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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Anal Pain After An Ejaculation?

Dear Sir, I am Uday from India. From last 3-4 years I am suffering from anal pain. After the ejaculation the pain starts in anus (like Piles) immediately after the ejaculation. The pain is extreme & spread from anus to the penis. Even after one ejaculation I can’t go for the second due to extreme pain. It blocks the urine. (No Blood Comes Out, Only Dry Pain)So I have to take the painkillers like Pronim-200, Nicip etc. to free the urine without pain & to stop overall pain. I did sonography in 2008, the report was normal even prostate was normal in size. If it is the kind of infection then please suggest me an antibiotic tablets, to remove this problem. Awaiting your reply. Thanks.
Fri, 23 Dec 2016
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General Surgeon 's  Response
Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.
These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy and rarely it may be sign of STD infection. You should avoid intercourse for till symptoms persist and drink plenty of fluids. If symptoms persist it would be good to do prostate ultrasound and check your PSA levels to rule out prostate tumor or hypertrophy and further treatment depends on these findings. In most cases it can be controlled with medications but sometimes, in case of tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically so you should consult urologist about appropriate options.
I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
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What Causes Anal Pain After An Ejaculation?

Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can. These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy and rarely it may be sign of STD infection. You should avoid intercourse for till symptoms persist and drink plenty of fluids. If symptoms persist it would be good to do prostate ultrasound and check your PSA levels to rule out prostate tumor or hypertrophy and further treatment depends on these findings. In most cases it can be controlled with medications but sometimes, in case of tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically so you should consult urologist about appropriate options. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.