HomeAnswersUrologyurge to urinateI have an urge to urinate and a burning sensation. Please help.

What causes an urge to urinate and a burning sensation?

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Published At March 5, 2024
Reviewed AtMarch 7, 2024

Patient's Query

Hi doctor,

I had sex with a condom (80 % of wearing it on), and then I removed the condom and got oral sex without a condom. After four days, my penis felt smaller, soft, green-to-blue color in some parts of the penis head. I had an urge to pee, a burning sensation, and felt like I was gonna pee on myself. My urologist gave me three antibiotics: Az 500 mg for two days, Flagyl 500 mg (two pills a day for a week), Ubiprox 500 mg (two pills a day for three weeks), Veca 5 mg (one pill for a week), and Flotral 10 mg for 30 days. Now, it has been five days. I feel just a little better; blue and green colors are getting normal, and the urge to pee decreased, but burning sensation, especially when I take the pills. What is my problem, and what do I do?

Thank you.

Answered by Dr. Madhav Tiwari

Hello,

Welcome to icliniq.com.

I understand your concern.

From what you are describing, it seems to me that you have contracted an STI (sexually transmitted infection), which is causing urethritis (can be either gonococcal or non-gonococcal). I agree with the following tablets: Az (Azithromycin), Veca (Solifenacin), and Flotral (Alfuzosin). However, the other two are not standard practice for STIs. I would rather have you on 100 mg of Doxycycline twice a day for seven days. Please remember that this will take a couple of weeks to settle down. For now, my suggestions are:

1. Drink at least 0.79 liquid gallons of water per day.

2. Avoid sexual contact for at least a month. When you restart having intercourse, always use a condom, especially when with a new partner.

3. Drink a glass of lemon or cranberry juice for the next week or so.

4. For the burning sensation, which is due to the urethral inflammation, you can take 1 gram of Paracetamol twice a day for three days.

I hope all of this makes sense.

Please let me know if there is anything else I can help you with.

Regards.

Patient's Query

Hello doctor,

Thank you.

Can I stop Flagyl and Ubiprox now and start Doxycycline? How long it would take to go away completely? I started feeling the problem a week ago and started treatment the next day. After three days, I started Floctral. Is it normal that I feel like I am going to pee? I am also concerned about contracting HIV regarding my explained situation (oral sex after removing a condom that was 80 % worn on). I am waiting for your response.

Answered by Dr. Madhav Tiwari

Hello,

Welcome back to icliniq.com.

I read your queries and understand your concern.

Yes, you can stop the Flagyl (Metronidazole) and Ubiprox and start the Doxycycline for seven days. I would say it would take about 10 to 14 days for you to completely feel better. It varies from person to person. With regards to HIV (human immunodeficiency virus) and other viral infections, the risk of contracting those from oral sex is extremely negligible. However, if you are concerned, you can get tested after 90 days have passed.

Hope this helps.

Kind regards.

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

Dr. Madhav Tiwari
Dr. Madhav Tiwari

General Surgery

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