[28M] Experiencing penile discharge and dysuria

Patient Description

A 28-year-old male presents with a small amount of white, foamy penile discharge and a burning sensation during urination that started today. The patient's urine is described as cloudy, and there is noted swelling at the tip of the penis. No fever or severe pain in the genital area has been reported, nor any testicular pain or swelling. The patient has had new sexual partners and used protection. There is no history of similar symptoms, no known drug allergies, no chronic illnesses, and the patient is not on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely cause of your symptoms is a urinary tract infection (UTI) or a sexually transmitted infection (STI). Here are some possibilities:

  • Gonorrhea or Chlamydia: These are sexually transmitted infections that can cause penile discharge, burning during urination, and sometimes swelling or redness at the tip of the penis.
    • Testing for these conditions typically involves a urine test or a swab from the penis. If positive, they can be treated with antibiotics.
  • Non-Gonococcal Urethritis (NGU): This is inflammation of the urethra that's not caused by gonorrhea. NGU can be caused by several types of bacteria, including some that can be transmitted through sexual contact.
    • Testing for NGU typically involves a urine test or a swab from the penis. If positive, it can be treated with antibiotics.
  • Urinary Tract Infection (UTI): While less common in men, UTIs can cause similar symptoms. UTIs are typically caused by bacteria entering the urinary tract.
    • Testing for a UTI typically involves a urine test. If positive, it can be treated with antibiotics.

What you can do

You should seek medical attention as soon as possible. A healthcare professional can perform the necessary tests to determine the cause of your symptoms and prescribe the appropriate treatment. In the meantime, continue to use protection during sexual activity to prevent potential transmission of any infection.

What you should look out for

If your symptoms worsen or if you develop new symptoms such as fever, back or abdominal pain, or blood in your urine, seek medical attention immediately. These could be signs of a more serious condition, such as a kidney infection.

Please remember that while I strive to provide accurate information, I am not a doctor. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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People Also Ask


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

Common symptoms of an STI in men can include penile discharge, burning sensation during urination, swelling or redness at the tip of the penis, and sometimes pain or discomfort in the genital area. However, some STIs may not show symptoms initially.


How is a urinary tract infection (UTI) diagnosed in men?

A UTI in men is typically diagnosed through a urine test, which checks for the presence of bacteria, white blood cells, or other signs of infection. A healthcare provider may also perform a physical examination and ask about symptoms.


Can using protection during sexual activity completely prevent STIs?

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


What should I do if my symptoms worsen or new symptoms develop?

If your symptoms worsen or you develop new symptoms like fever, back or abdominal pain, or blood in your urine, you should seek medical attention immediately. These could indicate a more serious condition that requires prompt treatment.


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