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White discharge and Red pimples on penis. please help!

I had unprotected sex with a girl 2 weeks back (On Saturday night). 1 day later (On Sunday night), I noticed white cloudy liquid coming out at start of urination. Same white cloudy liquid just came out at start of urination on Monday & Tuesday morning. I booked an appointment with doc immediately and did test on Thursday (4 days from exposure for Gonorrhea, Chlamydia and Urine Culture), all results came back negative. Doc gave me a shot of Kanamycin just in case since I already had the white cloudy liquid coming out in mornings.

Everything was ok until yesterday evening (exactly 2 weeks after exposure), I had a white discharge after urination. Today morning, i noticed few red spots on tip of my penis. Something is very wrong even if the results all came back negative. So, I researched and found Balanitis might also be the root cause. So, wanted to know the following:

1) Do Balanitis cause white *** like discharge after urination?

2) Do Balanitis causes white cloudy liquid before urination (First symptoms which I had)?

3) The test results might not have been accurate since it was just 4 days from exposure and I should redo the test again?

Just to give further info:

1) I don't have pain while urination

2) I don't have frequent urge to urinate

I have following symptoms:

1) Abit mild hot feeling in penis & testicles

2) Abit reddish swollen penis urethra tip

3) Few small sized pimple like red bumps on penis head

Or do you think it Herpes?

Appreciate all your responses.

Thanks
4 Responses
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Avatar universal
Hello Kevin,

For the fungal infection, eat probiotics and reduce or completely eliminate the intake of complex sugars:white bread, carbonated drinks, alcohol, but maintain a healthy died in order to boos your immune system. If you can get your hands on a type of yogurt called kefir start drinking it, it does wonders for the fungus.

As for the rest of the questions:

If your bladder is not emptying completely it can be 1 of two reasons:
swollen prostate, or swollen bladder wall due to the infection: when the bladder is attacked it swells and the inner layer cells sacrifice them self in an effort to contain the infection, and then the muscle due to the swelling will not be able to contract and expel urine completely.
If the prostate is swollen then it impedes the flow of urine through the urethra. For firm diagnosis you need an ultrasound from a urologist. I suggest you go ahead and do that sooner than later.

M.Genitalium lacks a cell wall so macrolides: azithromicin are the therapy of choice, in order for you to know how to proceed, ask your doctor for: prostate fluid culture, and a urethral swab for m.genitalium(micoplasma). In case of prostatitis you need to know which bacteria caused it so that you can use the right antibiotic.

Do not take antibiotic in your own: as that is how bacterial resistance is developed!!! And a whole another set of problems for you to resolve.

And stop reading online about the side effects of some antibiotics because the side effects of M.genitalium are far worse to that is a calculated risk.Stop heavy physical activity during the treatment and you will be fine.

And last but not leas: These genito-urinary infections are very persistent so sometimes multiple or prolonged courses of the right antibiotic are required, do not lose hope keep high spirits and take care of your immune system you are going to resolve it. And then the experience will remain :). All the best to you.
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Avatar universal
Just a friendly note: HSV IgM tests are notoriously unreliable and are no longer recommended by the CDC. There's lots of information out there about how unreliable the IgM test is if you look around.

I had a false positive from an IgM, and there are many, many people who've had similar experiences. I ended up getting a Western Blot test through the University of Washington (best test out there) after the required incubation time (I believe it's 3 months) and it came back negative.

The IgG tests are definitely better, but you have to wait some time for those too. From what I gathered (because I was put on Valtrex for a week as well), this does affect the time it takes before you would be detectable with the IgG test.
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2 Comments
Hi Klamidia & jamesnh87,

Thanks alot for the detailed replies. Really appreciate your help.

Apologies for the long post in advance. I was on Zithromax 500 mg per day for 2 weeks. Here is the update:

Old Symptoms:

1) Symptoms like testicles, leg, lower back & tailbone pain has greatly subsided.

2) Still having cloudy urine once in a while and white discharge while passing stools almost every time.

3) Still suffering from Balanitis. Was using hydrocortisone but stopped using it due to the fear of skin thinning. Not using any cream at the moment. Just cleaning with water twice every day.

New Symptoms:

3) A mild burning sensation in my right lower abdomen.

4) Less urination, weak urine stream & unable to empty the bladder.

5) Urine gets dark yellow quite fast within 15 - 20 mins if I don't drink water & urinate frequently.

Doc reckoned might be prostatitis based on my new symptoms. One of the suggestion is to take Moxifloxacin for 4-6 weeks.

Wanted to know the following:

1) Since symptoms like testicles, leg, lower back & tailbone pain has greatly subsided after taking Zithromax. I'm wondering if I should start taking them again for a longer course. Is it safe to take Zithromax for a longer duration say 4-6 weeks?

2) Have read online about severe side effects from Moxifloxacin. Is it safe to take Moxifloxacin for 6 weeks? And is it more effective than Zithromax?

3) What's the most effective way to identify Mycoplasma - through Urine test or Blood Anti-body test?

Appreciate all your responses.

Thanks
Hi kev92,

I'm afraid I don't know much about the particular questions you ask. I briefly did think I had Mycoplasma myself (I didn't). I believe Mycoplasma has had growing resistance to Zithromax, and I know moxifloxacin is the backup anti-biotic for treatment. Moxifloxacin is a fluoroquinolone antibiotic and it can cause tendon rupture, as you've likely read.

As far as tests, Mycoplasma can be tested for through DNA - it's just a bacteria in your urinary tract and some of it comes dislodged when you urinate. I believe the test is highly accurate - most DNA-based tests are.

One thing I might add - and this could sound a bit strange - is to be careful with a possible prostatitis diagnosis.

Long story short, I ended up developing psychogenic pain and other related psychogenic symptoms (e.g. frequent urination) after having multiple false diagnoses  and ultimately a diagnosis of 'non-bacterial prostatitis'. I believe my pain may have started off with a UTI or urinary tract irritation, but it snowballed into something much worse that lasted long after my UTI resolved.

In your case, you definitely have something physical going on, based on the white discharge and balanitis, but it's easy to develop a sort of 'learned pain' when it comes to sensitive areas like our genitals. The worry around such pain ramps up our brain's danger signals and for some of us, we can actually end up learning pain (not unlike how people have pain in 'phantom limbs') that has no underlying physical cause. The pain can change and spread to unusual places as well.

If your doctor thinks its prostatitis, they'll put you on antibiotics, maybe test your prostate excretions for bacteria (in all likelihood, it'll be negative), and you'll end up with the diagnosis of 'non-bacterial chronic prostatitis'. The anti-biotics won't work long-term if at all (they never do - literature reviews admit this), unless you have bacterial prostatitis, which is definitely treatable and is physical.

The research (I collected stacks of journal articles in desperation) will show there's not a heck of a lot they know about non-bacterial prostatitis, and you'll find forums with a lot of scary stories full of people suffering from it with no success, and often worsening symptoms. Some men even have their prostates removed and *still* have symptoms.

If you're really unlucky, you or your doctor might end up thinking it's something nerve related and end up on some really dark and sad forums about various neuralgias, where people end up flying overseas for experimental injections to their pudendal nerves that never work. I spent a lot of time there reading stories like that and ramping my symptoms up unknowably. If your internet health googling leads you down the 'neuralgia' route, I recommend you avoid it like the plague.

That's where I was at a year and a half ago. Ultimately, in my case, after four months of changing and worsening symptoms (my symptoms were so all over the place and responded strangely and inconsistently to various treatments), I decided to take a mind-body (a.k.a."TMS") approach and treat it like it was learned pain with no underlying structural cause. Followed some online resources and managed to cure myself of my pelvic pain over the course of a month. I can urinate fine now. Before, I'd stop mid-stream.

The mind-body approach forums were the only place on the internet where I've found other people with non-bacterial prostatitis or other types of pelvic pain have durable success.

Sorry for the long response, but I just want to warn you if your doctor ends up diagnosing you with the non-bacterial form of prostatitis. It ended up with a great deal of suffering for me, and I hate to think anyone else might go down that same road. This may all sound crazy but at least keep it in the back of your mind if your symptoms don't resolve soon.

Best of luck!


Avatar universal
Hello Klamidia,

Just to update: I tested for all the STDs.

Came back positive for Mycoplasma & HSV IGM. Rest were all negative.

HSV 1/2 IGG was negative but then again, I think I did the test too early (16 days from exposure)

Doc prescribed Zithromax (500mg per day for 2 weeks)  & Valtrex (500mg x 2 per day for 1 week).

I completed the above meds last week.

Now, I have read online that you are not supposed to take any anti-viral meds (Valtrex) till your IGG is confirmed positive as IGM can be false positive. My Doc kept insisting that the virus is active and infectious and I need to take Valtrex. So, I just went ahead and took Valtrex for 1 week.

Is there any harm since I have taken Valtrex for 1 week?


If anyone knows of any consequences, please let me know.
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2 Comments
Sorry to hear about your ordeal.However you caught it early and the treatment for the Mycoplasma will be easier(sidenote: test every two months for the next half year to make sure you got rid of the Mycoplasma).As for the herpes in my modest knowledge you shouldn't see any complications due to the aciclovir. Make a good plan for managment with your physician, and use condoms in the future.Even if you are in a monogamous relationship(when you are not trying to have a baby) because people LIE!All the best to you.
Oops, didn't leave my comment as a response (see my full post below). Don't stress about the IgM test. As klamidia noted, herpes takes longer to incubate and this definitely sounds bacterial.

But yeah, IgM tests are horrible and not recommended. Your doctor isn't following the recommendations of either the CDC or the American Sexual Health Association about this test. Internet is full of panicked stories of people who got false positives from the IgM test, and many insurance companies no longer even cover the test.

The Valtrex will affect the results of the IgG test, because if you have been exposed to herpes (it is still possible, although I wouldn't think it'd be linked to your symptoms), the Valtrex will stop replication of the virus in your body and you won't build up antibodies to them as quickly. So it takes longer to test positive with the IgG test.

If you have an established case of herpes from before (it can be virtually symptomless in some people), then I don't believe Valtrex would have any impact on your bodies IgG levels.

And another warning: there's a 50/50 test you'll register positive for the IgG test for HSV1, which is the oral strain of herpes. It's very common and causes cold sores (you may not even have symptoms for cold sores and it's just very mild). Many people get it as children from kissing, sharing drinks, etc. In more uncommon cases, you can get genital herpes from HSV1 (through oral sex). So a positive IgG result for HSV1 doesn't mean you haven't, but you also can't rule out genital herpes either.

Avatar universal
Go and test, chlamydia, micoplasma, ureaplasma. Herpes incubates in about 4 days and you will notice blisters.What you are describing is bacterial.
Depending on the first test you have done, most likely the bacteria was not proliferated to be detectable on the test, aslo make sure you get a urethral swab the sooner the better.

And just for your peace of mind do test hiv 1 and 2 plus syphilis and hep b.
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