[41M] With severe burning sensation and discharge post-intercourse
Patient Description
A 41-year-old male reports experiencing a severe burning sensation and soreness to touch on the penis, rated 9 out of 10 in severity, for the past two days. The symptoms began after engaging in rough sexual intercourse with his girlfriend, with whom he recently reunited after a three-month separation. The patient also reports a milky discharge from the penis, which has not changed in appearance since onset. The burning sensation is exacerbated when urine contacts the inflamed area, although urination itself is not painful. The patient has not found any relief for the discomfort and has not been tested for sexually transmitted infections (STIs) recently. There is no history of similar symptoms, and the patient denies any pre-existing medical conditions or allergies. The symptoms have worsened since they first appeared.
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Arora's Assessment
What might be happening
Based on your symptoms of burning pain, soreness, and milky discharge, here are some possibilities:
-
Balanitis: This is an inflammation of the glans (head) of the penis, often caused by infections, poor hygiene, or irritation. It can cause redness, pain, and discharge.
- Treatment typically involves good hygiene, avoiding irritants, and possibly antifungal or antibiotic creams prescribed by a doctor.
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Sexually Transmitted Infection (STI): Conditions like gonorrhea or chlamydia can cause similar symptoms, including discharge and pain.
- Testing and treatment with antibiotics are necessary, so seeing a healthcare provider is important.
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Friction or Irritation: Rough sexual activity can cause irritation and inflammation, leading to soreness and burning.
- Rest and avoiding further irritation can help, but if symptoms persist, a medical evaluation is recommended.
What you can do
- Seek Medical Attention: It's important to see a healthcare provider for a proper diagnosis and treatment, especially to rule out STIs.
- Maintain Hygiene: Gently clean the area with warm water and avoid using harsh soaps or irritants.
- Avoid Sexual Activity: Until you have been evaluated by a healthcare provider, it may be best to avoid sexual activity to prevent further irritation or transmission of a potential infection.
- Use MDandMe: Consider using MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.
What you should look out for
- Increased Pain or Swelling: If the pain worsens or you notice significant swelling, seek medical care promptly.
- Fever or General Illness: If you develop a fever or feel generally unwell, it could indicate an infection that needs immediate attention.
- Persistent or Worsening Symptoms: If symptoms do not improve with basic care, a healthcare provider should evaluate you.
Remember, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.
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2 mo ago
