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Possibility of Gonococcal urethritis & arthritis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   I have few queries in STD diseases
User :   hi
Doctor :   Hi
Doctor :   Please go ahead
User :   kk
User :   i had a sex with one girl before 4 month
User :   i have few problems for past 3 month
User :   first it is a urine smell is very bad some times(2 to 3 times in daY)
User :   then i have a pain in legs, fingers, hands ( not much pain, just it is for 2 to 3 sec)
User :   again it is disappears
User :   so i took HIV, VDRL test two times
User :   hi r u there
Doctor :   Yes
Doctor :   Do you have any eye problems?
User :   yes
User :   some times eyes are paining
User :   not always rarely
User :   and become yellow
Doctor :   Any colour changes other than yellow?
User :   no
User :   both hiv and vdrl got negetive
Doctor :   May I know whether the girl was a sex worker or just an acquaintance?
User :   sex worker
Doctor :   Do you have burning while urinating?
User :   no
User :   i took urine culture also
User :   i got result like no bacteria found
User :   but doctor took a scan and he told i have little prostate infection
Doctor :   The pain in your legs, fingers, hands, were they at the joints?
User :   yes sometimes
User :   not always at joints
Doctor :   May I know your age?
User :   its moving here and there
User :   23
User :   may i know the reason
Doctor :   May i know which joints pain, precisely?
User :   mostly hand elbow and leg joints
User :   and in wrist
Doctor :   Older people are more prone to prostate & certain other problems
User :   but i had a safe sex
User :   i used condems
Doctor :   Do you or did you have any other associated symptoms?
User :   no transfer of body fluids as i know
Doctor :   like fever
User :   some times i am getting fever
Doctor :   When sometimes?
User :   i am not sure whether it is normal or because of that
User :   i had a fever last month
User :   that is viral fever, doctor tole
Doctor :   Did the pains start with the fever?
User :   no
Doctor :   Since when are you having the pains?
User :   i had this pain after one month that i have sex
User :   last 3 months
Doctor :   Are you sure that you did not have fever then?
User :   after that i got fever one or two time as i told
User :   one time viral fever another time normal fever
Doctor :   How many days later did you get the fever, after the onset of pains?
Doctor :   Was there a gap of days or weeks or months?
User :   after 1 month
Doctor :   Do you still have the pains in the same intensity?
User :   little reduced
Doctor :   Is the pain more in the morning?
User :   yes
Doctor :   Is there stiffness of joints?
User :   no
Doctor :   Did you have sore throat or throat infections frequently?
User :   no
User :   cold i am getting
Doctor :   How is the urine now?
User :   i am getting smell in the urine
Doctor :   What colour? Do you have any urethral discharges?
User :   white mostly
Doctor :   Could you describe the smell?
User :   yes i hope so, i am not sure smell because of urine or urethral discharges
Doctor :   Do you have white discharge?
User :   no (not sure)
User :   urethral discharge only 2 to 3 times in a day
User :   not always
Doctor :   Ok, since HIV & syphilis is ruled out, whats left out is Gonococcal urethritis & arthritis
Doctor :   You need to visit an STD clinic
Doctor :   May I know where you are from?
User :   chennai
User :   wat is arthritis and gonococcal urethritis
Doctor :   Artthritis is inflammation of joints
Doctor :   Urethritis is infection of Urogenital tract
Doctor :   One cant diagnose based on clinical symptoms only
User :   both is critical to cure?
User :   wat test i need to for the above
Doctor :   You may need a series of Lab tests
Doctor :   to diagnose the exact
Doctor :   problem.
Doctor :   They are curable
Doctor :   provided, treatment is taken sincerely
User :   it will create any prob in feature to get baby or to get sex with my wife
Doctor :   Very less chances of such a problem
User :   can i know ur good name
User :   wat can u guess
Doctor :   Dr.Arun
User :   from?
Doctor :   I already discussed my guess, & as you rightly said, it is a guess only
Doctor :   Bangalore
User :   can u give test list to take
User :   i am very confused
User :   wat to do
User :   how to proceed
User :   can u advice
Doctor :   Visit a Urologist.
Doctor :   Or if available a STD clinic
User :   hi
User :   r u there
Doctor :   Hi
User :   right now i am taking treatment with urology only
Doctor :   Welcome back AAAAAAA
Doctor :   Ok
User :   he is telling no STD
User :   just prostate infection
User :   he gave a tablet PUNOX for 30 days
Doctor :   Is it prostate or Urinary Bladder?
User :   prostate
Doctor :   May I know the content of PUNOX ?
User :   after taking that for 2 weeks i am not having any smell in the urine and urethra discharge
User :   but again i got the same discharge on monday
User :   can u suggest any good sexologist in chennai
Doctor :   Do you masturbate?
User :   no
Doctor :   How often do you have night falls?
User :   yes sometimes
Doctor :   Semen leak while sleep, how often?
User :   1-3 in a month
Doctor :   I will give you a link on which you can find whom you want
Doctor :   WWW.WWWW.WW User :   which is better to consult urology or sexologist
Doctor :   Did you get back to your doctor?
User :   yes today i went
Doctor :   What did he/she say?
User :   he told take the urine when i have that smell
Doctor :   Yes Urologist is better
User :   last time when i done urine test, no smell was there when i give the urine
User :   it is possible like that
User :   hi r u there
Doctor :   Yes better to repeat the test as per his guidlines
Doctor :   It is possible
User :   again i need to do any HIV,VDRL test
User :   ?
Doctor :   Now actually you need other tests
Doctor :   like Urine Microscopy
Doctor :   for detecting Gonococci, Chlamydia ..
User :   why i am getting eye problem
User :   ?
Doctor :   Could you describe the problem?
User :   some times it is paining
Doctor :   Both
User :   like nerves are paining
Doctor :   ?
User :   yes
Doctor :   Any pricking sensation?
User :   means
Doctor :   pricking sensation in the eyes, pin prick?
User :   ya i am not able to describe that pain
User :   but not always
User :   only some times ( rarely)
Doctor :   Any redness?
User :   no
Doctor :   Increased watering?
User :   in eyes u r asking?
Doctor :   Yes
User :   no
Doctor :  
Decreased/blurred vision?
User :   no
User :   its normal only
User :   but eyes are in yellow colour mostly
Doctor :   Since how many days do you have this eye pain?
User :   2 - 3 times
User :   like urine smell
Doctor :   Since how many days do you have this eye pain?
Doctor :   Are you there?
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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