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Urology (Expert Forum)
Frequent Urination continues after chlamydia infection.
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.
Frequent Urination continues after chlamydia infection.
by Ltrain, Apr 17, 2006 12:00AM
I am a 25 year old male and in early march I started getting burning urination and itching on the top of my penis. I also had redness around the opening of the uretha. The burning and itching went away after about 3 days and the frequent urination and urgency took over from there and has not gone away since.
I went to the doctor's they did a swab and they put me on doxycycline right away and they were treating it as a urinary tract infection for now. Well I did not know this but about 5 days into taking the doxycycline I had unprotected sex with my girlfriend because the doctor didnt tell me NO SEX. I was still thinking it was a UTI. She didnt mention STD's at all. Well 1 day later I call to get my results and its positive for chlamydia. Ok So I still have 5 days left on the doxycycline which I finish. 5 days after another exposure should of killed the bacteria anyway a doctor told me.
During this time I also got rectal pain that came and went and I was still having frequent and urgent urination. The rectal pain evenutally went away. I went to my regular doctor and told him what my symtpoms were and he checked my urine with dipsticks and said there was no sign of anything, it was clean as a whistle he said and to come back in a couple weeks if it didnt get better. Its been 3 weeks since then and about 5 weeks since I finished the doxycycline.
Now I still have some redness around the opening of my uretha and on the inside right of my penis near the tip I have some kind of fluid or something and when I get an erection and push on my penis it makes a squishy noise. This was going on the whole time I have had this as well along with the redness.
A couple days ago I noticed after I urinate I get A slight pain in my rectum for 2 or 3 seconds followed by something moving down my uretha, its urine sometimes, and sometime sticky fluid.
I was wondering if the chlamydia could still be there or the chlamydia could of cause something else? I am at my wits end and cant take this anymore. Before I had chlamydia I was fine, SO I KNOW ITS RELATED TO IT. But i have been to the doctors twice since then and they test my urine and always say its fine but they havent rechecked me for an std. I also had blood work done for Viral herpes, syphlis and HIV which all came back negative. Also during this time I was stressed out and lost my appetite but have gotten it back for about a month now but I still cant seem to put the 6 or 7 pounds back on that I lost. Is this because I keep urinating and the fluids are not holding in my tissues? Arrgh.
I went to the doctor's they did a swab and they put me on doxycycline right away and they were treating it as a urinary tract infection for now. Well I did not know this but about 5 days into taking the doxycycline I had unprotected sex with my girlfriend because the doctor didnt tell me NO SEX. I was still thinking it was a UTI. She didnt mention STD's at all. Well 1 day later I call to get my results and its positive for chlamydia. Ok So I still have 5 days left on the doxycycline which I finish. 5 days after another exposure should of killed the bacteria anyway a doctor told me.
During this time I also got rectal pain that came and went and I was still having frequent and urgent urination. The rectal pain evenutally went away. I went to my regular doctor and told him what my symtpoms were and he checked my urine with dipsticks and said there was no sign of anything, it was clean as a whistle he said and to come back in a couple weeks if it didnt get better. Its been 3 weeks since then and about 5 weeks since I finished the doxycycline.
Now I still have some redness around the opening of my uretha and on the inside right of my penis near the tip I have some kind of fluid or something and when I get an erection and push on my penis it makes a squishy noise. This was going on the whole time I have had this as well along with the redness.
A couple days ago I noticed after I urinate I get A slight pain in my rectum for 2 or 3 seconds followed by something moving down my uretha, its urine sometimes, and sometime sticky fluid.
I was wondering if the chlamydia could still be there or the chlamydia could of cause something else? I am at my wits end and cant take this anymore. Before I had chlamydia I was fine, SO I KNOW ITS RELATED TO IT. But i have been to the doctors twice since then and they test my urine and always say its fine but they havent rechecked me for an std. I also had blood work done for Viral herpes, syphlis and HIV which all came back negative. Also during this time I was stressed out and lost my appetite but have gotten it back for about a month now but I still cant seem to put the 6 or 7 pounds back on that I lost. Is this because I keep urinating and the fluids are not holding in my tissues? Arrgh.
Doctor's Answer
by Kevin Pho, MD, Apr 18, 2006 12:00AM
, Apr 18, 2006 12:00AM
I would consider prostatitis, which can lead to the rectal symptoms as well.
A digital rectal exam to evaluate the prostate should be done. If prostatitis is suspected, extended courses of antibiotics may be needed.
A prostatic massage can be considered to express any fluid that can be sent for analysis and culture.
If the symptoms continue with a non-revealing diagnosis, a transrectal ultrasound can be considered to image the prostate.
These options can be discussed with your personal physician.
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.
Kevin, M.D.
kevinmd_b
A digital rectal exam to evaluate the prostate should be done. If prostatitis is suspected, extended courses of antibiotics may be needed.
A prostatic massage can be considered to express any fluid that can be sent for analysis and culture.
If the symptoms continue with a non-revealing diagnosis, a transrectal ultrasound can be considered to image the prostate.
These options can be discussed with your personal physician.
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.
Kevin, M.D.
kevinmd_b
Member Comments
by youngone1, Apr 29, 2006 12:00AM
To: Urology - General
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