[21M] Experiencing painful urination and penile discharge

Patient Description

A 21-year-old male reports experiencing a burning sensation during urination for the past two days. The pain is rated as a 5 on a scale of 1 to 10. Additionally, the patient has noticed a significant amount of pus-like discharge from the penis, enough to stain underwear. The onset of symptoms was sudden. The patient has been sexually active recently and used protection, with a recent change in sexual partners but no known exposure to sexually transmitted infections. The discharge has not changed in color or smell, but the burning sensation affects sexual activities. The patient has not experienced similar symptoms in the past.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—burning pain during urination and pus discharge from the penis—it's possible that you may have a urinary tract infection (UTI) or a sexually transmitted infection (STI), such as gonorrhea or chlamydia. These conditions can cause similar symptoms, including pain during urination and unusual discharge.

  • Urinary Tract Infection (UTI): UTIs are infections in any part of the urinary system. They are more common in women but can occur in men, especially if there is an obstruction or other underlying issue.

    • Treatment: UTIs are typically treated with antibiotics. A healthcare provider can prescribe the appropriate medication after confirming the diagnosis.
  • Sexually Transmitted Infections (STIs): Gonorrhea and chlamydia are common STIs that can cause burning during urination and discharge.

    • Treatment: These infections are also treated with antibiotics. It's important to get tested and treated promptly to prevent complications and transmission to others.

What you can do

  1. Seek Medical Attention: It's important to see a healthcare provider for a proper diagnosis and treatment. They may perform tests, such as a urine test or swab, to determine the cause of your symptoms.

  2. Avoid Sexual Activity: Until you have been evaluated and treated, it's best to avoid sexual activity to prevent potentially spreading an infection to others.

  3. Stay Hydrated: Drinking plenty of water can help flush out bacteria from your urinary tract.

  4. Use MDandMe: Consider using MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider.

What you should look out for

  • Worsening Symptoms: If you notice an increase in pain, fever, or blood in your urine, seek medical attention promptly.
  • Persistent Symptoms: If your symptoms do not improve after starting treatment, follow up with your healthcare provider.
  • Partner Notification: If diagnosed with an STI, inform any recent sexual partners so they can also get tested and treated if necessary.

Remember, while I can provide information, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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3 mo ago

People Also Ask


What are the common symptoms of a sexually transmitted infection (STI) in men?

Common symptoms of an STI in men include burning during urination, unusual discharge from the penis, sores or bumps on the genitals, and sometimes pain or swelling in the testicles.


How can a urinary tract infection (UTI) be distinguished from an STI?

While both UTIs and STIs can cause burning during urination and discharge, STIs often have additional symptoms like sores or rashes. A healthcare provider can perform specific tests to distinguish between the two.


What steps should be taken if I suspect I have an STI?

If you suspect you have an STI, seek medical attention promptly for testing and treatment. Avoid sexual activity until you have been evaluated and treated, and inform any recent sexual partners so they can also get tested.


Can using protection completely prevent STIs?

Using protection, such as condoms, significantly reduces the risk of STIs but does not completely eliminate it. Some STIs can be transmitted through skin-to-skin contact in areas not covered by a condom.


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