[29M] Experiencing intermittent burning urination and abdominal pain

Patient Description

A 29-year-old male reports intermittent burning during urination and abdominal pain persisting for 3 weeks. Symptoms temporarily improved with antibiotic use but have since returned. The patient's urine is lighter in color, but there is no increased frequency or urgency of urination, and no new genital sores or lesions. The patient has a history of psoriasis diagnosed 2 years ago. No current medications or known drug allergies. No recent changes in sexual activity or protection use, and no fever or back pain reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Urinary Tract Infection (UTI): This is an infection 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 abdominal pain. Antibiotics are typically used to treat UTIs, but if the infection is not completely cleared, symptoms can return.

    • Treatment usually involves a course of antibiotics prescribed by a doctor. Drinking plenty of water can help to flush bacteria out of your urinary system.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in your abdomen or back, and a burning sensation during urination. The pain can come and go, lasting for minutes to hours.

    • Treatment may involve pain medication, drinking lots of water, and in some cases, medical procedures to remove or break up the stones.
  • Sexually Transmitted Infections (STIs): Certain STIs, like gonorrhea or chlamydia, can cause a burning sensation during urination. However, you've mentioned that you haven't had any new sexual partners recently, which makes this less likely.

    • Treatment for STIs usually involves antibiotics.

What you can do

You should seek medical attention to get a proper diagnosis and treatment. In the meantime, here are some things you can do:

  1. Drink plenty of water: This can help to flush bacteria out of your urinary system.
  2. Avoid caffeine, alcohol, and spicy foods: These can irritate your bladder and worsen your symptoms.
  3. Use a heating pad: This can help to relieve abdominal pain.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe pain in your back or side that doesn't go away
  • Blood in your urine
  • Fever and chills
  • Nausea and vomiting

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for a proper diagnosis and treatment.

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10 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, abdominal pain, cloudy or strong-smelling urine, and sometimes blood in the urine. However, increased frequency or urgency of urination is also common.


How can kidney stones be diagnosed and treated?

Kidney stones can be diagnosed through imaging tests such as an ultrasound or CT scan. Treatment may involve drinking plenty of water to help pass the stones, taking pain relievers, and in some cases, medical procedures to break up or remove the stones.


Can psoriasis affect urinary symptoms or cause abdominal pain?

Psoriasis primarily affects the skin, but it can be associated with other conditions like psoriatic arthritis, which can cause joint pain. It is not directly linked to urinary symptoms or abdominal pain, but stress and inflammation related to psoriasis might exacerbate other conditions.


What lifestyle changes can help prevent recurrent urinary tract infections?

To help prevent recurrent UTIs, it's important to stay hydrated, urinate regularly, practice good hygiene, and avoid irritants like caffeine and alcohol. Cranberry products and probiotics may also be beneficial, but it's best to consult with a healthcare provider for personalized advice.


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