Q. I feel the urge to urinate, but passing only a little urine. Do I have an STD?

Answered by
Dr. Samer S J Altawil
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Aug 31, 2020

Hello doctor,

I am a 23-year-old male. For the past, 24 hours I have been experiencing an ongoing urge to urinate with a slight discomforting pain which feels near to the inside of the tip of the penis. When I do urinate, I only do small amounts, and being a volunteer fire fighter I know that the urine itself is not discolored or of bad odor. It does not hurt more when I urinate nor are there any other symptoms such as visible deformities or discoloration. I am married and my wife has been tested for STD's as well as my ex-partner from a couple of years ago. I have a history of yeast infection which lasted a week and was seen and treated by a doctor over a year and a half ago.

I am currently on allergy medicines Claritin and Flonase.

#

Hi,

Welcome to icliniq.com.

Your symptoms of frequency indicate inflammation or irritation to your bladder, prostate, or urethra, which we call as lower urinary tract. Inflammation can be secondary to an infection, and irritation can be due to stone at lower ureter or bladder. Previous history of yeast infection, which might recurred or have a bacterial infection.

Infection to urethra or prostate is common in male but inflammation in the bladder is uncommon. Proper investigations are required to reach the diagnosis. For test, you need urine culture (for separate samples one at the beginning of urinary stream, one at mid-stream, one at the end of stream, and one after ejaculation). You also need ultrasound KUB (kidney, ureter, and bladder) as well to detect if there is any other cause like a stone in the bladder or lower ureter.

For treatment, it must be started after giving samples for culture as it can affect the result. You can take Ciprofloxacin 500 mg twice daily for four weeks, but as soon as you get the results, you need a follow up as antibiotic might be changed or continued. Reduce caffeinated drinks and take the water of about 2.5 liters a day.

I had antibiotics for four weeks for chronic prostatitis.


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