What could cause streaks of blood in urine?
Hi doctor,
I need your help as I am worried sick and it is affecting me mentally now that something serious is wrong with me. Seven months ago I began experiencing pain on my left side. I went to my doctor who said it was just muscle pain. The pain went on and got a lot worse. Four weeks I went to the toilet and I noticed I was peeing fresh blood the doctor gave me Trimethoprim for three days which did not help as my urine was still showing high leukocytes and blood so she gave me Ciprofloxacin 500 mg for seven days and there is still blood showing up in the dip stick tests.
My doctor has ordered me a CT scan to look for kidney stones but with this world virus, I am not going to get my appointment anytime soon as we are in lockdown. My urine looks clear now but I have noticed today there are streaks of blood in it now and I am terrified incase I have cancer. I am still getting a stingy pain onmy left side which comes and goes and sometimes shooting pain. I have multiple sclerosis also and I took my treatment of immunosuppressants in the last five weeks. I am honestly going out my mind with worry incase this is cancer. I am worried about the streaks of blood when I urinate as this has been going on for about four weeks now it clears then it comes back again.
09 May 2024 - 1 min read
What could be the cause of brown spots in the foreskin?
Hello doctor,
I would like to get a second opinion and ask a few more questions regarding the condition that I have on my foreskin. I am 43 years old and I have two brown spots on my foreskin. They are there for about one to two years, possibly longer. They do not itch, or bleed, or change in size. Only the one is closer to the glans is possibly getting a bit lighter. Can you please have a look at the photos and opinion of a dermatologist. They suggest that it could be condyloma, bowenoid papulosis, or seborrheic keratosis. As I mentioned, when I was younger I went to visit a urologist and they told me that I have a mild case of phimosis. I do not have any issues in maintaining hygiene, or having sex, except sometimes if my foreskin stretches and it is dry, I feel a bit of pain and discomfort.
What I would like to add is that I am straight and married for the past eight years and in those eight years I only had sex with my wife, not sure how long is the maximum incubation of condyloma, or papulosis and does it exclude it. Also, it mentions that condyloma is cauliflower shape, which I am not sure about these spots, one closer to glans is totally flat and the other one that has a shape of a mole is slightly above the skin, but I cannot say it is cauliflower shaped. Could you please let me know do you agree with your colleagues opinion? I am very cancerophobic (if that is even a word for a person who is generally scared of cancers, so my main concern is to rule out that option). I am currently away from home and cannot go visit urologist in person for at least two months.
18 Apr 2024 - 1 min read
How to manage the burning sensation in the penis?
Hello doctor,
I have a burning sensation in the penis for the last 20 days. For the first seven days, I took Terbinafine tablet and Candid cream. The next seven days I took Oflomac 400, Afdura, and Urispas. But the burning sensation is still there. I also have a little bit of swelling in the glans penis for the past 17 days. Ultrasound report shows, mild urinary bladder wall thickness with insignificant PVRU, urine culture - no aerobic pyogenic grown, urine R/E - Pus cells - 0-1, WBC/hpf, Epithelial - 0-1 Epi Cells/hpf, RBC - 4.36, MCH - 33.6, monocytes - 10.4, basophils - 0.00MPV - 12.5, and sugar and creatinine - normal.
18 Apr 2024 - 1 min read
What is the treatment of tunica albuginea cyst?
Hello doctor,
I have testicular pain in the right testis. I consulted with a primary care doctor. They gave me an ultrasound which came out negative. But revealed tiny right tunica albuginea cyst. I am covered under VA health care and the urologist consultation has taken months with no follow-up. Meanwhile, I have a dull aching pain there and poor sexual performance from time to time. When I had a climax or orgasm it is very weak, uncomfortable, low volume, and unsatisfying. When at the peak I feel the dull aching and pressure in the right testis (then feel the above results). Can you help me figure out what is going on and how to fix it? I am embarrassed to talk with VA doctors of fear they would know what to do. I also have Kaiser but the doctor is new.
17 Apr 2024 - 1 min read
What causes penis dryness after stopping steroid cream?
Hi doctor,
I am experiencing dryness on the head of my penis and it seems to be not self-lubricating. If I do not put any lubricate on the head of my penis it will become dry and there is a stinging pain. For the last four months, I have been applying steroid cream to the head of my penis as well as the foreskin to treat it for phimosis. I have stopped using the cream for a few days now and I am still having the dryness. I have seen a few doctors and they said it is a side effect of the steroid cream. I wanted to get your opinion on this matter and to know what I can do to help fix it.
17 Apr 2024 - 1 min read
Urology