Urological Issues: When to Seek Medical Attention

Q: Urological Issues: When to Seek Medical Attention

Hello, sir： Based on the symptoms described, it is highly likely that you have a urinary tract infection. <br>Please seek medical attention as soon as possible to avoid any delay in your condition. <br>Chen Chien-Sheng, Urology Department, Xinying Hospital.

Genital organ issues

This condition has been present for about two weeks.
Initially, there was itching only on the glans, but later it started to itch after urination.
I went to the pharmacy to buy some medication, and the pharmacist suggested it might be due to the weather or a fungal infection, recommending I use a topical cream called Furacilin.
However, after applying it, I experienced slight stinging during urination.
Recently, I've noticed a small amount of blood after urination, just a drop, bright red rather than dark red, with a somewhat translucent appearance.
I'm feeling anxious about this.
Should I go to the hospital for further examination?

Niming, 10~19 year old female. Ask Date: 2016/05/13

Dr. Chen Jiansheng reply Urology

Hello, sir: Based on the symptoms described, it is highly likely that you have a urinary tract infection.
Please seek medical attention as soon as possible to avoid any delay in your condition.
Chen Chien-Sheng, Urology Department, Xinying Hospital.

Reply Date: 2016/05/13

More Info

When it comes to urological issues, especially those involving symptoms like itching, pain, and the presence of blood in the urine, it is crucial to seek medical attention promptly. Your symptoms, which have developed over the past two weeks, indicate that there may be an underlying condition that requires professional evaluation.

Initially, you mentioned experiencing itching around the glans (the head of the penis), which later progressed to itching after urination. This could suggest a variety of conditions, including a yeast infection, contact dermatitis, or even a sexually transmitted infection (STI). The fact that you sought over-the-counter treatment and were advised by a pharmacist to use a topical antifungal cream indicates that a fungal infection was suspected. However, the persistence of symptoms and the development of new ones, such as pain during urination and the presence of blood, are concerning.

The appearance of blood in the urine, even if it is just a drop, should never be taken lightly. Hematuria (the medical term for blood in urine) can arise from several causes, ranging from benign issues like urinary tract infections (UTIs) to more serious conditions such as kidney stones, bladder infections, or even tumors in the urinary tract. The fact that the blood you observed was bright red and somewhat transparent could indicate that it is coming from the lower urinary tract, such as the bladder or urethra.

Given these symptoms, it is advisable to seek medical attention as soon as possible. A healthcare provider will likely perform a thorough evaluation, which may include:
1. Medical History and Physical Examination: Discussing your symptoms in detail, including any other associated symptoms like fever, changes in urination frequency, or pain in the lower abdomen or back.

2. Urinalysis: A urine sample will be tested for the presence of blood, bacteria, and other abnormalities. This can help identify infections or other issues.

3. Imaging Studies: Depending on the initial findings, your doctor may recommend imaging studies such as an ultrasound or CT scan to visualize the urinary tract and identify any structural abnormalities.

4. Further Testing: If an infection is suspected, a urine culture may be performed to identify the specific bacteria causing the infection and determine the appropriate antibiotic treatment.

5. Referral to a Specialist: If necessary, you may be referred to a urologist, a specialist in urinary tract disorders, for further evaluation and management.

In summary, your symptoms warrant a thorough medical evaluation. While it is possible that your condition may be treatable with medication, the presence of blood in your urine is a significant red flag that should not be ignored. Early diagnosis and treatment are essential to address any potential underlying issues effectively. Please do not hesitate to seek medical care; your health and well-being are paramount.

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