Painful Urination: Symptoms and Seeking Treatment

Pain during urination?

It has been almost a week since the onset of symptoms.
On the first day, I experienced pain during urination, but there were no visible abnormalities on the penis (I have already seen a doctor and received medication).
On the second day, I noticed two small white spots under the glans, which appeared to be ulcers but were neither painful nor itchy (I started applying ointment from the clinic).
The third day was the same.
On the fourth day, I went to Mackay Memorial Hospital for blood tests (waiting for results).
After showering at home, I discovered multiple red spots under the glans, and I also developed a small itchy blister-like bump on my thumb (currently not very noticeable).
Sometimes I feel the urge to urinate but can only pass a small amount.
What could be the cause of these symptoms?

sushi, 20~29 year old female. Ask Date: 2012/02/04

Dr. Xu Weikai reply Urology

Hello, it's difficult to determine.
It should be a localized infection, possibly bacterial or viral (herpes).
It is recommended to perform a urine culture and then provide appropriate medication based on the culture report.
If there are any unclear points, feel free to ask again for further discussion and research.
Answers from the internet should only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/02/04

More Info

Painful urination, also known as dysuria, can be a distressing symptom that may arise from various underlying conditions. In your case, the progression of symptoms over the past week, including pain during urination, the appearance of white spots on the glans, and the development of red spots, suggests a possible infection or inflammatory condition affecting the urinary tract or genital area.

Possible Causes of Your Symptoms
1. Urinary Tract Infection (UTI): UTIs are common causes of painful urination and can lead to symptoms such as urgency, frequency, and discomfort during urination. While UTIs typically present with a burning sensation, they can also cause localized pain.

2. Sexually Transmitted Infections (STIs): Conditions such as herpes, gonorrhea, or chlamydia can cause painful urination and lesions on the genital area. The presence of white spots or ulcers on the glans could indicate a herpes outbreak or another STI.

3. Balanitis: This is an inflammation of the glans penis, often caused by infections, irritants, or poor hygiene. Symptoms can include redness, swelling, and pain, along with the development of sores or spots.

4. Allergic Reaction or Irritation: Sometimes, irritation from soaps, lotions, or other products can lead to symptoms similar to those you are experiencing.
5. Dermatological Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to red spots and discomfort.

Recommended Actions
1. Follow-Up with Healthcare Provider: Since you have already sought medical attention, it is crucial to follow up with your healthcare provider regarding the blood test results. They may recommend further tests, such as urine cultures or STI screenings, to identify the underlying cause.

2. Avoid Irritants: Until you have a clearer diagnosis, avoid using any new soaps, lotions, or other products that may irritate the genital area. Stick to mild, unscented products.

3. Maintain Hygiene: Keep the area clean and dry. Gentle washing with water and mild soap can help prevent further irritation.

4. Symptomatic Relief: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort. However, consult your healthcare provider before taking any new medications.

5. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, fever, or the development of new lesions. This information will be helpful for your healthcare provider.

Conclusion
Painful urination can stem from various causes, and it is essential to identify the underlying issue to receive appropriate treatment. Given the complexity of your symptoms, including the appearance of lesions and changes in urination, it is advisable to continue working closely with your healthcare provider. They can provide a definitive diagnosis and tailor a treatment plan to address your specific condition. If symptoms worsen or new symptoms arise, do not hesitate to seek immediate medical attention.

Similar Q&A

Understanding Kidney and Bladder Issues: Seeking Clarity on Symptoms

Hello, on July 2nd, I woke up from a nap in my office and suddenly had to use the restroom over twenty times that afternoon. I experienced significant pain in my genital area, with a sensation of wounds and bleeding. Even after urinating, I still felt the urge to go. The next day...

Dr. Song Zhixian reply Urology
Acute cystitis is characterized by symptoms such as bladder pain, painful urination, and increased frequency of urination. In more severe cases, hematuria may occur. The condition is commonly caused by Escherichia coli and can be treated with oral antibiotics. Holding urine and s...

Frequent Urination: Understanding Symptoms and Treatment Options

Hello Doctor, I have been experiencing frequent urination for the past month. I haven't been drinking much water, yet I feel the urge to go to the bathroom multiple times during a class. After a doctor's examination, I was diagnosed with a mild urinary tract infection, ...

Dr. Lai Ronghao reply Urology
Please seek treatment at the urology outpatient clinic as soon as possible.

Understanding Urinary Urgency: Causes of Painful Inability to Urinate

Experiencing discomfort in the penis along with a strong urge to urinate but being unable to do so, or only being able to pass a few drops, can be indicative of several conditions. This situation may be related to urinary retention, which can occur due to an obstruction in the ur...

Dr. Liu Jianting reply Urology
If you're feeling unwell and experiencing a stabbing pain, it could be a urinary tract infection. I recommend visiting a hospital to consult with a urologist for an examination.

Understanding Painful Urination: Causes and When to Seek Help

Hello, regarding the feeling of tightness and pain when straining to urinate (P.S. urine is able to flow), the response from Dr. Lai Rong-Hao, a urologist, suggests: Hello, it may be due to a urinary tract infection or urethritis. It is best to visit a urology clinic for an exami...

Dr. Lai Ronghao reply Urology
Hello: Let's observe for a while. Remember to drink plenty of water. If the condition does not improve, you must seek medical attention to avoid delaying treatment.