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Urethral discharge and mild pain when holding urine
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STDs & Related Infections
Question #19025
2 hours ago
15

Urethral discharge and mild pain when holding urine - #19025

Richard adio

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.

Age: 24
Chronic illnesses: acute bacterial infection (posibleng urethritis / STD-related infection) na: Bigla lumitaw May specific onset
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Doctors’ responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
1 hour ago
5

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

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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.
1 hour ago
5

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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