Urge to urinate but no STI

  • swtravels

    Posts: 7

    Nov 12, 2014 12:45 AM GMT
    Hey guys. Any advice might be helpful here. Please read the whole post.

    I'm 28, few health problems. About three weeks ago, I hooked up with a guy. We traded unprotected oral (I wasn't expecting him to go there but bam-- it was too late) and I bottomed (safe). We also used a butt toy, but it's mine and never shared.

    About a week later, I developed one drop of white discharge, burning and urge to go. Figured it was an std. Went to Urgent Care, got cefpodoxime and doxycycline. Doc never sent urine to lab (grrr). First few days I felt better but by day four, I developed this constant urge to urinate.

    Four days ago, I went to a urologist. He tested the urine. Neg on chlamydia and gonorrhea. He gave me a three day z-pack (Azithromycin). That seemed to help for the first two days but then the urge to pee frequently came back!

    I had some chills and fever (anxiety?) so I ended up going to the hospital. Urinalysis showed no white blood cells and ct scan showed no blockages or kidney stones.

    I phoned my hook up (he was the only guy I had sex with since last test). He had no symptoms. He just happened to be tested five days ago and everything was negative.

    Today, I asked urologist to send urine for a culture, assuming what's left of the azithromycin doesn't mess up the results. I'm trying some anti-inflammatories and cranberry tablets. Doc says symptoms don't sound like a prostate issue and that I'm too young to have an over active bladder.

    Has anyone else had this? Any guesses what it could be? My dad thinks it's just anxiety. I haven't had any major changes to my diet or lifestyle. The only thing I did do was drink more water.. but not so much that I should have the urge to go right after I finish going. This is really impacting my life. Please help!
  • Posted by a hidden member.
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    Nov 12, 2014 1:22 AM GMT
    Aside from the discharge, *sounds* like your everyday run of the mill bladder infection or UTI. That's something a GP would deal with fairly routinely, and rather than being an "STD" as one would normally think of it you wouldn't necessarily expect your partner to _also_ have it just because you got it.

    Seems like something you should be tracking with your family doctor more than the emergency room or even a specialist (though a urologist would certainly know far better than I would).

    Don't fiddle around with antibiotics. Make sure you're following the doctor's schedule to the letter, and following up PROMPTLY.

    Then again, I have no medical training. Just had a few bladder infections as a kid, and known a few other people who had them too.
  • swtravels

    Posts: 7

    Nov 12, 2014 2:51 AM GMT
    Thanks for your reply. I thought it was just a UTI but the urologist said it is very rare for men to get a UTI (unless they had a catheter or some other work done- which is not the case for me). Typically, men only get STIs because of the length of the urethra. The urine had no white blood dells (indicating no infection). The doc said the antibiotics they gave me would've eliminated any UTI anyway. Ugh. The mystery continues. Has anyone else dealt with this?
  • Posted by a hidden member.
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    Nov 12, 2014 1:32 PM GMT
    Another possibility is urethtritis or urethral cystitis - which can be exacerbated or launched by a chlamydia infection (which in this scenario you no longer have). It is basically a weakening of the urethra such that normal uric acid can cause irritation while elevated uric acid (from alcohol, chocolate, asparagus, anything w/ high acid or sulfur content) can cause inflammation etc.

    Urethral cystitis can be managed but so far as I know it is permanent and in some cases is congenital.

    A urologist probably wouldn't presume a man is experiencing u.c. since a majority of people with the condition are women, but if it goes on for 4-6 weeks and you have no sign of an infection it begins to be a more common diagnosis.
  • Posted by a hidden member.
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    Nov 12, 2014 1:52 PM GMT
    swtravels saidThanks for your reply. I thought it was just a UTI but the urologist said it is very rare for men to get a UTI (unless they had a catheter or some other work done- which is not the case for me). Typically, men only get STIs because of the length of the urethra. The urine had no white blood dells (indicating no infection). The doc said the antibiotics they gave me would've eliminated any UTI anyway. Ugh. The mystery continues. Has anyone else dealt with this?

    Yes, fairly often. And when I was as young as 20. They were indeed UTIs, and later prostate infections, the one likely causing the other.

    I was living in dirty Army field training conditions, for months at a time. So men CAN get a UTI.

    The problem is we can't diagnose you online. And it seems like your various doctors are going nowhere. The best I can suggest is to consult others.
  • NHsports

    Posts: 52

    Nov 12, 2014 2:08 PM GMT
    Do you actually urinate or is it just the feeling?
  • LJay

    Posts: 11612

    Nov 12, 2014 3:43 PM GMT
    I agree that you should have a conversation with your GP, covering all the bases. It may also be a simple coincidence and not connected with the sex at all.

    Have you talked to your GP about having your blood sugar checked?

    PS: I have a decided lack of enthusiasm for Urgent Care centers or whatever they may be called where you are. A good GP knows you and your history and that is what much diagnosis and care is based on. Every single time I or someone I know has gone to one of these doc-in-a-box places, it has simply yielded the need for follow up elsewhere. If you have a good GP he/she or a colleague will be on call day or night and you will be able to see someone in an office setting covered by your insurance within 24 hours. The condition you describe, while disturbing to you, does not sound as though it needs an emergency doctor.
  • Posted by a hidden member.
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    Nov 12, 2014 7:12 PM GMT
    I had this problem years ago, and it seemed to clear up on its own if I remember.

    Try drinking cranberry juice as well. Supposed to be very good for UT and bladder infections.
  • swtravels

    Posts: 7

    Nov 12, 2014 7:49 PM GMT
    Jms.. do you remember how long it took to clear up? I'm on 12 days now icon_sad.gif I just started using cranberry tablets.

    Appreciate the responses guys. I believe this was an incorrectly diagnosed and treated UTI. The doctor doesn't believe me since they are so rare in men. The cultures prob aren't growing because there is so much (incorrect) antibiotic in them. Urologist wants a cystoscopy but I don't think that's necessary. Ct scan showed nothing and I've never had anything that would scar the urethra.

    I don't have a GP because I recently moved here and never get sick. Going to establish one now and booked an appointment with an infectious disease doctor. Any other advice or feedback is appreciated.
  • FRE0

    Posts: 4864

    Nov 12, 2014 8:13 PM GMT
    In some places, it can be impossible to get a prompt appointment to see one's own doctor in which case urgent care places or emergency rooms, despite their limitations, are the only option. To get an appointment with some doctors here one has to wait two or more weeks and if a problem cannot wait that long, one is directed to an emergency room.

    You symptoms sound exactly like the symptoms I had twice when I had bladder infections. However, those are usually quickly cleared up with antibiotics. Anxiety can cause similar symptoms, but obviously I have no way to know what is causing your problem. Seeing multiple doctors generally is not a good idea since they don't know the full history of the problem.

    Antibiotics are not innocuous. The second time I had antibiotics for a bladder infection, it caused mild diarrhea which lasted for more than a month. The digestive system needs bacteria to function properly, but the wrong mix of bacteria can cause digestive problems. If an antibiotic kills off desirable bacteria, other types of bacteria, which can cause problems, can multiply excessively and cause diarrhea or constipation, or can cause alternating between the two. Of course there are times when there is no choice but to use antibiotics in which case one just has to hope that there won't be serious side effects.
  • Posted by a hidden member.
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    Nov 12, 2014 11:33 PM GMT
    The only thing I can think of that hasn't been mentioned yet is prostatitis (inflammation of the prostate, usually caused by infection). It takes a longer course of antibiotics to clear out than for a UTI.
  • Posted by a hidden member.
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    Nov 13, 2014 7:41 AM GMT
    do you drink a lot of caffeine or eat a lot of acidic things like citrus?
  • Posted by a hidden member.
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    Nov 13, 2014 11:09 PM GMT
    Could simply be what's called irritative voiding symptoms which like an earlier poster suggested may be aggravated by caffeine. Another possibility is something called detrussor instability which basically means that the muscle surrounding the bladder is over-reacting. I suggest these possibilities only because it looks like the extensive work-up you've had so far has been negative. In either case, its usually self limiting and should resolve spontaneously.
  • swtravels

    Posts: 7

    Nov 14, 2014 3:35 AM GMT
    It really frustrates me that I clearly had some sort of infection.. got meds.. and four days later this urge started. It's going on two weeks. The discharge and burning lasted one day. What would cause this??? Yes, I can go a little if I try but I shouldn't need to. I'm wondering if the previous antibiotics in my system are messing up the results of the latest urine culture. The only time I don't have the urge is when I'm working out. The doctor keeps saying it's not a uti because the urinalysis shows no white blood cells. The docs in Vegas could care less. I don't think it's prostatitis because my only symptoms are urge to go, on and off pelvic pain and random chills (which may be anxiety). I've heard guys will prostatitis are in so much pain they can't sit or poop. I'm going for a prostate check in two days. The doc wants to do a cystoscopy but I don't think it's necessary. Thoughts?

    This has really ruined my life. There's no comfort ever. I feel alone. I'm not eating as much and entering a state of depression. Help me guys .. I'm pleading! please icon_sad.gif
  • MikemikeMike

    Posts: 6932

    Nov 14, 2014 5:32 AM GMT
    You had discharge, sounds like an STI infection. The first round of antibiotics might have temporarily worked, but you did get full relief. Don't go to a urologist go see an infectious disease Dr. You might just need a broad spectrum antibiotic like Cipro. There is a generic and it's cheap. You should get 14 days to make sure it's gone. I am not a Dr. But I did volunteer at GMHC in NYC and men came in with this all the time.
    One guy had red irritated balls that caused him burning on the skin and he was in constant discomfort. He said it was driving him mad. Couldn't sit or wear clothing it kept him up at night. He said his balls were bright red all the time the skin felt hot he said it was agony. I still remember the drug that cured him and wrote it down. It was called Oxistat. He put the cream on and in a week it was gone. Before this he had it for 3 years. I Couldn't imagine what he went through and Dr after Dr. pil after pil all the creams and ointments and baths he was told would work and none of it worked.
    Don't give up. I helped him search and search. I found a dermatologist in Alabama, he had the idea to use this topical cream. The guy still send me Chritmas cards! Now only the balls on the tree are the only red ones in his apt.
  • metta

    Posts: 39107

    Nov 14, 2014 8:03 AM GMT
    I don't know...but I have a friend that was given antibiotics and it really messed up his chemistry down there. It killed off good and bad bacteria. You might want to consider building up your good bacteria again by taking some good acidophilus and eating more good yogurt.
  • Posted by a hidden member.
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    Nov 15, 2014 2:29 AM GMT
    swtravels saidThis has really ruined my life. There's no comfort ever. I feel alone. I'm not eating as much and entering a state of depression. Help me guys .. I'm pleading! please icon_sad.gif


    well first thing's first...this is a new issue. it may just need some time to heal or return to normal. try not to get too low on it just yet.

    you could try a bland diet (google it) which some people do for various bladder issues i think. basically you'd be avoiding foods that are known to cause irritations in the bladder etc.

    hang in there and try to stay relaxed. keep going to doctors until you find one that listens well and helps you troubleshoot it.

    good luck buddyicon_smile.gif
  • swtravels

    Posts: 7

    Nov 15, 2014 8:03 PM GMT
    Just an update guys: I went back to the urologist today and we've got a list of what it's not.

    NOT: an STD or any UTI infection, not kidney or bladder stones or cancer and likely not a prostate infection (prostate feels normal and prostate infection meds don't seem to help). I'm too young for overactive bladder.

    Possibly: enlarged prostate (unlikely for my age but possible) slightly blocking urethra or a urethral stricture (narrowing of part of the tube)... which could be blocking the urine from fully emptying and forcing my bladder to contract (hence, the urge to go). The only way to find out is with a cystoscopy (ouch!) but I'd rather just get to the bottom of this and get it fixed. The sooner I know what it is (or isn't), the sooner I can get it taken care of. Today is Sat. Test is Tuesday. Pray for me. And thanks for the encouragement guys. I'm determined to get to find out what this is and help others avoid my struggles.

    If anyone can learn from this experience so far, know that a.) some medical profs are too quick to diagnose a male UTI as an STD and b.) since UTIs are so rare in men, they're generally a symptom of something else.. not the end result. Also, if you have any pee problem and they give you an antibiotic, make sure you request a culture of the pee before you start taking the antibiotic (the drugs can cause a false negative) and don't assume they'll just culture it without asking. In my case, they only tested the urine for STDs which I already knew I didn't have.

    I just discovered my coworker has been dealing with the same symptoms on and off for a year! I'm still worried but more optimistic.
  • MikemikeMike

    Posts: 6932

    Nov 16, 2014 6:17 AM GMT
    You did say you had discharge. I think since the first round of antibiotics, the Z pack. You are getting false negatives.

    I hope it is not your prostate your only 28.
    Plus you had this happen after a hook upicon_idea.gif

    Be well!
  • swtravels

    Posts: 7

    Jan 21, 2015 6:09 AM GMT
    Hey guys.. just wanted to follow up in case this information can help anyone else in the future.

    After much frustration, I ended up traveling out of state to a well known major medical center (think top five overall in US News & World Report).

    After a series of tests and cultures, the doctors diagnosed me with pelvic floor muscle spasms (leading to pain down there and urge to go). All of the cultures (including urine and prostate fluid check) came back negative for any pathogens. Apparently a lot of urologists aren't too knowledgable about pelvic floor muscle problems. Stress, anxiety (which I have) and sitting too long cause the pelvic muscles to tense and over time lead to pain and urges. You may often find yourself clenching for no reason, which can add to the problem.

    This doesn't explain the UTI I had but the antibiotics took care of that in a day. Doctor said we'll probably never know what caused that since it's too late to culture it now that it's long gone.

    The treatment for the spasms is physical therapy. I already went to a session and the gal taught me plenty of stretches and exercises. The symptoms get bad when I get stressed but the therapist taught me techniques to help (and they work!).

    Needless to say, I feel much better about this situation. If I can pass any advice to you all: be your own best advocate in the doctor's office and don't give up until you feel like they get it right. This diagnosis finally made sense. The others (STI, enlarged prostate, prostatitis) all turned out to be wrong. The first doctors flat out didn't know and just guessed (and could careless that I was worried sick).

    You know your body best. Don't give up until it gets the care it needs. Thank you all for your support.
  • Rhi_Bran

    Posts: 904

    Mar 10, 2015 11:43 AM GMT
    If you had unprotected oral.... it's rare, but there's a chance your partner had an oral gonorrhea or chlamydia infection (almost always symptomless) and passed it that way.

    That being said, there are many hundreds of bacteria that can cause a UTI with discharge, not just STI's. There are probably at least a few bacteria which are normally harmless in the human mouth that can become deleterious if they enter and multiply within the urethra.