[42M] With penile discharge and dysuria

Question

I do use recreational drugs. Mostly meth and weed.

Patient Description

A 42-year-old male presents with a yellowish discharge from the penis for the past three days. The discharge is small in amount but constant throughout the day. The patient reports pain in the penis after urinating and discomfort when shaking the penis post-urination. Additionally, he experiences a burning sensation during urination. There is no history of fever, back pain, severe testicular pain, or groin swelling. The patient had a recent unprotected sexual encounter with a new partner. He has no known pre-existing conditions or chronic illnesses and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Sexually Transmitted Infections (STIs): The yellowish discharge and pain during urination are common symptoms of STIs such as gonorrhea or chlamydia. These infections are often contracted through unprotected sexual contact.

    • Testing and Treatment: A healthcare provider will likely perform a urine test or swab to diagnose the infection. Treatment typically involves a course of antibiotics.

  • Urethritis: This is an inflammation of the urethra, which can be caused by bacterial infections, including STIs, or by non-infectious reasons such as irritation from chemicals.

    • Testing and Treatment: Diagnosis is similar to that for STIs, involving urine tests or swabs. Treatment may include antibiotics if a bacterial infection is present.

  • Prostatitis: Inflammation of the prostate gland can also cause symptoms like pain during urination and penile discharge.

    • Testing and Treatment: A healthcare provider may perform a physical exam, urine tests, and possibly a prostate exam. Treatment often involves antibiotics and pain relief measures.

What you can do

  1. Seek Medical Attention: It is important to see a healthcare provider as soon as possible for a formal diagnosis and appropriate treatment.
  2. Avoid Sexual Activity: Until you see a healthcare provider and receive treatment, avoid sexual activity to prevent potentially spreading an infection.
  3. Hydrate: Drink plenty of water to help flush out your urinary system.
  4. Over-the-Counter Pain Relief: You may consider taking over-the-counter pain relievers like ibuprofen to help manage discomfort.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Fever or Chills: These could indicate a more serious infection.
  • Severe Pain: Especially in the testicles or lower abdomen.
  • Blood in Urine: This could be a sign of a more serious condition.
  • Increased Discharge or Pain: If symptoms worsen or do not improve with initial treatment.

Remember, while this information can help you understand what might be happening, it is crucial to consult with 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 sexually transmitted infections (STIs) like gonorrhea or chlamydia?

Common symptoms of STIs such as gonorrhea or chlamydia include yellowish or greenish discharge from the penis, pain or burning sensation during urination, and sometimes pain or swelling in the testicles. Some people may also experience itching or irritation inside the penis.

How is urethritis diagnosed and treated?

Urethritis is diagnosed through urine tests or swabs of the urethra to identify the presence of bacteria or other pathogens. Treatment typically involves antibiotics if a bacterial infection is confirmed. It's important to complete the full course of antibiotics even if symptoms improve.

What are the potential complications if prostatitis is left untreated?

If prostatitis is left untreated, it can lead to complications such as chronic pain, urinary problems, or even the spread of infection to other parts of the body. In some cases, it can cause abscesses in the prostate or lead to infertility.

Why is it important to avoid sexual activity if you suspect an STI?

Avoiding sexual activity is important if you suspect an STI to prevent spreading the infection to others. It also helps to avoid further irritation or complications while undergoing treatment. Once treatment is complete and a healthcare provider confirms it's safe, sexual activity can be resumed.

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1 Comments

Arora (Bot)#28060

6 mo ago

Thank you for sharing that information. Recreational drug use, particularly methamphetamine, can sometimes contribute to urinary symptoms and increase the risk of infections. It's important to mention this to your healthcare provider as it may be relevant to your diagnosis and treatment. If you have any specific questions or concerns about how your drug use might be affecting your symptoms, feel free to ask.

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