pain in penis

[brooksand]

hello doctor
im having trouble with my penis
the tip of my penis is red and inflamed
and after weeing on occaissions it burns
and after ejeculation im in pain at the head of the penis and i have slight lower back ache
i have had my prostate checked ive had all the stds checked negative and water tests negative
ive had numerous creams and tablets no joy
i used to masterbate 3-4 times daily and have done for years
now i am lucky if i can do it twice a week
please help
thank you

[youngdudewholearntthehardway]

pain from the top of the anus to the scrotum(perinum) testicle inflammation & dull ache chord like up the middle of your balls to around a quarter up your penis(vas deferas). also urine flow may be weak as inflamation of the prostate. pain can come on instantly after masterbation or within 24 hours is and STD or UTI. Go to the doctors asap for antibiotics, do not underexaderate your syptoms & be honest. suggest antibiotics doxycline or ofloxacine. bathing tends to make worse for some but i have experinced this before & what helps me is cold flannel on all painful areas for inflammation, antibiotics, rest, ALOT of water & cranberry juice & maybe anti inflamatorty tablets  i am an 18 year old male with re-occurance of this infection. if this is an STD or UTI you will see results within 3-5 days although you might be left with swelling. DO NOT stop taking your antibiotics even if your pain has gone to stop the infection from comeimg back. Smoking weed or smoking cigerettes, alcohol, caffiene will make you worse as they aggravate your prostate & also leave your willy alone to heal lads. To all young males who dont have my knowledge. sorry for my spelling

[brooksand]

many thanks for your comments and advice
i will keep you infomed

[Dr Smitha Mathews]

Hi,

If you have tested negative for STDs and UTIs, it is unlikely that the problem is from within the urethra. By prostate being checked, do you mean a digital rectal exam that conclusively determined that the prostate was not enlarged?

It is possible that the problem is due to an inflammation or infection of the prostate. Prostate infections are not usually diagnosed on urinalysis or STD tests as the prostatic fluid is not ejected from the prostate at times other than during ejaculation and urine does not show any trace of infection. You may want to have your prostate fluid analyzed and be treated for infection if the prostate is found to be infected.

Some STDs, such as chlamydia and mycoplasma, are not detected on routine urinalysis and general tests for STDs and need to be screened for specifically as they are intracellular parasites. These tests involve specific antigen detection tests and culture.

Some localized bacterial or fungal infections can cause redness and pain at the tip of the penis, but these should be tested for through swabs and culture prior to initiating treatment.
Try to keep your fluid intake over 2000 ml per day and avoid irritants such as caffeine and alcohol.
Do post any additional details regarding relevant symptoms if you feel that would help us understand the problem better. It would also be great if you could post the results of the tests you have undergone so far.