[20M] Experiencing frequent urination without dysuria

Patient Description

A 20-year-old male reports frequent urination over the past 3 days, with a sensation of needing to urinate even after having just gone, approximately 5-6 times a day. The patient initially thought the sensation during urination was dysuria but clarified there is no pain, itching, or burning. A small clear penile discharge was noted but has since ceased. There is no associated fever, chills, back or abdominal pain, or changes in urine color or smell. The patient had a recent sexual encounter the day before symptoms began. No other symptoms were reported, and the patient has no known drug allergies, pre-existing conditions, or chronic illnesses. 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, a few possible conditions could be causing your symptoms:

  • Urinary Tract Infection (UTI): UTIs are common infections that can affect any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but they can also be caused by viruses and fungi. UTIs in men are less common than in women but can be very serious when they do occur.

    • Treatment for UTIs typically involves antibiotics to kill the bacteria causing the infection. Drinking plenty of water can also help dilute your urine and ensure that you urinate more frequently, flushing bacteria out of your urinary system.
  • Non-gonococcal Urethritis (NGU): NGU is an inflammation of the urethra that is not caused by gonorrhea. Common symptoms include a burning sensation during urination and/or a discharge from the penis. It's often caused by sexually transmitted infections (STIs) that are not gonorrhea, such as chlamydia.

    • Treatment for NGU typically involves antibiotics to kill the bacteria causing the infection.
  • Overactive Bladder (OAB): OAB is a condition where the bladder can't hold urine normally. This can lead to symptoms such as feeling a sudden and uncontrollable urge to urinate, frequent urination, and nocturia (waking up to go to the bathroom during the night).

    • Treatment for OAB can include lifestyle changes, medications, bladder training, and sometimes surgery.

What you can do

You should make an appointment to see a healthcare provider as soon as possible. They can conduct a thorough examination and order tests to determine the cause of your symptoms. In the meantime, here are some things you can do:

  1. Drink plenty of water to help flush out your urinary system.
  2. Avoid drinks that can irritate your bladder, such as coffee, alcohol, and citrus juices.
  3. Try to empty your bladder completely when you urinate.

What you should look out for

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

  • Pain in your lower abdomen or back
  • Blood in your urine
  • Fever, chills, or other signs of infection
  • Difficulty urinating or inability to urinate

Remember, while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of frequent urination in young males?

Frequent urination in young males can be caused by urinary tract infections (UTIs), sexually transmitted infections (STIs) like chlamydia, overactive bladder (OAB), or even excessive fluid intake. It's important to consult a healthcare provider for an accurate diagnosis.


How can a recent sexual encounter lead to urinary symptoms?

A recent sexual encounter can lead to urinary symptoms if it results in a sexually transmitted infection (STI), such as chlamydia or gonorrhea, which can cause inflammation of the urethra and lead to symptoms like frequent urination and discharge.


What are the typical treatments for non-gonococcal urethritis (NGU)?

Typical treatments for non-gonococcal urethritis (NGU) include antibiotics to target the bacteria causing the infection. It's important to complete the full course of antibiotics as prescribed by a healthcare provider.


When should someone with urinary symptoms seek immediate medical attention?

Immediate medical attention should be sought if there are symptoms such as severe pain in the lower abdomen or back, blood in the urine, fever, chills, or difficulty urinating, as these could indicate a more serious condition.


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