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burning in the urethra and tip
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burning in the urethra and tip

Just over three weeks ago I began experiencing burning in my urinary tract. I thought it would go away, but it persisted and got worse over the next few days. I went to a doctor, and they of course thought it might be an std. They gave me a 'cocktail' of antibiotics, as well as running urine and blood test. A few days later it got very extreme, painful and burning. I went back to see a Dr and he had the test back... normal. They also prescribed Ciprofloxacin, which I took for 10 days, with no change. They sent me for more blood work and urine test, including PSA, which all came back normal.

After all this, I went to see an Urologist who just thought I must have an std and prescribed me Doxycycline for 14 days. This is a lot on antibiotic that I have been taking, now with more in my system, and I feel like I am at the end of my rope. The only thing that gives any relief is Phenazo.

I am getting very nervous, depressed and stressed. It seems to be getting worse each day. Extremely uncomfortable. Burning deep within the urinary tract, through to the tip of my penis. There is no discharge, blood, cloudy urine, etc. Everything seems normal, other then the burning in the tract, which is worse after urinating... not during urination. Please help!


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8 Comments Post a Comment
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Avatar_n_tn
And in case it isn't obvious, I am male and in my mid 30s.
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Avatar_dr_f_tn
Hi,

You could have a UTI or prostatitis. If you have been sexually active there is a chance that you could have a STD as well. UTIs can occur due to inadequate fluid intake, inflammation or infection of the prostate gland, underlying disease in the kidney, infections in sexual partner, untreated STDs, underlying metabolic disorders such as diabetes, etc. The infective organisms may be located only within the prostate and/or kidney and come into the urethra during ejaculation. If they are not flushed away by urine, they would continue to be present in the urethra and try to grow there causing irritation and pain. As the pain is intense at the end of urination the infection could be within the bladder or the prostate.

You will need to have a urinalysis done, preferably from a sample collected just after ejaculation. This is to identify organisms that stay within the prostate and come out into the urethra during ejaculation. This should be followed by a culture sensitivity test to determine which antibiotic the organism is sensitive to. Organisms such as chlamydia and mycoplasma are not detected on routine urinalysis and need special tests and specific culture media for their diagnosis.

Antibiotic therapy is prescribed based on the organism isolated and the antibiotic sensitivity that has been reported for the organism. In prostatitis, the course may be for a minimum of 15-20 days and even longer.

Ensure that you keep your fluid intake over 2000 ml per day and avoid irritants, such as caffeine, alcohol, and spicy foods. Also avoid sitting for long periods of time or on surfaces that are not well padded. You can also increase intake of citrus fruits an juices to acidify your urine and to flush out the bacteria from your urinary tract.

If you do indulge in intercourse during the period of treatment, ensure that you practise safe sex (condoms) so as to not infect or be infected by your partner.

Do keep us posted on your doubts and progress.
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Avatar_n_tn
I have been tested for everything you mention in your reply. Everything was negative, or normal,.. including chlamydia, gonorrhea, PSA for prostate, etc. All normal. AND it doesn't being burning at the end of urinating, as you state. It begins burning worse about 10mins after urinating.

Further, I believe I have taken enough antibiotic to kill any bacteria, don't you think?

Please give me further advice!

Thanks.
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Avatar_n_tn
Please give me some other suggestions!
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Avatar_n_tn
Can anyone else please offer any help. I have exhausted all test and I don't know what to do. I have taken enough antibiotic to kill anything, yet this persist. Please help!
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Avatar_n_tn
I am experiencing the exact same things as you. I have no answer, however, I got a little relief from AZO pills. Please keep posting as to your condition, so will I. Currently I've been prescribed one month of ampicillin and ibuprofin. Previously, I took two weeks of Cipro, with no success. I am also very depressed. daughmic
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Avatar_n_tn
It seems like something I am having a problem with also.  It never hurts when I pee but can begin hurting about 5-10 minutes later.  Mine can range from a dull pain to an extreme burning.  The only way that I stop the pain is to literally drink water to the point where I am about to vomit ( I know it sounds weird, but I have been fighting this since I was 12 years old, and now I am 22, so I have tried everything).  And this will typically keep if from hurting for days to a week or so.  Sipping or slowly drinking water doesn't help me at all.  I have stopped drinking caffine and began drinking ginger ale, since I am a carbonated addict, and everytime I go to the bathroom, I make sure to drink about 4 big gulps of water ( I just recently found this out) and it really helps to prevent it. Also, another thing, one way to really help prevent it to, is to not empty the bladder all the way, pee about 90% and then hold the rest.  I always hurt when I completely empty my bladder.
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Avatar_n_tn
I called my doctor because of the continual burning, especially about five minutes after urinating, and he put me on prednisone, and after two days, I can tell a slight improvement. He took me off the ibuprofen, but still taking the ampicillin. daughmic
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