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Itchy penis post exposure, normal STD reports - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Penis Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   i had unprotected commercial oral sex on july 1st ( first and last time).i tested on july 3rd for all stds which were all negative . furthermore i was given 2 antiobiotics in a single dose after the tests for precaution.i had no sex with my wife till august 1st on august 11th i had sex with my wife and it was a bit painful ( we used oil on the penis for the first time ever and maybe that didnt help..) so we stopped.
on august 12/13 i had some gatroentirits type bug ( felt like that ) which went away and then on august 15th i started to get an itching at the tip of my penis. i was on holiday so the doctor did a urine test with a stick in a cup and said i had some blood so he gave me cipro. this has made no difference and the itching has got worse. there has been no discharge or problem urinating or any sores at all. i have seen a urologist and had a rectal exam and there is no prostitis or kidney stones.
whats going on??
Doctor :   Hi
Doctor :   Let me read it
User :   did you answer me yday
Doctor :   No
Doctor :   but we have your chat history
Doctor :   I shall go through it
User :   good i just wanted another opinion thankyou
User :   its more of a pain than an itch really ie an itchy style pain
User :   are you there?
Doctor :   Yes
User :   what do you think it is
Doctor :   Do you have the urine test reports with you?
Doctor :   now?
Doctor :   Was there anything else other
Doctor :   than blood detected in it?
Doctor :   when was this test done? date?
User :   the first urine test on august 16th was a stick on a cup which showed some blood ( i dont know what else)i have the ones that were done on august 19( after taking cipro for 2 days which showed no blood )and all my STD reports from early july,
User :   the urine test taken last week ( after no cipro) i dont have but the doctor said this showed no blood or infection ( the one on august 19th also showed no blood or infection)
Doctor :   thats good news, since the one done last week shows no infection
User :   yes there is no infection at all.just an itching pain inside the tip of the penis ( ie op 2 centimetres)
User :   which is quite painful
Doctor :   does the tip of the penis bulge
Doctor :   when you urinate
User :   there is no change in the penis apart from the pain inside.
User :   when i urinate i dont notice naything different
Doctor :   did you apply the jelly?
User :   not yet . just bought it now. will start asap.
Doctor :   Are you sure that you dont have any other symptoms
Doctor :   apart from the pain?
User :   such as?
User :   no fever , nothing else really
Doctor :   Evening rise of temperature/fever
Doctor :   cough?
Doctor :   OK
User :   no i check my temperature twice a XXXXXXXX and its not changing. no cough
Doctor :   Then it must be due to stricture/block at the tip of penis or it is psychosomatic
Doctor :   Only a Urologist will be able to help you
Doctor :   but you said
Doctor :   that you have already consulted one
Doctor :   You must consult again
User :   is it possible that the STD test ( july3)was done too close to the episode( july 2 ) and so no good?i did take zithromax and some other antibiotic after the test and tehn retested 2 days later and that was negative as well. ie could it be chlamidiya or something like that or unlikely. the urologist who saw me thought it may be that ( but i didnt tell him my sexual history)
Doctor :   The only infection that presents like this is a Urinary tract infection
Doctor :   Yes an STD like Chlamydia presents as a UTI
Doctor :   & causes the burn/pain
User :   and?
Doctor :   but infections dont stop with just the symptoms that
Doctor :   you have
Doctor :   Urethral discharge
Doctor :   fever
Doctor :   usully with chills & rigors
Doctor :   Significant Pus cells & epithelial cells in the urine
User :   but is it possible that t he STD results I had were not conclusive on chlamidiya or not really( excluding the sypmtoms part).
User :   i dont have discharge or fever
Doctor :   Yes the test done on July 3rd
Doctor :   cannot diagnose the infection that you
Doctor :   caught on July1st
User :   so i could have chlamidiya or something else unless the zithromax i took killed it?would i not have had a symptom before august 15?
Doctor :   No but your tests
Doctor :   later & a week back too
Doctor :   was normal right?
User :   yes ( but they were not STD test just normal urine tests)
User :   apart from the STD test on july 5th which also was normal
Doctor :   I told you, STDs present as UTI
Doctor :   with burning
Doctor :   but your Urine has no indication of UTI
Doctor :   You can get another test done if you are so aprehensive
User :   why did the urologist ask for a chlamidiya culture ( as i told him the urine test showed no infection)
Doctor :   To confirm, as the urinalysis is below par at identifying Chlamydia
Doctor :   When is the culture report expected?
User :   mondayok .understood. if i did have would nt the zithromax i took on july 3rd killed it ? also was the second STD test on july 5th too close to july 1 as well? lastly as there are no other symptoms i presume
User :   ypu think its not the most likely scenario
Doctor :   Yes
User :   yes it would have killed it ? or
Doctor :   zithromax for 7days would have taken care of the infection
Doctor :   Yes
Doctor :   It was too close
User :   i took a one shot big dose of zithromax( thats what i was given ). which i presume means it may not have killed it if i had it. however the lack of other symptoms seem like it isnt chlamidiya . are both those comments correct?
Doctor :   Yes both are correct
User :   what tests should i ask the urologist to do? also isnt it odd that the symptoms started after a painful sex with the oil and then a gastroentiritts..
Doctor :   the events could just be a coincidence
Doctor :   or as said by the other Doc
Doctor :   the oil has had some effect
Doctor :   or the gastroentiritts caused a transient UTI
User :   what extra test shoudl i ask him to do?
User :   also jst for my info when people get chlamidiya do they ever just get a burning pain and nothing else?
Doctor :   Urine culture, Hanging drop method
Doctor :   Yes your suspicion is right
Doctor :   rarely people do get only burning pain
Doctor :   you could be that rare case
User :   i hope not
User :   ok understood. i hope not for the reasons discussed above. what is bizarre is that urinating etc causes no pain. the pain was very very strong across a lot of the penis on monday but after i drank 2 litres of water the strong pain went away and i went back to the burning pain. also the pain sometimes goes away for a few hours
Doctor :   In UTI there is burning micturition/burning during urination
User :   implying i must have some stricure or something?
Doctor :   Yes, since your pain is not related to urination
Doctor :   we tend to think otherwise
User :   ok thankyou very much
Doctor :   Welcome
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