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What Causes Painful Urination, Constipation, Pain On Penis Head And Groin Area?

Posted on Mon, 22 Jun 2015

Question: My Husband have been complaining of pain on the tip of his penis and also pain when urinating with pain in the groin area and constipation and burning after he has a bowel movement he had his prostate checked last week and was told it was fine he was prescribed antibiotics we don't know what to do next.

Answered by Dr. Praveen (1 hour later)

Brief Answer:
Need some more information

Detailed Answer:
Hi dear.Thanks for your query.Regret for the delay.

I have thoroughly read your query and completely understand your concern.I would be glad to know some more information.
Since when does he have pain on the tip of penis?Does he complain of any redness, discharge or abrasion locally?
Does he complain of fever, chills, rigors, burning micturation, urgency or increased frequency of urination?
Is he a diabetic?
Did he take ciprofloxacin for same complaints?If yes, did the symptoms subside after taking the medications?What is the name of the cream which was prescribed?
Can you up please upload the reports/prescription using the report tab on your screen to assist you better?

Await your reply soon.

Regards
Dr.Praveen

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Praveen (34 minutes later)

the cream they prescribed is Clotrim/Beta for the tip of his penis and he said the pain while urinating and also after, but complains of pain in the thigh area with cold sweats he also says he is not having an erection like normal. the Doctor had him on the antibiotic for 7 days previous after the 7 day we tried to be intimate and the pain on his penis came back and he had to stop. He also said when he got up this morning the inside of his thigh felt swollen he had trouble walking.

Answered by Dr. Praveen (32 minutes later)

Brief Answer:
Requires a detailed work up to identify the causative bacteria

Detailed Answer:
Hi dear.Thanks for your quick revert.

As per your description, I were to suspect urinary tract infection which has not resolved completely with the antibiotics which were prescribed for 7 days.The fact that he has swelling on the inside of his thigh provisionally looks like a lymph nodal swelling which is suggestive of active infection.

I were to do a detailed workup antibiotic sensitivity(to determine the causative bacteria), blood culture and urine analysis/culture and choose antibiotic depending on the culture sensitivity results.

I would recommend to stop Clotrim/Beta for a while; suggest not to engage in sexual activity unless the infection resolves. Consult your physician as early as for further evaluation and management.

Please feel free to revert for further queries.

Regards
Dr.Praveen

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Praveen (12 minutes later)

Thank you so much for the information it helped him a great deal to know that nothing else is going on you said the same things the Urologist said and he will stop with the cream and we will refrain from any sexual activity until all is clear.

Answered by Dr. Praveen (2 hours later)

Brief Answer:
I wish him faster recovery

Detailed Answer:
You are most welcome.

Keep me posted if you may have any further queries.All the best.Wish him a quick recovery.

Regards
Dr.Praveen

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar