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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for burning sensation during urination

Answered by
Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2276 Questions

Posted on Wed, 17 Dec 2014 in Urinary and Bladder Problems
Question: Wed Nov 5th It was burning while urination and got worse throughout the day to the point where the pain was a 10 . went to Doctor Nov 6th he put me on ciprofloxacin and did urine test for STDs came up negative for all and there was no Growth in urine . Checked prostate and was not enlarged. Suggested I see urologist if I did not get better. I got worse, to the point where I could not even urinate I had to squeeze the head of my penis hard to get the urine to start to come out very weak steam and spraying when I urinate . I was oozing blood drops after I urinated. Went to Urologist Monday Nov 10th did another urine test told me he was sure it was Chlamydia - gave me 4 pills to take and sent me home . I got worse more blood in urine the pee hole was red and swollen severe pain when I urinate and still level 10 only way I can urinate was to squeeze myself because my pee hole was practically swollen shut. Went back to Dr on Wed Nov 12th because urine came back again negative for all stds. and now my eyes were blodshot red and enflamed as if I were cutting onions.. ( Not sure if it was related) Suggested I do an cytoscopy to check for blockages or anything else . There were no blockages , just severely irritation. Told me it was a severe case of urethritis , gave me a Shot that had some antibiotic in it , and put me on another antibiotic and have me some eye drops and anti inflammatory pills The following morning everything got better. I was able to urinate pain less went from a level 10 pain to a 4 then the following few days it went to a level 2 pain No Blood in or after urine. from 15th till today 11/19 I have XXXXXXX at a steady 2 as far as pain. I called the Dr and told him I had run out of antibiotic and if I should come in for more? I also told him when I get an erection it hurts feel like a sprained ankle . cant even touch my penis or move it cuz ill be in pain and discomfort. He told me that I had received every antibiotic under the sun and I just have to wait this out and it will get better .

November 23rd - pain completely gone when urinating and I feel great . The Girlfriend was over , we were having a heavy petting session and I was highly erect for the first time since this started . I started to bleed from my pee hole a little so I forced myself to go to the bathroom because I was nervous that this was going to start again. blood before and after I urinated but zero pain. It actually felt good .. a few min later I felt that I had been leaking blood in my pants, when I checked it out I had bleed some more in my underwear. still no pain. I went to sleep and woke up this morning .. when I checked my pants... more blood. about as much as you would get from a nose bleed. went to urinate. still no pain at all but there was blood in urine bright red at the start and finish and brown during. The Dr is closed today. Do I need to go to the hospital? I actually feel better , no pain please help .
Answered by Dr. Noble Zachariah 39 minutes later
Brief Answer:
Bleeding from urethritis. Ethamsylate might help

Detailed Answer:

Welcome to HCM
I have gone through your clinical history.
You have urethritis and the bleeding has occurred from the inflamed area.
The infection is controlled following the injectable antibiotic, but the healing of the inflamed area and would take a few days more.
You should stop any Non Steroidal Anti inflammatory drug (NSAID) like Ibuprofen given for pain as this decreases the sticking together of platelets which is necessary for stopping any bleeding.
When my patients have bleeding from any site which is not accessible, I prescribe a medicine Ethamsylate (Dicynene/Dicynone) is a haemostatic drug.
It is believed to work by increasing capillary endothelial resistance and promoting platelet adhesion.
It also inhibits biosynthesis and action of those prostaglandins which cause platelet disaggregation, vasodilation and increased capillary permeability.

It is available as injections or tablets.
You could use it stop the present bleeding and it would also help prevent its recurrence.
You should also avoid traumatising your penis like by a sexual intercourse for a week or so.
Take Care
Dr. Noble Zachariah

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Noble Zachariah 1 hour later
is this over the counter or something I should ask my DR for?

I will avoid sexual contact , but sometimes I cant help erections. Especially when I wake up.

is physical activity ok? like jogging , going to the gym? playing hockey?

Answered by Dr. Noble Zachariah 40 minutes later
Brief Answer:
Probably available without prescription. Please check with pharmacist

Detailed Answer:
I think it would be available without a prescription. Please check with the pharmacist.
No problem with the unavoidable morning erection.
Moderate exercise may be ok and in the gym go for isotonic exercises and not isometric which will raise your blood pressure, which can provoke a re-bleed.
Hockey may be skipped for a week or so.

best wishes
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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