Age 44 years, urine complaints: frequent and insufficient urination, difficulty and incomplete urination, prostate wt is 30 gm in latest report. There is a grade 1 prostatic hypertrophy. Always urge of urination and bladder does not gets empty, have to strain during urination. There is smell in urine. Occasional burning sensation during urination in morning hours (once in 1-2 months time) in night have to go 5-6 times for urination in recent ultrasound findings: air filled distended wall thickened urinary bladder wall wt 7.6 mm regularly chronic cystitis prostate 19 cc in volume stomach complaints: white mucus soft stool sticky stool constipation gas occasional belching poor digestion grade 1 fatty liver, white mucous (jelly type) in the stool, stool is clay-like immature does not form properly (semi-solid), stool stick in the rectum, too much of stomach gas, bloating, poor digestion, constipation, 4-5 motions and incomplete defecation. Diagnostic (3 ys back: neo-colonoscopy findings are suggestive of non specific colitis seen in sigmoid colon with long redundant sigmoid colon and irritable spastic left bowel. Endoscopic findings are suggestive of mild gerd with two inlet patch seen in upper oesophagus and erosive atrophic pan gastritis with chronic duodenitis. Patient will require h.pylori eradication. Ogd scopy revealed mild lax cardia with frank reflux with two inlet patch seen in upper oesophagus. Stomach showed erosive atrophic pan gastritis. Severe erosions were seen in the fundus and antrum. Chronic duodenitis was seen in the duodenal bulb and proximal duodenum. Sexual: small penis size, insufficient girth (like a kid, loss of libido, ed, premature ejaculation (30 sec only) no hardness tremors: involuntary movement and shaking of legs and hands shaking increases during cross legs posture shaking increases if try to tightly grip an object other complaints: swelling in both legs, swelling, and stiffness in finger joints-calci-formation. Uric acid value 7.2.insufficient facial hair, no proper mustache and beard .very thin and boy like structure of body. Too much sweating at face and sole are mostly cold. Dry eyes and weak eye sight brittle teeth and nails crackling sound in knees stiffness in left shoulder.