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Hey Doctor, Earlier Before I Went To Pee And I
Posted on
Fri, 16 Nov 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 16 Nov 2018
Answered on
Last reviewed on
Question : Hey doctor,
Earlier before I went to pee and I hadn’t drunk much water all day maybe a cup or so and I had this painful burning feeling right at the tip of my penis right where it comes out not so much in the bladder or anything. What do you think it could be? Could there be damage where my urethra is that is sensitive when I have concentrated urine? I had the same problem a month or so back and went to the doctors to get tests and had no uti or infection what else could it be?
Earlier before I went to pee and I hadn’t drunk much water all day maybe a cup or so and I had this painful burning feeling right at the tip of my penis right where it comes out not so much in the bladder or anything. What do you think it could be? Could there be damage where my urethra is that is sensitive when I have concentrated urine? I had the same problem a month or so back and went to the doctors to get tests and had no uti or infection what else could it be?
Brief Answer:
It could be non-bacterial urethrtitis
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
If infection didnt show up, then it could be non-bacterial inflammation of the area. It can have many causes like rash/dermatitis in the area, viral infection at the area etc. There may be some inflammation due to contact with cloth. Is there any visible redness or rash at the area?
You can try a thick cream like diaper rash cream or a steroidal cream like hydrocortisone cream and see if it reduces the burning.
Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
It could be non-bacterial urethrtitis
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
If infection didnt show up, then it could be non-bacterial inflammation of the area. It can have many causes like rash/dermatitis in the area, viral infection at the area etc. There may be some inflammation due to contact with cloth. Is there any visible redness or rash at the area?
You can try a thick cream like diaper rash cream or a steroidal cream like hydrocortisone cream and see if it reduces the burning.
Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
No redness or anything like that I feel as if the burning is inside the urthea not so much on the outside cream wouldn't really do much in that case right since its not on the outside? I feel that it is inflammed on the inside but it's been like that for a while now.
Brief Answer:
Sterile urethritis can also have many causes
Detailed Answer:
Hi again
In such a case we need to look for a cause. Detailed evaluation to find infection can be done. A complete urine examination including urine culture ad sensitivity be done, urethral swab can also be sent for microscopy. An ultrasound scan to rule out renal stones be taken. Kidney function test in blood work to find any kidney cause.
Drugs like pain-killers, antibiotics be avoided as they can also aggravate the situation.
Unfortunately, we cannot apply creams inside. Instead we can drink lots of clean water to flush out the inflammation. The condition doesnot seem bad enough to need oral medicines. Intra-urethral injection of steroidal preparation can be done by a surgeon or trained family physician in case of bad symptoms.
Hope this helps.
Dr Vaishalee
Sterile urethritis can also have many causes
Detailed Answer:
Hi again
In such a case we need to look for a cause. Detailed evaluation to find infection can be done. A complete urine examination including urine culture ad sensitivity be done, urethral swab can also be sent for microscopy. An ultrasound scan to rule out renal stones be taken. Kidney function test in blood work to find any kidney cause.
Drugs like pain-killers, antibiotics be avoided as they can also aggravate the situation.
Unfortunately, we cannot apply creams inside. Instead we can drink lots of clean water to flush out the inflammation. The condition doesnot seem bad enough to need oral medicines. Intra-urethral injection of steroidal preparation can be done by a surgeon or trained family physician in case of bad symptoms.
Hope this helps.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Yeah I had already done a complete urine examination for everything, a bladder ultrasound and some blood tests which were all clear I’m not sure if there would be any other ultrasound if another area that would be helpful for stones? I find if I drink water there’s no pain at all it’s just normal but when I don’t drink water that is when there’s issues and it stings bad with a bit of an odor in the urine but as soon as I start drinking a lot of water it fades away.
Brief Answer:
Scopy may be helpful
Detailed Answer:
Hi
A urethroscopy can be helpful in looking inside urethra.
Another method of visualising can be cysto-urethrogram.
Both of these are invasive procedures and are not routinely done for minor irritations as these may cause complications. But any of these can be done to reach at a diagnosis. Scopy is more accurate. A microscopy of urine to look for fungal forms can also be done.
Dr Vaishalee
Scopy may be helpful
Detailed Answer:
Hi
A urethroscopy can be helpful in looking inside urethra.
Another method of visualising can be cysto-urethrogram.
Both of these are invasive procedures and are not routinely done for minor irritations as these may cause complications. But any of these can be done to reach at a diagnosis. Scopy is more accurate. A microscopy of urine to look for fungal forms can also be done.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Could a scope just create further damage though if there were scar tissue or damage in the urethra would it not really be worth it? Do drinks like cranberry juice help and drinking more water?
Brief Answer:
Scope can injure urethra
Detailed Answer:
Hi
There are chances that a scope may injure urethra or may introduce a newer infection inside urethra. Though a scopy is helpful in stricture or damage in urethra.
Your symptoms seems more like an infection and it may be worthwhile to take a short course of urinary antiseptics before proceeding for a scopy. Also a whole abdomen or a kidney ureter bladder scan should be done before invasive procedure.
Drinking more of water will be helpful. Cranberry juice would have helped in a mild case of fungal overgrowth.
Dr Vaishalee
Scope can injure urethra
Detailed Answer:
Hi
There are chances that a scope may injure urethra or may introduce a newer infection inside urethra. Though a scopy is helpful in stricture or damage in urethra.
Your symptoms seems more like an infection and it may be worthwhile to take a short course of urinary antiseptics before proceeding for a scopy. Also a whole abdomen or a kidney ureter bladder scan should be done before invasive procedure.
Drinking more of water will be helpful. Cranberry juice would have helped in a mild case of fungal overgrowth.
Dr Vaishalee
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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