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Possible Prostatis..
About a week ago, I noticed some moderate burning pain during urination which has continued throughout the week. Notably, this pain is significantly worse in the morning (not severe, but close) and if I urinate within 10 minutes or so after ejaculation. Additionally, a few days ago I noticed significant swelling and tenderness of the inguinal lymph nodes. I have never felt these lymph nodes before and was not checking for inflammtion so I'm pretty sure they are indeed inflammed.
As a side note, I also experienced some buring during urination a few months ago, albeit with slightly different symptoms - at that time, I had some mild flank pain and urgency to urinate combined with not feeling super great in general (no inguinal node swelling that I know of). I dismissed this as either a UTI, bladder infection, etc and waited several days for the symptoms go away without seeking medical care.
However, this time the node swelling freaked me out a bit so I went to a local medical clinic here in St. Maarten where I have been taking a sabbatical. The doctor took a urine sample and noted that it didn't "look" like an STD. He "thinks" I might have a prostate issue and sent me home a 7-day course of Cipro. I have been taking the Cipro for 36 hours (3-500mg doses) and have not realized any symptomatic relief thus far.He said to come back next week if the symptoms don't get better and he will send to a lab for some testing (not an easy task here on the island).
My questions are as follows:
1) Might have any insight as what might be causing these symtpoms? Prostatis? Non-specific urhtetris,a bladder infection, an STD? .
2) Given your answer to question 1, if and when should I expect some symptom reflief from the Cipro?
3) It is my understanding that prostate infections are prone to reocuur. To that end, is it likely that the symptoms I had a few months ago are related to what's going on now?
As a side note, I also experienced some buring during urination a few months ago, albeit with slightly different symptoms - at that time, I had some mild flank pain and urgency to urinate combined with not feeling super great in general (no inguinal node swelling that I know of). I dismissed this as either a UTI, bladder infection, etc and waited several days for the symptoms go away without seeking medical care.
However, this time the node swelling freaked me out a bit so I went to a local medical clinic here in St. Maarten where I have been taking a sabbatical. The doctor took a urine sample and noted that it didn't "look" like an STD. He "thinks" I might have a prostate issue and sent me home a 7-day course of Cipro. I have been taking the Cipro for 36 hours (3-500mg doses) and have not realized any symptomatic relief thus far.He said to come back next week if the symptoms don't get better and he will send to a lab for some testing (not an easy task here on the island).
My questions are as follows:
1) Might have any insight as what might be causing these symtpoms? Prostatis? Non-specific urhtetris,a bladder infection, an STD? .
2) Given your answer to question 1, if and when should I expect some symptom reflief from the Cipro?
3) It is my understanding that prostate infections are prone to reocuur. To that end, is it likely that the symptoms I had a few months ago are related to what's going on now?
MEDICAL PROFESSIONAL
No, you cannot feel your groin lymph nodes. So, if you can feel them, they are definitely swollen.
Yes, chances of cancer are less, it was mentioned as a differential since I cannot examine you. But now that you explain more about the consistency etc, chances of cancer are pretty minute (almost nil--cannot give you 100% guarantee on net).
Hot tubs are known for Pseudomonas aeruginosa (a bacteria) infection, and usually this causes a rash, but it can cause infection of head of penis, infection of urethra and may be even prostatitis if the bacteria travel up through urethra.
Creatinine and high protein diet is less likely to cause burning. However, drinking water can help relieve symptoms. Also you can try apple cider, cranberry juice and lemonade. All these also help relieve burning sensation.
Hope this helps. Take care!
Yes, chances of cancer are less, it was mentioned as a differential since I cannot examine you. But now that you explain more about the consistency etc, chances of cancer are pretty minute (almost nil--cannot give you 100% guarantee on net).
Hot tubs are known for Pseudomonas aeruginosa (a bacteria) infection, and usually this causes a rash, but it can cause infection of head of penis, infection of urethra and may be even prostatitis if the bacteria travel up through urethra.
Creatinine and high protein diet is less likely to cause burning. However, drinking water can help relieve symptoms. Also you can try apple cider, cranberry juice and lemonade. All these also help relieve burning sensation.
Hope this helps. Take care!
Thanks Doctor. Just had some quick follow up questions:
1) As far the lymph swelling goes, should i be able to feel my lymph glands in the groin normally? Or if I can feel them, does that mean they are definitely swollen?
2) The lymph glands are squishy and can be moved around (not hard). It is my understanding that this would make it less likely that cancer was the culprit, corret? I am also 30 years old if that helps.
3) I was in the Ocean, hot tubs and swimming pools in the weak leading up these symptoms. Also, I took a dose of creatine supplement for the first time in a while the night these symptoms occured. Could any of these factors or possibly a high protein diet be causing my problem?
Thanks again.
1) As far the lymph swelling goes, should i be able to feel my lymph glands in the groin normally? Or if I can feel them, does that mean they are definitely swollen?
2) The lymph glands are squishy and can be moved around (not hard). It is my understanding that this would make it less likely that cancer was the culprit, corret? I am also 30 years old if that helps.
3) I was in the Ocean, hot tubs and swimming pools in the weak leading up these symptoms. Also, I took a dose of creatine supplement for the first time in a while the night these symptoms occured. Could any of these factors or possibly a high protein diet be causing my problem?
Thanks again.
MEDICAL PROFESSIONAL
Hi!
I can appreciate your concerns. However, a confirmed diagnosis is not possible on net. Your symptoms could be due to several causes as I’ll outline now. Since lymph nodes in the groin region (inguinal lymph nodes) are swollen, the cause could be infective, inflammatory or cancer. Since there is burning in urine, your symptoms could be due to chronic UTI or due to prostatitis. The infection could be a STD, bacterial or fungal. Since you feel the burning pain more in the morning (it can be bladder infection) and since there is burning on passing urine after ejaculation, it can be prostatitis.
Swollen inguinal lymph nodes could be due to STDs (e.g., gonococcal infection, herpes simplex virus, syphilis, etc), infection in foot, sweat dermatitis on scrotum or groin, fungal infection of scrotum or groin, dermatitis in pelvic area, boils in pelvic area etc. Other than this tuberculosis, pelvic malignancy and lymphoma could be the other causes.
Also, it is difficult to ascertain whether cipro will help or not unless you have a confirmed diagnosis. Sometimes you may have to take antibiotics for 14 days before full relief is felt. If your symptoms do not subside after taking cipro, then you need to wait for at least 72 hours and then give your urine and semen sample for culture and sensitivity analysis. This will tell you the organism causing the infection and the antibiotic which will act against it. So, after the full course of cipro, apart from urine culture and sensitivity, you may need to test for STD, semen analysis for infection, clinical examination to rule out fungal infection or dermatitis. Sometimes, for chronic bladder infection, the first urine sample after night is the best sample to test for infection.
Today check your foot to see if there is an infection which could have caused the inguinal lymph nodes to swell.
At times stone in urinary tract too causes burning in urine. Since you had flank pain earlier, this could be a cause. So, if all the other tests are negative, you may need a CT or ultrasound of lower abdomen and pelvis to look into this. Cuts and abrasions on penis tip or infection of the head of penis too causes burning in urine and can be ruled out by clinical examination by a doctor.
Since I cannot examine you and know other related conditions you may be having, nor is a detailed history possible on net, I have listed the various possibilities that should be looked into. Also, I sincerely hope you will find this information useful in helping you decide the future course of action.
Hope you get well soon! Good Luck and take care!
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