[43M] Experiencing painful urination and penile redness

Patient Description

A 43-year-old male reports painful, burning urination that has been occurring for a week, with symptoms worsening at night. The patient also notes redness at the tip of the penis, specifically around the urethral opening. The pain during urination comes and goes. A week ago, the patient observed blood in the urine. There has been a recent change in sexual partners and the patient confirmed the use of protection. The patient denies any fever, lower abdominal pain, or penile discharge. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely causes of your symptoms include:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are often associated with painful urination and redness around the urethral opening.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water can help to flush bacteria out of your urinary system.
  • Sexually Transmitted Infections (STIs): Certain STIs, such as gonorrhea and chlamydia, can cause painful urination and redness at the tip of the penis. Given your recent sexual history, this is a possibility.

    • Treatment for STIs usually involves antibiotics. It's important to notify any recent sexual partners if you are diagnosed with an STI so they can also get tested and treated if necessary.
  • Urethritis: This is inflammation of the urethra, often caused by bacterial or viral infections, including sexually transmitted bacterial infections, such as chlamydia, and viral infections, such as herpes simplex virus.

    • Treatment usually involves antibiotics or antiviral medications.

What you can do

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

  1. Drink plenty of water to help dilute your urine and ensure you urinate more frequently — this will help flush bacteria out of your urinary tract.
  2. Avoid drinks that may irritate your bladder, such as alcohol, coffee, and citrus juices.
  3. Use a condom during sexual intercourse to reduce the risk of STIs.

What you should look out for

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

  • Severe pain
  • Fever and chills
  • Persistent or worsening symptoms
  • Blood in your urine

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

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11 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 painful or burning urination, frequent urge to urinate, cloudy or strong-smelling urine, and sometimes blood in the urine. There may also be discomfort or pain in the lower abdomen or back.


How can sexually transmitted infections (STIs) cause painful urination?

STIs such as gonorrhea and chlamydia can cause inflammation and irritation of the urethra, leading to painful urination. These infections can also cause redness and swelling at the tip of the penis.


What is urethritis and how is it treated?

Urethritis is inflammation of the urethra, often caused by bacterial or viral infections, including STIs. Treatment typically involves antibiotics or antiviral medications, depending on the cause.


When should I seek immediate medical attention for urinary symptoms?

You should seek immediate medical attention if you experience severe pain, fever and chills, persistent or worsening symptoms, or if you notice blood in your urine.


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