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What Causes Sharp Pain In The Penis During Urination While On Ciprofloxacin?
Question: I had unprotected sex about 5 weeks ago (Out of town). After a couple days I had a sharp pain in penis when urinating. I had blood and urine tests done. While waiting for results the Dr. gave me a 4 pill dose of Zythromax. This had no effect. The tests came back negative - showing I am healthy, but obviously I'm not. Returned to the Dr. got Ciprofloxacin. 2 X per day for 5 days. Dr. said, if this doesn't do it, maybe its Prostititis. We can test for that if needed. Since then I have come home and visited my Dr. without looking or testing, he determined it was Genital Herpes. I started a 1- day treatment 2 X per day with Valacyclovir. This was 3 weeks after the initial infection. Now I am finished the 10 day treatment, but still not feeling right. The pain when urinating is less now, but the current symptoms are:
Some discomfort when urinating
Fatigue
Skin irritation, was from knees to waist, felt like a 1000 needles were in me and when clothes brushed against skin, was 'tingly' Didn't really feel bad, but not good either. Now is mostly just above belt line. More like chaffing now.
Same area with skin irritation, also feel like strained muscles (like after an ab workout) but haven't worked out.
Some shooting pain in various areas at different times. Knee, testicle
One foot has been in pain for a month, didn't hurt it, but it is in pain (top of Right foot)
Some discomfort when urinating
Fatigue
Skin irritation, was from knees to waist, felt like a 1000 needles were in me and when clothes brushed against skin, was 'tingly' Didn't really feel bad, but not good either. Now is mostly just above belt line. More like chaffing now.
Same area with skin irritation, also feel like strained muscles (like after an ab workout) but haven't worked out.
Some shooting pain in various areas at different times. Knee, testicle
One foot has been in pain for a month, didn't hurt it, but it is in pain (top of Right foot)
Brief Answer:
Possibility of Prostatitis and HIV infection has to be ruled out .
Detailed Answer:
Hello
Thanks for your query , based on the facts that you have posted it appears that you have burning urination and varied general symptoms like weakness , pain in joints and legs etc after having unprotected sex 5 weeks ago.
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Was a urine culture and screening tests for STD and HIV done and if so please post the reports .
2) Was the female whom you had unprotected sex with is known to you ?
3) Are you aware of her STD or HIV status ?
In view of the symptoms that you have the possibility of HIV has to be ruled out .
Please consult qualified specialist in Sexually Transmitted diseases and get following basic tests done to establish the diagnosis .
1) Screening test for HIV .
2) Swab test and culture of urethral discharge obtained after doing prostatic massage (This will help to rule out Prostatitis .
3) Urine culture .
In the mean start taking broad spectrum antibiotics like Cefotaxime 200 mg along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report.
Get the prescription of medicines from your family Physician.
Ensure to drink more water .To keep your urine dilute This will help to control dysuria.
Further treatment will depend upon result of these tests and final diagnosis.
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.
Possibility of Prostatitis and HIV infection has to be ruled out .
Detailed Answer:
Hello
Thanks for your query , based on the facts that you have posted it appears that you have burning urination and varied general symptoms like weakness , pain in joints and legs etc after having unprotected sex 5 weeks ago.
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Was a urine culture and screening tests for STD and HIV done and if so please post the reports .
2) Was the female whom you had unprotected sex with is known to you ?
3) Are you aware of her STD or HIV status ?
In view of the symptoms that you have the possibility of HIV has to be ruled out .
Please consult qualified specialist in Sexually Transmitted diseases and get following basic tests done to establish the diagnosis .
1) Screening test for HIV .
2) Swab test and culture of urethral discharge obtained after doing prostatic massage (This will help to rule out Prostatitis .
3) Urine culture .
In the mean start taking broad spectrum antibiotics like Cefotaxime 200 mg along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report.
Get the prescription of medicines from your family Physician.
Ensure to drink more water .To keep your urine dilute This will help to control dysuria.
Further treatment will depend upon result of these tests and final diagnosis.
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.
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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