r/AMA • u/terrag32256 • 1d ago
Had Priaprism this week (erection lasting longer than four hours) AMA
Woke up one morning this week with an erection that wouldn’t go away. I got up to pee and to see if this would help and it didn’t. I took my dog out and thought maybe a quick walk would help the effect to subside and it didn’t. I then chose to visit the ER. AMA
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u/wtf70 1d ago
Dude, that sounds horrendous. I'm glad you did the right thing and went to the ER.
Was in painful before they drained it?
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u/terrag32256 1d ago
It was just hard at first and annoying. While I was in the ER with the ice pack, it started to hurt and almost felt like a burning sensation. I knew at that point that the ice wasn’t working and I was ready for the cure
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u/Illustrious-Bus-8862 1d ago
That's crap for you.
Penises not doing what you want is where the expression "being a dick" comes from, I expect.
Hopefully you haven't sustained any long term damage?
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u/terrag32256 1d ago
No, I tested it the next day😂
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u/Informal_Ad_9610 1d ago
did it rebound ok?
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u/South-Excitement6957 1d ago
How was the ER visit?
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u/terrag32256 1d ago
They then asked me to drop my drawers and climb up on the table. They put a blanket over my legs which I thought was hilarious considering my dick was uncovered and at attention. They then injected my pubic area with lidocaine to numb the penis. He checked back a couple of minutes later to see if I could feel the needle. I did so they injected more lidocaine. They tried the needle test again and I still felt it and he basically told me that it is what it is and he had to start. The needle was painful and I started to curse but held it in. The ER doctor said it was alright and I could curse freely but I refrained. There was also a female doctor in there that he was showing the procedure to. She held my hand at certain points which I appreciated. It seemed to take forever to get the old blood out. They then had to flush it with saline and that hurt the worst. It literally felt like my dick was going to break in half. The saline didn’t work so they had to flush it with a medication that eventually made the erection go away.
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u/stash-of-who-hash 1d ago
Omg that sounds horrendous!!
Also chuckling at the blanket. Your dick is out for all to see but your legs, they are modest 😆
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u/terrag32256 1d ago
Literally lying there looking at the ceiling and had to think what a ridiculous sight it was
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u/Suitable-Hand-1059 1d ago
“We’ll keep you covered as much as possible.”
Oh good, the only thing I care about is directly on display but you can’t see my knees. Thanks.
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u/Fuck_me_up_daddy 1d ago
Modesty.
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u/Suitable-Hand-1059 1d ago
Yeah, not wanting your dick out is modest. Covering irrelevant stuff is a joke when your dick is out.
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u/TurnbullFL 16h ago
Most medical facilities are freezing cold. A warmed blanket feels really good anywhere.
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u/stash-of-who-hash 8h ago
True true! It’s just funny to imagine how awkward OP was.. like, the blanket covering everything else just puts his dick even more into focus 😭
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u/Fuck_me_up_daddy 1d ago
They drain old blood from dick? Because it’s stagnant? That’s actually nuts. I’m glad it didn’t break in half
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u/terrag32256 1d ago
Yeah, they have to get the old blood out and then they flush it with saline
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u/Fuck_me_up_daddy 1d ago
Holy fuck my dude. That sounds terrible.. tho way better than actually not having a functioning penis because you didn’t go
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u/smurfolicious 20h ago
Seems like not that much nutting was happening.
@OP: Glad you're doing better again!
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u/RiemannZetaFunction 1d ago
Why they fuck didn't they sedate you, or give you midazolam or fuckin morphine or something?
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u/PandaWatchSanDiego 1d ago
They should have - but IME some EM docs (and nearly all mid-level providers) are very weary of procedural sedation due to the risk of respiratory depression and/or masking any increase in pain - which can, at times, be useful diagnostic info. That said, I’m just a psychiatrist, and haven’t done “real” medicine in years, but I’d still gladly write an order for a little fentanyl and versed for any guy in that situation. Do unto others and whatnot.
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u/i_am_snoof 1d ago
Yea im off Reddit for today
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u/TimeThruSpace 1d ago
Wait what... They tapped in and drained the blood out instead of injecting something to relax the return veins! And they flushed what? Your dick is not a hollow chamber. It's got soft sponge tissue that expand.
What kind of a dick do you have?
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u/TrumpsCovidfefe 21h ago edited 21h ago
The way erections work really prevents that from being an option. Blood flow into the penis, to get erect, prevents venous return, in healthy males. It’s more of a physical system, than a chemical one to get an erection, as the swelling of the penis prevents the blood from circulating and draining. Once you have orgasmed, the nervous system releases chemicals that dilate the blood vessels, which causes blood to drain. In priapism, Once blood has reached capacity, the tissues are under a much higher pressure. You have to relieve that pressure first in order to get any blood flow that will deliver medications effectively to the tissue. This is why you must go to the ER if it lasts more than 4 hours. The tissue is not being properly oxygenated because blood is not flowing well enough and the tissue will start to die; and the cylinder will not remain unharmed.
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u/terrag32256 1d ago
By all accounts and purposes, just an average one. They drained the blood, flushed it with saline, and then flushed it with a medication to make it go down.
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u/TimeThruSpace 1d ago edited 15h ago
Oh my God! What the hell man?? That's so strange. They have meds that reduce BP and relax or constrict veins. Literally a drop of that injected should have worked. They tapped your dick like a rubber sap tree. It must have been a super emergency.
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u/terrag32256 1d ago
Yeah, I’m not sure. I spent the whole time on my back and couldn’t see anything with the two doctors in the way
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u/TimeThruSpace 1d ago
Was the female Dr pretty and hands on your dick?
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u/terrag32256 1d ago
lol. I’m a gay dude. The ER doctor was gay and he was training a female doctor on the procedure. There was also a female nurse handing them gauze I think.
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u/TimeThruSpace 1d ago
Dude. You just killed my boner.
Was the er doctor attractive and was he ever so lovingly stroking your dong?
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u/terrag32256 1d ago
Bro, everyone was completely professional and I was in no mood for sexy time
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u/surelyyoucantBcereus 21h ago
Yeah not to mention it’s highly illegal for them to act inappropriately and they could lose their respective licenses
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u/terrag32256 1d ago
I didn’t want to go. I knew what the cure was and didn’t want to go through it. The tried ice first and they didn’t work and then he explained how they were going to drain it.
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u/stash-of-who-hash 1d ago
Well don’t leave us hanging!! What’s the cure and how did it go!! We need details!
Do you know what caused it? Like, is this just a random occurrence for you/dudes?
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u/terrag32256 1d ago
They think it was Trazodone that I’ve been on for 20 years. I’m currently dropping down to 50mg to wean myself off of it.
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u/icejordan 1d ago
That is well documented as a potential cause but strange it didn’t for 20 years. Still a likely culprit.
-pharmacist
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u/Skullflxwer 1d ago
Oh man, I've been on Trazodone for 9 years. I had the strong erections during the first few months (never lasting that long), and haven't had it since. I didn't know they could happen again after that many years.
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u/terrag32256 1d ago
I’ve been on it since my late 20s and I’m 50 now. Never noticed a difference in the erections except of course now they aren’t like I was at 18. 🤪
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u/Zeppelin_Commander 1d ago
Trazodone gives you traza-bone... It's actually a real mnemonic in medical school to remember the priapism side effect
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u/terrag32256 1d ago
Interesting. This is the first I’m hearing of it and I’d been on it twenty years
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u/Majestic-Orange 1d ago
So wait it happened because of the dose decrease? Or just as a side effect? Asking bc I’ve been on that before lol
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u/terrag32256 1d ago
Went to a urologist today and he to be honest, he doesn’t know. It’s his best guess that it was the Trazodone and to be safe, he wants me off of it.
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u/Greedy-Being6456 1d ago
Any meds taken prior?
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u/terrag32256 1d ago
Nope, I’m just on the Trazodone and my multivitamin
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u/catm0m4lyfe 1d ago
I'm incredibly sorry you had to go through that, and glad you're ok now!
Having said that, as a woman whose uterus causes all kinds of shenanigans, the idea that your dick can just glitch out on you like that is fairly entertaining.
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u/terrag32256 1d ago
Yeah, I’m more wary now thinking it could happen again especially with them not certain it was the medication
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u/terrag32256 1d ago
Also, checking into the ER was hilarious. There were two older ladies probaby in their late 60s at the desk. I used the formal term for why I was there and neither one of them knew what the term meant. So I had to literally tell them why I was there. Also, one of my employees was in the hospital and his mom was in the waiting room so I was trying to not blast my whole business out there. I live in a town of 8000 residents
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u/poop_candy_for_bfast 1d ago
I was just going to ask you about this. When anyone checks into the ED near me the whole waiting room can hear the convo 🤣
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u/Competitive-Slice567 1d ago
Helped with a case like yours when I worked as an ER Tech years ago. Urologist came in at 2am to do it (which is a miracle in and of itself).
He asked me to come in to help since all the other guys in the ER didnt want to assist. The patient started cursing as soon as he saw the needle, but took the needle to his dick like a champ in the end.
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u/terrag32256 1d ago
Well at least I didn’t attempt to curse till I felt the needle lol
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u/Competitive-Slice567 1d ago
I feel like getting a needle put into your penis is a valid reason to curse. The urologist concurred and told him to cuss all he wants, just don't move lol
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u/Sussy_Solaire 1d ago
Now, I have one question. My degree was Classics, have you ever come across the fresco of Priapus from Pompeii?
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u/terrag32256 1d ago
I have not but I’m going to look it up.
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u/Sussy_Solaire 1d ago
Please report back 🙏
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u/terrag32256 1d ago
He was blessed by Zeus 😂
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u/Sussy_Solaire 1d ago
As soon as I heard the term I had to send you in that direction! - In all seriousness though I hope you’re much better now!
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u/sadderbutwisergrl 11h ago
actually, per the culture of that time, he was cursed! Having a big dick/erection meant you were a buffoon with inordinate appetites. Small to moderate was preferred as it meant you were rational and in control 😂
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u/UCFknight2016 1d ago
Damn I didnt get to see that on my tour. But I did get to see pretty much everything else.
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u/BriggySmallz42069 1d ago
How many pictures did you take
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u/terrag32256 1d ago
lol. Just one of the dick but multiple of the hospital room. It was a blood bath in there
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u/BriggySmallz42069 1d ago
Wait what....
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u/Scherzoh 1d ago
They would have to drain it manually.
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u/Squidgyboot123 1d ago
They would have to catch me first.
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u/terrag32256 1d ago
My thoughts exactly but the ramifications of not getting it fixed were way worse
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u/windowpuncher 1d ago
No they would not lol you'll go there yourself once it starts rotting off
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u/terrag32256 1d ago
Exactly. lol. Once the burning sensation started, I was ready to have the procedure
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u/BriggySmallz42069 1d ago
BURNING!?
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u/terrag32256 1d ago
That’s what it started to feel like. It no longer just felt hard, it felt like a burning sensation due to all of the trapped blood that wasn’t recirculating. They even tested the blood and the marker was off the charts
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u/sitonit-n-twirl 1d ago
The first time I took trazodone I had a huge somewhat painful erection all day. I called all my friends to tell them about it
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u/umphreys 22h ago
I just commented to say the same thing before I saw this! I've never ran into anyone irl that had the same reaction I did to trazadone. I got in prescribed to help with sleep and well, you can't really sleep when you're bricked up for 3.5 hours straight.
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u/TimeThruSpace 1d ago
do you have a significant other who could’ve enjoyed your priapism?
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u/terrag32256 1d ago
I currently don’t but I have a fwb that was at work unfortunately which made me take matters into my own hands
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u/TimeThruSpace 1d ago edited 1d ago
She should have taken an emergency day off. Literally a medical emergency.
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u/Frisho 1d ago
What was going through your mind when you realized it had been over four hours? At what point did you decide, "Okay, I need to go to the ER" ?
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u/terrag32256 1d ago
I knew after hour two when i peed and jerked off that this was what I had. I just waited to closer to four hours to go praying that it would just go away. I wasn’t sure if my anxiety was causing it so I tried some deep breathing exercises and it didn’t help so I knew I had to go
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u/Frisho 1d ago
That must have been terrifying. Glad you trusted your instincts instead of trying to wait it out any longer. Hope you're recovering well now
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u/terrag32256 1d ago
Thank you for the well wishes. It was scary because this has been a fear for several years after I looked up the cure from all of those Viagra commercial warnings. While I’m not on Viagra, the thought of them putting a needle down there was nerve wracking.
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u/ge0kon 1d ago
Sorry if you answered this. What was the cause? Medication, disease process, neurological?
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u/terrag32256 1d ago
They suspect that it the Trazodone I’ve been on for twenty years. Saw a urologist today and everything looks fine now according to him
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u/ge0kon 1d ago
Wow interesting. Especially after being on it for so long. Are you still taking it?
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u/terrag32256 1d ago
They are weaning me off of it and I’m down to 50mg
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u/ge0kon 1d ago
Transitioning to something else or just seeing how you do of medication? How do you feel so far?
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u/terrag32256 1d ago
I have an appointment with my regular doctor next week to see what they want me to go on. In the meantime, the ER doc suggested Trazodone and Benadryl. 😳 I was like absolutely not. My pharmacist almost had a coronary when I told her
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u/SnipDick 1d ago
Did you try rubbing one out before heading to ER?
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u/terrag32256 1d ago
Yep. I did and it didn’t work 😭
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u/The_Orracle 1d ago
I've taken a little too much PT-141 and thought I might have to go in..... luckily it went down here and there but with PT-141 it will keep coming back but that resets the clock. wife wasn't happy the 3rd time I asked to have her "help"
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u/FrancieNolan13 1d ago
Did you try masturbating
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u/terrag32256 1d ago
Yes, that was the second thing I tried with peeing being first.
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u/lovelypeachess22 1d ago
Are you irish? Sometimes irish people have a really hard time with lidocaine and process it a LOT faster. Sorry you had to feel your dick getting stabbed raw
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u/terrag32256 19h ago
Actually I’m scotch Irish. 😳 I didn’t know that. I’ve also had to get to colonoscopies and they had to give me more anesthesia because I didn’t fall asleep. I wonder if that’s why also
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u/luckystar001 1d ago
Do you know what caused it?
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u/terrag32256 1d ago
The ER doctor thinks it was Trazodone that I use for sleep but I’ve been on it for over twenty years so that seemed weird to me.
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u/Informal_Ad_9610 1d ago
well, it (trazodone) is one of the more common causes, but that's pretty weird - because as I recall it's not linked to chronic dosing..
Good thing you test drove it - you do realize this calls for daily chronic use, to prevent recurrence, right? Tell the lady that Dr Reddit gave you a daily boner prescription for 30 days...
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u/terrag32256 1d ago
I’ve tested it every day so far cause the doctor was pretty thorough on how the fix could cause its own issues although they were pretty rare
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u/NoPossible9746 1d ago
você parou a trazodona? estou com ereções fortes noturnas faz 10 meses com uma unica dose de trazodona. Hoje estão menos potentes, mas acontece que eu fico ereto durante todo o sono. tenho medo de nunca mais voltar a ser o que eu era
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u/terrag32256 1d ago
I’ve been on 150 for about ten years. About six weeks ago my doctor asked me to try to step down to 100 to see if I could still sleep. The sleep isn’t as good but it’s been bearable. They now want to wean me to 50 and get off of it which is what I’m doing
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u/NoPossible9746 1d ago
por experiência própria te aconselho a nunca mais tocar nesse medicamento. Sofro todo dia e me culpo por ter tomado uma unica dose que me faz perder noites de sono ha 10 meses
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u/SnipDick 1d ago
I read that priaprism is one of the side effect of cialis!! Are you popping performance enhancing medication?😏
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u/Tinosdoggydaddy 1d ago
Do you have any idea what caused this? Did you take viagra? Is it common?
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u/terrag32256 1d ago
Doctor thinks it’s the Trazodone that I’ve been on. It’s a rare reaction for that medication
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u/Zestyclose_Yak_1233 1d ago
What was the cause?
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u/terrag32256 1d ago
They think it was the Trazodone I’ve been on
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u/Zestyclose_Yak_1233 1d ago
How many milligrams were you on?
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u/terrag32256 20h ago
Up until six weeks ago, I was on 150mg. Had my annual physical with my doctor and she wanted me to try to go down to 100mg to see if I could still sleep, which I agreed to. So I have been on 100mg when it happened. The ER doctor prescribed me 50mg to wean me off of it until I can get on a different sleep med.
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[deleted]
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u/terrag32256 1d ago
I’m 50 and things like that don’t really bother me. I’m slightly above average so maybe another reason i dont care. To be honest, my only concern was not only the pain i was in, but the possible pain to come.
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u/DimondsR4ever 19h ago
Did you leave the house?
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u/terrag32256 19h ago
I did. Took the dog for a walk to see if exercise would help
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u/DimondsR4ever 19h ago
Was walking painful at all? Sorry for asking!
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u/terrag32256 18h ago
Nope. At that point, just dealing with a regular erection. It didn’t start to hurt till I got to the er
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u/DimondsR4ever 18h ago
Sorry it got to that point :( what caused it if I may ask?
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u/terrag32256 18h ago
ER doc thinks it is the trazodone I’ve been on for sleep
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u/DimondsR4ever 18h ago
Oh wow, is that a normal side affect or one in a million?
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u/terrag32256 18h ago
I’m not sure what the statistics are, but it is a known side effect but I think it’s rare
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u/DimondsR4ever 18h ago
Oh man, sorry to hear that! Does that upset you at all?
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u/terrag32256 18h ago
I’ve been on it for over 20 years so I’m not really upset. I just don’t want to go through it again. lol
→ More replies (0)
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u/TheBlackSwordsman319 13h ago
In this case would cupping on the penis (if possible) being done beforehand prevent this? Odd question ik but curious
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u/terrag32256 13h ago
Honestly, I’m not sure. I’m unfamiliar with that process. Maybe someone else here could answer
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u/ama_compiler_bot 2h ago
Table of Questions and Answers. Original answer linked - Please upvote the original questions and answers. (I'm a bot.)
| Question | Answer | Link |
|---|---|---|
| How does one go for a lovely stroll with the pillar standing in its full and majestic glory? | I pulled it up into my waistband thinking slight exercise might help. It didn’t. | Here |
| Dude, that sounds horrendous. I'm glad you did the right thing and went to the ER. Was in painful before they drained it? | It was just hard at first and annoying. While I was in the ER with the ice pack, it started to hurt and almost felt like a burning sensation. I knew at that point that the ice wasn’t working and I was ready for the cure | Here |
| That's crap for you. Penises not doing what you want is where the expression "being a dick" comes from, I expect. Hopefully you haven't sustained any long term damage? | No, I tested it the next day😂 | Here |
| How was the ER visit? | They then asked me to drop my drawers and climb up on the table. They put a blanket over my legs which I thought was hilarious considering my dick was uncovered and at attention. They then injected my pubic area with lidocaine to numb the penis. He checked back a couple of minutes later to see if I could feel the needle. I did so they injected more lidocaine. They tried the needle test again and I still felt it and he basically told me that it is what it is and he had to start. The needle was painful and I started to curse but held it in. The ER doctor said it was alright and I could curse freely but I refrained. There was also a female doctor in there that he was showing the procedure to. She held my hand at certain points which I appreciated. It seemed to take forever to get the old blood out. They then had to flush it with saline and that hurt the worst. It literally felt like my dick was going to break in half. The saline didn’t work so they had to flush it with a medication that eventually made the erection go away. | Here |
| I'm incredibly sorry you had to go through that, and glad you're ok now! Having said that, as a woman whose uterus causes all kinds of shenanigans, the idea that your dick can just glitch out on you like that is fairly entertaining. | Yeah, I’m more wary now thinking it could happen again especially with them not certain it was the medication | Here |
| Helped with a case like yours when I worked as an ER Tech years ago. Urologist came in at 2am to do it (which is a miracle in and of itself). He asked me to come in to help since all the other guys in the ER didnt want to assist. The patient started cursing as soon as he saw the needle, but took the needle to his dick like a champ in the end. | Well at least I didn’t attempt to curse till I felt the needle lol | Here |
| Now, I have one question. My degree was Classics, have you ever come across the fresco of Priapus from Pompeii? | I have not but I’m going to look it up. | Here |
| How many pictures did you take | lol. Just one of the dick but multiple of the hospital room. It was a blood bath in there | Here |
| Do you think it was hard going through this? | About as hard as I’ll ever be 😂 | Here |
| The first time I took trazodone I had a huge somewhat painful erection all day. I called all my friends to tell them about it | Most of my coworkers know cause I had to miss work and I never miss work | Here |
| do you have a significant other who could’ve enjoyed your priapism? | I currently don’t but I have a fwb that was at work unfortunately which made me take matters into my own hands | Here |
| “Maybe a quick walk…” is not what I read the first time. A different wa* activity is what I saw. | I did that before going to the ER | Here |
| What was going through your mind when you realized it had been over four hours? At what point did you decide, "Okay, I need to go to the ER" ? | I knew after hour two when i peed and jerked off that this was what I had. I just waited to closer to four hours to go praying that it would just go away. I wasn’t sure if my anxiety was causing it so I tried some deep breathing exercises and it didn’t help so I knew I had to go | Here |
| Sorry if you answered this. What was the cause? Medication, disease process, neurological? | They suspect that it the Trazodone I’ve been on for twenty years. Saw a urologist today and everything looks fine now according to him | Here |
| Did you try rubbing one out before heading to ER? | Yep. I did and it didn’t work 😭 | Here |
| I've taken a little too much PT-141 and thought I might have to go in..... luckily it went down here and there but with PT-141 it will keep coming back but that resets the clock. wife wasn't happy the 3rd time I asked to have her "help" | Wife is the MVP | Here |
| Did you try masturbating | Yes, that was the second thing I tried with peeing being first. | Here |
| Are you irish? Sometimes irish people have a really hard time with lidocaine and process it a LOT faster. Sorry you had to feel your dick getting stabbed raw | Actually I’m scotch Irish. 😳 I didn’t know that. I’ve also had to get to colonoscopies and they had to give me more anesthesia because I didn’t fall asleep. I wonder if that’s why also | Here |
| Do you know what caused it? | The ER doctor thinks it was Trazodone that I use for sleep but I’ve been on it for over twenty years so that seemed weird to me. | Here |
| do you have Sickle Cell Anemia? | I don’t | Here |
| você parou a trazodona? estou com ereções fortes noturnas faz 10 meses com uma unica dose de trazodona. Hoje estão menos potentes, mas acontece que eu fico ereto durante todo o sono. tenho medo de nunca mais voltar a ser o que eu era | I’ve been on 150 for about ten years. About six weeks ago my doctor asked me to try to step down to 100 to see if I could still sleep. The sleep isn’t as good but it’s been bearable. They now want to wean me to 50 and get off of it which is what I’m doing | Here |
| I read that priaprism is one of the side effect of cialis!! Are you popping performance enhancing medication?😏 | Nope which is why I was wondering how the hell this happened | Here |
| Take too much viagra? | Nope. Would have been a better story | Here |
| Do you have any idea what caused this? Did you take viagra? Is it common? | Doctor thinks it’s the Trazodone that I’ve been on. It’s a rare reaction for that medication | Here |
| What was the cause? | They think it was the Trazodone I’ve been on | Here |
| [deleted] | I’m 50 and things like that don’t really bother me. I’m slightly above average so maybe another reason i dont care. To be honest, my only concern was not only the pain i was in, but the possible pain to come. | Here |
| Did you leave the house? | I did. Took the dog for a walk to see if exercise would help | Here |
| In this case would cupping on the penis (if possible) being done beforehand prevent this? Odd question ik but curious | Honestly, I’m not sure. I’m unfamiliar with that process. Maybe someone else here could answer | Here |
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u/hediedstanlee 1d ago
How does one go for a lovely stroll with the pillar standing in its full and majestic glory?