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Is painless bleeding that stains my underwear cause of worry? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Penis Problems
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:this is XXXXXXX
User:doc very lately i have noticed blood stain in my pyjamas
Doctor:May i know your age ?
User:and a good amount of blood
Doctor:and which part , do u think the blood is from ?
Doctor:do u have blood in the urine or stools ?
User:i don't know but it was post intercourse
User:not urine or stool
Doctor:is there any blood in your underwear ?
Doctor:do u have any cuts or pain in your penis ?
User:nothing at all
User:there's no problem while urinating.
User:no pain
Doctor:do u think, the blood could be that of your partner ?
User:no. i confirmed with her
User:blood was also noticed the next day, post masturbartion
Doctor:was the blood present in the semen, post masturbation ?
Doctor:or in the penis ?
User:i did not check
User:i only noticed the stain the next morning
User:in both the occassion
Doctor:first and foremost, in case, the condition persists, you should get your self examined , and also get a urinalysis, to start with
Doctor:presence of blood (good amounts) should not be taken lightly
User:what do you think the problem could be
Doctor:painless bleeding in the urine, can be due to bladder stones or infections
User:what kind of infection?
Doctor:the other causes , can be presence of polyps in the bladder
User:what is polyps?
Doctor:it could be bacterial infections
Doctor:polyps are excessive growths of the mucosa of the bladder, which can bleed
User:is there any specific reason for the same. anything that i should take care of?
Doctor:the other causes can be presence of fistulas in the perineum or any penile injuries, occuring during sex
Doctor:first, you need to get yourself examined by a doctor
User:is there anything to worry about?
Doctor:he will rule out the cause of bleeding, and do a few tests if needed
Doctor:presence of significant bleeding ( more than a few drops) should always be evaluated , as it is not normal
Doctor:it could be something benign, like a cut on the skin , or on the penis, which you have not observed
Doctor:or as i said , it could be other things, like infection, etc
User:doc its surely not a cut
User:coz, the way it stained the underwear is like a spot like a semen would leave
Doctor:was it dark red ? absolutely blood color
User:not watrey and all.
Doctor:the other cause can be hematospermia ,which is Bleeding from the prostate gland often (but not always) occurs during ejaculation
Doctor:This is due to a tear in one of the fragile veins of the prostate.
Doctor:When the prostate contracts at the time of ejaculation, a vein may tear and blood mixes with the semen
User:doc what kind of examination will it be like
Doctor:you mean, a physical examination ?
User:should i carry my stained pyjamas too
Doctor:yes, you can carry, it , so that the doctor can have a idea
Doctor:your doctor, will examine the penis, scrotum, and rule any injuries
Doctor:a rectal examination can also be done, to examine the prostrate
User:oh ok
User:but anything to worry about
Doctor:and based on the findings, tests like urinalysis, semen analysis can be done
Doctor:without knowing the exact cause, i would not like to give you false assurances or even increase your worry
Doctor:just relax for now
User:for all your advise
Doctor:You are very welcome
Doctor:what you have, is surely treatable
User:bye and good night
Doctor:you need not worry about it
User:thakns a lot doc
Doctor:take care and bye for now
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