[27M] With burning urination and penile discharge

Patient Description

A 27-year-old male reports experiencing a burning sensation during urination, described as feeling like 'sand spurs' at the tip of the penis. The symptom intensity is rated at 10 out of 10. Additionally, the patient had penile discharge for 2 days, which has since resolved. The patient denies any recent sexual activity or new sexual partners.

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Arora's Assessment

What might be happening

Based on the symptoms you have described, here are some possible explanations:

  • Urinary Tract Infection (UTI): UTIs can cause burning during urination and sometimes discharge. They are more common in women but can occur in men as well. UTIs are typically caused by bacteria entering the urinary tract.

    • Treatment: UTIs are usually treated with antibiotics prescribed by a doctor. Drinking plenty of water can help flush out the bacteria.
  • Sexually Transmitted Infections (STIs): Even though you mentioned no recent sexual activity or new partners, some STIs can remain dormant and then cause symptoms later. Common STIs that cause burning during urination and discharge include gonorrhea and chlamydia.

    • Treatment: STIs are typically treated with antibiotics. It's important to get tested and treated promptly to avoid complications.
  • Urethritis: This is an inflammation of the urethra, which can cause burning during urination and discharge. It can be caused by bacteria, viruses, or even chemical irritants.

    • Treatment: Treatment depends on the cause but often involves antibiotics if a bacterial infection is present.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of water to help flush out your urinary system.
  2. Avoid Irritants: Avoid any potential irritants such as harsh soaps, lotions, or chemicals that could worsen the burning sensation.
  3. Over-the-Counter Pain Relief: You can take over-the-counter pain relievers like ibuprofen to help manage the pain.
  4. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in diagnosing and treating your condition more effectively.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Fever or Chills: These could indicate a more serious infection.
  • Blood in Urine: This is a sign that you should see a doctor immediately.
  • Severe Pain: If the pain becomes unbearable or spreads to other areas, seek medical help.
  • Persistent Symptoms: If your symptoms do not improve or worsen over time, consult a healthcare provider.

Remember, while this information can help you understand what might be happening, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

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6 mo 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, frequent urge to urinate, cloudy or strong-smelling urine, and sometimes pelvic pain. In some cases, there may also be discharge.


Can sexually transmitted infections (STIs) cause symptoms even if there has been no recent sexual activity?

Yes, some STIs can remain dormant in the body and cause symptoms later, even if there has been no recent sexual activity. It's important to get tested if you experience symptoms like burning during urination or discharge.


What is urethritis and how is it different from a UTI?

Urethritis is the inflammation of the urethra, which can cause burning during urination and discharge. It can be caused by bacteria, viruses, or chemical irritants. Unlike UTIs, which affect the urinary tract, urethritis specifically affects the urethra.


What should I do if I experience severe pain or blood in my urine?

If you experience severe pain or notice blood in your urine, it is important to seek medical attention immediately. These symptoms could indicate a more serious condition that requires prompt treatment.


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