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Suggest Treatment For Redness And Soreness In Penis

Posted on Fri, 16 Oct 2015

Question: Pain when I urinate. Just started last night. Was tested on 9/12 and 9/18 for stds all of which came back negative. I notice the hole is very red and sore. Should I take more teats in case of 2 false negatives? Or can I assume this is irritated. I have drank much more water and cranberry juice of late and thus pwe'd more and I feel as though it's irritated not std... Is there anything I can should do until I can see.
My dr?

Answered by Dr. Matthew J. Mangat (45 minutes later)

Brief Answer:
It may be an inflammatory response.

Detailed Answer:
Hello Jasonebain and welcome to HCM.
As an Urologist, i can fully understand your concern.
You should get a close examination of the penis and surrounding areas of the groin, by a qualified and experienced Urologist.
If your STD tests, like VDRL, HbsAg,and HIV are normal,don't worry.
Also check your blood sugar.
You may also send a photo here, for a second opinion regarding treatment.
It may be only an inflammatory response.
If you notice any discharge, a swab culture will also be needed.
If you've burning sensation while passing urine, do a urine routine and culture test.
For the time being, continue the Doxy course for a week, maintain penile hygiene, and avoid moisture over the penis.
No sex or masturbation, till the doctor has examined you.
Hope your doubts are cleared.

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

Follow up: Dr. Matthew J. Mangat (2 hours later)

I've have 2 neg tests.. What are the odds there would be two false negatives on all these plus a urinalysis that came back clean

Answered by Dr. Matthew J. Mangat (48 minutes later)

Brief Answer:
Two full screens enough for STD.

Detailed Answer:
Hi again.
Depending on the standard of the lab, and the minimum tests as mentioned in my earlier reply, two negatives screens are sufficient, for STD.
Painful urination needs an urine culture, to exclude infection (UTI).

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

Follow up: Dr. Matthew J. Mangat (17 minutes later)

Thank you. Have dr appointment in 2 hrs. I should add that I've always had a leakage problem meaning after I pee I have to drip for 20-30 second or my boxers will get soaked.. Always had this issue. Plus by my hole, I have a "cut" for as long as I can remember that almost looks like a mistake from being circumcised or caught in zipper. It's almost like a flab and it's very red too:

Answered by Dr. Matthew J. Mangat (29 minutes later)

Brief Answer:
Dribble after urinating needs to be examined.

Detailed Answer:
Hi again.
After seeing the Urologist, your anxiety should be over.
The leakage you describe is called post- void dribble. To find out the cause for it, your Urologist will carry out a rectal examination.(DRE).
Also, an ultrasound scan of the abdomen should be done.
According to the reports, the doctor will advise you, about the leak.
If you send a photo here, i can give you an expert opinion.
Wish you well.

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

Follow up: Dr. Matthew J. Mangat (5 hours later)

Dr feels this is dehydration and inflammation

Answered by Dr. Matthew J. Mangat (3 hours later)

Brief Answer:
Correct your dehydration.

Detailed Answer:
Hi again.
Hope you've consulted a qualified Urologist.
If the redness is due to inflammation, it should subside in a few days.
This is exactly what i advised you in my first reply.
But commonly, one always assumes the worst case complication.
That's quite normal. Don't worry about it any more.
Dehydration is easily corrected by taking 10-12 glasses fluids daily.
You're welcome to clear any more doubts you may have, with me.
Get well soon.

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

Follow up: Dr. Matthew J. Mangat (9 minutes later)

Is there anything else I can do? Or just increase my water consumption?

Answered by Dr. Matthew J. Mangat (1 hour later)

Brief Answer:
A direct view on a photo needed.

Detailed Answer:
Hi again.
Well, for the time being, follow what your Urologist has advised you to correct dehydration.
For a second expert opinion, you can send a photo of the red area to me.
Then, i can give you advice regarding, anything else you can do.
Wish you well.

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