[19M] Experiencing stinging penile pain

Patient Description

A 19-year-old male has been experiencing stinging pain in the penis, particularly through the shaft and on the tip, from the inside rather than the skin. The pain has persisted for a few days and is temporarily alleviated by urination and ejaculation. The patient has observed a white liquid discharge but is unsure of its nature. There is no associated fever, severe back or abdominal pain, or other symptoms. The patient had a sexual encounter involving oral sex a few weeks ago. There is no history of drug, alcohol, or tobacco use, no known allergies, pre-existing conditions, or chronic illnesses, and the patient is not on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Urinary Tract Infection (UTI): This is an infection that affects any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs are more common in women, but men can get them too. Symptoms can include a burning sensation during urination and a frequent urge to urinate, even after you've just emptied your bladder.

    • Treatment typically involves antibiotics to clear the infection.
  • Sexually Transmitted Infections (STIs): Given your recent sexual encounter, it's possible that you may have contracted an STI such as gonorrhea or chlamydia. These infections can cause symptoms like pain in the penis, discharge, and a burning sensation during urination.

    • Treatment for STIs usually involves antibiotics. It's important to get tested if you suspect you have an STI, as some can lead to more serious health problems if left untreated.
  • Prostatitis: This is an inflammation or infection of the prostate gland. It can cause pain or discomfort in the penis, difficulty urinating, and sometimes flu-like symptoms.

    • Treatment usually involves antibiotics, and sometimes medications to help relax the muscles around the prostate.

What you can do

You should seek medical attention as soon as possible to get a proper diagnosis and treatment. In the meantime, here are a few things you can do:

  1. Drink plenty of water to help flush out your urinary system.
  2. Avoid caffeine, alcohol, and spicy foods, which can irritate your urinary system.
  3. Over-the-counter pain relievers may help with the discomfort.

What you should look out for

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

  • Severe pain in your lower back or abdomen
  • Blood in your urine or semen
  • Fever or chills
  • Swelling or tenderness in the groin area

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can evaluate your condition and provide a formal diagnosis.

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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 burning sensation during urination, frequent urge to urinate, cloudy or strong-smelling urine, and sometimes pain in the lower abdomen. It's important to see a doctor for a proper diagnosis and treatment.


How can sexually transmitted infections (STIs) be diagnosed and treated?

STIs can be diagnosed through various tests, including urine tests, swabs, or blood tests, depending on the suspected infection. Treatment usually involves antibiotics, and it's crucial to complete the full course of medication. It's also important to inform sexual partners so they can be tested and treated if necessary.


What is prostatitis and what are its symptoms?

Prostatitis is an inflammation or infection of the prostate gland, which can cause symptoms such as pain or discomfort in the penis, difficulty urinating, and sometimes flu-like symptoms. Treatment typically involves antibiotics and medications to relieve symptoms.


What should I do if I suspect I have an STI after a recent sexual encounter?

If you suspect you have an STI after a recent sexual encounter, it's important to get tested as soon as possible. Avoid sexual contact until you have been evaluated and treated if necessary. Early diagnosis and treatment can prevent complications and reduce the risk of spreading the infection to others.


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