[Question #2560] urinary infection or std

46 months ago
hello Drs. I want to see if I can get some insight or your thoughts on this recent situation I am encountering. Tuesday morning at around 5 a.m. I woke up wanting to urinate, I am a 27 yr old  male by the way. I decided to go back to sleep and hold it, when I woke up about 4 hours later, I went to urinate and it was a large amount but it left me with some pain afterwards and feeling as if I still had to pee it felt like inflammation. the rest of the day had me feeling like I had to urinate often but only a few trickles came out, I got home around 5 p.m. with chills and feeling feverish, yesterday I felt the same so I went to the E.R and they ran a general urine test. I tested positive for nitrites, 17-22 of leukocytes, and moderate bacteria. what has me wondering is if this is an std? I had two instances of unprotected oral sex 12-13 days ago with two women I frequently engage in protected sex with. I have no discharge or painful urination  but I do have that inflamed feeling and I feel like a dull pain in my penis somewhere between the middle of the shaft, my Dr. said that seems to be a uti from holding the urine, although I don't know if that is a myth, I would really appreciate your input, he put me on ciproflox
46 months ago
I realize this is the 5th question on my account and the only reason i am here is because i trust your expertise on sexual health over anyone elses including my own doctor's all i am asking is that you check my urine test results and give me your opinion thank you for your time and understanding.
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
Welcome back to our Forum.  I'll try to help as this is a new sort of problem for you.  The fact that your recent urine test was positive for nitrites, bacteria and increased numbers of leukocytes meets the criteria for a urinary tract infection.  In addition urinary frequency is associated with UTIs but NOT with STIs.  It is difficult for me to say for sure what the relationship is betwen your recent  episode of delayed urination and the symptoms and lab abnormalites is.  Taking ciprofloxacin is reasonable and if this is a UTI, your symptoms should improve rather quickly.  If it does not improve (again, this is improve, it does not need to resolve entirely) I would suggest that you return to your doctor and be re-evaluated.  In the interim however, I would not be worried about an STI.  EWH
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46 months ago
Thanks doctor, that is what i wanted to clarify, if those values suggest uti or std or if there is no way to know clearly which of the two it is.
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
As I said, your symptoms are far more compatible with a UTI than an STI.   EWH
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46 months ago
Thank you my Local dr has said the same he added that stds through oral sex are not as common as through unprotected vaginal sex...
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
He is correct about this as well.

As you know, we provide up to three responses per question and this is my third response.  this thread will be closed later today.  In the interim, I wish you well.  EWH
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