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I get milky white discharge with pain in penis while urinating and passing stools?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 24-year-old male. I have an issue with similar symptoms of a UTI. And both times, I have gone to urgent care for it. I have got tested and treated for UIT and chlamydia. Both times I have tested negative. My symptoms are white milky discharge and pain in the penis while urinating and passing stools.

Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

For your symptoms of urethral discharge and pain in passing urine with increased frequency and urgency in the long term, treated with antibiotics and tested negative for STI twice, the most probable diagnosis is chronic prostatitis. Other possibilities, like bladder stones, are less likely. Chronic prostatitis can be bacterial or without bacteria, but both types respond well to antibiotics. For the diagnosis to be confirmed, please do the some tests which are, ultrasound KUB (kidney, ureter, and bladder), and semen for culture. Please follow up with the results to enable me to select your medications according to the culture results. Please note treatment for chronic prostatitis can take up to four to six weeks with antibiotics.

Patient's Query

Thank you doctor,

Does this make sense looking back at my diet? It seems the times I have had spicy food, alcohol, and caffeine, it has been far worse. I do not have a PCP yet, unfortunately, and my appointment with one is a few weeks away. What is the best thing I can do now until I can get proper testing and medication?

Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

If you do not have access to a laboratory or ultrasound, you can use tablet Ciprofloxacin 500 mg twice daily for four weeks. Then after the treatment is complete, you can do the tests. Treatment for this problem (chronic prostatitis) is sometimes challenging and requires follow-up.

Please keep me updated after your treatment and tests.

Medically reviewed by Dr. Vinodhini J.
Published At December 7, 2020
Reviewed At January 14, 2024

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

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