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

193 Doctors Online
Doctor Image
MD
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.

Have burning urination. Had oral sex. Took zithro. Proper medication?

Answered by
Dr.
Dr. Akhilesh Dubey

Internal Medicine Specialist

Practicing since :1986

Answered : 2094 Questions

default
Posted on Thu, 7 Feb 2013 in Urinary and Bladder Problems
Question: I have a question about NSU, the primary symptom of which is burning when urinating. Two weeks ago my urethra felt itchy and the tip was bright red. I had only engaged in covered vaginal sex the week before, but I did receive uncovered oral sex. I went to the clinic and tested negative for gonnorhea, chlamydia and syphillis. I was given one dose of Zithro. The following days after taking the Zithro I began to experience severe burning when urinating, especially a centimeter from the tip, and a clear discharge as well as an inflamed urethra. This persisted for five days. Nearly two weeks after taking the zithro, the irritation is gone but the burning persists though it is milder than before. Now it is fine when I begin to urinate, but as the stream gets stronger it becomes more painful. Is this likely to be strep or another bacteria? Would another antibiotic be more effective? Is it likely that the Zithro was insufficient since the pain persists, although milder? If I see a urologist, will they take a swab sample. Last time I had that done I was in pain for a week. I would prefer a less invasive method of diagnosis if possible. Thanks.
doctor
Answered by Dr. Akhilesh Dubey 37 minutes later
Thanks for sharing your concerns.
I have gone through your history in detail and following are my comment.

1) You have suffered NSU (Nonspecific Urethritis) and recovering.
2) You have been treated by Zithro, which is good drug for such cases.
3) Your symptoms also have improved significantly.
4) You can get a urine Routine and microscopy and Culture to see if there is any abnormality.
5) Please increase your water and fluid intake to flush out the system.
6) Antibiotics like Doxycycline and Tinidazole are useful in such case, for which you have to take prescription from your treating doctor.
7) If your problems persist, may see Urologist and get relevant investigation like cystoscopy or Sonography of abdomen.
8) In the mean time, practice safe sex.
Hope this is useful for you.
I will be available for follow up query if you have any.
Regards.
Dr. Akhilesh Dubey M.D.


Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Akhilesh Dubey 9 hours later
Thank you for your reply Doctor.

Is it likely that the Zithro did not fully eliminate the bacteria since symptoms persist two weeks after the dose?

Is it likely that this ailment is viral, and not bacterial, such as adenovirus or herpes (there were no symptoms on my outer skin other than the redness at the urethra opening)?

Is it likely that the infection is in the bladder or prostrate even though the symptoms are at the end of the urethra?

Thanks

doctor
Answered by Dr. Akhilesh Dubey 1 hour later
Hi,
Thanks for your follow up input,
This drug is good but no drug is 100% effective. In a few cases during follow up, repeat swab and a course of antibiotic may be required.
These organisms are mycoplasma and ureaplasma live in the rectum, the mouth and throat and can be passed on during sex and cause inflammation.
Sometime trauma of friction, sensitivity to soap, chemical and latex (Condom) may be responsible.
It is less likely that infection is in bladder or prostate if urine analysis is normal.
You should visit your treating physician and get repeat swab and take appropriate prescription antibiotics and you will be cured in a week's time.
Hope I have answered your query. Please accept my answer if you have no more questions and close this discussion.
I will be available for any further query if any.
http://bit.ly/Dr-Akhilesh-Dubey.
Regards

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
premium_optimized

The User accepted the expert's answer

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

Recent questions on  Urethritis

doctor1 MD

Hi doctor, May I know how to I properly clean my penis. I am uncut. And I noticed I am quite sensitive to soap on my Genital area. Is it alright if I just clean it with Lukewarm water without soap while showering. Will it cause any problem in a...

doctor1 MD

Hello 47yr Male 3 weeks ago mastubated with Vaseline, woke next day with red urethra , the opening burns a little if a dribble of urine touches it, seen GP, urine test all clear, given antibiotics for 5 days, problem subsided, then masturbated...

doctor1 MD

I have recurring yeast infection. How do I know it's a yeast infection? I feel a need to go to the bathroom frequently. Sometime it burns. No didcharge and Monostat seems to take care of it but I don't like to take that frequently. it's probably...

doctor1 MD

I am a 26 year old man. I've used protection for vaginal sex but no protection for oral sex.

My meatus/external urethral orifice is slightly swollen, it stings when I urinate and I have an ache in my testicles but I don't have any discharge.

Could this be the beginnings of gonorrhea or could it be urethritis? How would I treat this?

doctor1 MD

hi, i have been recently diagnosed with urethritis even though i have been tested for sti,through having a urine and swab test done twice and all have come back clear. my urologist has told me just to drink plenty of water and hope it clears up. i would like to know exactly what measures i can take to help the recovery process and what i can and cant do whilst i have this condition, ie, alcohol, sex, masturbation?....this is having a very restricting and distressing effect on my life as i have been suffering this for the past five months and am at my wits end. thanks

doctor1 MD

Hi, I ve been experiencing what feels like a burning sensation around my cervix area.. and sometimes a mild pinching pulling feeling like I sometimes feel during/just after a papsmear. There are no other symptoms, no discharge, no odor... I have had this happen before in the last couple of years, the doctors tested me for all sorts of things and everything came back negative with the exception of them saying that they could see very minor amounts of bacteria. They prescribed me flagyl, which made me sick.. then they gave me clyndamicin, which I opted not to take and instead used boric acid suppositories.. that seemed to clear it right up. Well, it is back and has been for about a week, it has been about 8 months since the last flare up. I have been using boric acid and it didn t help.. I still had the clyndamicin so I opted to go ahead and take it this time, and I m about halfway through.. (4x a day for 2 weeks).. and I m not getting any relief yet.. I have been with the same partner for 2 years now, and I m certain he is faithful as we work and live together.. so WHAT IS GOING ON?..I bought one of the OTC screening tests .. and the yellow did turn a little bluish.. which indicates bacteria not yeast.. but why am I only experiencing burning and no other symptoms.. is this BV? Cervicitis? Urethritis?.. or does it matter? it is all a form of a bacterial infection that is all treated the same way. I really don t want to go back to the doctor at this point.. we spent a fortune last year going back and forth only for them to tell me the same thing... We dont really know.. you have a small amount of bacteria showing but that isn t unusual.. here take an antibiotic! ...

doctor1 MD

Hi,I have been diagnosed with urethritis by a local urologist on tuesday (Sept 21, 2010). I have been taking Vibramycin 100mg 2x a day for 6 days now. The burning sensation and the itchy sensation are all gone but i still see some transparent discharge from my penis. Is this normal?