Painful Urination and Red Spots: Urological Symptoms

Painful urination with red spots?

Hello doctor, I have been experiencing sharp pain in my urethra when urinating over the past few days.
Additionally, I noticed two small red spots next to my penis while showering, resembling chickenpox.
There is also a sore area on the inner side of my foreskin with two spots.
It hurts when water touches it during showering.
What could these symptoms indicate, and how should I treat them?

Chen, 20~29 year old female. Ask Date: 2010/10/21

Dr. Zhang Chengye reply Urology

In response to the symptoms of urethral pain and blisters, it is important to first inquire about any risky sexual behavior.
If there has been no risky behavior, it is more likely to be eczema or dermatitis.
However, if there has been risky sexual behavior, it is advisable to seek medical evaluation at a hospital.

Reply Date: 2010/10/21

More Info

Experiencing painful urination and the presence of red spots can be concerning and may indicate an underlying urological condition. Based on the symptoms you've described, it is important to consider several potential causes and treatment options.

Possible Causes
1. Urinary Tract Infection (UTI): UTIs are common and can cause symptoms such as painful urination, urgency, and discomfort. While you may not have reported typical symptoms like frequent urination or unusual discharge, infections can sometimes present atypically.

2. Balanitis or Posthitis: Inflammation of the glans (balanitis) or the foreskin (posthitis) can lead to symptoms such as redness, swelling, and pain. This condition can be caused by infections, irritants, or poor hygiene.

3. Sexually Transmitted Infections (STIs): Certain STIs can cause painful urination and lesions or spots on the genital area. Conditions such as herpes or gonorrhea may present with similar symptoms.

4. Allergic Reactions or Irritation: Sometimes, irritation from soaps, lotions, or other products can lead to localized inflammation and pain.

5. Dermatological Conditions: Skin conditions such as eczema or psoriasis can also affect the genital area, leading to discomfort and visible lesions.

Recommended Actions
1. Consult a Healthcare Provider: It is crucial to see a healthcare professional, preferably a urologist, for a thorough examination. They may perform a physical examination and recommend tests such as urinalysis, urine culture, or swabs of the affected area to determine the exact cause of your symptoms.

2. Avoid Irritants: Until you can see a doctor, avoid using any potential irritants on the affected area, including scented soaps, lotions, or other topical products.

3. Maintain Hygiene: Keep the area clean and dry. Gentle washing with mild soap and water can help, but avoid scrubbing the area harshly.

4. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate discomfort. However, consult your doctor before taking any medication, especially if you have other health conditions or are taking other medications.

5. Hydration: Drink plenty of fluids to help flush out your urinary system, which may alleviate some discomfort associated with urination.

6. Avoid Sexual Activity: Until you have a clear diagnosis, it may be wise to refrain from sexual activity to prevent further irritation or potential transmission of an infection.

Recovery Time
The recovery time will depend on the underlying cause of your symptoms. If it is a simple infection, treatment with antibiotics may lead to improvement within a few days. However, if the condition is more complex, such as an STI or a chronic dermatological issue, it may take longer to resolve.

Conclusion
In summary, painful urination and the appearance of red spots are symptoms that warrant medical attention. It is essential to seek a professional evaluation to determine the underlying cause and appropriate treatment. Early intervention can lead to better outcomes and prevent complications. Remember to communicate openly with your healthcare provider about all your symptoms and any concerns you may have.

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