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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes burning sensation while urination and itchy urethra?

Answered by
Dr. T Shobha Deepak

General & Family Physician

Practicing since :2005

Answered : 1774 Questions

Posted on Mon, 28 Jul 2014 in General Health
Question: Hello. I woke up last Sunday and had a horrible burn at the start of uriniation. On Thursday morning the meatus was swollen. I went to urgent care they took urine sample and gave me levofloaxine. I just took my 4th dose. I am still having the swelling and burn while urinating. Also clear discharge. I have had a ngu before. I am in a same sex marriage so i am more at risk for e coli bacteria. But i have never had the swelling and this amount of burnnig. Some more history. Before the burn i had itching in the urethra and a bad fishy smelling urine. Wondering what this could be and when will it go away. I have included some photos.
The pain and swelling is also off and on. The morning is the worst. The more fluid i drink and the more i urinate the more it goes away. Also the redness and swelling is on the top portion of the urethra opening and i feel the burn about an inch down from the head.
Answered by Dr. T Shobha Deepak 2 hours later
Brief Answer:
It is anterior Urethritis

Detailed Answer:
Welcome to Healthcare-Magic
Greetings of the day


Thanks for providing the clinical picture. From the description given by you and clinical lesion seen it appears to be anterior Urethritis possibly .

I would suggest you the following which will be helpful

1. Hot Seitz bath : To a tub of lukewarm water add handful of common table salt. Sit in it for 15 to 20 minutes. Repeat it twice a day.

2. Local application of combination of Betamethasone and Framycetin ointment

3. Antibiotics : Tablet Azithromycin 1 gm single dose . Followed by Tablet Doxycycline twice a day for 10 days will be helpful.

Do get back to me if you need any further assistance, will be glad to assist you.

Take care

Best regards
Dr T Shobha Deepak
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

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