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physical irritation?

Can you give yourself some sort of NGU by constantly checking for discharge?  Like if my hands were dirty or something?  Or irritation by pulling it out and twisting it to look? Or milking or squeezing it?

I'm guessing I'm asking if you can introduce bacteria.  Or if physical damage from squeezing can cause white blood cells to be present.

My earlier posts have more of my history.  I've had numerous clean UAs and tested negative for chlamydia and gon, but my "discharge" recently re-occured.  I got some testing strips which showed positive for WBC.

Thanks
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Avatar universal
Sorry Grace, I did not mean to tag you on the previous post.  Thank you for all the help you have been.  I mainly posted it as an update, in case someone does read this.  The strep they found was beta hemolytic group B, which, as I understand, is fairly common and you can be "colonized" without having an infection.  It is not considered an STD.
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101028 tn?1419603004
that is something to be discussing with your doctor if you doubt their advice.
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Avatar universal
Finally got a gram stain from my doc.  He said no WBCs were found.  They cultured the same swab and said that strep grew, but was most likely contamination?
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101028 tn?1419603004
if you are still having symptoms, you should be following up regularly with an urologist. really not much we can help you with at this point with your issues.

grace
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Avatar universal
I'd welcome any other opinions, but I totally understand, thanks!
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Avatar universal
I see what you're saying, but I don't think this relates to you.  I think the test strips your used were not reliable indicators of infection.  From everything I've read the only true way to verify the precense of infection and high WBC counts is through mircoscopy, either or urine or a Gram Stain of a swab.  And even then, some infection is missed, and later picked up in more sensitive tests such as NAAT tests or culture.  

However, based on your case and symptoms, it doesn't sound like there is infection going on. If you were having colored discharge or stains in the underwear, then you should be concerned, but this doesn't sound like it's the case.  

Also, there are cases where a discharge could be caused by too much milking, squeezing and manipulation.  While masterbating the penis is errect and the urethra has more protection, but when it's limp and you're constantly twisting and squeezing, and such, then you could cause some irritation to the urethra.  Again, you symptoms do not sound like this is the case with you.  
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Avatar universal
From wikipedia:

Inflammation (Latin, inflammare, to set on fire) is part of the complex biological response of vascular tissues to harmful stimuli, such as pathogens, damaged cells, or irritants.[1] Inflammation is a protective attempt by the organism to remove the injurious stimuli and to initiate the healing process. Inflammation is not a synonym for infection, even in cases where inflammation is caused by infection.

Leads me to think there cold be other causes of inflammation...like too much looking and squeezing.
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Avatar universal
I've got to come back to this again, since I'm having issues again with no exposures.  Putting aside possible introduction of bacteria into the urethra from manipulation or masturbation, is it possible for a lot of manipulation and some squeezing to cause sings of inflammation (i.e. WBC).  For instance, when someone takes anti-inflammatories to get rid of a headache, or back ache, bacteria is not the cause of these...but they can still be caused by inflammation.  I hope you know what I am trying to say.  Thanks for your consideration.
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101028 tn?1419603004
the purpose of the strips he is using at home isn't to look for std's. they should be done clean catch otherwise he will get false positives like he is throughout the day.
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Avatar universal
Big - That's why I said the strips are unreliable.  What do those terms mean?  How do you interperet them?  The only way to know if WBC's are an issue is to get a count via microscope.  The UA without scope will show signs of WBC then they do a count with a scope.  I'm sure you know this already but that's why I said the strips aren't good.  

Also, milking and squeezing will not cause WBC's to be present.  They are present when fighting infection.  Unless you really damaged your urethra, like cut it or something like that, you will not get WBC's.  

With discharge I know it's difficult to move on.  A sign like that ensures that it's constantly on your mind.  However, you have clear discharge, so you shouldn't worry about it and try to move on.  Don't constantly check yourself, it will keep making the fixating worse.  

3 weeks of Moxi is a long time.  Be careful with that stuff.  The recommendation for persistent NGU is 10 days.  You may want to reconsider the 3 weeks (bad side effects!!)

Grace -  the clean catch is a common mistake that health professionals make.  The most accurate way to diagnose NGU is first catch.  This will show a presence of WBC's in the urethra.  Clean catch will determine if there is infection in the bladder, as WBC's in the urethra will get flushed out by the initial urine.  Dr. HHH and Hook also suggest a first catch in diagnosing STD's.  
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101028 tn?1419603004
actually to do them right you should be wiping off your penis with soap and water then urinating a little, stopping and then urinating either into a clean cup to dip the stick in or urinating on the stick. then you have to dab it off and wait.

talk therapy is much better than popping a pill a day though of course it's time consuming and expensive since insurance companies seem to think it's not important to pay for.  It's well worth to talk to someone and learn how to cope better with anxiety provoking issues as well as working through any underlying issues that caused you to have the encounters you did in the first place.  
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Avatar universal
I have not spoken to a professional about all this.  My doctor did put me on celexa though, which seems to help some.  The only professionals that I have talked to have been the urologists.  Both tell me that I don't have NGU.  Though the first one told me my urine was fine, even though my WBC count was 7.

I'm pretty sure I'm doing the dips properly, there is not much to it.  You just urinate on it and wait two minutes.  They don't quantify anything though.  No real way of telling what "trace" means.  No real way of knowing what "positive" means.  There are three different shades of color that mean positive...is seems to be a scale.  Mine read on the lowest positive.

I'm trying to move on.  I really am.  Since December, I've had 2 or so weeks of Cipro and well over 30 days of levaquin.  I just started 3 weeks of moxifloxacin.

Do you have any idea if lots of manipulation and squeezing to check could damage the urethra causing the presence of WBC as a sign of healing?
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101028 tn?1419603004
unless you are doing the urine dips properly, the wbc is most likely nothing to worry about.

have you talked to a professional about your anxiety about all of this?
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Avatar universal
No, no real other symptoms.  No dysuria.

I know I'm doing myself a disfavor.  My anxiety gets the best of me.  This all started with a few oral exposures outside my marriage in late October and early November.

I just don't understand a discharge that comes and goes.  And why I've never really been positive for WBC until now.
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Avatar universal
Persistent NGU could be presnet without dysuria.  In fact, dysuria isn't a symptom in a lot of NGU cases.  

BigWreck - what you're describing doesn't sound like NGU.  Clear watery discharge isn't an issue, but colored discharge is.  Again, are there any other symptoms other than the discharge?  
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101028 tn?1419603004
well certainly stop squeezing dear!!  you have to be kind to the lil guy!!!  

clear discharge isn't an issue.

urine dip sticks are accurate if you are using them properly but really you are doing yourself a disfavor by dipping your urine all day long!!  Unless it hurts to pee, and I mean HURTS, don't worry about what is going on at this point.
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Avatar universal
Do you have any other symptoms?  
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Avatar universal
Sorry Grace.  I will comply in the future.

Follow up to my earlier posts was that I saw a second urologist on 6-1.  Clean UA, examination detected nothing wrong.  Prostate seemed fine too.  The visit was on one of my good days where things felt ok, discharge not present.

I went to the second urologist for an attempt at more help than the first one provided.  I had already seen him once with a brief exam and a clean UA.  Again, on one of the "good" days.  I had some prostate area tingling and other stuff a few weeks after seeing the 1st urologist.  I submitted a urine sample for another UA and a culture, one done first thing in the morning.  They told me everything was normal and I don't have a urologic issue.

Problem is when I went to the 2nd urologist. The WBC count was actually 7. Which worried me that the 1st urologist didn't see this as anything.  Culture was neg.  This was the 7th or so UA I have had since January and all the others have been zero.  Back at zero a month or so later at the 2nd urologist.

Woke up this sunday to a slight discharge.  Mostly clear, could have been normal night time stuff.  Still made me nervous and get back in the habit of checking all the time and squeezing.  Clear, watery discharge (would get sucked up by touching it to toilet paper) present from time to time.  Got test strips.  Would be "trace" wbc during day, positive in the morning.

Discharge stopped Thursday and still gone.

I really can't explain it.
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Avatar universal
I wouldn't trust the testing strips.  They aren't that accurate.  The best thing to do is go back to your doctor and have them do a microscopic analysis of first void unrine to looks for leukocyte estrase.  Or a urethral smear.  This is per CDC guidelines.  

In addition, what color is your discharge?  
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101028 tn?1419603004
it's most helpful when you just keep adding to your original post instead of making new ones each time. thank you for your future cooperation with this.

yes you can transfer bacteria from your hands into your urogenital tract with manipulation and masturbation.

did they check your prostate?

grace
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