[26M] With penile discharge and gastrointestinal symptoms post-travel

Patient Description

A 26-year-old male presents with a small amount of white, cloudy penile discharge noticed in the mornings for the past 4 days, which is a new symptom for him. He also reports lower abdominal pain and loose stools once daily for 1-2 days. No specific food triggers have been identified for the diarrhea. The patient recently traveled to Colombia but did not note any other relevant exposures. Additionally, he sometimes observes a crust forming around his urethra. His medical history is significant for asthma diagnosed in infancy, with no other chronic illnesses or known drug allergies. He is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Sexually Transmitted Infections (STIs): The most common cause of penile discharge is a sexually transmitted infection, especially if you've had unprotected sex. The discharge could be due to gonorrhea or chlamydia, which are both common STIs. These infections can also cause lower abdominal pain.

    • Testing for STIs usually involves a urine test or a swab from the urethra. Treatment typically involves antibiotics.
  • Non-Specific Urethritis (NSU): This is inflammation of the urethra that is not caused by gonorrhea. It can cause similar symptoms to gonorrhea, including discharge and lower abdominal pain. It can be caused by several different bacteria, including those that are transmitted sexually.

    • Treatment for NSU typically involves antibiotics.
  • Prostatitis: This is inflammation of the prostate gland, which can cause lower abdominal pain and sometimes penile discharge. It can be caused by a bacterial infection, but often the cause is unknown.

    • Treatment for prostatitis can involve antibiotics, pain relievers, and other medications.

What you can do

  1. It's important to see a healthcare provider as soon as possible. They can perform tests to determine the cause of your symptoms and prescribe appropriate treatment.
  2. In the meantime, avoid sexual contact until you've been evaluated by a healthcare provider. This can help prevent the potential spread of any infection.
  3. Drink plenty of fluids and avoid alcohol and caffeine, which can irritate the urethra.
  4. Over-the-counter pain relievers may help with your abdominal pain.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • High fever
  • Blood in your urine or stools
  • Severe pain during urination
  • Swelling or tenderness in the testicles

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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1 yr ago

People Also Ask


What are the common symptoms of sexually transmitted infections (STIs)?

Common symptoms of STIs can include unusual discharge from the penis or vagina, pain during urination, lower abdominal pain, sores or bumps on the genitals, and sometimes fever or swollen lymph nodes. However, some STIs may not cause noticeable symptoms initially.


How is non-specific urethritis (NSU) different from other types of urethritis?

Non-specific urethritis (NSU) is a type of urethritis that is not caused by gonorrhea. It can be caused by various bacteria, including those transmitted sexually, and presents with symptoms similar to gonorrhea, such as discharge and abdominal pain. The exact cause can sometimes be difficult to determine.


What are the potential causes of prostatitis and how is it treated?

Prostatitis can be caused by bacterial infections, but often the cause is unknown. It can result in symptoms like lower abdominal pain, difficulty urinating, and sometimes penile discharge. Treatment may involve antibiotics, pain relievers, and other medications to manage symptoms.


What precautions should be taken if you suspect you have an STI?

If you suspect you have an STI, it's important to avoid sexual contact to prevent spreading the infection. Seek medical evaluation promptly for testing and treatment. Additionally, inform any recent sexual partners so they can also get tested and treated if necessary.


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