Dr. Saurabh Subhash Pandya
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.
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Patient's Query
Hello doctor,
About three weeks ago, my wife noticed a blood stain on my underwear while she was doing the laundry. I was surprised because I did not feel pain or any burning sensation. A week later I noticed this but I thought it was the old underwear my wife found. Recently I noticed blood in my underwear, and on the tip of my penis, while changing dress after morning exercise. It probably happens during my daily 60 minutes walk on the treadmill. And I do not know if this has anything to do with it. Sometimes I noticed I have slight pain on my penis, and this morning during my drive I noticed a mild burning sensation. Kindly give your opinion about this.
Hello,
Welcome to icliniq.com.
I would like you to get urine routine test, urine cultures creat, RBS (random blood sugar), CBC (complete blood count), USG (ultrasound), KUB (kidney, ureter, and bladder) plus prostate done. Possibilities are, blood in the semen, blood in urine due to infection or stone disease etc, and exercise-induced hematuria. Blood in semen may occur due to swelling or stones in semen tube, and this can be treated with a course of antibiotics and anti-inflammatory. Urine infection needs a course of antibiotics. Exercise-induced bleeding is usually benign and may not need any treatment. You can get the above tests done and get back with reports. Till then start, tablet Oflox 600 mg (Ofloxacin) once daily, tablet Enzoflam (Diclofenac, Paracetamol) twice daily after food, and tablet Pantocid (Pantoprazole) 40 mg once daily before breakfast. All medicines for five days until the culture report comes.
Take care.
Patient's Query
Thank you doctor,
I have attached all my recent test results. I did the urine test today, and the other tests were done two months ago.
Hello,
Welcome back to icliniq.com.
I have seen your reports (attachment removed to protect patient identity). Most are fine, except low vitamin D. We still need USG, KUB plus prostate. Till then you can start the above medications. Continue for about seven days and let me know.
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Urology
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