After unprotected sex, I have frequent problems like urinary tract infection, shoulder pain, neck tightness, stomach ache, flatulence, and diarrhea. Why?

Q. How can I manage my frequent problems of urinary tract infection, shoulder pain, neck tightness, stomach ache, flatulence, and diarrhea after unprotected sex?

Answered by
Dr. Rajesh Kumar Bansari
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 29, 2022 and last reviewed on: Sep 10, 2023

Hello doctor,

I am a 26-year-old young man. I am 5 feet 6 inches tall and 145 lbs. I will try to summarize my case and give you the clearest overview of my symptoms.

I contracted a urinary tract infection from unprotected sex. This was treated with antibiotics. A few weeks later, I coughed a lot without fever. My ribs became painful with electric shocks. I also had neck tightness and pain in my shoulder blades. I was treated first with Azithromycin and then with Levofloxacin. The throat swab showed a gram-negative infection.

My shoulders and shoulder blades are still painful one month later. And my ribs still hurt. The pain is, however, moderate. For about a week, I have had a stomach ache with flatulence and an embarrassing feeling of heaviness. I happen to have hiccups and gastric reflux. I sometimes have difficulty defecating with diarrhea. Yesterday, after a meal, I went to the bathroom, and my excrement was smelly and greasy. I am a little disgusted with food and have reduced my meals. My stomach also growls continuously, including after meals. The heaviness of the belly is at the bottom. I always have these pains in the sides, especially on the right side. I am very worried about my symptoms and do not know what to do anymore. I consulted a doctor who told me that my pain was linked to my scoliotic attitude and that I needed insoles. I made an appointment with a gastroenterologist because this explanation seems light. While waiting for the appointment, I ask you to please help me and tell me if you think it is serious.



Welcome to

I have reviewed your concern. Due to back to back infection, you had to take multiple antibiotics that have caused you antibiotics associated colitis. You also have aggravation of previous indigestion and reflux problems.

I would recommend:

  • Capsule Esomeprazole (proton pump inhibitor) 40 mg - one in the morning before breakfast for four weeks.
  • Tablet Domperidone (antiemetic) 10 mg - thrice daily in the morning, afternoon, and night before meal.
  • Tablet Flagyl (antibiotic) 500 mg thrice daily for seven days.
  • Tablet No-Spa (Drotaverin) 40 mg thrice daily for seven days.

You will feel great, if it still does not settle then let me know. We will go for investigations.

Hello doctor,

Thank you for the reply.

I now have daily diarrhea in the morning with sometimes significant water emissions. Most of the time, it is soft and sometimes accompanied by fats or oils. I could not get the recommended medications because I had to wait for a prescription. I forgot to tell you that a doctor initially gave me laxatives for constipation, but these only worsened the problem. I went to the bathroom every morning and had a watery stool. I am attaching a photograph on this subject, which worried me greatly at the time. I consume a lot of vegetables and fruits at the moment. Should I reduce my intake?

To summarize, the symptoms are:

  1. Urgent feeling of having to go to the bathroom several times a day.
  2. Loose stools or diarrhea.
  3. Stomach pain, especially after eating. I am also very stressed and afraid of having a severe illness.


Welcome back to

Apparently, it does not sound like any serious issue from your symptoms. But for evaluation, you need further lab tests. If you are not able to take medicines, then let me know.

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