Dr. Vaibhav Vishal
Urology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
I am a 20-year-old male who has caught chlamydia or gonorrhea most likely. I feel light burning when urinating, and I get small amounts of translucent/white discharge from my penis. I have gotten tested for gonorrhea and a lot of other sexually transmitted infections, and they all came negative. I did not get tested for chlamydia as the test was not available where I am. I have gone to a doctor, and I was prescribed - a 1g injection of Ceftriaxone, 1g of Azithromycin tablets, and 1g of Ciprofloxacin hydrochloride tablets. I took all of these 15 days ago. After five days, my symptoms did not improve, and the doctor told me to drink 1g of Azithromycin and have another 1g injection of Ceftriaxone. Ten days have passed since the second injection, and I still have my symptoms. Although the burning while urinating has reduced, the discharge has also reduced a little. I am scared because I feel like the pain while urinating has gotten a tiny bit worse from yesterday or two days ago, or at least it has not gotten any better. I contacted my doctor again, and he first said to repeat the antibiotics, and then he changed his mind and said maybe I should take Pyridium for two weeks instead. After that, I should repeat the antibiotics if I do not feel better. I do not like how he is unsure about his decision, and I wanted to consult a different doctor to see if you agree with my doctor's decision. I have a friend who is studying urology, and he told me that the usual treatment for chlamydia is a Doxycycline course for one week. I feel very stressed, and I do not know what I should do, who I should believe, and if I should be worried that the infection has not gotten away already.
Please help.
Hello,
Welcome to icliniq.com.
Firstly, the positive rate of all STD (sexually transmitted infections) investigations is low, so having negative reports does not mean that infection is not present. Both advice given to you regarding Doxycycline and Azithromycin is correct. Both regimens are used for treatment, and Ceftriaxone is used in injection form. These infections sometimes do take time to improve and have recurring nature also. You will need to repeat antibiotics if symptoms persist or reoccur. A prostate infection called prostatitis also presents similarly, and its treatment is also the same. Stress increases the symptoms of prostatitis, which may be true in your case. Since your burning and discharge have gone down, that is a good indication that the infection has subsided. The best way to tackle such infection is to do a urine and urethral discharge culture and start antibiotics according to the culture report.
Regards.
Patient's Query
Hi doctor,
Thank you very much for your response.
I think I will go with Doxycycline treatment and was wondering what kind of treatment plan would be best in my case, considering my weight and my situation. Also, does Doxycycline treat prostatitis?
Regards.
Hi,
Welcome to icliniq.com.
Yes, Doxycycline is used for the treatment of prostatitis. I suggest that whichever treatment you choose, always do it under the supervision of a local urologist. In adults, weight is usually not the criteria for deciding on treatment. It is very important to avoid all alcoholic beverages till you are on Doxycycline treatment.
Regards.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Urology
Related Questions
Vaginal or Penile White Discharge During and After Sex
What causes a burning sensation during urination other than UTI and STDs?
I have white discharge and a smell. Please help me out.
I have burning sensation during urination and defecation problems. Is this due to the unprotected sex?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
