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Burning sensation in the penis during erection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
Doctor :   Hi
User :   Hello
Doctor :   DrXXX here
User :   Nice to meet you Dr XXX
Doctor :   How can i help you?
User :   I've been having a constant burning in my penis for the past few months now, but i've been only getting it when i have an erection, and at times urinating. The burning is not consistant during urination but it is when i get an erectionn
User :   There is no pain
User :   the burning at times will feel like it goes from the tip of my penis to my testicles
Doctor :   May i know your age?
User :   27
Doctor :   Is there any rash or itching on penis?
User :   I've been to the doc's office a few times in regards to this situation. I've done urine tests and blood tests but nothing negative
User :   no rash
User :   some itching but nothing major
Doctor :   Is the itching periodic or continuous?
User :   periodic
Doctor :   Is the erection and ejaculation proper? Any problems in that?
User :   The burning will go away at times during ejaculation but it will burn all the way up til climaz
User :   The erection is not 100% firm
User :   and the amound of semen is not as much
User :   as normal that is
User :   also, i have these small jelly like balls in my semen
Doctor :   I will suggest you to get a semen analysis and semen culture sensitivity test done to find out the root cause and also you require a examination.
User :   and the semen seems to be thicker
Doctor :   It can be indicative of any viral or bacterial infection or any allergy or any prostate inflammation.
Doctor :   Are there any scrotal changes also there?
User :   Ok, but would this not show in a urine sample?
User :   No scrotal changes
Doctor :   No if semen infection is there it will not show up in the urine test.
User :   they do ache though they are heavy
User :   What is this caused by?
Doctor :   Then get a proper examination also done for scrotum.
Doctor :   It may be that any infection has spread to the scrotal area
User :   What are some of the things that could cause an infection?
User :   and if it is an infection...can it be treated?
User :   is it similar to a uti?
Doctor :   It can be any viral, bacterial or fungal infection.
Doctor :   Yes with proper medications it can be treated.
Doctor :   Till then avoid having unprotected intercourse.
User :   Ok, that's not an issue
User :   Is this appointment set-up with a specialist?
Doctor :   Yes you need to see a Urologist in this case.
User :   Do you know if this can be scheduled directly with a urologist..or does it usually have to be through a referral?
Doctor :   Usually your GP should refer to urologist. Request him to refer you.
Doctor :   Have you followed what i have said?
User :   Ok, what are the dangers of having intercourse if there is an infection?
User :   can it be contracted?
Doctor :   Your partner can also catch the infection if unprotected intercourse is done.
User :   Ok, thanks for the information.
Doctor :   Is there anything else you would like to know?
User :   Yes
Doctor :   Ok, proceed
User :   I've been tested for std's a few months back and have not been sexually active in between time
User :   how could it be viral?
User :   if i tested negative
Doctor :   Were you treated for STD's and were you on medications?
User :   I was tested for STD's and no medication was prescribed since tests were negative
Doctor :   Ok
Doctor :   It could be any other infection then.Did you have intercourse with any unknown partner recently?
User :   No, not at all
Doctor :   Ok
User :   Is there a possibility that it might be a uti?
User :   i've had a history of uti's but a long time ago
User :   and it feels somewhat similar
User :   but more intense
Doctor :   If UTI would be there it would have come up in urine test, also it does have other symptoms as constant burning, associated hig h fever.
User :   I always feel like i have a full bladder but can never urinate as much as i thought i would be able to
Doctor :   It may be then your prostate is inflamed and needs evaluation.
User :   Does this still need a semen analysis?
User :   and an appointment with a urologist?
Doctor :   Yes you definitely need to get yourself examined by a urologist and also get the investigations done to prevent the spread.
Doctor :   You may also require Transrectal USG scan to see the prostate image.
User :   What's that?
Doctor :   It is Ultrasound of the Prostate area to see its images.
User :   and how is this performed?
User :   like a regular x-ray?
Doctor :   The urologist may do a rectal examination also to confirm this.
Doctor :   In this a probe is inserted through the rectal area and this probe creates images iun the screen.
User : it painful?
Doctor :   No they apply a jelly before inserting, it would not be painful
User :   Ok
User :   Well then..i guess i have to set-up an appointment!
User :   can a high cholesterol level be a reason too?
Doctor :   Yes do get it done urgently.
Doctor :   Do you have high cholesterol? If yes what are the values?
User :   Yes, i do
Doctor :   High cholesterol cannot cause such symptoms.
User :   not sure of the values but bad choesterol is pretty high, and good cholesterol is pretty low
Doctor :   Are you on any medications for that?
User :   No meds just a diet
Doctor :   Ok
User :   hold on
User :   i am taking an anti anxiety medication
Doctor :   Since when are you taking medication for anxiety?
User :   for about a year now
Doctor :   Ok
User :   and i've also doubled up on herbal supplements
Doctor :   Ok
User :   These are the only new things in routine
Doctor :   Are you doing regular exercises?
User :   no
Doctor :   They are very necessary in case of raised cholesterol
User :   some small cardio activities but that's about it
User :   every once in a while
Doctor :   It helps to reduce raised cholesterol.
Doctor :   Go for a daily brisk walk for half an hour.
User :   yeah, i do that every once in a while
Doctor :   Make it a regular habit.
User :   yeah, i'm trying to do that.
Doctor :   Take Vitamin E tab daily , it will help in reducing cholesterol
User :   I take a multi vitamin every day
User :   is that in addition to the multi?
Doctor :   Also add Vitamin E daily
User :   ok
User :   I do have one more question
Doctor :   Yes proceed
User :   it is still in regards to the buring
User :   burning
User :   is it possible that it may be cause by not ejaculating when needed?
User :   or over masturbating?
Doctor :   No it cannot be like that.
User :   ok
Doctor :   Is there anything else you would like to know?
User :   Nope, you've answered it all
User :   thanks so much for your assistance
User :   very much appreciated
Doctor :   Thanks for consulting me, bye for now.
Doctor :   All the best
User :   Bye
Doctor :   Take care
User :   Thanks
User :   You too
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