Urination Issues: Pain, Discharge, and Treatment Insights

Q: Urination Issues: Pain, Discharge, and Treatment Insights

Hello： If you have had unprotected sexual intercourse recently, it is advisable to discuss this with your physician. <br>1. <br>Most of the time, tests may not show any significant findings or only mild inflammation, which can be resolved with a few days of antibiotics, and you c

Urinary problems

Hello Doctor, I am the patient who previously mentioned possible ligament pain.
When I do not apply the ointment, it is indeed not a ligament issue.
I also mentioned that I have been taking the medications prescribed by you: Acetaminophen (Tylenol) and Cephalexin (antibiotic taken every 6 hours).
Compared to before, these medications are noticeably effective, but the issue has not been completely resolved.

What I can confirm is that I experience pain during urination.
When you asked where it hurts, I honestly wasn't sure; it seems to be pain near the glans during urination, as you mentioned that the urethra is quite long.
However, I do not feel pain during the process of urination itself.
The pain and burning sensation are clearly felt at the glans or urethral opening when the urine is expelled.

Recently, I had another urinalysis and blood test.
Last Saturday (February 4, 2017), I returned for a follow-up and the reports all showed normal results.
1.
I brought the medications to show you, and you advised me to continue taking them.
After taking them for two days, I asked if there would be any antibiotic resistance since I had stopped the antibiotic for a week after the tests.
You said that wouldn't be a concern.
Is this something I can be assured about? The treatment course is one week, and after two days of taking the medication, I had the tests and then stopped for a week, so I still have five days left to take it.

2.
Additionally, is it normal to have discharge during urination? This is not due to erection or excitement causing prostatic fluid, etc.
Recently, I have been checking the toilet to see if there is anything after urination.
Sometimes there is discharge, and sometimes there isn't; it is not much.
I have used tissue to collect it, and it appears to be transparent and either stringy or possibly in flakes, around 1 to 3 pieces.
Could this be related to the medication expelling bacteria and other waste? I would appreciate your clarification.
Thank you.

tony, 20~29 year old female. Ask Date: 2017/02/13

Dr. Du Shixi reply Urology

Hello: If you have had unprotected sexual intercourse recently, it is advisable to discuss this with your physician.
1.
Most of the time, tests may not show any significant findings or only mild inflammation, which can be resolved with a few days of antibiotics, and you can return to normal activities.
2.
If you notice any discharge during urination, please inform your doctor, especially if it occurs daily.
If urinalysis results are normal, it may not be a concern; it could be related to secretions from the urethra or prostate, often occurring due to inadequate hydration or an irregular diet.
Please pay attention to your water intake.
3.
It is temporarily recommended to refrain from sexual activity.
Thank you for your inquiry.

Reply Date: 2017/02/13

More Info

Urination issues, particularly those involving pain and discharge, can be quite distressing and may indicate underlying medical conditions that require attention. Based on the symptoms you've described, including pain during urination localized around the glans (the head of the penis) and the presence of discharge, it is essential to consider several potential causes and treatment options.

1. Understanding Pain During Urination: The pain you experience during urination could be due to several factors, including urinary tract infections (UTIs), urethritis (inflammation of the urethra), or prostatitis (inflammation of the prostate gland). Since you mentioned that your urine and blood tests have returned normal, it is possible that the initial infection has resolved, but inflammation may still be present, leading to discomfort.

2. Antibiotic Use and Resistance: You are currently taking Cephalexin, an antibiotic, and have concerns about antibiotic resistance. It is important to complete the full course of antibiotics as prescribed by your doctor, even if symptoms improve before finishing the medication. Stopping antibiotics prematurely can lead to incomplete eradication of the bacteria, which may contribute to resistance. Your doctor’s reassurance that there is no immediate concern for resistance is generally valid, especially if you are following the prescribed regimen.

3. Discharge During Urination: The presence of discharge, especially if it is clear or slightly cloudy, can be a normal occurrence, particularly if it is related to pre-ejaculatory fluid or prostate secretions. However, if the discharge is accompanied by pain or changes in color or odor, it may indicate an infection or other condition that requires further evaluation. It is advisable to monitor this symptom and report any significant changes to your healthcare provider.

4. Follow-Up and Further Evaluation: Given that your symptoms persist despite treatment, it may be beneficial to follow up with your healthcare provider for further evaluation. This could include additional urine cultures, imaging studies, or referrals to a urologist for specialized care. A urologist can perform more detailed assessments, such as a cystoscopy, to visualize the urethra and bladder, which may help identify any underlying issues.

5. Managing Symptoms: In the meantime, managing your symptoms is crucial. Staying well-hydrated can help dilute your urine and may reduce irritation. Avoiding irritants such as caffeine, alcohol, and spicy foods can also be beneficial. Over-the-counter pain relief medications, such as acetaminophen or ibuprofen, may help alleviate discomfort, but it is important to consult with your doctor before combining medications.

6. Mental Health Considerations: It is understandable to feel anxious or distressed about ongoing symptoms, especially if they impact your daily life. If you find that these feelings are overwhelming, consider discussing them with a mental health professional who can provide support and coping strategies.

In conclusion, while your current treatment with antibiotics is appropriate, ongoing symptoms warrant further investigation. It is essential to maintain open communication with your healthcare provider, adhere to prescribed treatments, and seek additional evaluations if necessary. Your health and well-being are paramount, and addressing these issues comprehensively will help you achieve relief and clarity regarding your condition.

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