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What does burning sensation during urination indicate? - Online Doctor Chats

Date : 26-Mar-2014
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:I had sex with a girl. protected vaginal the foolishly about 60 to 90 secs of unprotected oral. then another condom was put on and I finished vaginally after roughly 3 mins. after I washed in the shower liberally scrubbing as such is a habit that I have developed. I forgot to urinate immediately but did some after about 15 mins after my shower
the girl said that she had not had sex for 6 months and had been tested at planned parent hood which I believe because she was very tight
and she insists she is clean. we all know this could be a lie however
the following day urinating was not the worst burning iv ever felt but it did burn a bit
I do have a narrow urethra so this is not an uncommon feeling for the first unration of the day
an I have not had sex for 3 months
so my first thought was that I ejaculated with so much force that is torn or stretched my urethra
my concern came later that day when after urination my urethra started to burn a dawl burn but still slightly uncomfortable. that was Thursday of last week. a week later the dawl burn still exisits but mostly only at night after work
frequency of urination has increase quite a bit
no redness
unusual smelling ur
no discharge
no lessons
or sores
my concern is herpes but she didn't not have an signs of a cold sore or ever having one but we both know that doesn't mean much
and I will be getting tested but it will do little to be tested so soon
trech chlamydia and gonorrhea are more likely however then chances of that being transmitted in such a small window of contact time.
on the other side of this
I am hoping that this is just a urinary infection
so I would like an opinion as when I urnated today and pushed I had a sharp pain that I felt from the inside my lower right abdomen to my urethra.
but again the intermitate daul burn that occurs after urination and that is more noticeable at night is a
User:concerning mater
I am relatively educated in the mater and would appreciate and straight forward response
Doctor:let me read your query
Doctor:give me a moment
Doctor:all right
User:my apologies for the type o s
Doctor:please ask me your queries one by one now
Doctor:please ask me
Doctor:are you typing your queries?
User:based on your opinion what do you think the issue is
Doctor:It is urethritis
User:which is
Doctor:could be gonococcal, non- gonococcal, chlamydial or non-specific urethritis
User:and what leads you to that conculsion
Doctor:You need to get tested for these
Doctor:the burning sensation and the urinary symptoms
Doctor:I have seen many such cases in my practice
Doctor:Do you have any discharge or wound on the urethral part as such?
User:no discharge just slight dawl burn after urination mostly noticed at night
User:which leads me to the idea of bacteria
User:but herpes is also a viral bacteria
User:so gonococcal
Doctor:herpes is viral
Doctor:gonococal is bacterial
Doctor:do you have swelling or redness in the urethral hole area?
User:lymph nodes feel normal aswell
Doctor:have you massaged around the urethral hole and checked for any secretion or discharge?
User:I have been keeping a very close eye on that
Doctor:to me, it seems like non-specific urethritis
User:so treatment?
User:after testing of coarse
User:anti biotic?
Doctor:yes, antibiotics would be required if there is infection
User:I assume cultures will need to be grown to determine which bacteria has formed
Doctor:yes, that is right
Doctor:But if there is no discharge, there would be no sample to culture
Doctor:perhaps, we just need to do a urine culture and check for any bacterial growth
User:so which a piss test?
User:excuss the lamin
Doctor:yes, urine routine and culture test
Doctor:for treatment, I usually recommend my patients a 7 days course of doxycycline 100mg twice daily
User:ok well thank you for you opinion and your time
Doctor:my pleasure
Doctor:get well soon
Doctor:Do you have any more queries to ask?
User:thank you
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