[18M] Experiencing low abdominal and penile pain with frequent urination

Patient Description

An 18-year-old male reports persistent low abdominal pain and a stabbing pain in the middle of the penis. The patient has been experiencing these symptoms for over a month. The penile pain increases post-urination. Additionally, the patient notes frequent urination, with multiple episodes per hour and clear urine. The pain exacerbates after urinating. The patient has not provided information on any previous medical diagnoses, ongoing treatments, or medication usage.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are more common in women than in men.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water may help to dilute your urine and help flush out bacteria.

  • Prostatitis: This is swelling and inflammation of the prostate gland, a walnut-sized gland situated directly below the bladder in men. The prostate gland produces fluid (semen) that nourishes and transports sperm.

    • Treatment depends on the cause. It might include antibiotics, pain relievers, and lifestyle changes such as drinking more fluids and urinating regularly.

  • Urethritis: This is inflammation of the urethra, the tube that carries urine from the bladder to outside the body. It can cause pain and discomfort, especially during urination.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water may help to dilute your urine and help flush out bacteria.

What you can do

You should see a doctor as soon as possible to get a proper diagnosis and treatment. In the meantime, here are some things you can do to help alleviate your symptoms:

  1. Drink plenty of water. This can help dilute your urine and ensure that you urinate more frequently, flushing bacteria out of your urinary tract.
  2. Avoid drinks that may irritate your bladder. These include coffee, alcohol, and soft drinks containing citrus juices or caffeine until your infection has cleared.
  3. Use a heating pad. Apply a warm, but not hot, heating pad to your abdomen to minimize bladder pressure or discomfort.

What you should look out for

If you notice any of the following symptoms, you should seek medical attention immediately:

  • Blood in your urine
  • Fever or chills
  • Severe lower abdominal pain
  • Difficulty urinating or inability to urinate

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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9 mo ago

People Also Ask

What are the common symptoms of a urinary tract infection (UTI) in men?

Common symptoms of a UTI in men include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain.

How is prostatitis diagnosed and treated?

Prostatitis is diagnosed through a physical exam, urine tests, and sometimes imaging tests. Treatment may include antibiotics, pain relievers, and lifestyle changes such as increased fluid intake and regular urination.

What lifestyle changes can help alleviate symptoms of urethritis?

Lifestyle changes that can help alleviate symptoms of urethritis include drinking plenty of water to flush out bacteria, avoiding irritants like caffeine and alcohol, and practicing good hygiene.

When should I seek immediate medical attention for urinary symptoms?

You should seek immediate medical attention if you experience blood in your urine, fever or chills, severe lower abdominal pain, or difficulty urinating.

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