Regarding pain during morning erections and the side effects of antibiotics for prostatitis?
Thank you, doctor, for your previous response.
Over the past two days, the symptoms of penile pain have slightly eased, but I still experience discomfort during morning erections, with high rigidity and a feeling of swelling pain that forces me to get up to use the restroom.
The symptoms only alleviate after it softens.
The rest of the time, I feel an improvement with minimal discomfort.
The appearance of the penis is normal, with no bruising or nodules; only slight discomfort is felt when pressing on the corpus cavernosum below the corona (compared to before).
Could you please clarify if, as you mentioned, this is due to excessive exercise or stimulation, will morning erections affect the recovery of the penis? Or is it normal to feel swelling pain during morning erections? Additionally, I would like to ask if it is normal to develop canker sores (3 to 4 at a time) and experience discomfort in the left abdomen after taking the prostate antibiotic Cravit, the pain reliever and anti-inflammatory medication Olfen (Diclofenac Na), and the stomach medication Losec (omeprazole) for two weeks? Thank you, doctor.
Kam, 20~29 year old female. Ask Date: 2012/04/12
Dr. Xu Weikai reply Urology
Kam: Hello, it seems that your bladder is overly full at night, which can lead to a very firm erection.
This can affect the ease of urination.
When the bladder is excessively distended along with an erection, it can cause muscle tension, and if this persists for a long time, it may result in pain.
The use of antibiotics can eliminate bacteria, but sometimes it can lead to fungal overgrowth.
It is recommended to consult with your physician and use some antifungal medications to treat oral lesions.
As for the discomfort in your left abdomen, a physical examination is necessary for a proper diagnosis.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan, who is concerned about your situation.
Reply Date: 2012/04/12
More Info
Morning erections, also known as nocturnal penile tumescence, are a normal physiological phenomenon that occurs during sleep, particularly during REM (Rapid Eye Movement) sleep. They are a sign of healthy blood flow and nerve function in the penis. However, experiencing pain during morning erections can be concerning and may indicate underlying issues.
From your description, it seems that you are experiencing discomfort during morning erections, characterized by high rigidity and a sensation of pressure or pain. This discomfort may be exacerbated by a full bladder, as the pressure from the bladder can lead to increased tension in the pelvic muscles and discomfort in the penis. When the erection occurs alongside a full bladder, it can create a situation where the muscles are tense, leading to pain. Once you relieve the pressure by urinating, the discomfort subsides, which suggests that the pain may be related to bladder distension rather than a primary penile issue.
Regarding your question about whether morning erections can affect penile recovery, it is important to note that while morning erections are normal, if they are consistently painful, it may be worth discussing with a healthcare provider. Persistent pain during erections could indicate conditions such as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, or other forms of penile trauma or inflammation. However, if the pain is intermittent and primarily associated with morning erections, it may not significantly hinder recovery.
As for the side effects of the medications you are taking, including the antibiotic Cravit (a fluoroquinolone), anti-inflammatory medication Olfen (Diclofenac), and Losec (Omeprazole), it is possible that these could contribute to your symptoms. Antibiotics can disrupt the balance of bacteria in the body, potentially leading to secondary infections such as oral thrush, which may explain the mouth sores you are experiencing. Additionally, nonsteroidal anti-inflammatory drugs (NSAIDs) like Diclofenac can cause gastrointestinal discomfort, which may manifest as abdominal pain. Omeprazole is generally well-tolerated, but it can also have side effects, including gastrointestinal disturbances.
If you are experiencing new symptoms such as mouth sores and abdominal discomfort after starting these medications, it is advisable to consult your healthcare provider. They may recommend a course of antifungal medication to address the mouth sores and evaluate whether the current medications are appropriate for your situation. It is also important to ensure that you are adequately hydrated and maintaining a balanced diet, as dehydration and poor nutrition can exacerbate gastrointestinal issues.
In summary, while morning erections are a normal occurrence, persistent pain during these erections warrants further evaluation. The symptoms you are experiencing may be related to a combination of factors, including bladder distension and potential side effects from your medications. It is crucial to maintain open communication with your healthcare provider to address these concerns and ensure appropriate management of your symptoms.
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