Question: I have burning sensation while passing urine since last mondayy. I had an unexpected sexual encounter with a friend (only oral) few days back.That person may be promiscuous.
I also have swollen lymph nodes (may be) in my groin which pain if pressed.
There is no discharge from Urethra, No fever.
Another doctor(who is a friend) thinks this is Chlamydia. and prescribed Azee 500 (2 tablets tonight) and Cefixime 400 (1-0-1) from tomorrow for 5 days. Shall I take these medicines?

Thank you Dr. Bharatesh.
Just to double check, Are you advising me to take Azee 500 & Cefixime 400 or to complete the Levoflaxacin course? I have comleted the last tablet of Levoflaxacin 500 today afternoon.

Shall I start with the Azee & Cefixime tonight/tomorrow?

Hi Doctor,
I took Azithromycin 1g (2 500mg tablets) on saturday night.
Sunday I visited a venereologist. He has prescribed ciplox 500 mg for 7 days.
Urine routine and microbiology was done. Puss cells 2-3, epithelial cells 1-2.
VDRL is non reactive.
Still, little burning comes once in a while while urinating.

I have two small sores on the glans, and a pimple on the bottom of the scrotum which I am afraid is going to turn into an abscess.
I am applying Fucid and acivir ointments mixed 1:1 as prescribed by doctor on the glans sores.
Also my left eye is turned red. showed it to the same doctor, he thinks it's just coincidental and is highly unlikely to be due to gonorrhea/chlamydia.

Overall, my venereoloist feels I am unlikely to have STD. It's due to excessive heat and UTI.

I have given eye discharge sample for SWAB GRAM's STAIN + Culture&Sensitivity.
Also, Urethral SWAB (though no discharge) for gram's stain + Culture&Sensitivity.

Also, last time urine Culture & Sensitivity came clear. I have given another sample for Urine C&S.
Awaiting reports.

I have uploaded reports.
1) Eye swab - Gram's Stain - smear shows gram positive cocci in pairs
2) Urethral Swab - Gram's Stain - few epithelial cells with positive cocci in chains
3) Urethral Swab C & S - No growth
4) Urine C & S - No growth
5) Eye swab C & S - report not ready yet, microbiologist has extended the study as ther was no growth so far.

My questions - How is it possible that urethral swab has gram positive cocci but no growth in culture & sensitivity? Is it because I am already on antibiotics?

What are these cocci? - Could they be gonorrhea bacteria?

Thanks a lot doctor.
I have a concern. It's been quite long since I am on antibiotics. I have done 5 day course of 1-0-0 Levofloxacin 500 mg from 20th-24th.
I am on Ciplox 500 mg 1-0-1 from 25th and today being the 5th day of 7 day course prescribed.
In between on 24th night, I took 2 500mg Azithromycin.
But I still get the burning sensation while passing urine when I have not had sufficient water, or in case of early morning streams. Yesterday and today I didn't get burining on first time urination. But yesterday evening I got some burning and yellow urine when I had not had water in a while.Today morning dark colured urine but no burning.
Also, If my glans gets pressed (during an erection in sleep or pressed with hand) I can feel the burning.
Is it normal during UTI?

Thanks a lot for the reassurance Dr. Bharatesh.
As you suggested, (and also prescribed by eye specialist) I am using Moxifloxacn drops 4 times a day and Tears Naturale II Eye lubricant drops 6 times a day.

Applying Fucid and Acivir cream 1:1 mixture to the ulcers on the glans which seem to be very very slowly healing / drying.

I would like to visit you in person for a consultation in a few days. Could you please let me know where I can find you?

Thank you doctor.

Hi Dr. Bharatesh,
I completed the course of Ciplox. The burning while passing urine has stopped from 2 days. The eye infection has also recovered.
Only thing that is still there is the two minute sores on the glans which are very slowly diminishing. I am applying Fucid & Acivir creams and doctor has told me that it will take over 10 days to completely heal. They are dry and do not burn or itch or pain. Hope they will clear up soon.

Thank you for being with me during my tough time last two weeks and thanks for constantly reassuring me that I would be fine very soon. It was great moral support at a time when I suffered greatly mentally thinking that I have STD.

Now I can believe it was not STD but could have been. I will be more careful in future and make sure I won't get into trouble like this ever again.