Urethral Infection

Urinary tract infection which occurs in the urethra results in urethritis or urethral infection. It is highly prevalent in women and is most commonly due to bacterial infections like Escherichia coli. Painful and frequent urination, abdominal pain, nocturnal urination, urinary incontinence, and cloudy and foul-smelling urine are the signs of urethritis. Urinalysis and urine culture help in diagnosing urethritis. Antibiotics are the first line of treatment for urethritis which, if left untreated, can lead to chronic kidney dysfunctions.

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Despite taking multiple medications, the redness and swelling in my urethral opening are still present. Why?

Query: Hello doctor, I have had redness and swelling in the urethral opening for one month. I have been prescribed Doxycycline, Azithromycin, Ceftriaxone, and two anti-fungal creams to help, but none have worked. I had unprotected sex once, but all my tests (STD and HIV), as well as hers, came back negat...  Read Full »

Dr. Samer S J Altawil

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. I have reviewed the attached images (attachments removed to protect the patient's identity). The redness and swelling are likely allergic and not related to infections. Allergy from products you use cause itchiness and ...  Read Full »

I have a urethral sore after sex with a sex worker, and I tested negative for STI. Should I be concerned?

Query: Hi doctor, I am a 30-year-old male weighing 85 kilograms, non-smoker, with no relevant clinical history. I saw a sex worker about a week and a half ago. She slide her vagina on my penis for a few minutes each. A couple of days later, my urethra is sore, and I have pain in my perineum and a fever. I ...  Read Full »

Dr. Basuki Nath Bhagat

Answer: Hello sir, Welcome to icliniq.com. I have read your query, and I am sorry for such discomfort. You have mentioned a complaint of a sore urethra after sexual exposure. 1) Do you have any mild fever? 2) Any difficulty in micturition? 3) Any discharge from the penile tip? 4) Any pain in the pe...  Read Full »

I am a 34-year-old male with a penile infection and a green discharge from my penis. Kindly help.

Query: Hello doctor, I am a 34-year-old male. I have a penile infection with a green discharge coming out of my penis. Kindly help. Thank you.   Read Full »

Dr. Philile Donna Hlengwa

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Please answer the following questions. 1. How often have you had sexual intercourse over the past two weeks? 2. Do you had sex with multiple partners? 3. Have you used protection at all times? I suggest you take the follow...  Read Full »

How to treat UTI with cloudy urine and painful urination?

Query: Hi doctor, I am a 41-year-old female. I have UTI symptoms since Monday, about four days now. I have cloudy urine with strong smell and stinging pain while urinating. I do not want to go to the hospital due to the risk of COVID-19. I am currently on 10 mg Imidapril for hypertension. Please help.  Read Full »

Dr. Reetika Joshi

Answer: Hello, Welcome to icliniq.com. I fully understand your concern and will surely help you. It is indeed an intelligent choice to avoid hospital in view of COVID-19. The symptoms as you have told are cloudy urine, strong smell and pain during urination which you have told are of UTI (urinary tract i...  Read Full »

I have a few painful, acne-type small skin color dots inside my urethral opening. Kindly help.

Query: Hello doctor, I have a few acne-type small skin color dots inside my urethral opening, which have been causing pain for the last three months. It started with masturbation when I went to pee. After a few minutes, the underwear was stuck with precum inside the pee hole. So I pulled it out, and it sta...  Read Full »

Dr. Saurabh Subhash Pandya

Answer: Hello, Welcome to icliniq.com. Thank you for your query. If available, you can get the NAAT (nucleic acid amplification test) test for mycoplasma and ureaplasma. However, these viruses may cause urine tube infections and may not be easily detectable. I suggest you do a seven day course of capsul...  Read Full »

Why are my UTI and urethral itching not improving with any antibiotics?

Query: Hello doctor, I am a 27-year-old male, and I used to have a recurrent UTI. For the past two months, my urethra is constantly itching. I did a kidney function test, and my uric acid was high. My urine culture test shows bacterial culture. I was prescribed antibiotics and antifungals, but nothing imp...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Your description states that you have an infection that does not respond to antibiotics or antifungals. The reason is either the infection is in the prostate, or a proper antibiotic is not given. Antibiotics should be prescribed according to the organism's sensitivi...  Read Full »

Why do I have a burning sensation on the lower side of my penis and the tip of the urethra despite testing negative for urinary tract infections?

Query: Hello doctor, I am having burning sensation in the tip of the urethra and the lower side of the penis that keeps on coming and going. I have undergone UTI (urinary tract infections) test. I did not notice any discharge or change in the color of the penis or urine.  Read Full »

Dr. Samer S J Altawil

Answer: Hello, Welcome to icliniq.com. I think you have chronic prostatitis with inflammation of the prostate gland. I suggest you take the tablet Tamsulosine 0.4 mg once at night for 30 days and the tablet Ciprofloxacin 500 mg twice daily for 28 days (consult a specialist doctor, talk with him or her, an...  Read Full »

I have problem while peeing from yesterday. How to manage it?

Query: Hello doctor, I am an 18 year old male, and I have a problem while peeing from yesterday. It feels heavy under my stomach, just below my penis. Every time I try to pee, I cannot, and I have to push in order to do so. I drank an entire bottle of water today. Normally, I would be able to pee after a...  Read Full »

Dr. Sandip Dinkar Sanap

Answer: Hello, Welcome to icliniq.com. Difficulty in urination in a young individual is generally obstruction at bladder neck due to infection of the urinary bladder, prostate inflammation or muscle spasms. A final diagnosis can be made on thorough examination, blood, and ultrasound examination. Blood tests...  Read Full »

What does an itchy penis mean?

Query: Hello doctor, I am 18-years-old, and the tip of my penis is itching for the past three days. It does not hurt, not red or swollen, but I could feel a leak while walking. Also, I have not been sexually active for about a month. Can you help? Thanks.  Read Full »

Dr. Vaibhav Vishal

Answer: Hello, Welcome to icliniq.com. Your symptoms are suggestive of mild infection of the urethra (urine tube). Sometimes, even the passage of a small stone in urine can create a minor internal injury at the urethral tip that causes irritation and itching. The best solution is to get a physical examin...  Read Full »

Does urinating after sexual intercourse prevent UTI?

Query: Hi doctor, I am 29 years female. I do not smoke or drink. My weight is 203 lbs. I have recurring UTIs for two months. It started when I did not pee after sex. My symptoms improve on taking antibiotics but return whenever they are discontinued. A urologist suggested a cystoscopy and urodynamics, whi...  Read Full »

Dr. Shahil Khant

Answer: Hello, Welcome to icliniq.com. Relax and do not worry. This issue is very common in young females of your age, so nothing to worry about. I have some questions for you. Have you done a urine test? Does it happen only after having sex? I think cystoscopy or urodynamic study is not require...  Read Full »

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