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What causes lower abdominal pain after urination?

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Posted on Tue, 24 Nov 2015
Question: Hello
I'm an 18 year old male and I get pain in my lower abdomen after urination and sometimes a stinging pain at the tip of my penis after urination which lasts for about 5 mins.
I was born with problems with my kidneys and had an operation to correct bilateral reflux when I was 6 years old. I currently have right sided renal scarring.
I occasionally get pains in my right testicle during set periods every few weeks. I have received a few kicks to the testicles a few years ago, but not a major injury.
I have noticed that my scrotum skin has become red and I get pain in my lower abdomen after urination and sometimes a stinging pain at the tip of my penis after urination which lasts for about 5 mins.
Could this possible be linked and should I see my GP. What would he do to examine me and what kind of tests would I need?
Thanks
doctor
Answered by Dr. T Chandrakant (19 minutes later)
Brief Answer:
You should see GP and also get reference for Urologist

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate: Male/young 18 - congenital bilateral reflux - got corrected at the age of 6 - right renal scarring - occasional pain right testicle - redness of scrotal skin - pain in the lower abdomen and tip of penis on urination -
All these things are linked to each other and you should see the GP.
Examination and tests may be:
- Examination of the abdomen for any lumps in the kidney area, lower abdomen in the center for any tenderness, Hernial sites, penis for any local pathology, scrotum for testes and epididymes; general examination for pulse and blood pressure.
Should also go for per-rectal examination to palpate for prostate as there can be associated prostatitis.
Tests:
Urine- routine, microscopy, culture and sensitivity.
Blood - routine and kidney function tests
Ultrasonography of the abdomen and the scrotum
Would refer you to the Urologist for additional special tests and clinical evaluation, proper diagnosis and treatment as per the findings.

I hope these answer your queries, please feel free to ask for further relevant queries if you need to or if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (35 minutes later)
Hello Doctor Chandrakant

Thankyou for your fast reply.

1. What is the purpouse of per-rectal examination to palpate for prostate. I am only 18 years old. can I still get prostatitis such a young age?

2. please could you tell me exactly what happens during Ultrasonography of the abdomen and the scrotum. Does it hurt and what should I expect?

3. If I was refered to a Urologist, what additional special tests and clinical evaluation what i undergo.

Thank you

XXXX
Hello Doctor Chandrakant

Thankyou for your fast reply.

1. What is the purpouse of per-rectal examination to palpate for prostate. I am only 18 years old. can I still get prostatitis such a young age?

2. please could you tell me exactly what happens during Ultrasonography of the abdomen and the scrotum. Does it hurt and what should I expect?

3. If I was refered to a Urologist, what additional special tests and clinical evaluation what i undergo.

Thank you
doctor
Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
As detailed.

Detailed Answer:
Hi.
1. What is the purpouse of per-rectal examination to palpate for prostate. I am only 18 years old. can I still get prostatitis such a young age?
> Prostate is a part of the genitourinary system, can attract the infection of the urinary system easily; you being very young, 18 years old the prostate too is on the highest of its activity.and easily susceptible for infection.

2. please could you tell me exactly what happens during Ultrasonography of the abdomen and the scrotum. Does it hurt and what should I expect?
Ultrasonography does not hurt at all. It has a smooth probe that is kept on the skin. The signal sent and received by this probe is processed by the machine and we get the image on the screen to see the normalcy or pathology.

3. If I was referred to a Urologist, what additional special tests and clinical evaluation what i undergo.
Urologist will review the reports you have done and order for some tests if not done. Further tests depend upon the clinical examination and the results of the primary tests. These can be cysto-urethroscopy
Intravenous pyelography (IVP) and as required.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (23 hours later)
Hello

Could you tell me any possible explanations for the occasional pain in my testicles and at the tip of my penis?
Thank you
doctor
Answered by Dr. T Chandrakant (24 minutes later)
Brief Answer:
as explained.

Detailed Answer:
Surely yes.
The causes of occasional pain in the testicles can be due to:
Inflammation or infection of the testes and/or epididymes.
Referred pain from the ureter and/or urinary bladder.

The causes of the pain at the tip of penis are:
Inflammation of the urinary bladder or stone therein irritating the trigone area of the urinary bladder can be perceived as pain at the tip of penis.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19417 Questions

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What causes lower abdominal pain after urination?

Brief Answer: You should see GP and also get reference for Urologist Detailed Answer: Hi. Thanks for your query and an elucidate history. To recapitulate: Male/young 18 - congenital bilateral reflux - got corrected at the age of 6 - right renal scarring - occasional pain right testicle - redness of scrotal skin - pain in the lower abdomen and tip of penis on urination - All these things are linked to each other and you should see the GP. Examination and tests may be: - Examination of the abdomen for any lumps in the kidney area, lower abdomen in the center for any tenderness, Hernial sites, penis for any local pathology, scrotum for testes and epididymes; general examination for pulse and blood pressure. Should also go for per-rectal examination to palpate for prostate as there can be associated prostatitis. Tests: Urine- routine, microscopy, culture and sensitivity. Blood - routine and kidney function tests Ultrasonography of the abdomen and the scrotum Would refer you to the Urologist for additional special tests and clinical evaluation, proper diagnosis and treatment as per the findings. I hope these answer your queries, please feel free to ask for further relevant queries if you need to or if you feel that there is a gap of communication.