[21M] With genital and respiratory symptoms

Patient Description

A 21-year-old male presents with unusual brown and white discharge from the genital area, itching, burning sensation during urination, and off-colored appearance (pale, pink, or yellow). These symptoms developed gradually over a little more than a week. The patient reports a feeling of pressure in the shaft and possibly one lesion. He has had recent new sexual partners and a history of gonorrhea and chlamydia, but has not been tested for sexually transmitted infections recently. In addition to genital symptoms, the patient experiences nasal congestion, sneezing, coughing up thick phlegm, fatigue, fever, chills, joint pain, muscle aches, and possibly night sweats, but no significant weight loss. No swollen lymph nodes in the groin or neck area have been noted. The patient has allergies to amoxicillin and azithromycin and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential conditions that could be causing your symptoms:

  1. Sexually Transmitted Infections (STIs): Given your recent unprotected sexual activity and history of gonorrhea and chlamydia, it's possible that you may have contracted another STI. Symptoms such as unusual discharge, itching, burning during urination, and genital sores can be indicative of infections like gonorrhea, chlamydia, or trichomoniasis. Testing is necessary to confirm the diagnosis and determine the appropriate treatment, which often involves antibiotics.

  2. Yeast Infection or Bacterial Infection: The itching and discharge could also be due to a yeast infection or bacterial infection, such as bacterial vaginosis. These conditions can occur in men and may require antifungal or antibiotic treatment.

  3. Respiratory Infection: Your nasal congestion, sneezing, coughing up phlegm, and fatigue could be due to a respiratory infection, such as a cold or flu. These symptoms are typically self-limiting but can be managed with rest, hydration, and over-the-counter medications.

What you can do

For Genital Symptoms:

  • Seek Medical Attention: It's important to see a healthcare provider for a proper diagnosis and treatment. They may perform tests to identify any STIs or other infections.
  • Avoid Sexual Activity: Until you have been evaluated and treated, it's best to avoid sexual activity to prevent spreading any potential infection.
  • Maintain Hygiene: Keep the genital area clean and dry. Avoid using harsh soaps or irritants.

For Respiratory Symptoms:

  • Rest and Hydrate: Ensure you get plenty of rest and drink fluids to help your body recover.
  • Over-the-Counter Relief: Consider using over-the-counter medications to alleviate symptoms like congestion and cough.
  • Monitor Symptoms: Keep track of your symptoms and seek medical attention if they worsen or persist.

General Health:

  • Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider for better insights.

What you should look out for

  • Worsening Symptoms: If you notice an increase in pain, fever, or the appearance of new sores, seek medical attention promptly.
  • Severe Reactions: If you experience severe allergic reactions, such as difficulty breathing or swelling, seek emergency care immediately.
  • Persistent Respiratory Issues: If your respiratory symptoms do not improve or worsen, consult a healthcare provider.

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

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1 mo ago

People Also Ask


What could cause unusual brown and white discharge from the genital area?

Unusual brown and white discharge from the genital area can be caused by sexually transmitted infections such as gonorrhea, chlamydia, or trichomoniasis. It can also be due to a yeast infection or bacterial infection. It's important to get tested to determine the exact cause.


How can I differentiate between a yeast infection and a sexually transmitted infection?

A yeast infection typically causes itching, redness, and a thick, white discharge, while sexually transmitted infections may cause a variety of symptoms including unusual discharge, burning during urination, and sores. Testing is necessary to accurately diagnose the condition.


What are the common symptoms of a respiratory infection like a cold or flu?

Common symptoms of a respiratory infection like a cold or flu include nasal congestion, sneezing, coughing, fatigue, fever, chills, and muscle aches. These symptoms are usually self-limiting but can be managed with rest and over-the-counter medications.


What should I do if I have allergies to common antibiotics like amoxicillin and azithromycin?

If you have allergies to common antibiotics like amoxicillin and azithromycin, it's important to inform your healthcare provider. They can prescribe alternative medications that are safe for you to use. Always carry information about your allergies in case of emergencies.


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