Urethral discharge and mild pain when holding urine - #19025
Hello, I have a urethral discharge and it is painful when I urinate, especially if I try to hold my urine. When I urinate continuously, the pain eases and the discharge decreases. There is also some redness at the opening of the urethra, and inside, there is yellow and dark violet-like discharge under the thin skin of the penis. I have already been prescribed Azithromycin and Doxycycline Hyclate, but they seem to have no effect. Previously, the discharge was yellow inside the penis and dark violet-like, but there was no discharge when I started taking the medication. After 3 days of taking the medicine, discharge started again, and urination is painful. Please advise what kind of treatment or further evaluation I may need. Thank you.
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Doctors’ responses
Hello,
This is persistent or resistant urethritis that needs targeted, organism-specific treatment, often different from standard first-line antibiotics, under care of a urologist or STD clinic.
🛑Possible causes : gonorrhea requiring ceftriaxone injection, Mycoplasma genitalium (often azithromycin-resistant), Trichomonas infection, viral urethritis (such as HSV).
🛑Tests to do ;
1.Urine NAAT test for: Gonorrhea Chlamydia Mycoplasma genitalium Trichomonas (if available)
2.Urethral swab (if discharge is present) 3.Urine routine & culture 4.HIV, Syphilis testing (standard when urethritis persists)
Meanwhile:
Sexual activity should be stopped for now Good hydration, Avoid urine retention Avoid alcohol and irritants.
I trust this helps Thank you
Hello dear I think as per clinical history it seems urethral infection probably UTI It is not completely eradicated. Iam suggesting fresh tests. Please get them done Urine analysis Urine culture Kidney USG Cbc Rft Esr Please share the result with urologist in person for better clarity Please donot take any medication ( already som much taken and still the treatment ineffective) without consulting the concerned physician Regards
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