Why do I have burning sensation and itching even after taking antibiotics for urinary infection?

Question

Hello doctor,

I am a 33 year old healthy male. Last month, I had an unfortunate sexual exposure (condom's head broke off). I quickly pulled out and washed the genital area with a bathing soap. After few days, I started having a slight itching sensation in the penis. I visited a urologist and he asked me to undergo urine routine and culture tests. The urine culture report did not show any bacterial growth, but the urine routine showed some abnormalities. I have attached those two reports. On subsequent visit, the doctor prescribed me a 10 day antibiotic course (Microdox LBX 100 mg) to be taken twice a day. In addition to that, he also asked me to wash the penis with Betadine Povidone-iodine solution twice a day. The antibiotic course got over two days back. But since then, I have been noticing a slight burning sensation after passing urine, especially during morning and afternoon hours. Today, there is a slight pain in the penis. I checked the area, but did not find any abnormality. Please help in resolving this issue.

Answer 1

Hello,

Welcome to icliniq.com.I have gone through your reports and I can understand your concern (attachment removed to protect patient identity).

The report you have mentioned clearly points towards urinary tract infection (UTI). Presence of RBCs, increased WBCs and epithelial cells clearly indicate UTI.

You have successfully completed the antibiotic course and in my opinion the infection has been resolved.

Even after successful treatment in UTI slight burning sensation during passage of urine can persist for some weeks.

I would advise you to increase the water intake, take at least 3-4 liters of water or fluids per day. This will help to clear the infection and will reduce burning sensation.

For some time you can use urine alkalizers like Alkacip syrup (Disodium hydrogen citrate). Take this liquid two teaspoons three times a day with water for five days. This would reduce the burning sensation.

Remain relaxed and the infection will get resolved. Get your tests repeated after two weeks.

Revert back with the reports to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist

Answer 2

Hi,

Welcome back to icliniq.com.

Do not forget to have plenty of water and citrus fruits. Also, take cranberry juice daily for early recovery.

Revert back to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist