Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum.  ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Urology  (Expert Forum)
 | 
Discolored semen, fever, chills, penis discomfort
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.

Discolored semen, fever, chills, penis discomfort

by Mike12345, Aug 24, 2003 12:00AM
HI,
I had received oral sex about 60 days ago and have seemed to have developed a prostate infection. The symptoms began approximately 49 days later with a low grade fever, chills, and about a week later I developed a slight burning sensation after urination, I have also developed a sore lower back and kidney pain. I did see yellow clumps in my ejaculate however I have had no penile discharge or other symptoms to indicate Chlamydia or gonorrhea. Is it possible to develop a urinary tract infection without having any discharge where there is a definite discoloration in my ejaculate? Other symptoms I am having with a possibly non- related issue are black stools and frequent bowel movements; this actually began just prior to other indicated symptoms. I should note that I am also on several medications at this time including fosomax, testosterone and an antacid. Is it likely that this infection is related to the sexual encounter? Or do the symptoms point elsewhere.
Thanks
Mike

by Kevin Pho, MD, Aug 27, 2003 12:00AM
Your symptoms may certainly be due to a prostate infection.  Unfortunately, they can be notoriously difficult to treat.  

To answer your question, it is definitely possible to have a urinary tract infection without any overt discharge.

One of the more useful tests would be a prostatic massage which could exude prostate secretions which can be cultured.  Appropriate antibiotic treatment can last from 4-12 months.  

I would also recommend a prostate ultrasound to look for a prostatic abscess if antibiotics are not helpful.  

Regarding the black stools - they may be secondary to an upper GI bleed - I would have this looked at by your physician for a possible endoscopy.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
Continue discussion
RSS Expert Activity
When Your Cold Is Not A Cold
Dec 09 by Steven Y Park, MD
Cataract, Removal, Artificial Lens,...
Dec 08 by Jim Humphries, B.S., D.V.M.
7 Ways to Reduce Stress During the ...
Dec 07 by Steven Y Park, MD