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About 5 Weeks Ago I Had Some Diarrhea Because Something

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Posted on Wed, 8 May 2019
Question: About 5 weeks ago I had some diarrhea because something did not agree with me. A few days later I kept feeling this annoying feeling like I had some urine in my bladder that would go away and come back. Some days it was annoying throughout the whole day and other days I was normal. Also had lots of gas and believe I may have gotten hemorrhoids because I could see what looked like bluish colored lumps inside my rectum. They do not hurt or bleed. Also no pain when I urinate or anything in the penis. Doctor ran blood and urine tests which all came back healthy. No STDs etc. Only I did have 25 Leukocyte count in urinalysis. Doctor prescribed Macrobid for 7 days to see if that cleared up the situation. However I been done with antibiotics for 2 days and AZO UTI test still shows Leukocytes in urine. Doctor says Leukocytes can ve present without infection. My question is what can cause Leukocytes that high with no infection? Can it be a prostate issue? Im only 32 years old and Im not experiencing pain just the urine issue. In the beginning it felt like my orgasms became more powerful than usual which was amazing but also alarmed me because things were wrong so I was wondering if it was the start of something worse to come. And now of course 5 weeks later my penis feels dead. No sexual sensation. Doesn't feel very pleasurable having sex or masturbating although I can receive an erecrion and achieve orgasm although its not very satisfying. Also, I been masturbating to porn since I was 11 at least once sometimes 2 times a day to every other day. Could I have caused myself a problem or does this all sound stress related? I have been known to stress and obsess and even have a degree of anxiety and depression. Im just freaking out because I cant make sex feel sensitive and pleasurable and its messing with me because its always been my feel good get away. Should I stop stressing and leave myself alone for awhile or do you think seeing a urologist is needed? Regular doctors dont seem too concerned. Please help me with what to make of this and what you recommend. Thank you!
doctor
Answered by Dr. Vaishalee Punj (1 hour later)
Brief Answer:
Need to complete course of antibiotics

Detailed Answer:
Hello and welcome to Ask A Doctor service.

I have reviewed your query and here is my advice.

Atleast 3-5 days of antibiotic is required to clear any possible infection in bladder or urethra. If infection is in prostate or kidneys, then it requires 7-10 days of treatment. However it doesnot seem to be coming from prostate or kidney. Leukocytes with no infection can be present in a cleared infection, in which case leukocytes get to normal after a few days. It could also be sterile pyuria. In sterile pyuria, antibiotics are not recommended. Causes of sterile pyuria could be sexually transmitted diseases, kidney stones, intestinal infection or autoimmune conditions. In your case diarhea could be a possible cause for this. Drink cleaner water and eat hygienic home cooked foods.

Leukocytes in urine doesnot seem to be related to masturbation. Drink lots of clean water (with low TDS) to wash out any germs from urinary tract and GIT.

I donot think a urologist consult is needed for now. Firstly take antibiotic for atleast 5 days. Then give your body a few days time to heal and then repeat the urine test. You can reduce the masturbation for few days if its uncomfortable. Also wear a condom for sexual intercourse. After all these steps, if urine still shows leukocytes, then STD panel tests maybe done.

Orgasm related issue seems related to fatigue due to ongoing diarhea and antibiotic use.

Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaishalee Punj (41 minutes later)
As I stated, Ive already COMPLETED 7 days of Macrobid and have been done for 2 days now. I took the urine test the day after the last dose and Leukocytes were still present. If its caused by Pyuria it is NOT from STDs. As I also stated, an STD panel was done and I am Negative on ALL! Also, I dont think it would be kidney stones because I was told I would be in a lot of pain, and Im not in any. And masturbation and sex is not uncomfortable it just feels pleasureless. Like the sensitivity went away and I cant really get that sexual satisfaction. Could this be caused by the stress/depression and all mental, or could it be related to something Im going through? Thank you!
doctor
Answered by Dr. Vaishalee Punj (52 minutes later)
Brief Answer:
It could be related to what you are going through

Detailed Answer:
Thanks for clarifying all the points.

It seems related to your ongoing health issues. As I stated earlier, the reduced sexual satisfaction seems related to effect of diarhea + antibiotic use. As such health issues can cause fatigue, these can also cause lowered sexual satisfaction, somehow related to nerves. It is expected to clear, as the health issue clears.
These health issues cause an extra stress on mind too.

Hope it answers your query. Let me know if you have more doubts.
Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaishalee Punj (11 hours later)
Is it possible its neurological? I can achieve and erection and an orgasm it just feels very low pleasure. Almost like im disconnected to it. Like I said I have masturbated every day to every other day for 20 years or so. Could that cause permanent sensation loss? Could a prostate issue cause this in any way?
doctor
Answered by Dr. Vaishalee Punj (7 hours later)
Brief Answer:
Ejaculatory anhedonia + urinary retention

Detailed Answer:
Hi again

So you are having symptoms of ejaculatory anhedonia and urinary retention/overactive bladder.
Some common causes for both problems occurring together are prostate problem, nerve/brain problem and medicine (like anti-depressants). After ruling out any medicine use and recovering from the diarhea, I would run an ultrasound scan for prostate. Also get B12 and folic acid levels checked in blood and take supplements accordingly. If these are negative, then a neurology consult and tests for brain and spine radiology (preferably MRI) will be needed.

Masturbation doesnot cause such symptoms.
Dr Vaishalee
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 3264 Questions

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About 5 Weeks Ago I Had Some Diarrhea Because Something

Brief Answer: Need to complete course of antibiotics Detailed Answer: Hello and welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Atleast 3-5 days of antibiotic is required to clear any possible infection in bladder or urethra. If infection is in prostate or kidneys, then it requires 7-10 days of treatment. However it doesnot seem to be coming from prostate or kidney. Leukocytes with no infection can be present in a cleared infection, in which case leukocytes get to normal after a few days. It could also be sterile pyuria. In sterile pyuria, antibiotics are not recommended. Causes of sterile pyuria could be sexually transmitted diseases, kidney stones, intestinal infection or autoimmune conditions. In your case diarhea could be a possible cause for this. Drink cleaner water and eat hygienic home cooked foods. Leukocytes in urine doesnot seem to be related to masturbation. Drink lots of clean water (with low TDS) to wash out any germs from urinary tract and GIT. I donot think a urologist consult is needed for now. Firstly take antibiotic for atleast 5 days. Then give your body a few days time to heal and then repeat the urine test. You can reduce the masturbation for few days if its uncomfortable. Also wear a condom for sexual intercourse. After all these steps, if urine still shows leukocytes, then STD panel tests maybe done. Orgasm related issue seems related to fatigue due to ongoing diarhea and antibiotic use. Hope this helps. Let me know if I can assist you further. Dr Vaishalee