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Painful urination, burning - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Hello.
I'm 34 years old male.
I have a tingling sensation at the tip of my penis after urination, it is not really a burning, more like an "odd feeling". I don't have any pain during urination at all, but I have a feeling after I urinate that I am still urinating or leaking in my pants. I have checked this wearing white underwear and I have no stains and cannot find any unusual liquid coming out of my urethra. This has been going on for about 3 days now.
I am sexually active with my girlfriend, we have recently began having sex again (largely unprotected) since the middle of December. She is known to get bladder infections fairly easily, but nothing is wrong with her right now.
I think I had the same thing happen 2.5 years ago. The doctor did a prostate check, said he didn't think it was swollen. He did a test of my urine and said he found some elevated protein level and some puss but no infection with any bacteria he could identify. He put me on antibiotics anyway, after a few days the symptoms went away. I think at that time the symptoms were worse, I felt like there was something stuck in the tip of my penis (like you have food stuck between you teeth) but nothing was there and I had to urinate often.
Any ideas?
Doctor :   Hi
User :   hello
Doctor :   I am Dr AAAAAAA
Doctor :   Please give me few moments to go through your query .
User :   sure
Doctor :   Hi AAAAAAA I have gone through your description of the problem you are facing.
Doctor :   May I ask you a few more questions pertaining to your problem ?
User :   yes please
Doctor :   Have you had any enlargement in your lymph nodes or any signs of systemic illness like fever, inflammation, body pains or etc.?
User :   no, the only thing close to that is a numbness in the back of my left hip
User :   it is very slight
Doctor :   Ok.
User :   wait
Doctor :   Ok.
User :   two days ago I got a cold chill at night, like I had a fever, I was very tired and went to bed early
User :   but I have felt fine since that night
Doctor :   Ok
Doctor :   Can you correlate the timing of your back pain to your Urination prob. ?
Doctor :   Do you feel they originated in the same time ?
User :   the pain/numbness happened yesterday, so two days after the urination problem
Doctor :   Ok.
User :   It might be from exercise at the gym I did with my legs though
Doctor :   Ok, So the pain seems more superficial and muscular in origin ?
User :   yes, more like when you "leg falls asleep' for a minute
User :   but less than that
Doctor :   How about any redness or ulcers or blisters or anything of that sort on the shaft of the penis ?
Doctor :   Ok.
User :   no, nothing
User :   nothing on the shaft of my penis
Doctor :   Do you see any hyper tortuous veins or vessels abnormal from the previous presence ?
Doctor :   Either on the penis or testicles or scrotum ?
Doctor :   Could you also let me know your height and weight ?
User :   hyper tortuous vessel = enlarged? My weight is about 190 lbs, I guess 75-80kg My height is 6'3 so 189cm
Doctor :   Yes enlarged.
User :   no I don't see anything enlarged
Doctor :   Ok.
Doctor :   Your height and weight are quite normal.
Doctor :   Let me give you a brief picture.
User :   okay
Doctor :   I feel it must be due to either Dehydration, or Less Intake of fluids in the last week, Or Due to a simple UTI ( URINARY TRACT INFECTION ).
Doctor :   It can be solved by the following steps.
User :   ok
Doctor :   1.Please replenish with lot of fluids
Doctor :   2.Have only fresh fruits and veggies.
Doctor :   3.And fresh fruit juices
Doctor :   4. Please do take diet with less fatty and protein diet for 2-3 days
User :   ok
Doctor :   to give less load to the kidneys and take lot of fibre diet.
Doctor :   If the symptoms do not decrease then please go ahead for an antibiotic treatment and an Ultrasound.
User :   ok
Doctor :   Please follow these for 4-5 days, I feel you will be fine.
Doctor :   If not than go for a Ultrasound scan.
Doctor :   Hope you have followed.
Doctor :   Do you have anything else to ask ?
Doctor :   Thank you for consulting me.
User :   thanks
Doctor :   Take acre, bye for now.
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