Suggest Treatment For Burning Sensation During Urination

Posted on Tue, 19 Apr 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 19 Apr 2016 Answered on

Wed, 15 Jun 2016 Last reviewed on

Question : It started with burning urination (2days ago), and frequent urination. I also noticed some slight watery discharge coming from my penis. About 2 days after that, I got some wart like sores that were spread out on my penis and close to my shaft on the genitals. I went to see a DR at an urgent care facility. He wasnt exactly sure what it was, but he prescribed me erythmycin, Just curious what your thoughts are, becuase I am still kind of nervous about all this.

Answered by Dr. Dr. Kakkar (4 hours later)

Brief Answer:
Need more information

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar(dermatologist). I have gone through your query and i have noted your concern

I would like to gather more information from you in order to be able to guide you better.

Is there a preceding history of sexual contact? Are there any symptoms associated with sores, like pain?burning sensation?

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (46 hours later)

There was sexual contact, but it was with someone Ive been having sex with for 6 months now without any issues. The sores aren't painful at all, and it seems like pus comes out of them when they break. Since it is hot outside, it seems like they have spread a little because I am constantly sweating. I talked to a urologist on this site before you and he seemed to think it was a UTi. Just curious what your thoughts are seeing, how there are like 7 std's that fit my description. I hate reading the internet. It really can freak you out.

The burning sensation only happened when I urinated. Since I;ve been on Zithromax the burning has stopped.

The whole thing happened with burning urination, and the urge to pee like all the time. It literally felt like razors were coming out of my penis. Then 2 days after those sores appeared around the shaft and close to genitals. And like I said before I have noticed some watery white discharge from my penis.

Answered by Dr. Dr. Kakkar (24 hours later)

Brief Answer:
Genital herpes and possibility of gonococcal/ chlamydial urethritis

Detailed Answer:
Hello.

I would suggest a strong possibility of genital herpes along with urethritis(pain and burning on passing urine as well as urethral discharge). Genital herpes is an STD and is usually acquired by sexual contact with an infected sexual partner. The burning sensation that you experience while passing urine could well be part of genital herpes due to presence of herpetic sores inside the urethra Or it could well be due to gonococcal/chlamydial urethritis too. I would definitely recommend screening for all STDs inclyding hiv, hsv, syphilis, gonorrhea and chlamydia.
I would recommend an oral antiviral i.e valacyclovir or acyclovir, for a week. That should heal the sores.

Regards

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Dr. Kakkar (18 minutes later)

I'm gonna go get tested tomorrow. Is there anything else it could be? I noticed a couple bugs fly onto me last night in my bed, windows not open...and have bite marks on my leg.

Answered by Dr. Dr. Kakkar (24 hours later)

Brief Answer:
Not due to bugs

Detailed Answer:
Hi.

This does nt seem to be a bug bite. This very likely to be herpes. Kindly review it with a dermatologist in your region. Let me know the test results as and when they are available.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (3 days later)

Saw a doctor. They ran tests for everything. Urine, blood, etc. I came back negative for everything. I'm so confused as to what this may be. Any thoughts on your side?

Answered by Dr. Dr. Kakkar (3 hours later)

Brief Answer:
I suggest you to repeat test for hsv fter 4weeks

Detailed Answer:
Hi.

Clinically this looks very much like genital herpes. Antibodies against Hsv may take some time to appear in blood therefore a screening test performed soon after infection may be falsely negative. I suggest you to screen for Hsv by Elisa after another 3-4weeks with both IgG and IgM against Hsv type 1&2. Since clinically this looks very much like herpes hence in the mean time i would suggest an oral antiviral i.e valacyclovir and topical antibiotic cream as discussed earlier.

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina