[24M] Experiencing urinary burning sensation post-oral sex

Patient Description

A 24-year-old male reports a slight burning sensation during urination, rated as a 3 on a scale of 1-10, with no associated pain. This symptom developed a couple of days after receiving oral sex. Additionally, the patient has noticed an increased frequency of urination. There is no significant past medical history, no known drug allergies, and no other medications being taken. The patient has been on cephalexin 500mg twice daily for the past five days, which has slightly alleviated the symptoms, but the burning sensation persists.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely causes of your symptoms include:

  • Urinary Tract Infection (UTI): UTIs are infections that occur in 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. They can cause a burning sensation during urination and increased frequency of urination.

    • Treatment typically involves antibiotics, which you are already taking in the form of cephalexin.
  • Sexually Transmitted Infection (STI): Given that your symptoms started a few days after you received oral sex, it's possible that you may have contracted a sexually transmitted infection, such as gonorrhea or chlamydia. These STIs can cause a burning sensation during urination and increased frequency of urination.

    • Treatment typically involves antibiotics. Some STIs are resistant to certain antibiotics, so it's important to get tested to determine the most effective treatment.

What you can do

  1. Continue taking your prescribed antibiotics as directed by your healthcare provider. It's important to complete the full course of antibiotics, even if your symptoms improve before you've finished the medication.
  2. Drink plenty of water to help dilute your urine and ensure that you're flushing out your urinary system.
  3. Avoid sexual activity until you've been evaluated by a healthcare provider to prevent potentially spreading an STI.

What you should look out for

If your symptoms do not improve after completing your course of antibiotics, or if they worsen at any point, you should seek medical attention. Additionally, if you develop any new symptoms, such as fever, back or side pain, or blood in your urine, you should seek medical attention immediately.

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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1 yr 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, increased frequency of urination, cloudy or strong-smelling urine, and sometimes pelvic pain. However, symptoms can vary, and not all men will experience all symptoms.


Can oral sex lead to sexually transmitted infections (STIs) that cause urinary symptoms?

Yes, oral sex can transmit certain STIs, such as gonorrhea and chlamydia, which can cause symptoms like a burning sensation during urination and increased frequency of urination. It's important to get tested if you suspect an STI.


Why might antibiotics not fully alleviate symptoms of a UTI or STI?

Antibiotics may not fully alleviate symptoms if the infection is caused by a bacteria resistant to the prescribed antibiotic, if the infection is viral or fungal, or if the symptoms are due to an STI that requires a different treatment. It's important to follow up with a healthcare provider for further evaluation.


What should I do if my symptoms persist after completing a course of antibiotics?

If your symptoms persist after completing a course of antibiotics, you should consult with a healthcare provider. They may recommend further testing to determine if a different antibiotic is needed or if there is another underlying cause for your symptoms.


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