Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

180 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Blood and tingling sensation after urinating. Not cured by doxycycline. What's going on?

Answered by
Dr. G.Srinivasan


Practicing since :1991

Answered : 1414 Questions

Posted on Mon, 28 Jan 2013 in Men's Health
Question: Hi -- have had blood in urine for more than two months (can't see it but it shows up in urinalysis). I've seen a urologist + my primary care internist multiple times. Have had dozens of tests, including blood panels, Gonorrhea, Chlamydia, HIV, CT Scan, Kidney / Bladder ultra-sounds, all of which were normal / negative. Cystoscopy was performed and doctor determined blood was coming from urethra (but urethra did not have lesions or blisters, looked normal and bladder was normal too). Took doxycycline for 14 days, with no effect (still 2-3+ occult blood in urine). No white blood cells in urine. No signs of cancer cells in urine or blood tests. Only symptoms are blood and tingling sensation after urinating. Not sure what is going on, but I'm concerned and want to get to root cause. I'm about to see another urologist. Thanks for any insights.
Answered by Dr. G.Srinivasan 1 hour later
Welcome to XXXXXXX
The symptoms point to chronic prostatitis. Semen culture and antibiotics are needed to start with. If there is no relief, the following may be needed as next steps.

Urine analysis to look for DYSMORPHIC RBC is needed to look for a glomerular cause.
If biopsy during cystoscopy was not done already, it is necessary to look for cancer cells / tuberculosis.
Flexible ureteroscopy to look at the ureters and the renal calyces may give a clue.
If still no cause is found, a nephrologist input is needed to look for glomerular cause.
Hope this helps,
Kindly get back for doubts if any.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. G.Srinivasan 2 days later
Thank you Dr. XXXXXXX A couple more questions:

1) I am a little worried this could be symptom of urethra cancer or some other cancer (that is probably the "worst case scenario"). But, the urologist I saw (who performed the cystoscopy) said there were no lesions or blisters in the urethra, and no cancer cells in urine. Also, all blood tests (Comp Metabolic Panel, Creatine Kinase Total Serum, CBC with Differential Platelet, CBC/Diff Ambiguous Default, Coombs Direct, Haptoglobin, and LDH) were all normal. And as I said the CT scan was normal, and I also had a renal ultrasound which was normal. Given this information, do you believe urethra (or other) cancer is likely or not? I did have a case of penile warts 20 years ago (probably caused by HPV but not sure) so am a bit concerned (but that was only on outside of penis, and they were treated and did not recur).

2) You mention antibiotics to address possible prostatitis; I just completed a course of Doxycycline (with no effect). Is Doxycycline not effective for prostatitis, and is there another antibiotic prescribed for prostatitis?

3) Assuming this is prostatitis, how effective is treatment, and is this condition likely to recur?

Thank you for your help.
Answered by Dr. G.Srinivasan 5 hours later
Welcome back.
Answers to
1. I do not think in terms of urethral cancer due to
a. It is very rare and will have urethral discharge that is foul smelling.
b. Cystoscopy has been done by a urologist and ruled out.

2. QUINOLONES are more effective.

3. At least one month course is needed if prostatitis is the diagnosis by your examining doctor.
Best regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,  
Medical Procedures
Medical Topics

Recent questions on  Genital wart

doctor1 MD

I have been seeing a girl 9 months....early on, I would develop a moist, foul smelling rash where I did t remove all of her Vaginal secretions weren't immediately I have a one inch line of raised, tough skin where the rash usually occurred.....freaking myself out reading about genital warts

doctor1 MD

hi, im 22 years old male, 5'6'', 165 lbs. My medical history is good. i dont have any health problems. im not allergic to anything i know of. i do smoke about 10 ciggerettes a day. i recently found a small cluster smaller than a dime in diameter of coliflower like bumps on my genitals just under my shaft on the sac connecting to the shaft of my penis. my concern is that i have genital warts or a type of hpv. is this a serious problem i have at hand? will these bumps go away? is there a medication to prevent bumps like this in the future? my partner has no idea of my situation and im afraid of rejection by her. is this a normal feeling if i do have a serious issue? how will this affect my sex life? please help im very concerned and thank you.

doctor1 MD

I have a question about genital warts. my fiancé found out he has genital warts and we have not done anything due to the fact I have been scared of it but we have been sexual before we knew what it was. I have not shown any signs but on my pant line in the front I have noticed a big purple looking bump to me it looks more like the color of a bruise. my question is could it be a genital wart being up that high?

doctor1 MD

hi i have genital warts and i just got this cream called imiquimod 5% cream. Well i put it on some warts on the back of my penis and it rubbed against my balls. Well now my balls feel all irritated. Its really red and looks like its oozy. What should i do?

doctor1 MD

I found out couple of dark marks on my penis shaft and light colour on my penis head. I'm stressed out whether it is penile cancer or not. Please do help me

doctor1 MD

I had a tiny birth mark on the side of my penis that doubled in size in last 3 months and got higher--no pain. The dermatologist said it was a genital wart and told me I needed cryotherapy . (Or biopsy, which I rejected.) But I have not had sexual...

doctor1 MD

Hello Doctor It is a second opinion .i have taken already opinion from Dr kakkar.Pls see the photographs attached and confirm whether these are venereal warts or common warts or something else? 2 weeks before I had severe red peeled skin rash on...