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What Causes Burning Sensation While Urination?

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Posted on Fri, 25 Jul 2014
Question: Hello for about a week now i have had a burn/pain at the tip of the penis at the start of urination. On day 5 the tip/opening of the penis is swollen/red. That is the only symptom i have now. In beginning i had uretha itching and sour fishy smelling urine . Went to urgent care and they just put me on an antibiotic.
Me and my partner have unprotected sex and both std free.
A few weeks prior i had a irritated gland on the top of my penis but it went away in a few days ..
Could it just be a bad Uti. I have had those before due to anal intercourse

Thank you
doctor
Answered by Dr. Shailja Puri (46 minutes later)
Brief Answer:
History suggests UTI, complete antibiotic course.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
The symptoms of burning urination, burning sensation while urinating, swelling at the tip of penis, fishy smelling urine all suggest urinary tract infection (UTI).
Itching, irritation and swelling are all features of UTI.
A urine examination-routine and microscopy is required.
This has to be followed by a course of broad spectrum antibiotic is required and as mentioned by you that you are already taking the antibiotic.

However, you need to abstain from sexual contact since there is good chance of spreading the infection to your partner.
Moreover, your partner also needs to be investigated for evidence of UTI since the infection is contagious.
After completion of the antibiotic course, a repeat urine analysis needs to be done to confirm whether the infection has cleared.

If you have more queries, I will be glad to answer.
Dr Shailja P Wahal


Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Shailja Puri (42 hours later)
Hello again. With levoquin anitbiotic the pain is subsiding however the swelling of the tip of the urethra is off and on still. Much worse in the morning then subsiding through out the day. Any suggestions to help the swelling. This is day 3 of the anitbiotic
doctor
Answered by Dr. Shailja Puri (8 minutes later)
Brief Answer:
Continue your antibiotic for 5 days.

Detailed Answer:
Hello and welcome again,

Since the pain is subsiding, the infection is responding to treatment.
Complete the antibiotic course for 5 days and then observe the swelling.
The swelling may take a little longer.

Abstain for sexual intercourse till the swelling completely subsides. Drink plenty of fluids.

Thanks and take care
Dr Shailja P Wahal
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 9705 Questions

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What Causes Burning Sensation While Urination?

Brief Answer: History suggests UTI, complete antibiotic course. Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic. The symptoms of burning urination, burning sensation while urinating, swelling at the tip of penis, fishy smelling urine all suggest urinary tract infection (UTI). Itching, irritation and swelling are all features of UTI. A urine examination-routine and microscopy is required. This has to be followed by a course of broad spectrum antibiotic is required and as mentioned by you that you are already taking the antibiotic. However, you need to abstain from sexual contact since there is good chance of spreading the infection to your partner. Moreover, your partner also needs to be investigated for evidence of UTI since the infection is contagious. After completion of the antibiotic course, a repeat urine analysis needs to be done to confirm whether the infection has cleared. If you have more queries, I will be glad to answer. Dr Shailja P Wahal