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Urology (Expert Forum)
weird symptoms after exercise?
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
weird symptoms after exercise?
by Doug, Dec 29, 1999 12:00AM
I'm a 28 yr. old white male, in excellent shape and health. Lately, usually within about 10 minutes to several hours after I work out (lifting weights, and a little cardio usually 5-6 days/wk) I get these sharp, sudden pains that start either somewhere in my rectum or directly at the anus and seem to travel quickly down the length of my penis to the glans. They are sometimes so severe that I freeze where I am until they stop, which is in about 5-10 seconds. Also, about three times per week I have dull pain on both sides of my back (right where my ribs stop) that wakes me up at night. Then I can't get comfortable unless I get up and get a drink of water. Am I just dehydrated? What's with the penis/anal pain? If you could give me some insight, it would be cool, I'm spooked about going to a urologist and getting examined...
Doctor's Answer
by HFHS M.D.-BL, Dec 29, 1999 12:00AM
Dear Doug,
Kidney and ureter stones can cause back pain that radiates all the way down to the scrotum. Dehydration is certainly a risk factor for kidney stones, however, the pain associated with stones is often more severe than the back pain that you describe. Another process that needs to be explored in any patient that complains of vague pain in the perineum(the area between the scrotum and the rectum) is prostatitis. The symptoms of bacterial and non-bacterial prostatitis are very similar. Most patients complain of painful urination, increased frequency of urination, ill-defined pelvic or perineal discomfort, and pain with or after ejaculation.
After reviewing your symptoms, I feel that you would benefit greatly from a thorough history and physical exam from a physician. A physical exam, including a rectal exam, would be useful to either localize your symptoms to the prostate or to possibly find other reasons for your symptoms such as kidney stones. Your physician would most likely perform a urinalysis to screen for bacterial infection. After taking a careful sexual history, your physician may also deem screening tests for sexually transmitted diseases as necessary. There is no substitute for a complete history and exam by a skilled physician. Don’t delay seeing a physician for fear of the exam. The exam only lasts a few minutes, while your pain could last for years if not diagnosed and treated.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-BL
Kidney and ureter stones can cause back pain that radiates all the way down to the scrotum. Dehydration is certainly a risk factor for kidney stones, however, the pain associated with stones is often more severe than the back pain that you describe. Another process that needs to be explored in any patient that complains of vague pain in the perineum(the area between the scrotum and the rectum) is prostatitis. The symptoms of bacterial and non-bacterial prostatitis are very similar. Most patients complain of painful urination, increased frequency of urination, ill-defined pelvic or perineal discomfort, and pain with or after ejaculation.
After reviewing your symptoms, I feel that you would benefit greatly from a thorough history and physical exam from a physician. A physical exam, including a rectal exam, would be useful to either localize your symptoms to the prostate or to possibly find other reasons for your symptoms such as kidney stones. Your physician would most likely perform a urinalysis to screen for bacterial infection. After taking a careful sexual history, your physician may also deem screening tests for sexually transmitted diseases as necessary. There is no substitute for a complete history and exam by a skilled physician. Don’t delay seeing a physician for fear of the exam. The exam only lasts a few minutes, while your pain could last for years if not diagnosed and treated.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-BL
Member Comments (7)
by Doug, Dec 29, 1999 12:00AM
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by HFHS M.D.-BL, Dec 30, 1999 12:00AM
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by Doug, Dec 30, 1999 12:00AM
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by doug again..., Dec 30, 1999 12:00AM
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by sally smith, Apr 05, 2000 12:00AM
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by galactus, May 01, 2000 12:00AM
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by sally smith, May 01, 2000 12:00AM
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