Fatigue, listlessness is premature ejaculation?

Patient's question:

I mainly feel very tired and exhausted during the day, as if I haven't had enough sleep and am still lying in bed. My eyes feel tired and heavy, and I want to close them to rest. My head feels foggy and dim, very tired and painful. Symptoms are more pronounced if I don't rest at noon or if I have too much deep sleep at night. After dinner until 11 PM, I and never feel foggy or dim; my mental state is better. My appetite and food intake, as well as deep sleep, are normal. My bowel movements have long been loose or watery, sometimes even colorful, which probably means my stomach and intestines are not in good condition. I often have abdominal pain and pass gas frequently. My weight is slightly overweight, but there haven't been significant changes. The only other thing is that my penis is easily erect and I have premature ejaculation (non-bacterial moderate prostatitis), usually lasting only about 2 minutes. All these symptoms started in 2002, but the cause is unclear.

Doctor's answer:

Hello, according to your description, especially frequent bloating and excessive gas, your digestion is problematic. When digestive function is compromised, it severely affects your sleep. The decline in sleep quality can lead to leg fatigue, overall weakness, and a lack of energy. I recommend you see a gastroenterologist to consider possible colitis, while also checking for gallstones in the liver and bile ducts. Whether it is premature ejaculation needs to be determined through medical examination.

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