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Hello Doctor: For the past few days, I've noticed some unusual changes at the tip of my glans (it feels slightly swollen).
It's not exactly painful, but I do experience a bit of a "burning sensation" when urinating (that's how people usually describe it).
Normally, there's no pain, but the sensation is quite noticeable during urination.
What could this symptom be? I'm quite worried about it (I have had sexual intercourse this month, but with a regular partner).
Xiao Kai, 20~29 year old female. Ask Date: 2009/04/06
Dr. Xu Weikai reply Urology
Xiao Kai: Hello, it sounds like you may have inflammation of the urethra or glans.
If there is a significant amount of discharge, it is likely a bacterial infection that requires specific treatment, such as a prescription for antibiotics.
If the symptoms persist, further tests on urine and blood may be necessary for diagnosis.
Recommendation: You can drink cranberry juice, about 500cc daily; it may have a beneficial effect if you have a urinary tract infection.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Dr.
Hsu Wei-Kai.
Reply Date: 2009/04/06
More Info
Urethral discomfort, particularly the burning sensation you are experiencing during urination, can be indicative of several underlying conditions. It's important to understand that while discomfort in the urethra can be alarming, it is often treatable once the underlying cause is identified. Here are some potential explanations for your symptoms:
1. Urinary Tract Infection (UTI): One of the most common causes of burning during urination is a urinary tract infection. UTIs occur when bacteria enter the urinary system, leading to inflammation and irritation. Symptoms may include a burning sensation, frequent urge to urinate, cloudy or strong-smelling urine, and sometimes lower abdominal pain.
2. Urethritis: This condition refers to inflammation of the urethra, which can be caused by infections (bacterial or viral) or irritants. Urethritis can result from sexually transmitted infections (STIs) such as chlamydia or gonorrhea, especially if you have had unprotected sexual contact. Symptoms typically include burning during urination and discharge from the urethra.
3. Balanitis: In men, inflammation of the glans (the head of the penis) can lead to discomfort and burning sensations. This condition can be caused by infections, poor hygiene, or irritants such as soaps or lotions. If you notice any redness, swelling, or discharge from the glans, it may be worth consulting a healthcare provider.
4. Allergic Reactions or Irritation: Sometimes, products such as soaps, lotions, or condoms can irritate the sensitive skin of the genital area, leading to discomfort. If you've recently changed any personal care products, consider whether they could be the cause.
5. Prostatitis: Inflammation of the prostate gland can also lead to discomfort during urination. Symptoms may include burning sensations, pelvic pain, and sometimes flu-like symptoms. This condition can be acute or chronic and may require medical evaluation.
6. Sexually Transmitted Infections (STIs): As mentioned earlier, STIs can cause urethral discomfort. If you have had sexual contact with a new partner or have any concerns about STIs, it is crucial to get tested.
Given your symptoms and recent sexual activity, it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a physical examination, urine tests, and possibly swabs to check for infections. Early diagnosis and treatment are essential to prevent complications and to alleviate your discomfort.
In the meantime, here are some general recommendations:
- Stay Hydrated: Drinking plenty of water can help flush out your urinary system and may alleviate some discomfort.
- Avoid Irritants: Refrain from using scented soaps, lotions, or other products that may irritate the genital area.
- Practice Safe Sex: Using condoms can help reduce the risk of STIs and may prevent irritation from bodily fluids.
- Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, fever, or changes in urine color or odor, and report these to your healthcare provider.
In conclusion, while urethral discomfort can be concerning, understanding the potential causes can help you take appropriate action. Seeking medical advice is the best course of action to ensure proper diagnosis and treatment.
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