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The symptoms usually begin within 30 minutes of ejaculation, [5] and can last for several days, sometimes up to a week. [4] In some cases, symptoms may be delayed by 2 to 3 days or may last up to 2 weeks. [9] In some men, the onset of POIS is in puberty, while in others, the onset is later in life. [10]
A feeling of pressure and squeezing in the chest is a serious indication that medical care is essential because chest pain and discomfort is one of the most common symptoms of heart attack in men.
Muscle weakness is rarely the chief complaint. The likelihood and degree of muscle weakness is correlated with the duration and severity of the hyperthyroid state, and becomes more likely after the age of 40. Muscle strength returns gradually over several months after the hyperthyroidism has been treated. Muscle degeneration
Other symptoms that may occur during PEM include cognitive impairment, flu-like symptoms, pain, weakness, and trouble sleeping. [6] [4] Though typically cast as a worsening of existing symptoms, patients may experience some symptoms exclusively during PEM. [6] Patients often describe PEM as a "crash", "relapse", or "setback". [6]
Symptoms: Varying degrees muscle weakness, double vision, drooping eyelids, trouble talking, trouble walking [1] Usual onset: Women under 40, men over 60 [1] Duration: Long term [1] Causes: Autoimmune disease [1] Diagnostic method: Blood tests for specific antibodies, edrophonium test, nerve conduction studies [1] Differential diagnosis
Chest pain due to coronary ischemia commonly radiates to the arm or neck. [7] Certain individuals such as women, diabetics, and the elderly may present with more varied symptoms. [8] If blood flow through the coronary arteries is stopped completely, cardiac muscle cells may die, known as a myocardial infarction, or heart attack. [9]
Weakness comes on slowly (over months to years) in an asymmetric manner and progresses steadily, leading to severe weakness and wasting of arm and leg muscles. IBM is more common in men than women. [10] Patients may become unable to perform activities of daily living and most require assistive devices within 5 to 10 years of symptom onset.
Myocarditis: Myocarditis often affects young men under 45, presenting with symptoms such as chest pain, rapid heartbeat, palpitations, difficulty breathing, and early heart failure signs. Approximately one-third experience sharp, squeezing chest pain, while nonspecific symptoms like fever, fatigue, and muscle aches may also occur.