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What causes burning after the masturbation?

DOCTOR OF THE MONTH - Jul 2016
Jul 2016
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Hi Doctor, 47yr old male, nil history of this problem. 3 weeks ago mastubated with Vaseline, woke up next day with a very uncomfortable urethra (pee hole) the opening burns a little if a dribble of urine touches it, seen GP, took a urine test which was all clear, given antibiotics for 5 days, problem seem to have subsided, then masturbated 7 days later woke with same problem again, it initially hurts to pee first thing in the morning, no other pain. I am prone to getting thrush on the head of my penis, but it’s not thrush, although the burning sensation on the tip of the penis near urethra resembles the same type of feeling. If I put anti fungal cream on it , it stings. No discharge, no back pain
Sat, 9 Jun 2018 in Urinary and Bladder Problems
 
 
Answered by Dr. P. T. Patil 36 minutes later
Brief Answer:
It is due to inflammation of Urethra (Urethritis)

Detailed Answer:
hello
Thanks for query .

Based on the facts that you have posted burning urination and redness of urethral opening that you get after masturbation is due inflammation of Urethra(Urethritis)resulting from vigorous and rough handling of penis while masturbating .

Take anti inflammatory drug like Diclofenac twice daily along with topical cream of Lignocaine to be applied locally at the urethral opening .

Ensure to drink ore water .

Ensure to avoid sexual encounters till it gets cured completely .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Follow-up: What causes burning after the masturbation? 6 minutes later
Thank you Dr XXXXXXX
Last time I felt okay after 7 days, then masturbated without lubricant and it reoccurred. How long do you suggest this time 2 weeks ? as I don’t want it to happen again. Also I am in Australia, so unable to get that cream, do you suggest anything else. Did you want me to upload a pic as well? There is no longer any redness around the opening, the discomfort is more inside the urethra now.
Thank you


Pic uploaded
 
 
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
Always use lubricant jelly while masturbating

Detailed Answer:
hello
Thanks for follow up .

You need to take anti inflammatory medication Diclofenac twice daily or Brufen twice daily which ever is available there .

Nupercainal or Xylocaine Jelly is freely available everywhere .Using Soframycin cream locally will help to reduce redness of meatus.

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Follow-up: What causes burning after the masturbation? 2 days later
Dear Doctor XXXXXXX
I went back to my GP today as the whole head of my penis feels likes it’s burning.
The doctor sent me off for bloods, urine and swap.
He has prescribed a hydrocortisone 1% cream to apply and some Doxycycline tablets. I have no discharge, no pain when urinating, just the inside of my penis and head feels like it’s burning, the Dr said my penis looked healthy, applied the cream today, hasn’t helped. Is this normal could it be something else? Or will it take time, feeling worried. Thank you , XXXX
 
 
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
Upload photograph of your Penis

Detailed Answer:
Hello
Thanks for follow up .

Please upload photograph of your Penis to help me in making precise comments.

Thanks and Regards.
Dr.Patil.
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Follow-up: What causes burning after the masturbation? 2 hours later
Thank you Doctor.
2 photos uploaded.

Regards
XXXX
 
 
Answered by Dr. P. T. Patil 33 minutes later
Brief Answer:
Everything seems to be normal

Detailed Answer:
Hello
Thanks for uploading photograph .There is nothing that you should be worried about .

Do not use steroid cream .

Continue Doxicycline and Diclofenac twice daily for 5 days

Ensure to wash your genital with warm water twice daily .

Thanks and Regards.
Dr XXXXXXX
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Follow-up: What causes burning after the masturbation? 36 hours later
Hi Dr XXXXXXX
Hope you don’t mind, I just paid for a follow up question.

I have discontinued the use of the cream on your advice.

My doctor ordered more blood tests all came back negative yesterday and urine test negative again.

I am taking the doxycycline 100mg tablet once per day for 21 days.

This is Day 4 on the medication. Generally how long before the doxycycline is effective as nothing has changed ?

I noticed something different when I woke this morning, the burning in my urethra was probably only 2/10 then when urinated first thing in the morning the burning pain has returned inside my urethra and is about 6/10.

Are you still diagnosing urethritis ? and should this clear up on the doxycycline?

As Christmas is approaching and everything is closing, I didn’t want it to be something serious.

Do you think I need to see a specialist (urologist) in Australia to undertake a cystoscopy ?

Thank you very much doctor.

XXXX

 
 
Answered by Dr. P. T. Patil 7 minutes later
Brief Answer:
It should get cured with Doxicycline within 2 weeks

Detailed Answer:
Hello
Thanks for follow up .

Continue taking Doxicycline and Nitrofurantoin along with urine alkalizer twice daily .It should get cured within 2 weeks .

No need to do Cystoscopy .

Ensure to drink more water .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Follow-up: What causes burning after the masturbation? 10 minutes later
Thank you Dr XXXXXXX

I don’t have only Nitrofurantoin only doxycycline.

I will get some URAL ( urine alkalizer ) and drink more water.

If it doesn’t improve in 2 weeks I will see the doctor again.

Thank you for your time.

Enjoy Christmas



 
 
Answered by Dr. P. T. Patil 2 hours later
Brief Answer:
You can use Ural three times daily

Detailed Answer:
Hello
Thanks for follow up.
You can get Nitrofurantoin from pharmacy .It is freely available without prescription .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Follow-up: What causes burning after the masturbation? 19 hours later
Hi Doctor XXXXXXX
I woke this morning thinking my problem had resolved it’s self. I had no pain or burning inside my penis (urethra). I then went to the toilet and urinated, no pain during urinating, but afterwards, the pain and burning feeling has come back inside my penis. Can I assume that the pee is still irritating the lining of my urethra?

As I didn’t wake through the night, and the pain has returned after my first pee this morning.

Obviously like you said it will take time to heal, but this so frustrating.
 
 
Answered by Dr. P. T. Patil 17 minutes later
Brief Answer:
Continue taking drugs for 2 more weeks

Detailed Answer:
Hello
Thanks for follow

Continue taking medications suggested even you do not have any symptoms .

The issue should get resolved within 3-4 weeks .

Ensure to drink more water .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Follow-up: What causes burning after the masturbation? 48 hours later
Hi Doctor XXXXXXX
My apologies for posing a follow up question. I just went back to the doctor for results of my last urine test on the 13/11 and I have Enterobacter Cloacae which was found in my urinary track. The doctor has put me back on the original antibiotics cephalexin. The doctor has also referred me to a urologist which has a 3 month waiting list. I have attached the urine report along with consultation notes from my GP. Could this bacteria be causing the burning inside my urethra? Once again thank you
 
 
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
Urine culture does not mention about sensitivity pattern of bacteria

Detailed Answer:
Hello
Thanks for follow up and uploading urine culture report which does not mention about sensitivity pattern of Bacteria(Enterobacter Cloacae )

Your G.P has probably suspected you to have Prostatitis and prescribed Cephalexin .
I shall be happy if you can post me more details to help me in making precise comments
1) Do you have pain in perineal region ?
2) Do you have frequency for urination ?
3) Do you have painful ejaculation ?
) Has your GP done Digital Rectal Examination ?

I would suggest you to request your GP to get following basic tests done to help in to rule out Prostatitis
1) Swab tests and culture of urethral discharge obtained after Prostate Massage
2) Semen Examination and culture .
3) Repeat urine culture and sensitivity.

In the mean while continue taking Cephalexin twice daily and switch on to appropriate antibiotic as per culture report (If required)

Thanks and Regards.
Dr.Patil.


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Follow-up: What causes burning after the masturbation? 19 minutes later
Thanks Dr XXXXXXX I have just recharged my account.
1. I have no pain in the perineal region
2. I need to go the toilet more often during the day, overnight no need to get up
3. It is not painful to ejaculate
4. No rectal examination completed
5. Urethral swap done on the 13/12 I will upload the results

I have included below the timeline again ( doctors consult notes also attached)

Tuesday 21st November 2017
-     Masturbated with Vaseline

Wednesday 22nd November 2017
-     Woke with burning pain and discomfort in top of penis
-     Pee hole burns if urine touches it
-     NO discharge
-     Urge to urinate


Friday 24th November 2017
-     Dr Visit – Fahn – NO diagnosis made
-     Urine Sample taken - ?? STD
-     Panadol for pain


Saturday 25th November 2017
-     In discomfort and pain (Inside penis and opening)
-     Had Cilicaine VK 500mg caps at home
-     Took Cilicaine VK 500mg for 3 days – pain resolved Monday
-     Pain returned Tuesday 28/11/2017

Monday 27th November 2017
-     Contacted the Surgery for results – Urine sample CLEAR
-     Pain and discomfort returned once I finished the antibiotics (only 6 tablets)
-     Urge to urinate

Tuesday 28th November 2017
-     Dr Visit – Hollins
-     Prescribed Antibiotics ( Due to success with using Cilicaine VK 500mg caps)
-     NO diagnosis made

Saturday 2nd December 2017
-     No pain or discomfort after taking antibiotics for 5 days
-     Pain free for 8 days ( 29th Nov to 6th Dec)

Wednesday 6th December 2017
-     Masturbated / Ejaculated no lubricant - (Pain returned at hole and inside penis)
-     Constant discomfort and pain if urine sits in/on hole of penis
-     Urge to urinate

Monday 11th December 2017
-     Dr Visit – Hollins
-     NO diagnosis made
-     2nd URINE sample provided
-     Advised to take URAL.


Wednesday 13th December 2017

-     Dr Visit – XXXXXXX
-     Blood tests, Swap and Urine Tests
-     Doxycycline tablets 100mg x 1 per day / 28 days
-     Apply hydrocortisone cream


Friday 15th December 2017
-     Blood test NEGATIVE
- Urine test has Enterobacter Cloacae

Tuesday 19th December 2017
- visit to doctor - prescribed cephalexin again as worked initially.
- on doxycycline for 7 days - no improvement

I find that I am able to sleep through the night, when I wake , feels like no burning inside penis, then go to the toilet and pain comes back and gets worse through out the day.

Thanks
XXXX


 
 
Answered by Dr. P. T. Patil 7 hours later
Brief Answer:
Do urine culture with specific mention for antibiotic sensitivity pattern.

Detailed Answer:
Hello
Thanks for uploading details which I have already know about .

Enterobacter Cloacae are natural habitat in anal region and can easily get accessed to urethra due to close proximity .

It is utmost important to know their sensitivity pattern which is not mentioned in your previous urine culture report.Sensitivity pattern guide us to take appropriate antibiotic .I would suggest you to repeat urine culture and sensitivity done and to take appropriate antibiotic as per sensitivity report rather than boosting yourself by taking Cephalexin for a month when you are totally unaware of whether the bacteria are resistant or sensitive to same .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Follow-up: What causes burning after the masturbation? 2 days later
25
Hi Doctor,
As this is day 4 and the cephalexin isn’t working, I went back to the GP ( not my normal GP) he looked at the results and said my blood tests didn’t have any elevated white blood cells, so unsure if it is an infection. He contacted the infectious disease department at the Royal Melbourne Hospital who suggested the following:
1. Urine PCR for mycoplasma Genitalium
2. Ultrasound scan KUB
3. Check prostate for prostatitis - had that checked today - no tenderness so all good

Thoughts ?
 
 
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
Get the tests suggested done

Detailed Answer:
Hello
Thanks for follow up .

Get the tests suggested and revert back after you get the reports .

In the mean time take Nitrofurantoin and Diclofenac twice daily .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Follow-up: What causes burning after the masturbation? 13 days later
Hi Dr XXXXXXX
Just following up on our previous discussion now that my test results have come back. I have uploaded a doctors report (consult notes) to this question.

1. The urine PCR for Mycoplasma Genitalium came back negative
2. The ultrasound for kidneys and bladder were normal.

Visited the doctor today (consult notes attached)

No change to my symptoms.

Saturday 30th December 2017
- Woke up - partner masturbated me without lubricant
- Had to stop, painful, penis glands / foreskin very red
- Penis glands looks shinny, burning
- Applied cold water and sudocream during the day
- Glands still feels like it’s burning
- No discharge
- No pain when urinating
- condition felt like Thrush - applied anti fungal cream and took 150mg fluconazole
- After 3 days no change to symptoms

Current symptoms

- burning feeling at opening of urethra
- when I am walking and my penis rubs against clothing pain worsens
- no pain when urinating
- when I urinate and then finish, if any urine left in urethra flows out under foreskin then the pain worsens and becomes penis becomes irritated
- URAL not working
- Ibuprofen not helping
- no discharge
- no other pain

The doctor has prescribed ciprofloxacin (500mg twice per day for 7 days)
Due to the Enterobacter found in urine on the 15/12 and everything else ruled out.

When I mentioned to the doctor today about using Vaseline as a lubricant when masturbating , he suggested, maybe the Vaseline has caused some irritation of the urethra and suggested seeing a urologist for a consult.

Your advice would be appreciated Doctor.

Hi, I have provided some attachments. Please review them.


 
 
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
You have infection of Glans Penis and Foreskin (Ballano Postahatitis)

Detailed Answer:
Hello
Thanks for follow up and uploading reports which are normal .

The redness and pain in glans penis and foreskin strongly suggest infection of Glans and Foreskin (Ballano-Posthatitis)

Are you diabetic? Have you ever done your sugar tests very recently?

Is there itching of the Glans Penis ?

Get your blood sugar tests done on empty stomach and 2 hours after lunch to rule out the same .

Continue Doxicycline twice daily along with topical antibiotic cream Soframycin .

Ensure to wash your genitals with warm water twice daily .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Follow-up: What causes burning after the masturbation? 29 minutes later
Thanks Dr XXXXXXX
I am not a diabetic and had tests done within last 3 weeks, all normal.
There is no itching on the glans or foreskin.
The Doctor visually inspected penis today all normal and photos were uploaded last week.
The redness only appears when masturbating , otherwise all normal.
The pain can be felt inside urethra at the tip.
The doctor has me on ciprofloxacin, strong broad antibiotic.
No redness or irritation of foreskin
 
 
Answered by Dr. P. T. Patil 1 minute later
Brief Answer:
Continue Cephalexin for one more week .

Detailed Answer:
Hello
Thanks for update .

Continue taking Cephalexin for a week along with Nitrofurantoin twice daily .along with Ural thrice daily

Ensure to wash your genitals with warm water twice daily .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Follow-up: What causes burning after the masturbation? 19 hours later
Hi Dr XXXXXXX

I have started on my new prescribed antibiotic called Ciprofloxacin, one tablet last night and two today, my urethra is feeling 40% better and no more irritation on penis XXXXXXX

Since starting the ciprofloxacin, I have felt pretty average and had some nausea today. My GP said this medication is very strong being a broad antibiotic, I still have 6 days to go with this med, hoping I can see it through without getting more side effects, just wondering your thoughts, and if you have any experience with this drug.

Thank you
 
 
Answered by Dr. P. T. Patil 7 minutes later
Brief Answer:
Take Pantaprozole with Ciprofloxacin twice daily

Detailed Answer:
Hello
Thanks for follow up .
Nausea is common with Ciprofloxacin due to drug induced gastritis ,

Take Pantaprazole with Ciprofloxacin twice daily .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Follow-up: What causes burning after the masturbation? 2 days later
Hi Dr XXXXXXX

Today is day 3 taking Ciprofloxacin ( 6 tabs to date ). The second day I was feeling better no pain in urethra or on penis XXXXXXX

Today, tonight the irritation has returned inside my urethra, but glans still fine.

I still have 4 days to go taking ciprofloxacin, no more side effects.

If I felt better,now pain/irritation back, could it be still some irritation in the urethra that needs to be seen by a urologist to do a cystoscope ?

Or is the Enterobacter Cloacae fighting back ?

I am drinking lots of water, still taking URAL.

Just feeling concerned.
 
 
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
Continue taking Ciprofloxcin for 2 weeks

Detailed Answer:
hello
Thanks for follow up .

It takes 2-3 weeks to resolve the problem .Continue taking Ciprofloxacin twice daily for 2 weeks .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
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