Urinary Symptoms: What to Do About Pain and Discomfort - Urology

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My child?


I have been experiencing the discharge of a yellowish fluid every day for the past few days.
I'm not sure if it's nocturnal emissions, but it occurs in large amounts regardless of whether I sleep or not.
Additionally, I feel some pain in my penis when I go to the bathroom.
I'm uncertain about what these symptoms mean.
Doctor, could you please provide some insight? I'm really distressed because it makes using the restroom quite inconvenient and I'm feeling very upset!

Benben, 10~19 year old female. Ask Date: 2004/11/01

Dr. Zhang Chengye reply Urology


Hello, Ben: Your symptoms may indicate urethritis, and you should come to the hospital for examination.
Sincerely, Dr.
Chang Cheng-yeh, Director of the Urology Department, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/11/01

More Info


Experiencing urinary symptoms such as pain during urination, unusual discharge, or discomfort can be distressing and may indicate underlying medical issues that require attention. Based on your description, it seems you are dealing with a combination of symptoms that could be related to several conditions affecting the urinary tract or reproductive system.

Firstly, the presence of yellow liquid could suggest a few possibilities. If this discharge is occurring without any sexual activity, it might be related to nocturnal emissions (commonly known as "wet dreams"), which are normal physiological occurrences in males, especially during puberty and young adulthood. However, if this discharge is persistent and accompanied by pain, it could indicate an infection or inflammation.

Pain during urination, known as dysuria, can arise from various causes, including urinary tract infections (UTIs), sexually transmitted infections (STIs), or inflammation of the urethra (urethritis). In your case, since you mentioned that the pain occurs specifically when you urinate, it is essential to consider these possibilities. UTIs are particularly common and can cause symptoms such as a burning sensation during urination, frequent urges to urinate, and sometimes even lower abdominal pain.

Another potential cause of your symptoms could be prostatitis, which is inflammation of the prostate gland. This condition can lead to pain during urination, pelvic pain, and sometimes discharge. It can be acute or chronic, and the symptoms may vary in intensity.

Given the discomfort you are experiencing, it is crucial to seek medical attention. A healthcare provider will likely perform a thorough evaluation, which may include:
1. Urinalysis: This test can help identify the presence of bacteria, blood, or other abnormalities in your urine that could indicate an infection or other issues.

2. Culture Tests: If a UTI is suspected, a urine culture may be performed to determine the specific bacteria causing the infection and to identify the most effective antibiotics for treatment.

3. Physical Examination: A physical exam, including a genital examination, may be necessary to assess for any signs of infection or other abnormalities.

4. Additional Tests: Depending on the initial findings, further tests such as imaging studies (like an ultrasound) or referral to a urologist may be warranted to rule out more serious conditions.

In the meantime, here are some general recommendations to help alleviate your symptoms:
- Stay Hydrated: Drinking plenty of water can help flush out your urinary system and may reduce the concentration of irritants in your urine.

- Avoid Irritants: Certain foods and drinks, such as caffeine, alcohol, spicy foods, and artificial sweeteners, can irritate the bladder and worsen symptoms. It may be helpful to avoid these until you have a clearer understanding of your condition.

- Practice Good Hygiene: Maintaining proper hygiene can help prevent infections. Make sure to clean the genital area thoroughly and urinate after sexual activity to reduce the risk of UTIs.

- Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort, but consult with a healthcare provider before taking any medication.

In conclusion, while your symptoms may be concerning, they are not uncommon, and many conditions can be effectively treated with the right medical intervention. It is essential to consult a healthcare professional who can provide a proper diagnosis and treatment plan tailored to your specific situation. Do not hesitate to seek help, as early intervention can lead to better outcomes and relief from your symptoms.

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