which I was given antibiotics but even after the antibiotics no real improvement and then I went to the hospital and the doctor asked me to discontinue all antibiotics and I was given pain meds and some vitamins. Please has anyone had such experience? What could possibly cause my issue I still have erection but zero libido or urge and my penis feels hard when flaccid and also painful. Please doctors in the house, what do you advise and who should I see for help.

The patient's symptoms of penis shrinkage, persistent hardness when flaccid, painful sensation, loss of libido, and impaired genital function following a short course of clarithromycin, omeprazole, and amoxicillin suggest a complex urological and possibly neurological syndrome that may not be a direct typical side effect of these antibiotics but could be related to several possible conditions.

### Possible Causes and Mechanisms

1. **Hard Flaccid Syndrome (HFS)**:
- This condition features a semi-rigid, hard flaccid penis at rest, often painful, with reduced sexual function and penile shrinkage-like symptoms. It is thought to arise from nerve injury or increased sympathetic nervous system activity after trauma to penile or pelvic nerves. Although the patient did not mention trauma, a peripheral nerve injury or reflex dysfunction triggered by other factors (such as stress, inflammation, or a medication reaction) could contribute to this [1][2].

2. **Medication Effect and Vascular Dysfunction**:
- The combination of clarithromycin, omeprazole, and amoxicillin is commonly used for H. pylori but is not typically known to cause direct penile shrinkage or hard flaccid state. However, some medications can lead to vascular or neurological side effects, producing erectile dysfunction (ED), loss of libido, or pain. Penile shrinkage can also occur due to decreased blood flow or scarring after injury or inflammation [3][4][5][6].

3. **Erectile Dysfunction and Penis Changes**:
- ED caused by nerve or blood vessel abnormalities can decrease penile length and function over time. Painful erection or painful flaccid penis can result from conditions like Peyronie’s disease or injury-related scarring, but this patient’s symptom onset after antibiotics suggests a different trigger [5][6].

4. **Infection or Inflammatory Reaction**:
- Persistent symptoms post-antibiotics with no improvement raise concern about unresolved infection, inflammatory or autoimmune pathology, or neurovascular damage potentially linked to a systemic inflammatory reaction or pelvic nerve irritation.

### Key Clinical Features from Patient’s History
- Sudden onset of penile shortening and dysfunction after taking antibiotics
- Persistent penile hardness in flaccid state
- Pain and zero libido despite some preserved erection
- Initial urine culture and antibiotic treatment post initial event yielded no improvement
- Recent discontinuation of antibiotics with pain meds and vitamins, without resolution

### Recommendations for Patient

1. **Urgent Specialist Referral**:
- Consult a urologist specialized in male sexual dysfunction and possibly a neurologist for nerve function evaluation.
- They may perform penile Doppler ultrasound to assess blood flow, nerve conduction studies, and possibly MRI of the pelvis for nerve or structural lesions.

2. **Diagnostic Workup**:
- Re-evaluation of urinary tract infection or other infections.
- Screening for Peyronie’s disease or other anatomical abnormalities.
- Hormonal profile including testosterone levels due to loss of libido.

3. **Symptom Management**:
- Pain control with appropriate medications.
- Avoid further antibiotics without confirmed infection.
- Consider pelvic floor physical therapy or targeted medications (alpha blockers, PDE5 inhibitors) if diagnosed with hard flaccid syndrome.

4. **Psychological Support**:
- Address anxiety or psychological impact caused by symptoms or loss of sexual function, possibly with counseling or therapy.

### Summary
This patient likely has a rare neurovascular condition such as Hard Flaccid Syndrome or an uncommon complication following medication exposure or infection. The symptoms need thorough evaluation by specialists in urology and neurology with targeted investigations. Immediate cessation of unwarranted antibiotics and symptom-focused treatment are appropriate. Prompt specialist review is essential to prevent permanent damage and improve quality of life [1][5][6][2].

If needed, further detailed guidance can be provided after specialist findings.

Citations:
[1] Hard flaccid syndrome https://en.wikipedia.org/wiki/Hard_flaccid_syndrome
[2] Erection Problems? It Could Be Hard Flaccid Syndrome https://www.sydneypelvicclinic.com.au/erection-problems-it-could-be-hard-flaccid-syndrome/
[3] Omeprazole, clarithromycin, and amoxicillin (oral route) https://www.mayoclinic.org/drugs-supplements/omeprazole-clarithromycin-and-amoxicillin-oral-route/description/drg-20137701
[4] Amoxicillin; Clarithromycin; Omeprazole capsules and tablets https://my.clevelandclinic.org/health/drugs/18261-omeprazole-clarithromycin-amoxicillin-capsules-and-tablets
[5] Penis Shrinkage: Causes, Treatment, and More https://www.healthline.com/health/mens-health/penis-shrinkage
[6] Erectile Dysfunction (ED) - Men's Health Issues https://www.msdmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/erectile-dysfunction-ed
[7] Penis shrinkage: Causes, treatment, and why it happens https://www.medicalnewstoday.com/articles/320883
[8] 6 Medications That Can Affect Your Libido https://www.buzzrx.com/blog/6-medications-that-can-affect-your-libido-2
[9] Erectile Dysfunction (ED): Causes, Diagnosis & Treatment https://my.clevelandclinic.org/health/diseases/10035-erectile-dysfunction
[10] Antibiotics have sex-specific effects on the gut microbiome, ... https://www.news-medical.net/news/20220720/Antibiotics-have-sex-specific-effects-on-the-gut-microbiome-preclinical-study-finds.aspx

maasoap:
This is no expectation but his own reality. His expectation was to be cured of ulcer but his reality now is that another problem came up after taking like three different antibiotics at once?
Let me ask you, would you take those three drugs at once if you are asked to? My concern is even that may be drugs were prescribed by non certified pharmacist/doctor

The year is 2025, brother. A quick search online will clear up your misconception about what those drugs are and what they do.

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maasoap:
It couldn't be a coincidence. It happened the moment he took them. I don't even think he should have taken it all at once, not all drugs work together, some interact and produce undesirable effects

You assume this is true because the patient said so.
He has told you a story based on his expectations and understanding.
The doctor will take a history and reframe it based on reality.

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Lancelot04:
Hello everyone, I just need to speak up before I cause permanent damage to myself. Some months back I took a combination of clarithromycin, Omeprazole and amoxicillin one each and I went to bed but by morning my penis shrank and since then I've not gotten full function of my genitals, I thought it was reaction and it will subside soon, but after some weeks i went to a primary health care were they asked me to do urine culture test after which I was given antibiotics but even after the antibiotics no real improvement and then I went to the hospital and the doctor asked me to discontinue all antibiotics and I was given pain meds and some vitamins. Please has anyone had such experience? What could possibly cause my issue I still have erection but zero libido or urge and my penis feels hard when flaccid and also painful. Please doctors in the house, what do you advise and who should I see for help.

I don't see a connection between the drugs and the symptom you complain about.
It's most probable that something else is responsible for this problem

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