I Am An Otherwise Active, Healthy 64 Year Old Male.
Could be due to Enlarged Prostate .Needs to get investigated .
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted a brownish discharge from penis that you get while having bowel movements is most likely to be a urethral discharge of prostatic secretion mixed up with small quantity of blood that is oozed out from a small vein located on superficial surface of enlarged and congested Prostate .
I shall be happy if you can post me more details to help me in making precise comments
1) Do you have any obstructive voiding symptoms like poor urine flow,frequency for urination ,nocturnal frequency etc ?
2) Are you Diabetic?
3) are you taking any blood thinning medication?
It is common to have blood oozing from the rupture of a small veins on superficial surface of enlarged prostate which is common at this age and needs to get to be ruled out .
Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.
.Further treatment will depend upon result of these tests and final diagnosis.
In the mean while you can start taking antibiotic like Cefixime and Nitrofurantoin twice daily along with Tomsulosin once daily .
Ensure to drink more water .
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.