Relieving Severe Pain from Urological Issues: What to Do Next?

The pain is unbearable?

The situation is as follows: suddenly, the entire foreskin has become retracted and cannot be pulled back, and there are white, chunky substances that have made it impossible to clean.
Additionally, there is significant itching near the testicles, and the area at the tip of the foreskin is swollen and very painful during urination.
I consulted a urologist who only prescribed antibiotics for temporary relief.
Although there has been some reduction in swelling, I still cannot retract the foreskin.
During showers, I try to flush the area with a small stream of water, and the white chunks come out with the water.
Reflecting on when these symptoms appeared, I have been experiencing frequent urination for the past week or two.
Besides antibiotics, is there anything else that can provide relief? I have to wait a week for the test results, and I'm afraid I won't be able to endure this discomfort...

Niming, 30~39 year old female. Ask Date: 2023/12/30

Dr. Chen Jiansheng reply Urology

Please seek medical attention.

Reply Date: 2023/12/30

More Info

I'm sorry to hear about the severe pain and discomfort you're experiencing with your urological issues. It sounds like you're dealing with a very challenging situation, and it's understandable that you're seeking relief and guidance on what to do next.

Based on your description, it seems you may be experiencing a condition known as phimosis, where the foreskin cannot be easily retracted over the glans (the head of the penis). The presence of white, chunky substances could indicate a buildup of smegma, which is a combination of dead skin cells, oils, and moisture. This can lead to irritation, inflammation, and infection, causing pain and itching, especially during urination.

While antibiotics can help if there's an underlying infection, they may not address the root cause of the phimosis or the discomfort you're experiencing. Here are some steps you can consider to relieve your symptoms and manage your condition until you can see your doctor again:
1. Warm Baths: Soaking in warm water can help soothe irritation and reduce inflammation. This can also help soften the foreskin, making it easier to retract gently. Avoid using harsh soaps or chemicals that could further irritate the area.

2. Gentle Cleaning: While you mentioned trying to clean the area, it's important to do so gently. Use warm water and avoid any aggressive scrubbing. If you can, try to retract the foreskin gently during cleaning, but do not force it if it's painful.

3. Topical Treatments: If you have access to over-the-counter hydrocortisone cream, applying a small amount to the affected area may help reduce inflammation and itching. However, consult with a healthcare professional before using any topical treatments to ensure they are appropriate for your situation.

4. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and discomfort. Be sure to follow the recommended dosages and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

5. Avoid Irritants: Until you can see your doctor, try to avoid any potential irritants, such as scented soaps, lotions, or tight-fitting clothing that may exacerbate your symptoms.

6. Hydration: Staying well-hydrated can help dilute your urine, which may reduce irritation during urination.
7. Monitor Symptoms: Keep track of any changes in your symptoms, including the severity of pain, any changes in urination patterns, or the appearance of any new symptoms. This information will be valuable for your healthcare provider when you have your follow-up appointment.

8. Follow-Up Appointment: Since you have a follow-up appointment scheduled, it's crucial to keep that appointment. If your symptoms worsen or you experience severe pain, fever, or any other concerning symptoms, seek medical attention sooner.

In summary, while waiting for your follow-up appointment, focus on gentle care of the area, pain management, and monitoring your symptoms. If the situation becomes unbearable or you notice any signs of infection (such as fever or increased swelling), do not hesitate to seek immediate medical attention. Your health and comfort are paramount, and it's essential to address these issues with a qualified healthcare provider who can offer a comprehensive treatment plan tailored to your needs.

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