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What Causes Painful Urination While On Antibiotics?

Posted on Thu, 20 Apr 2017

Question: Attention Dr XXXXXXX Chili
Sir
I have contacted you many times reg my health. Now i have pain some time before urinating and some time after in my penis I went for a urine culture and it was found ecoli and inwas under antibiotic for 10 days and before antibiotic pain was high and now its low. I am a anxity person and i have a fear towards cancer in bladder now. As due to streas i am more disturbed and can anxity make pain of feal. Pls help me

Answered by Dr. Vivek Chail (18 minutes later)

Brief Answer:
You can get an ultrasound scan abdomen done if there is anxiety

Detailed Answer:
Dear Sir,
Thanks for writing in.

You had a urinary infection which is likely cured after taking 10 days antibiotics.

The pain will take some time to disappear completely.

Now you should drink adequate amounts of water and fluids (2 to 3 litres a day) and pass urine as required. Do not hold your urine for longer than 3 hours in the day. At night holding urine during sleep is not required.

Cancer is unlikely to be there because the culture report confirms a bacterial infection.

There is chances of cancer only in people who have unexplained and usually painless bleeding during urination.

Still if you feel anxiety, please get a ultrasound scan abdomen and pelvis with post void residue urine volume done. Most likely the test report will be normal.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

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

Follow up: Dr. Vivek Chail (29 minutes later)

Sir
My son is doing 10 th and his exam starts in 18 and completes on next 8 so if some thing wrong it would disturb his studies and so i dont want to go for any diogness. As per your experiance will pain alone can be a sypmtom of cancer. And you have mentioned in your old msg pain to subside will take some time why so pain what may be the reason for pain. Took norflox 400 and nutrofotrion. 2 tab a day. Can stress give body pain and discomfort .

Answered by Dr. Vivek Chail (19 hours later)

Brief Answer:
Pain and inflammation is there due to infection

Detailed Answer:
Hi Sir,
Thanks for writing back with an update.

The problem is that bacteria has caused inflammation of the urinary organs and this is causing pain. It takes time to heal and pain will be there for a week.

Pain for few days is less likely to be cancer and usually cancers do not have pain as first symptom. There is bleeding in urine.

Norflox 400 and nitrofurantoin is one of the best treatment for urinary infections, however cefixime would be a good choice because your urine culture and sensitivity test result mentions it.

Stress can cause a lot of symptoms and please be free from stress and anxiety.

You can do the ultrasound scan after your son completes exam.

Regards,

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Vivek Chail (38 minutes later)

Sir
Can stress cause body tieredness and i feel so tiered and pain in muscels and i always think and brows about cancer symptoms. Pls help me

Answered by Dr. Vivek Chail (20 hours later)

Brief Answer:
Please avoid stress and do complete health check up

Detailed Answer:
Hi,
Thanks for writing back with an update.

Anxiety and stress causes tiredness.

Please do 30 minutes meditation every day in the morning.

Think positively about your health.

It is good to do a complete health check up for peace of mind.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Vivek Chail (15 hours later)

Sir
Dontbmistake me. I am attaching my penis photo i have red pimple over it. What may be the reason and what medicine can i take or oinment to come out of it. Pls help me can it be cured. What reason

Answered by Dr. Vivek Chail (12 hours later)

Brief Answer:
Is there any itching or pain in the pimple

Detailed Answer:
Hi,
Thanks for writing in.

The image is little blurred. Anyways please let me know if there is any itching or pain in the pimple. Also please tell from when you are having it.

Regards,

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

Follow up: Dr. Vivek Chail (3 minutes later)

Sir
No ithing is there or pain. Tight to move in the skin. This photo raken today

Answered by Dr. Vivek Chail (23 hours later)

Brief Answer:
It will heal quickly

Detailed Answer:
Hi Sir,
Thanks for writing in.

You might have mild balanitis and this is not a serious problem.

After consulting your doctor, you can start on oral doxycylcine for few days.

Your pimple will resolve quickly.

Please take care and maintain genital hygiene and wear cotton inner wear. You should avoid tight inner wear in summer.

Regards,

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

Follow up: Dr. Vivek Chail (18 minutes later)

Sir
Pls reply immidietly. If i am in anxity will it make the body toered and feel painfull. I have a fear still. Pls help. Legs pain. Feal of bladder cancer. Will this belantis give mild burning while urinating .

Answered by Dr. Vivek Chail (4 minutes later)

Brief Answer:
Anxiety causes tiredness and pain in legs

Detailed Answer:
Hi,
Thanks for writing in.

Anxiety is the commonest cause for symptoms like feeling tired and pain in legs.

You should stop worrying about cancer.

Balanitis can cause mild irritation when urinating but usually will not cause it in every patient.

Regards,

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

Follow up: Dr. Vivek Chail (12 minutes later)

Sir
I gave been worring about cancer for past 2 momths and now on bladder. I read on net more and can there be a bladder cancer without blood in urine. If its there will pain will b there some time and it comes and goes pls dont mistake me reply asap .

Answered by Dr. Vivek Chail (3 minutes later)

Brief Answer:
There is no fixed pattern of pain for cancer or urine infection.

Detailed Answer:
Hi,
Thanks for writing back.

Bladder cancer without blood in urine can be there but it is not common.

There is no fixed pattern of pain for cancer or urine infection.

However since you had e coli infection and are feeling better with antibiotics treatment so the chances of cancer is not there.

I will wait for your ultrasound scan report and likely that will also be normal

Regards,

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

Follow up: Dr. Vivek Chail (1 hour later)

Sir
Dont mistake me. Can this Balanties cause mild discomfort or pain always even when sittingor cancer cause this symptoms. Is bladder cancer now curable and life span

Answered by Dr. Vivek Chail (7 minutes later)

Brief Answer:
Bladder cancer has good cure when detected early.

Detailed Answer:
Hi,
Thanks for writing back.

Balanitis can cause mild discomfort at times.

Cancer in bladder will not cause symptoms of balanitis.

Bladder cancer has good cure when detected early.

Regards,

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

Follow up: Dr. Vivek Chail (13 minutes later)

Sir
My dought is will bladder cancer give discomfort in penis always as its there bcs to reassure the discomfort is bcs of cancer in bladder or balanties as u have not confirmed it balanties. Attached 3 more snaps of today .

Answered by Dr. Vivek Chail (29 minutes later)

Brief Answer:
Your penis pictures show improvement and therefore you should stop thinking

Detailed Answer:
Hi,
Thanks for writing in.

Bladder cancer is something that is not visible from out side and only a test like ultrasound scan or cystoscopy will show it.

Bladder cancer will not cause symptoms in the penis.

Your penis pictures show improvement and therefore you should stop thinking about cancer.

Regards,

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

Follow up: Dr. Vivek Chail (10 minutes later)

Sir
I had pain while urinating in penis but now i have discomfort or mild burning feel always in my penis. Can u see the penis redish spots and i pee by moving out my skin so there is no pain while urintating now but some discomfort always. Will this b there bcs of bladder or urither. I am more thankful in my life to u for replying me. Pls help

Answered by Dr. Vivek Chail (4 minutes later)

Brief Answer:
Bladder cancer is not causing your symptoms.

Detailed Answer:
Hi Sir,
Thanks for writing back.

The pain which you had in penis earlier was from the urinary infection and with treatment the pain disappeared. The discomfort is also from the same reason due to infection changes in the urethra and it can stay for about a week or 10 days. It will disappear when recovery from infection is complete.

The balanitis is an inflammation due to many causes including infection. The red spots are showing improvement and you should not worry.

Bladder cancer is not causing your symptoms.

Regards,

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

Follow up: Dr. Vivek Chail (13 minutes later)

Sir i made my urine cluture which came normal some 14 days back from ecoli and now after that there was no pain but now discomfort is there in penis after urinating for more time also and i dont know to do. Thanks for your reply sir .

Answered by Dr. Vivek Chail (8 minutes later)

Brief Answer:
Discuss with your doctor and take Citralka or Alkasol syrup

Detailed Answer:
Hi,
Thanks for writing back.

Please drink adequate amount of water and pass urine when you get urge.

Discuss with your doctor and take Citralka or Alkasol syrup with water 3 times a day for 5 days.

Regards,

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

Follow up: Dr. Vivek Chail (28 minutes later)

Sir
I took antibiotic for 10 days and i took my urine culture not my first urine. I took my afternoon urine will it be correct and also doest my photo look like belanties for u. I tried my urine routine for more than 4 times it all was notmal only in culture after 1 month it showed me ecoli. My mind says will it b wrong is balanties seen in photo what inhave sent u .

Answered by Dr. Vivek Chail (24 hours later)

Brief Answer:
it is healing well

Detailed Answer:
The picture shows area of balanitits which is healing well.

Regards,

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

Follow up: Dr. Vivek Chail (2 days later)

Sir
I kindly request you to reply asap. I went for usg abdomen and all are normal. Still i have pain while urination what may b the reason. Yet to meet my urologist. Usg abdomen done by sonologist and not by radiologist .

Answered by Dr. Vivek Chail (9 hours later)

Brief Answer:
Sonologist report is usually acceptable

Detailed Answer:
Hi,
Thanks for writing back.

Ultrasound scan abdomen being normal is good news.

The pain can be from anxiety, mild infection in the urethra or you are not drinking good amount of water.

It is summer and you should drink adequate liquids if you are going outdoors.

Usually sonologist is trained well and will not miss any finding in ultrasound scan.

Regards,

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Vivek Chail (13 minutes later)

Sir
I have uploaded the report. I have mild pain in lower abdomen and is a sonologiest is a MbBs Dr and will the fining b correct.Dont mistake me. Reply asap

Answered by Dr. Vivek Chail (26 minutes later)

Brief Answer:
Your report is not available in the list of uploaded documents.

Detailed Answer:
Hi Sir,
Thanks for writing back.

Your report is not available in the list of uploaded documents.
Request you to upload again and confirm.

Regards,

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Vivek Chail (10 minutes later)

Sir uploaded the reports. Pls help me.

Answered by Dr. Vivek Chail (2 minutes later)

Brief Answer:
Your ultrasound report is completely normal.

Detailed Answer:
Hi Sir,
Thanks for writing back.

The kidneys are normal in size.

The prostate is normal.

The urinary bladder wall is normal. There is no stone or cancer like features.

Pre void and post void volumes are normal.

Your ultrasound report is completely normal.

Regards,

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Vivek Chail (2 hours later)

Sir
Dont mistake me. I am in more tention pls reply me soon. I feel some disconfort in penis always. Is white patch a syptom of penual cancer. No lump

Answered by Dr. Vivek Chail (6 hours later)

Brief Answer:
Please do not think of cancer

Detailed Answer:
Hi,
Thanks for writing in.

You might have a condition called non specific urethritis and this can cause discomfort in penis. The urologist can make a diagnosis after clinical examination and usually it is treated be a short course of antibiotics. Culture is usually negative in this situation.

White patches in penis is usually from allergy or fungal infection. Cancer is rare and you should not think of it.

Regards,

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Vivek Chail (47 hours later)

Sir
Pls reply asap. See there a pink patch. What is the reason. Pls help me

Answered by Dr. Vivek Chail (5 hours later)

Brief Answer:
It looks like irritation over penis due to friction

Detailed Answer:
Hi Sir,
Thanks for writing back.

The pink patch is likely due to friction over the penis and will get back to normal soon. Please wear loose cotton inner wear and avoid touching your penis except when you are passing urine or taking bath.

Regards,

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Vivek Chail (18 hours later)

Sir
Attached my cbc report. Pls say certine thighs are elevated. Why it may .

Answered by Dr. Vivek Chail (5 hours later)

Brief Answer:
The values which are in the abnormal range are not significant.

Detailed Answer:
Hi Sir,
Thanks for writing back with an update.

Your basic blood counts are normal and the values which are in the abnormal range are not significant.

There is no risk of any illness like cancer from your reports.

Regards,

Above answer was peer-reviewed by : Dr. Prasad