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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment For Pain And Burning Sensation While Urinating

About a month ago I was seeing someone new and we started sleeping together. Since we were both being tested regularly we made the decision not to use condoms. Things did not end up working out between us and after we stopped seeing each other he called me to tell me that he had tested positive for Chlamydia. I went to my health care clinic, got tested, tested positive, and was treated. I did not have any symptoms before being treated, and about a day or two after I started to feel awful burning when urinating. Since it was still in the 7-day range after treatment I didn t do anything about it. Now, I still continue to have burning when urinating. It is not continuous, and I have no other symptoms. It s been almost 2 months since I was treated, is this normal? I have not been back to the clinic yet because they told me to wait three months after treatment to be re-tested. my questions are: 1.) What other diseases am I at risk for now? ...I ve read that having chlamydia sincerely increases your risk of contracting HIV 2.) Is it common for Chlamydia to not be completely cured after a single dose (took the one time azithromycin) 3.) Is it possible for symptoms to appear AFTER treatment?
Fri, 18 Dec 2015
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General Surgeon 's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.

Based on the facts of your query, you seem to suffer from-
Urethritis with STD(With Chlamydia with ?Gonorrhea)?with ?Prostatitis.
AS you and your gay partner got tested positive for Chlamydia and got treated with your doctor with single shot of Azithromycin.
LCR (Ligase Chain Reaaction test)testing of urine or Blood would indicate exactly the cause(?Chlamydia or ?Gonorrhea) of this urinary burning in your case, which is persistent after 2 mths of your illness treatment.
AS submitted by you, had awful sever urethral burning 2 days after starting treatment,this has lead to the incomplete treatment of your Extended chalmydial infection to prostatitis and Vesiculitis.
Still after 2 mths you have urinary burning, though infrequent.
Suggested Treatment-
In such a scenarios-You need to be treated long for Prostatitis and Seminal Vesiculitis,which are very resistant to treatments later on.
Chances of recurrence are very high if not treated on the lines below-
Intra-Prostatic Inj Rocephin-Ceftriaxone with Inj Hyaluronic acid-
Tab Cymoral forte -1 x 3 times a day x 3-6 weeks
Tab Dicloran A- 1 x 3 times a day
Tab PIP-Veloz D- 1 x 2 times a day x 10 days
Tab Zincovit 1 x 2 weeks.
plenty of fluids x 3-4 liters a day.

Risk of HIV is very high in those with Gay oro-anal and anal sex- as this gives balanitis and stomatitis with multiple abrasions(increasing risks of HIV through it) post oro-anal and anal sex in either of the partners.

AS the prostatitis and urethritis with seminal vesiculitis is very resistant type of disease, chances of recurrence are very high and needs to be treated very aggressively in initial period on the lines suggested above.


Hope this reply would help you to plan further treatment with your doctors there.

Welcome for any further query in this regard.

Good Day!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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Suggest treatment For Pain And Burning Sensation While Urinating

Hi,Dear,Thanks for your query to HCM. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Urethritis with STD(With Chlamydia with ?Gonorrhea)?with ?Prostatitis. AS you and your gay partner got tested positive for Chlamydia and got treated with your doctor with single shot of Azithromycin. LCR (Ligase Chain Reaaction test)testing of urine or Blood would indicate exactly the cause(?Chlamydia or ?Gonorrhea) of this urinary burning in your case, which is persistent after 2 mths of your illness treatment. AS submitted by you, had awful sever urethral burning 2 days after starting treatment,this has lead to the incomplete treatment of your Extended chalmydial infection to prostatitis and Vesiculitis. Still after 2 mths you have urinary burning, though infrequent. Suggested Treatment- In such a scenarios-You need to be treated long for Prostatitis and Seminal Vesiculitis,which are very resistant to treatments later on. Chances of recurrence are very high if not treated on the lines below- Intra-Prostatic Inj Rocephin-Ceftriaxone with Inj Hyaluronic acid- Tab Cymoral forte -1 x 3 times a day x 3-6 weeks Tab Dicloran A- 1 x 3 times a day Tab PIP-Veloz D- 1 x 2 times a day x 10 days Tab Zincovit 1 x 2 weeks. plenty of fluids x 3-4 liters a day. Risk of HIV is very high in those with Gay oro-anal and anal sex- as this gives balanitis and stomatitis with multiple abrasions(increasing risks of HIV through it) post oro-anal and anal sex in either of the partners. AS the prostatitis and urethritis with seminal vesiculitis is very resistant type of disease, chances of recurrence are very high and needs to be treated very aggressively in initial period on the lines suggested above. Hope this reply would help you to plan further treatment with your doctors there. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS