
Hey Doctor, I’ve Been Having Dysuria For About A Year

I’ve been having dysuria for about a year on and off now which consists of a burning sensation when I urinate. I can feel it as the urine first comes out of the bladder not actually in my urethra which is what I originally thought was happening. The pain is also especially worse if I don’t drink enough water and I’m not really a big water drinker. Now I have had a bunch of blood tests and urine samples sent off which all showed no signs of infection. I also visited a urologist about 3 months ago about it and he kind of palmed it off being anything especially since I’ve repeated the urine tests several times and have no “alarming” symptoms. Also when I first got this I had never had sex before so I’ve had this for about 10 months prior to ever having sex with anyone the only thing I ever used was a fleshlight sex toy but I’m unsure if that can cause anything? Is there anyway the current tests I’ve done have missed anything, is there any further testing that I should be doing can I possibly have an infection without it showing up in tests?

I’ve been having dysuria for about a year on and off now which consists of a burning sensation when I urinate. I can feel it as the urine first comes out of the bladder not actually in my urethra which is what I originally thought was happening. The pain is also especially worse if I don’t drink enough water and I’m not really a big water drinker. Now I have had a bunch of blood tests and urine samples sent off which all showed no signs of infection. I also visited a urologist about 3 months ago about it and he kind of palmed it off being anything especially since I’ve repeated the urine tests several times and have no “alarming” symptoms. Also when I first got this I had never had sex before so I’ve had this for about 10 months prior to ever having sex with anyone the only thing I ever used was a fleshlight sex toy but I’m unsure if that can cause anything? Is there anyway the current tests I’ve done have missed anything, is there any further testing that I should be doing can I possibly have an infection without it showing up in tests?


Please provide few more details .
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted you have dysuria since one year and all the relevant urine tests have not revealed any evidence of infection .
I shall be happy if you can post me more details to help me in making precise comments
1) Do you have pain in perineal region ?
2) Do you have pain while ejaculating ?
3) Have you done urine culture at any given time ?
The long standing Dysuria could be due to non bacterial Prostatitis ,
Please get following tests done to help to establish diagnosis
1) Semen Examination and Semen culture
2) Microscopic examination of a urethral discharge obtained after doing Prostate Massage
3) Ultrasound Scanning of abdomen and pelvis.
In the mean time start taking Doxicycline twice daily for two weeks . .
Ensure to drink more water to keep your urine dilute .This will help to reduce dysuria.
Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Please provide few more details .
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted you have dysuria since one year and all the relevant urine tests have not revealed any evidence of infection .
I shall be happy if you can post me more details to help me in making precise comments
1) Do you have pain in perineal region ?
2) Do you have pain while ejaculating ?
3) Have you done urine culture at any given time ?
The long standing Dysuria could be due to non bacterial Prostatitis ,
Please get following tests done to help to establish diagnosis
1) Semen Examination and Semen culture
2) Microscopic examination of a urethral discharge obtained after doing Prostate Massage
3) Ultrasound Scanning of abdomen and pelvis.
In the mean time start taking Doxicycline twice daily for two weeks . .
Ensure to drink more water to keep your urine dilute .This will help to reduce dysuria.
Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Do not think of cancer at all.
Detailed Answer:
hello
Thanks for feedback .
In a given situation long standing Dysuria that you have could be due to non bacterial prostatitis .This is condition where one has symptoms of Dysuria but there is not a single positive evidence revealed in relevant test done .
Get the tests suggested done .You can go to lab yourself and request for these tests .Ultrasound Scanning can be done on your request .
Doing prostate massage everyday does help to relieve prostate congestion and thereby to reduce dysuria .
You will need to to get help of health care personnel to get prostate massage done.
Do write after you get reports .
Thanks and Regards.
Dr Patil.

Do not think of cancer at all.
Detailed Answer:
hello
Thanks for feedback .
In a given situation long standing Dysuria that you have could be due to non bacterial prostatitis .This is condition where one has symptoms of Dysuria but there is not a single positive evidence revealed in relevant test done .
Get the tests suggested done .You can go to lab yourself and request for these tests .Ultrasound Scanning can be done on your request .
Doing prostate massage everyday does help to relieve prostate congestion and thereby to reduce dysuria .
You will need to to get help of health care personnel to get prostate massage done.
Do write after you get reports .
Thanks and Regards.
Dr Patil.


No pain in this region no.
2) Do you have pain while ejaculating?
Sometimes I feel a bit of an ache in my lower pelvic region when masterbating but not during sex but nothing too painful.
3) Have you done urine culture at any given time ?
Yeah I’ve done multiple urine cultures which were all negative for anything.
I haven’t done any of those tests you’ve listed but I think mentioned them to my gp but she couldn’t do them, does this have to be done through a specialist? I will get the ultrasound done though.
In terms of non bacterial Prostatitis what’s the main treatment for this? Is it bad that I have had it un diagnosed and un treated this long? Can it increase chances of getting cancer etc? With the antibiotics my doctor has avoided giving them as I have a really bad stomach and gut and they upset them badly

No pain in this region no.
2) Do you have pain while ejaculating?
Sometimes I feel a bit of an ache in my lower pelvic region when masterbating but not during sex but nothing too painful.
3) Have you done urine culture at any given time ?
Yeah I’ve done multiple urine cultures which were all negative for anything.
I haven’t done any of those tests you’ve listed but I think mentioned them to my gp but she couldn’t do them, does this have to be done through a specialist? I will get the ultrasound done though.
In terms of non bacterial Prostatitis what’s the main treatment for this? Is it bad that I have had it un diagnosed and un treated this long? Can it increase chances of getting cancer etc? With the antibiotics my doctor has avoided giving them as I have a really bad stomach and gut and they upset them badly




You can get these tests done after coming back home .
Detailed Answer:
Hello
Thanks for follow up .
You can get these tests done after yu come back home .
As regards treatment for Non bacterial prostatitis taking prophylactic antibiotic and doing prostatic massage offers satisfactory results .
Thanks and Regards.
Dr Patil.

You can get these tests done after coming back home .
Detailed Answer:
Hello
Thanks for follow up .
You can get these tests done after yu come back home .
As regards treatment for Non bacterial prostatitis taking prophylactic antibiotic and doing prostatic massage offers satisfactory results .
Thanks and Regards.
Dr Patil.


Upon waking up the next day the redness has gone completely and now there is just a dry white patch and flaky brown patch. What do you think this can be?

Upon waking up the next day the redness has gone completely and now there is just a dry white patch and flaky brown patch. What do you think this can be?
Upload photograph of the scrotum and under surface of Penis
Detailed Answer:
Hello
Thanks for follow up .
It is difficult to coment on what you have described about the lesion .I shall be able to comment on on viewing the photograph to some extent .
Please upload photograph of lesion on under surface of penis and scrotum .
Thanks and Regards
Dr Patil.

Upload photograph of the scrotum and under surface of Penis
Detailed Answer:
Hello
Thanks for follow up .
It is difficult to coment on what you have described about the lesion .I shall be able to comment on on viewing the photograph to some extent .
Please upload photograph of lesion on under surface of penis and scrotum .
Thanks and Regards
Dr Patil.



It looks like to be XXXXXXX Itch
Detailed Answer:
Hello
Thanks for follow up and uploading photographs .
It looks to be XXXXXXX Itch and can be cured with applying Meconazole ointment thrice daily..
Get it from the pharmacy and should be available over the counter .
Thanks and Regards.
Dr Patil.

It looks like to be XXXXXXX Itch
Detailed Answer:
Hello
Thanks for follow up and uploading photographs .
It looks to be XXXXXXX Itch and can be cured with applying Meconazole ointment thrice daily..
Get it from the pharmacy and should be available over the counter .
Thanks and Regards.
Dr Patil.





It is not STD at all
Detailed Answer:
Hello
Thanks for follow up/
It is not STD at all.
Thanks and Regards.
Dr Patil

It is not STD at all
Detailed Answer:
Hello
Thanks for follow up/
It is not STD at all.
Thanks and Regards.
Dr Patil

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