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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Yellow Penile Discharge And Pain During Urination?

Hi good day, I am 21 yo and one morning i wokeup having this yellowish pus-like discharge in my pennis but it does not hurt or having any burning sensation nor inflamed(pus-like discharge is mostly in the morning only especially during waking up) I thougth this could be an std since 2 weeks before i got this symptom, i had an unprotected sex. 2 years ago i also got this type of problem but the only difference then and now is that then, i felt pain and burning sensation when urinating and i also felt tight and inflamed under my balls. Then, i took azithromycin 1g single dose and its all gone and the following day i took 500mg just to make sure. Im very happy when that was gone. But now ive experiencing it again. So based on experience in effectiveness i directly took azythromycin 1g and another 500mg the following day and nothing happened. The symptom is still there. Could you guys give me some tips or any idea whats going on in me?? Is it gonorrhea or chlamydia in some sort?? Or any infection?? What medication should i take for this?? Please help me im very worried right now.
Mon, 29 Apr 2019
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General & Family Physician 's  Response
Hello,

Urinary tract infection (UTI) or a sexually transmitted infection are common causes of penile discharge. Penile discharge is often accompanied by pain or burning during urination and need to urinate frequently. Chlamydia, gonorrhea and trichomonas infections are common infections that may cause penile discharge. Chlamydia is a sexually transmitted disease that can result in similar symptoms to a UTI: Painful urination and discharge from the penis. Gonorrhea is an STD that can cause discharge to leak from the penis. When discharge from the penis is not considered typical or normal for men, cases of gonorrhea and chlamydia are very common, especially in men.

Chlamydia and gonorrhea can cause serious health problems when left untreated, including infertility, so it is important to get tested for any instance of penile discharge if you are sexually active. UTI can cause from STI ( sexual transmitted disease). Your symptoms also have evidence of epididymitis or orchitis in scrotum. You should go to see your doctor to get the treatment as soon as possible to prevent the complication.

Azithromycin alone is not enough, you should use combination therapy azithromycin 1g plus ceftriazone 250mg intramusculare or 400mg oral cefixime for chlamydia and gonorrhea. You may need to do urine test such as culture and urinary analysis to confirm the real infection. But you still can do presumptive treat for STI.

Tell your sexual partner(s) to see their doctor, even if they have no symptoms. Many women with STI do not have symptoms. Don't have sex until you and your sexual partner have completed tests and treatment. You should wait 7 days after you have had your treatment course to avoid passing on the infection.

Hope I have answered your query. Let me know if I can assist you further.

Thank you.

Regards,
Dr. Heang Chan Raksmey
General & Family Physician
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What Causes Yellow Penile Discharge And Pain During Urination?

Hello, Urinary tract infection (UTI) or a sexually transmitted infection are common causes of penile discharge. Penile discharge is often accompanied by pain or burning during urination and need to urinate frequently. Chlamydia, gonorrhea and trichomonas infections are common infections that may cause penile discharge. Chlamydia is a sexually transmitted disease that can result in similar symptoms to a UTI: Painful urination and discharge from the penis. Gonorrhea is an STD that can cause discharge to leak from the penis. When discharge from the penis is not considered typical or normal for men, cases of gonorrhea and chlamydia are very common, especially in men. Chlamydia and gonorrhea can cause serious health problems when left untreated, including infertility, so it is important to get tested for any instance of penile discharge if you are sexually active. UTI can cause from STI ( sexual transmitted disease). Your symptoms also have evidence of epididymitis or orchitis in scrotum. You should go to see your doctor to get the treatment as soon as possible to prevent the complication. Azithromycin alone is not enough, you should use combination therapy azithromycin 1g plus ceftriazone 250mg intramusculare or 400mg oral cefixime for chlamydia and gonorrhea. You may need to do urine test such as culture and urinary analysis to confirm the real infection. But you still can do presumptive treat for STI. Tell your sexual partner(s) to see their doctor, even if they have no symptoms. Many women with STI do not have symptoms. Don t have sex until you and your sexual partner have completed tests and treatment. You should wait 7 days after you have had your treatment course to avoid passing on the infection. Hope I have answered your query. Let me know if I can assist you further. Thank you. Regards, Dr. Heang Chan Raksmey General & Family Physician