Burning in urethra from last 7 days

Question #10840

46 days ago

167

Burning in urethra from last 7 days - #10840

Unoko

Doctor, here are my symptoms and history: Main symptoms: Burning sensation in glans/urethral area for the past 8–9 days. Small itchy bumps on penis. No discharge, no fever. Mild swelling of veins, penis remains mostly flaccid but can still get erections. Current status: Redness and pain are absent for the last 3 days. Bumps have not increased or decreased in size. Urination: Slightly frequent but no pain while passing urine. Medicines already taken: 1. Ciprobid 500 mg – 5 days 2. Monocef 200 mg – 3 days 3. Mega-CV 625 mg – 2 days 4. Applied Clotrimazole + steroid cream for 5 days 5. Also used coconut oil for dryness Current approach: Stopped all medicines for the last 3 days to observe symptoms. History: Burning started after sexual activity. No past history of STIs. My questions: 1. Could this be an STI or some other cause? 2. Are my current symptoms suppressed due to previous medicines? 3. What tests should I do for an accurate diagnosis? 4. Should I see a dermatologist, urologist, or both?

Urologist

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

45 days ago

Your symptoms could be due to an STI, fungal infection, or irritation from sexual activity, so it’s important not to assume the exact cause without proper testing. Some infections can appear milder after antibiotics or creams but still remain present. I recommend consulting both a urologist (for urinary/sexual health) and a dermatologist (for skin lesions) for complete evaluation.
Yes, previous medicines may have reduced visible signs temporarily without fully curing the condition. This can make symptoms less obvious but does not guarantee the infection or cause is gone. A specialist consultation will help confirm whether further treatment is needed.
You should consider tests like urine analysis, STI panel (including chlamydia, gonorrhea, syphilis, herpes), fungal culture, and possibly a urethral swab. These will help identify the exact cause and guide proper treatment. Seeing a dermatologist and urologist together ensures both skin and internal aspects are assessed.

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

44 days ago

Hello
STI is possible as you had small bumps and painful urination post sexual activity
Herpes could start as small itchy bumps, but herpes usually causes painful fluid-filled blisters that crust over in 1–2 weeks. You don’t mention any fluid or ulceration,
Non-STI cause
Fungal balanitis (candida): common after sex, especially if there’s moisture and friction; bumps can stay for days–weeks without much change.
Molluscum contagiosum: viral bumps that persist without redness/pain
For second
It’s possible your current “quiet” symptoms are modified rather than fully cured as you were on antibiotics and steroids…may cause flaring of fungal or viral infection
Investigation suggested
Urine routine + culture (to check for bacterial UTI/urethritis)
Urethral swab for:
Gram stain & culture (bacteria)
NAAT for gonorrhea, chlamydia, Mycoplasma genitalium
HSV-1 & HSV-2 PCR from lesion swab if bumps suspicious for herpes
VDRL / RPR (syphilis screening)
HIV ELISA (baseline)
Fungal KOH smear from glans or bumps
You should visit Dermatologist (preferably with venereology/STD expertise) — best for skin/lesion diagnosis and STI screening in one visit.
Follow up

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Dr. Mickey Patel

I am a consultant Physician with about 8 years of work after my MBBS and another year post MD — which doesn’t sound like a long time until you start counting the hours in clinics, hospitals, and on-call nights. My training and practice have taken me through all kinds of settings, from busy outpatient departments to ward rounds that stretched late into the night. Over the years, I’ve worked both offline in traditional hospital environments and also online on platfory like Practo — which, honestly, changed the way I see patient care. In-person consults give you body language, subtle signs, that little pause before answering a question. Online care pushes you to listen differently, to pick up clues from how someone explains their symptoms without seeing them in person. It’s not easier or harder, just different. I’ve learned to adapt my approach — detailed history taking, targeted questions, and sometimes even asking the same thing twice in a slightly different way to be sure nothing important is left out. My scope as a physician is broad. General medicine cases form the core — fever, infections, chronic conditions like hypertension, diabetes, thyroid disorders — but there’s also the complex, overlapping presentations where you need to think wider. A patient might come for a persistent cough and leave with a referral for cardiac evaluation… because something in their story didn’t fit the usual respiratory pattern. I’m not the kind of doctor who rushes through just to keep the line moving. I’d rather spend a few extra minutes explaining what’s going on, what the tests are for, and why a certain treatment makes sense. Sometimes people say I ask too many follow-up questions, but honestly, missing details can cost much more later. Medicine changes fast — new studies, new drugs, new guidelines — and I make it a point to stay updated. It’s part professional duty, part personal habit. My goal is always to combine evidence-based medicine with practical, real-world care that actually works for the person sitting (or sometimes typing) in front of me. And yes, my spelling in quick notes might not always win awards, but the care itself stays sharp.

44 days ago

You may had urethritis,it can be due to sexual activity and may pass from your partner to you The best approach will be treatment to both you and your partner…get a urine routine & culture and sensitivity test done…

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

45 days ago

Hello dear
Please be aware
See as per clinical history and current status, I can give following inference based on my clinical experience
Symptoms have definitely suppressed and definitely there is reduction in inflammation
So there is no need for medication right now
Following tests should be done
Urine culture
Urine analysis which may required tlc,dlc and CBC
Pcr may be required according
In addition, please get rft also to know any obstruction related to metabolism.
It does seems to be sti but infection due to uti can be there along with fungal infection.
You must see urologist for best treatment and clarification.
Hope iam clear with your doubts
Regards

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Dr. Zahir Zolih

I am a General Practitioner who kind of lives on the frontline of everything, really. From sneezes to serious stuff, I handle a mix of it all—and weirdly, that’s what I love about being a GP. I get to see newborns coming in for their first jabs, and then later that day maybe I'm talking through meds with someone who's managing diabetes or heart disease for years. There’s a lot of variety, which keeps me on my toes—nothing ever feels too routine. Most days, I’m diving into a bit of everything—diagnosing infections, keeping an eye on chronic conditions like asthma or hypertension, helping folks plan their health goals, or sometimes just being a good listener when they need to vent. Preventive care’s a big deal for me. I like to catch things early, before they grow into something more serious. Sometimes all it takes is one small observation or something a patient casually mentions—and that changes everything. What I try to do is treat people, not charts. It's about who they are, what matters to them, and what really works in their life—not just what the textbook says. Every treatment plan I make is adjusted based on the real-world challenges each person’s facing. I also explain stuff in plain language. Like, no jargon for the sake of sounding clever. If someone doesn’t understand their condition, how can they take care of themself properly? Oh, and I do my best to keep learning constantly. Medicine doesn’t pause, right? Whether it’s a new guideline, research update or clinical tool—I keep checking, reading, taking notes (sometimes at midnight, honestly). All of this helps me feel confident that what I’m offering isn’t outdated or guesswork. What keeps me going is the trust people place in me. Being someone’s go-to doctor, knowing they’ll come to me when they’re worried or confused—that’s a big responsibility. But also kinda a gift. I don’t just see symptoms, I see stories—and I get to be part of their health journey from day one to who-knows-when. It's not perfect, and yeah, sometimes I feel I missed something or could’ve said something better. But I’m always trying, always caring, and I’m really here—for all of it.

45 days ago

Hello dear ,
Kindly stop using various antibiotics and that too without completing doses, and the steroid containing  creams masks the symptoms and which will further worsening the fungal infection.
Consult the doctor first,
Dermatologist: Best for evaluating bumps, rashes, and skin-related causes (fungal, dermatitis, herpes).

Urologist: If urethral symptoms persist (burning urination, frequent urination).
Tests to do
1.Urine PCR
2.VDRL
3. Fungal scraping/KOH test (if bumps persist)

4.Urine routine & culture (if UTI is suspected).
Diagnose first the treat
With regards
Dr.Zahir Zolih

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

45 days ago

Investigation needed
1) Urine routine & culture
2) Urethral swab – Gram stain, culture, and NAAT
Immediate Care (while awaiting results):
Stop all steroid-containing creams.
Avoid antibiotics unless prescribed after test results.
Wash only with lukewarm water, no harsh soaps.
Keep area dry, wear loose cotton underwear.
No sexual activity until diagnosis is confirmed and treated.

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Burning in urethra from last 7 days - #10840

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