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Symptoms of toilet disease in men: Yeast infection in men: How can I tell if I have one?

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Yeast infection in men: How can I tell if I have one?

Can men get yeast infections? What are the signs and symptoms of a male yeast infection?

Answer From Patricio C. Gargollo, M.D.

Yes, men can get yeast infections, too, which can lead to a condition known as balanitis — inflammation of the head of the penis.

Yeast infections in men are common because the fungus that causes yeast infections (candida) is normally present on skin, especially moist skin. When some contributing factor — such as having sex with a partner who has a vaginal yeast infection — causes an overgrowth of candida, infection can result.

Balanitis is more common in uncircumcised men. Signs and symptoms of balanitis may include:

  • Moist skin on the penis, possibly with areas of a thick, white substance collecting in skin folds
  • Areas of shiny, white skin on the penis
  • Redness, itching or a burning sensation on the penis

You may be more likely to develop balanitis from a yeast infection if you:

  • Aren’t circumcised
  • Use antibiotics for prolonged periods
  • Have diabetes
  • Have an impaired immune system, such as with HIV
  • Are overweight
  • Practice poor hygiene

Most male yeast infections are easily treated with over-the-counter antifungal medications.

With

Patricio C. Gargollo, M.D.

 

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Nov. 13, 2020

Show references

  1. Ferri FF. Balanitis. In: Ferri’s Clinical Advisor 2021. Elsevier; 2021. https://www.clinicalkey.com. Accessed Oct. 14, 2020.
  2. Barrisford GW. Balanitis in adults. https://www.uptodate.com/contents/search. Accessed Oct. 14, 2020.
  3. AskMayoExpert. Balanitis. Mayo Clinic; 2020.

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Urine Infection In Men | Health

Most urine infections are caused by germs (bacteria) which come from your own bowel. They cause no harm in your bowel but can cause infection if they get into other parts of your body. Some bacteria lie around your back passage (anus) after you pass a stool (faeces). These bacteria sometimes travel to the tube which passes urine from your bladder (the urethra) and into your bladder. Some bacteria thrive in urine and multiply quickly to cause infection.

A urine infection is often called a urinary tract infection (UTI) by doctors. When the infection is just in the bladder and urethra, this is called a lower UTI. If it travels up to affect one or both kidneys as well then it is called an upper UTI. This can be more serious than lower UTIs, as the kidneys can become damaged by the infection.

Urine infections are rare in men aged under 50. They become more common in older men. Urine infection is much more common in women.

What causes a urine infection?

In some cases an underlying problem can increase the risk of developing a urine infection. These include the following:

In other cases the infection occurs for no apparent reason. There is no problem with the bladder, kidney, prostate gland, or defence (immune) system that can be identified.

In the average adult patient there should be a urine output of: 0.5-1 ml/kg/hr. This means that an average 70 kg man should produce 35-70 mls an hour.

Urine output decreases in older patients and the target urine output should be 0.25-0. 5 ml/kg/hr. This means that a 70 kg man who is aged over 65 years should produce 17.5-35mls per hour.

What are the symptoms of a urine infection?

  • Infection in the bladder (cystitis) usually causes pain when you pass urine, and you pass urine more frequently. You may also have pain in your lower tummy (abdomen). Your urine may become cloudy, bloody or smelly. You may have a high temperature (fever).
  • Infection in the kidneys may cause pain in a loin (the side of the abdomen over your kidney) and a high temperature (fever). It may cause you to feel sick or be sick (vomit). You may feel generally unwell.

In some elderly men, the only symptoms may be a recent onset of confusion or just feeling generally unwell, even without any actual urinary symptoms.

Are any tests needed?

A urine sample can confirm the diagnosis and identify the germ (bacterium) causing the infection. Further tests are not usually necessary if you are otherwise well and have a one-off infection. However, your doctor may advise tests of your kidney, prostate gland, or bladder if an underlying problem is suspected.

An underlying problem is more likely if the infection does not clear with an antibiotic medicine, or if you have:

  • Symptoms that suggest a kidney is infected (and not just the bladder).
  • Recurring urine infections. For example, two or more in a three-month period.
  • Had problems with your kidney in the past, such as kidney stones or a damaged kidney.
  • Symptoms that suggest an obstruction to the flow of urine.
  • Blood-stained urine which persists after treatment with antibiotics.

Tests may include:

What is the treatment of a urine infection?

  • A course of an antibiotic medicine will usually clear the infection quickly. This is usually for seven days. You should see a doctor if your symptoms are not gone, or nearly gone, after a few days.
  • Paracetamol or ibuprofen will usually ease any pain, discomfort, or high temperature (fever).
  • Have plenty to drink to help prevent a lack of fluid in the body (dehydration) if you have a fever and feel unwell.

What is the outlook (prognosis)?

The vast majority of men improve within a few days of starting treatment. See a doctor if you do not quickly improve. If your symptoms do not improve despite taking an antibiotic medicine then you may need an alternative antibiotic. This is because some germs (bacteria) are resistant to some types of antibiotics. This can be identified from tests done on your urine sample.

Occasionally the infection may spread and cause you to be more unwell. Infection in the bladder (cystitis) may spread to the kidney (pyelonephritis). Infection may also spread to involve the prostate gland, causing infection of the prostate gland (prostatitis). Occasionally it may lead to a swelling caused by a collection of pus (abscess) in the prostate gland.

NGU (Nongonococcal Urethritis): Symptoms, Treatment & Prevention

Overview

What is nongonococcal urethritis?

Nongonococcal urethritis (NGU) describes inflammation, or irritation, of the urethra. The urethra is a small tube in the penis which is the path urine (pee) follows from the bladder to leave the body.

This type of inflammation happens to men more than women. It’s usually caused by an infection, or germs entering the body. It’s a sexually transmitted infection (STI) that results from sex with an infected partner.

How common is nongonococcal urethritis?

NGU is the most commonly treated STI.

Symptoms and Causes

What are the causes of NGU?

There are sexual and nonsexual causes of nongonococcal infection.

Sexual causes

Sexually transmitted infections (STIs) are the main cause of NGU. People can pass these infections to each other during unprotected sex — vaginal, oral or anal. The infections come from bacteria called _Chlamydia trachomatis _and Mycoplasma genitalium. \

Nonsexual causes of NGU

Nonsexual causes of NGU include:

  • Phimosis, where the foreskin is too tight.
  • Catheterization, if you needed a tube inserted into the penis during a medical procedure.

Is NGU the same as gonorrhea?

NGU and gonorrhea are similar but different. Gonorrhea is a sexually transmitted infection caused by Neisseria gonorrhea. The two conditions can lead to similar symptoms. But there are crucial distinctions. The bacterium that causes gonorrhea is different than the bacteria that cause many cases of NGU. That’s reflected in part of NGU’s name — nongonococcal, or “no gonorrhea.” And it means the conditions need different treatments.

Who is at risk for NGU?

NGU is more common in men because the male urethra can get infected during sex. A woman’s urethra is much less likely to be infected during sex. Certain behaviors can also increase risk. Men between the ages of 15 and 30 who have more than one sex partner are more likely to get NGU.

Can women get nongonococcal urethritis?

Women are less likely to get NGU, but it can happen. NGU doesn’t cause as many symptoms in women.

What are the symptoms of NGU?

Women who get NGU often have fewer symptoms. In men, early symptoms may include:

  • Discharge (leaking fluid) from the penis, either a little or a lot.
  • Mild burning in the penis when peeing.
  • Itching or irritation.
  • Tenderness.

If you don’t get treatment, the infection can get worse. More severe symptoms in men include:

  • Testicular pain and swelling.
  • Infertility, where you’re unable to help make a baby.
  • Illness from the infection spreading to other parts of the body.

Are there complications from NGU?

If you get medical care and follow treatment instructions, you most likely won’t have long-term health effects. But left untreated, the germs that often cause NGU can lead to complications like:

  • Epididymitis, when the epididymis becomes inflamed. The epididymis is the rope-like structure along the testicles. This condition can lead to infertility and pain if untreated.
  • Reiter’s syndrome, a form of arthritis.
  • Skin lesions.

Women can also get other conditions from the same bacteria. These include:

If untreated, these infections can lead to problems in women such as pelvic inflammatory disease and infertility (inability to get pregnant).

When do symptoms of nongonococcal urethritis develop?

Men who get NGU from bacteria often develop symptoms 1 to 3 weeks after the infection starts. But you can also have NGU without any noticeable symptoms.

How long is a person with NGU contagious for?

With NGUs, you’re only contagious (able to spread) the problem if it’s an infection from sex. You remain contagious with the STI until you finish antibiotics and your symptoms go away. Don’t resume having sex until you’ve finished your medicine and your symptoms are gone.

Diagnosis and Tests

How do I know if I have NGU?

You may have symptoms, including pain or burning around the penis. Or perhaps you have no symptoms, but you had unprotected sex and want to get tested for STIs. Talk to your healthcare provider, who can diagnose any problems and get you the treatment you need.

What tests can diagnose NGU?

Usually, your provider diagnoses NGU when you:

  • Have inflammation in your urethra and some of the symptoms above.
  • Do not have gonorrhea.

For men or women, a urine sample, cotton swab of the throat, rectum or cervix can be used to test for NGU.

The medical team will test the fluid for the germs that cause gonorrhea, chlamydia and maybe Mycoplasma genitalium. Symptoms of those infections are similar to NGU symptoms. People can catch multiple STIs at the same time. Your provider may also test for HIV and other STIs.

Management and Treatment

What’s the treatment for nongonococcal urethritis?

Antibiotics are used to treat NGU. These medications destroy the germs that are responsible for the infection. Your provider may prescribe:

  • Doxycycline, which you take twice a day for a week.
  • Macrolide antibiotics, such as azithromycin, which is a single-dose medication.

If you’re allergic to these drugs, or they don’t work, your provider will prescribe different medications. You and your partner both need treatment. If only one partner is treated, you may continue to pass the infection back and forth to each other.

Prevention

How can I prevent nongonococcal urethritis?

You can prevent NGU by using a new condom or dental dam every time you have sex. If you have a new partner, consider getting tested for NGU and other STIs before having sex. If you have multiple sex partners, talk to your healthcare provider about regular STI testing. Many providers recommend yearly testing, or more frequently if appropriate, for people who are sexually active. This testing can keep you and your partners safe.

Outlook / Prognosis

Can I get NGU again?

Yes, you can get the infection again. Having it once doesn’t protect you from getting it again.

Living With

What should I do after treatment for nongonococcal urethritis?

After your provider has diagnosed NGU and prescribed antibiotics, take steps to stay healthy:

  • Use medicine as directed: Take all the medicine you were prescribed. Finish your medication, even if your symptoms improve. Don’t share your medicine with others.
  • Pause your sex life: Don’t have sex until you’ve taken all of the medicine and your symptoms are gone.
  • Avoid reinfection: Always use condoms and dental dams for vaginal, oral and anal sex.
  • Contact sexual partners: Get in touch with everyone you’ve had sex with during the last three months. Suggest that they get treated.
  • See your provider: If the discharge doesn’t go away (or if it goes away and comes back), contact your healthcare provider.

What should I ask my healthcare provider?

If you have NGU or suspect you do, ask your provider:

  • What treatment will work best?
  • Should I get tested for other STIs as well?
  • When can I resume having sex?
  • How can I protect myself in the future?
  • Are there long-term health effects from NGU?
  • Should I have regular STI testing?

A note from Cleveland Clinic

Nongonococcal urethritis, or NGU, is inflammation of the urethra. The main cause of NGU is having unprotected sex with an infected person. But there are nonsexual causes of NGU as well, including UTIs. If you have symptoms of NGU, such as discharge from the penis or pain while you pee, talk to your healthcare provider. If you don’t have symptoms but had unprotected sex, it’s a good idea to talk to your provider as well. Many people don’t get NGU symptoms but can still carry an infection and pass it to their partners. Antibiotics can usually clear up any infections. Use a condom or dental dam every time you have sex to prevent NGU.

Non-gonococcal urethritis symptoms – NHS

Non-gonococcal urethritis (NGU) can cause different symptoms in men and women. In some cases, NGU does not cause any symptoms at all.

Symptoms of NGU in men

The symptoms of NGU in men can include:

  • a white or cloudy discharge from the tip of your penis
  • a burning or painful sensation when you pee
  • the tip of your penis feeling irritated and sore

Depending on the cause of NGU, symptoms may begin a few weeks or several months after an infection.

If NGU has a non-infectious cause, such as irritation or damage to the urethra, symptoms may begin after a couple of days.

Symptoms that start a day or 2 after sex are not usually caused by a sexually transmitted infection (STI), but testing for STIs is still recommended.

Read about the causes of NGU.

Symptoms of NGU in women

NGU usually causes no noticeable symptoms in women.

However, the infections that cause NGU in men can spread to other parts of the female reproductive system – for example, the womb or fallopian tubes, which connect the ovaries to the womb.

If the infection does spread, a woman may develop pelvic inflammatory disease (PID).

PID is a serious health condition that can cause persistent pain. Repeated episodes of PID are associated with an increased risk of infertility.

Some women with PID do not have symptoms. If there are symptoms, they include: 

  • pain around the pelvis or lower part of your stomach (abdomen)
  • discomfort or pain during sexual intercourse that is felt deep inside the pelvis
  • bleeding between periods and after sex
  • pain when you urinate
  • heavy or painful periods
  • unusual vaginal discharge – especially if it is yellow or green

A few women with PID become very ill with:

  • severe lower abdominal pain
  • high temperature
  • feeling and being sick

Visit a GP or a sexual health clinic if you think you may have PID.

Page last reviewed: 06 March 2020
Next review due: 06 March 2023

Gonorrhoea symptoms & treatment | Avert

FAST FACTS

  • Gonorrhoea is a sexually transmitted infection (STI) that is normally passed on through sex without a condom or sharing sex toys with someone who has the infection.

  • Using male or female condoms and dental dams during sex will help to protect you from getting gonorrhoea.

  • Many people with gonorrhoea don’t have any symptoms, so it’s important to get tested if you have had unprotected sex and think you might have it.

  • Gonorrhoea is curable, but if left untreated it can cause other health problems.

What is gonorrhoea?

Gonorrhoea is a sexually transmitted infection (STI). It used to be known as ‘the clap’.

Gonorrhoea can be easily treated and cured with antibiotics. However if it isn’t treated, gonorrhoea can cause infertility (inability to have children) and other health conditions.

How do you get gonorrhoea?

Gonorrhoea is usually passed on through unprotected vaginal, anal or oral sex.

You can also get gonorrhoea through close genital contact. This means you can get gonorrhoea from someone if your genitals touch, even if you don’t have sex or ejaculate (cum).

It’s also possible to have a gonorrhoea infection in your eye, if it comes into contact with semen (cum) or vaginal fluids from someone with the infection – but this is rare.

Pregnant women can pass the infection onto their babies at birth. If you’re pregnant and think you may have gonorrhoea, it’s important to get tested as soon as possible so you can be treated before the baby is born.

Gonorrhoea can’t be passed on through kissing, hugging, sharing towels or using the same toilet as someone with the infection.

How can you prevent gonorrhoea?

Using a new male or female condom or dental dam every time you have vaginal, anal or oral sex is the best way to protect yourself from getting gonorrhoea.

Gonorrhoea can be passed on by sharing sex toys. Always cover sex toys with a new condom and wash them after use to reduce your risk of getting gonorrhoea and other STIs.

Having regular STI tests is one of the best ways to look after your sexual health. If you are having sex with multiple partners, it’s even more important to use condoms and get tested regularly.

The contraceptive pill and other forms of contraception (apart from condoms) won’t protect you from gonorrhoea, neither will PrEP.

What are the symptoms of gonorrhoea?

Many people with gonorrhoea don’t have any symptoms. If you do get symptoms, you will normally notice them within 10 days of infection, but they can occur many months later.

Gonorrhoea symptoms in women include:

  • unusual thick and green or yellow discharge from the vagina
  • pain or burning when urinating (peeing)
  • pain in the lower abdomen
  • bleeding between periods and/or heavier periods
  • bleeding after sex – this is rare.

Gonorrhoea symptoms in men include:

  • unusual discharge from the penis that may be white, yellow or green in colour
  • pain or burning when urinating (peeing)
  • inflammation or swelling of the foreskin
  • pain in the testicles – this is rare.

You can also get gonorrhoea in your anus (bottom), eyes or throat. Both women and men can experience pain, swelling or discharge in the anus, or inflammation (redness) of the eye (called conjunctivitis). Gonorrhoea in the throat doesn’t normally have any symptoms.

How do I test for gonorrhoea?

You can get tested for gonorrhoea even if you don’t have any symptoms.

For women, a healthcare professional will usually take a swab from either the lower part of the womb (cervix) or the vagina. Men usually need to provide a urine (pee) sample and/or a swab taken from the tip of the penis (urethra). If you have had anal or oral sex, you may have a swab taken from the anus (bottom) or throat.

If you test positive for gonorrhoea, it is important to tell your recent sexual partner/s so they can also get tested and treated. Your healthcare professional can advise you on this. You should also be tested for other STIs.

When should I get tested for gonorrhoea?

You can get tested for gonorrhoea within a few days of having sex, although sometimes you may have to wait up to a week. If you have had sex without a condom, or you are worried about gonorrhoea or other STIs, speak to your healthcare professional about getting tested as soon as possible. 

How is gonorrhoea treated?

Gonorrhoea is usually treated with a short course of antibiotics.

It’s important to not have sex again until you and your current sexual partner/s have finished treatment and a healthcare professional says you can.

Even if you’ve been treated for gonorrhoea, you are not immune and can get it again.

Long-term effects of untreated gonorrhoea

If left untreated, gonorrhoea can lead to other health problems.

In women it can cause pelvic inflammatory disease (PID). PID is an infection that can cause pelvic pain, infertility (inability to get pregnant), and ectopic pregnancy (pregnancy outside the uterus) which can be life-threatening. PID can be treated with antibiotics.

In pregnant woman, gonorrhoea can cause miscarriage and premature labour. The mother can pass it on to her unborn baby. Gonorrhoea can be more dangerous in babies, as it can cause eye infections such as conjunctivitis, which in serious cases can lead to blindness.

In men untreated gonorrhoea can cause an infection in the testicles called epididymitis. This can result in fever, scrotal pain and swelling and, in rare cases, infertility.

In rare cases, for both women and men, untreated gonorrhoea can spread to other parts of the body. This can cause inflammation and swelling of joints and tendons, skin irritation and redness, and inflammation around the brain and spinal cord (meningitis) or the heart.

Gonorrhoea and HIV

Having an STI, including gonorrhoea, increases your risk of getting HIV.

If you are living with HIV and also have gonorrhoea, your viral load is likely to increase. This will make you more likely to pass on HIV if you have sex without a condom, even if you are on treatment.

However, if you have an undetectable viral load (because you’re taking antiretrovirals) there is no evidence that gonorrhoea makes you more likely to pass on HIV.

If you are taking antiretrovirals it is important to discuss with your doctor how treatment for gonorrhoea may interact with your HIV drugs.

If you are worried about HIV infection, find out everything you need to know in our HIV Transmission and Prevention section.

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Kidney infection – Symptoms, treatment and prevention

When bacteria get into your kidneys, it can cause an infection. The bacteria that cause kidney infections usually come from another part of your urinary tract, such as your bladder, ureters or urethra. Kidney infections can affect one kidney at a time or both of your kidneys at the same time. It is very important to treat kidney infections as soon as possible. Kidney infections that are not treated soon enough can cause permanent kidney damage or can spread to other parts of your body and cause an even more serious infection.

Who gets kidney infections?

Anyone can get a kidney infection, but some people are more likely than others to get them. You are more likely to get a kidney infection if you:

  • Have a bladder infection. An infection in the bladder can spread to the kidneys.
  • Are a woman. Women get kidney infections more often than men do. This is because of the way the female body is built. In women, the urethra (the part of your urinary tract where your urine exits your body) is shorter than it is in men. Having a shorter urethra makes it easier for bacteria to get into your body and travel up your urinary tract. The urethra is also closer to the vagina and anus in women than it is in men. Bacteria can spread from the vagina and anus to the urethra, and then travel up the urinary tract.
  • Have a problem with the shape of your urinary tract that makes it harder for urine to pass through
  • Have a blockage in your urinary tract, such as a kidney stone or an enlarged prostate (in men)
  • Are pregnant
  • Have diabetes
  • Have a weakened immune system. This could be caused by a disease, such as diabetes or HIV, or by certain medicines called immunosuppressants. People who have had a kidney transplant or other organ transplant take immunosuppressants.
  • Have nerve or spinal cord damage that keeps you from feeling pain in the area of your body where your bladder and urethra are. Not being able to feel pain in this area can keep you from noticing symptoms of a bladder infection. A bladder infection can lead to a kidney infection if left untreated.
  • Use a catheter to drain urine from your bladder
  • Have a health problem called vesicoureteral reflux (VUR). A normal urinary tract only allows urine to flow down the ureters into the bladder. People with VUR have urinary tracts that allow urine to flow backwards, up the ureters, which can lead to kidney infections.

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What are the symptoms of kidney infection?

If you have a kidney infection, you may notice one or more of the following symptoms:

  • Fever
  • Vomiting
  • Pain in your back, side(s) or groin
  • Chills
  • Nausea
  • Urinating (peeing) often
  • Feeling like you have to urinate (pee) often, even if you just went
  • Pain or burning when urinating
  • Pus (thick, white/yellow liquid) or blood in your urine
  • Cloudy or bad-smelling urine

If you notice any of these symptoms, contact your health care provider as soon as possible. If you are currently taking medicine to treat a urinary tract infection (UTI), but you are still having any of these symptoms, contact your health care provider.

If your health care provider thinks you might have a kidney infection, he or she might ask you for a urine sample to look or bacteria or other signs of infection. You might also need to have a blood test or imaging tests, such as an X-ray, ultrasound or CT scan.

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What is the treatment for a kidney infection?

Kidney infections are treated with antibiotics. Your health care provider may tell you to take an antibiotic medicine that treats the most common types of infections, until your urine can be looked at to figure out the exact type of infection you have. Once your urine test results are available, your health care provider might tell you to take a different type of antibiotic, depending on the type of infection you have.

If you have a very serious infection, you may need to stay in the hospital to receive treatment.

If your kidney infection was caused by a problem with the shape of your urinary tract, you may need to have surgery to correct the problem and prevent future kidney infections.

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How can I prevent kidney infections?

You may be able to lower your chances of getting a kidney infection by:

  • Drinking plenty of water
  • Urinating as soon as you feel the need to do so
  • Urinating after having sex
  • Wiping from front to back after going to the bathroom, if you are a woman. This helps to keep bacteria from your vagina or anus from getting into your urethra.
  • Avoiding the use of deodorant sprays or douches in your genital area.

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How To Prevent Toilet Infection | The Guardian Nigeria News

By Damilola Dimeji-Ajayi

02 November 2018   |  
12:02 pm

Toilet infections are generally uncomfortable for both male and female which often displays symptoms like itching, pain on urination, bad odour and general discomfort in the private area. Some harmful habits like squatting when urinating, wrong method of cleaning the anus after defecating, vagina douching, use of perfumes on the private area, use of dirty…

Toilet infections are generally uncomfortable for both male and female which often displays symptoms like itching, pain on urination, bad odour and general discomfort in the private area.

Some harmful habits like squatting when urinating, wrong method of cleaning the anus after defecating, vagina douching, use of perfumes on the private area, use of dirty toilets and use of wet underwear may predispose a person to toilet infection.

Although, most people find treating toilet infections quite embarrassing; it is important to treat its early so it does not snowball into another issue that will affect one’s sexual health.

Below are helpful tips to prevent toilet infections:

Stop Vaginal Douching

Image credit: Pixabay

Do not use medicated soap, antiseptics or salt to wash your private area has it causes harm to the bacteria living in the vagina. Only use water to clean up while bathing.

Always Change Your Underwear

Image credit: Pixabay

It is advisable to change your underwear twice or whenever you’ve sweat much. Ensure your underwear is always dry.

Ensure You Stand Or Just Bend While Urinating

Image credit: Pixabay

When you stand or bend when urinating, it helps to prevent infection by avoiding urine splashing on you. It is advisable to adopt this position, especially when using a public toilet.

Do Not Share Underwears

Image credit: Pixabay

Never share your underwears with anyone as you do not know their sexual history and hygiene, hence, it is better to be safe than sorry.

Do Not Use Perfumes On The Sex Organ

Image credit: Pixabay

Stop the use of perfume or scented soap on the vagina as it changes the chemical balance which can predispose a person to toilet infections.

 

Avoid Injury On The Sex Organ

Image credit: Pixabay

Be careful not to injure yourself around your private area has a break in the skin due to injury will predispose one to infections.

It is better to be proactive about protecting your sexual health in order to avoid toilet infections.

What men are silent about / / Official website of the city district of Yegoryevsk

(End. Beginning at No. 32) Diseases of the prostate gland and related sexual disorders now occupy a significant place in urology and sexopathology. According to the latest data, at least 30-50% of all men suffer from these diseases. The situation is aggravated by the fact that men – in large part – do not like to go to doctors. If a sign “Urologist” or “Sexopathologist” hangs on the door of the doctor’s office, then only a very serious reason can force a man to open such a door.Following the saying that if the mountain does not go to Mohammed, then Mohammed goes to the mountain, we invited the urologist of the polyclinic №3 for a public conversation
Olga Nikolaevna ISTRATI and asked her to tell our readers about prostate diseases. Perhaps the information received will make someone from the stronger sex listen to their body, take seriously the failures occurring in it, discard false shame and fear and visit a doctor, in collaboration with whom it is possible to defeat many diseases, especially if they are not running.
– Olga Nikolaevna, in our last conversation we told our readers about the structure and function of the prostate gland – the second heart of a man (as the ancient Greek doctors called it), outlined the main types of prostate diseases (prostatitis, adenoma and cancer) and dwelt in sufficient detail on inflammation prostate gland – prostatitis. You promised that at the next meeting you will also talk about other diseases of the prostate gland, since this topic is relevant.
– Yes, the topic is relevant and rather painful.Therefore, we will continue our story. Adenoma of the prostate (benign prostatic hyperplasia, BPH) is one of the most common diseases of the genitourinary system in men. Usually this disease develops after 50 years and occurs in every second man. The main symptoms of prostate disease in this case are various disorders in urination: difficulty and frequency (especially at night), a feeling of incomplete emptying, weakening of the stream, intermittent urination.One should not take this prostate disease as inevitable just because it occurs in adulthood. And even more so, one should not self-medicate. All of the above urinary disorders that cause an adenoma will sooner or later lead to the development of an infection in the urinary tract, renal failure, impaired outflow of urine from the bladder and the formation of urinary stones. Today, the clinical course is divided into three stages
BPH. First stage. Frequent urination, especially at night, up to 5-8 times.The stream of urine is sluggish, over time you have to push to empty. During sleep, urinary incontinence is possible. The kidneys are generally not impaired. Second stage. There is a feeling of incomplete emptying of the bladder. The urge is more frequent day and night. In the morning you have to urinate in 2-3 visits. The jet is interrupted by drops and becomes sheer. Signs of impaired kidney function begin to develop – increased thirst, dry mouth. Third stage. Part of the residual urine increases to 2 liters. The bladder is stretched, the contours are visible in the form of a tumor, and its sensitivity decreases.Involuntary discharge of urine at night and then during the day. Impaired kidney function causes loss of appetite, nausea, and weakness. In the absence of adequate treatment, patients die of uremia. Treatment for adenoma is not required for all men. If the disease is at the first stage, the size of the gland is small and the man does not experience pain or other discomfort, then he does not need active treatment. In this case, it is enough to come to the urologist for examination once every six months in order to monitor the size of the prostate gland and exclude the development of cancer.If signs of prostate adenoma appear, which cause a lot of pronounced inconvenience and discomfort, treatment is prescribed. The choice of method depends on the degree of enlargement of the gland, symptoms, age of the patient and the complications present. The main methods of treatment for adenoma are diet, medication and surgery. Diet for adenoma relieves and eliminates some of the symptoms of the disease. Its main principles are the use of plant foods and the limitation of animal fats and red meat. It is necessary to completely abandon alcohol, since alcoholic beverages significantly aggravate the symptoms of the disease.Medical treatment of prostate adenoma is indicated if the disease manifests itself with pronounced symptoms, but without serious complications. Prostate cancer is a malignant growth that affects the prostate gland. Among oncological diseases in men, it ranks fourth. According to statistics, men over 50 are more likely to suffer from cancer. But, unfortunately, recently there is a tendency to “rejuvenate” this disease. In most cases, this prostate disease is asymptomatic.Then there are various disorders in the genitourinary sphere, the most common complaints of increased urge to urinate at night. This leads to the fact that the amount of urine excreted during the night exceeds the daily urine output. Retention or incontinence of urine, as well as the presence of blood in it, occurs. There are cases when urination reaches 20 times a day at a rate of 4-5 times, accompanied by severe pain. Unlike prostate adenoma, cancer not only interferes with urination, but can also metastasize to other organs.When the tumor grows into the seminal vesicles, problems with potency appear. When the swelling becomes large, pain during bowel movements and constipation are possible. The growth and development of metastases due to impaired lymph outflow is manifested by edema of the penis, lower extremities and scrotum. Pain occurs when metastases appear in the bone tissue (femur, lumbar spine, pelvic bones). With liver damage, symptoms depend on the size and number of metastases. With single ones, the liver enlarges and dull pains occur in the right side, and with multiple metastases, jaundice and liver failure appear.Scientists have not yet developed drugs for the prevention of cancer, so it is impossible to prevent prostate cancer. But it can be detected at the earliest stages. For this, men after 40 years of age need to undergo regular urological examinations. The examination is carried out on an outpatient basis and does not require much time and money. Diagnostics is carried out by palpation of the gland, laboratory tests and ultrasound of the urethra. Prostate Cancer Test
Is a laboratory blood test for prostate-specific antigen (PSA).PSA is a protein made by healthy cells in the prostate gland. When PSA enters the semen (sperm), it dilutes it, increasing sperm motility several times. About 97% of it gets into the semen, and 3% into the blood. If the PSA level is significantly exceeded and continues to grow steadily, then a biopsy of the prostate gland, in other words, the collection of cells for analysis, can be prescribed by specialists. A biopsy is the only reliable way to determine if a prostate tumor is present, as well as other abnormalities. Treatment for prostate cancer depends on the stage of the disease, the age of the patient and the presence of metastases. Localized prostate cancer is treated with surgery, that is, radical prostatectomy, cryotherapy, and radiation therapy.
– Olga Nikolaevna, what are the risk factors for prostate disease? – There is no exact and objective method of calculating who exactly will face the problems of the prostate gland.However, many factors influence the likelihood of developing the disease. We can act on some of them, while others are beyond our capabilities. The most important uncontrolled risk factors for prostate diseases include: age (it is estimated that more than half of men between the ages of 60 and 70 years and 90% of men between 70 and 90 years old find signs and symptoms of an enlarged prostate gland), ethnic group (based on world research data, it was found that people with black skin are more susceptible to prostate diseases than representatives of other races), family history of the disease (studies have shown that if your father or brother had prostate cancer, then your chances of getting sick at least twice higher than that of a man in whose family there were no such cases), bone mass (as a result of interesting studies lasting 30 years, it was found that men with a higher relative mass of bones develop prostate cancer more often).Controlled Risk Factors: Environmental health, diet (there is reason to believe that a diet high in fat, especially saturated fat, may increase the risk of prostate cancer), sexual activity. There are several nuances here. An increase in the number of sexual partners a man had before 20, between 20 and 30, between 40 and 50, and between 50 and 64 also increases the risk of prostate cancer. Scientists argue that a man who had two or more female partners during these periods is twice as likely to develop prostate cancer as one who had one partner.They also believe that if a man has more than 30 sexual partners in his lifetime, he is more likely to develop more severe prostate cancer. On the other hand, a relationship was found between sexual activity and the incidence of prostate cancer: in the group of sexually passive men, the incidence rate is about three times higher. Controlled factors also include smoking and taking hormonal drugs. I want to say that in recent years, medicine has made tremendous advances in the treatment and diagnosis of prostate diseases.The sooner a man seeks a doctor, the higher his chance of a full recovery. If there is a failure in treatment, it is more likely that it will depend on the patient’s lack of patience during treatment or on a late visit to the doctor, rather than on the disease itself. I wish you good health, and if you are still ill, do not hesitate and do not be afraid to see a doctor.

Prepared by E. Kashaeva

Only one thought worries – to have time to reach the toilet!

Topical – urinary tract infections

Urinary tract infections occur more often in the summer, so it is important to see a doctor in time, as an advanced disease can cause serious health problems.Inese TSELMINJA, urologist at Medicīnas centrs ARS, explains how to do the right thing in case of urination disorders.

Who is more likely to get urinary tract infections?

Urinary tract infections can occur in both women and men, and at any age – both in children and seniors. Only provoking factors and causes of infection may differ depending on age and gender. Urinary tract infections can develop in both the upper urinary tract and the lower.They can proceed without complications, when there are no serious diseases and structural changes in the kidneys or other organs of the urinary system, and can be with complications when there are serious diseases of the urinary tract.

What urinary tract problems are more common in women?

Women are more likely to suffer from lower urinary tract inflammation – cystitis and urethritis (inflammation of the mucous membrane of the bladder or urinary tract). Acute cystitis is a common cause of a woman’s visit to a family doctor, urologist or gynecologist. The onset of the disease can be very different for each woman. For several days, there may be slight discomfort in the lower abdomen or there may be a violation of urination, and there may be sudden, very severe pain in the lower abdomen, especially at the end of urination, or pain in the area of ​​the external opening of the urethra, which causes weakness, increased sweating .

In women, acute inflammation of the bladder is most often caused by the microflora of the gastrointestinal tract.Intestinal bacteria, which normally live in the perineum, cause inflammation, penetrating in large quantities into the urinary tract. On the first day, over-the-counter homeopathic medicines purchased at the pharmacy can help. But if the complaints continue for the second and third days, or they have already been repeated several times, then you should definitely consult a doctor for laboratory tests and, most often, for the necessary antibiotic therapy. The duration of the chosen therapy is very individual.

If urinary tract infections recur often or their clinical course is more complex, then you should definitely contact a urologist , as additional clarifying examinations will need to be performed: are there any complications that can affect the upper urinary tract – the kidneys. For the treatment of repeated infections, special preventive antibiotic therapy regimens are used or special homeopathic drugs are prescribed in large doses to increase the resistance of the mucous surface of the lower urinary tract.

Are there other types of urinary tract infections in women?

Inflammation of the urinary tract can also be caused by fungi or viruses, but this is rare. In this case, specific examinations and therapy are required. Quite often, women can have sexually transmitted diseases. Their symptoms primarily relate to the gynecological sphere – the uterus, ovaries, oviducts, vagina – and, in addition, there may be urological symptoms. Complaints can be of various types of pain, itching, burning, irritation, and there can also be profuse vaginal discharge, pulling pain in the lower abdomen, fever.Women with such problems usually come to the attention of a gynecologist.

What urinary tract infections can men have?

In men, lower urinary tract infections are most often associated with complications. This means that there is some factor contributing to the development of the infection. It can be an enlarged prostate or stones in the urinary tract, or a focus of some kind of infection, from where it spreads through the body with blood or lymph.

Male complaints can be very different, ranging from very acute situations to minor symptoms with which a man can live for a very long time.There may be urination disorders, the need to visit the toilet more often, a burning sensation, pain in the urinary tract.

Homeopathy does not help men, so if there are any complaints, you should promptly consult a doctor for tests. Always, even with primary cystitis, it is imperative to perform an ultrasound of the abdominal cavity to determine the possible factors contributing to the infection.

Sexually transmitted diseases in men

Sexually transmitted diseases (STD) are still prevalent today.Men are infected with them from a sexual partner. STZs have a wide range, laboratory tests most often reveal gonorrhea, chlamydia, mycoplasmosis, less often trichomoniasis. These diseases are characterized by altered discharge from the urinary canal – unusually greenish, yellowish or transparent, and in large volume. Similar symptoms are balanoposthitis or inflammation of the foreskin, which can be caused by viruses, for example, genital herpes or a fungal infection.It is important to consult a urologist or dermatologist in a timely manner in order to start the correct treatment as soon as possible.

If urinary tract infections are not treated, what are the complications or consequences?

The urethra in men is very long and narrow. Advanced inflammation causes the formation of scar tissue, which causes narrowing of the urethra in various places along its entire length and makes it difficult to urinate. This affects a man’s quality of life for the rest of his life. A man will have to regularly visit a urologist to eliminate narrowings, however, old scar tissue tends to recover and new ones are formed.

The second most common complication is infertility. Scar tissue can also form in the ejaculatory duct of the seminal vesicles, causing impaired spermatogenesis or interfering with the penetration of sperm into the ejaculate, causing the risk of infertility.

In women, the situation is similar – sexually transmitted diseases cause infertility, and , if untreated for a long time, urinary tract infection can result in loss of kidney function, cause kidney problems, for the treatment of which inpatient and surgical treatment is required .In severe cases, this can result in urosepsis or even death.

What are the diagnostic methods for urinary tract infection?

First of all, an anamnesis is collected – the patient’s story about the onset of the disease, its course, the circumstances contributing to the disease, as well as about other side diseases and about the medications used. If required, the doctor conducts an examination to assess changes in the external genital organs – whether there is inflammation, redness, profuse discharge, etc.

The first and the main examination method is laboratory diagnostics – clinical urine analysis .If necessary, a detailed bacteriological examination of urine is performed. To confirm or deny suspicions of a complicated infection, the method of radiological diagnosis is used. An abdominal ultrasound is always performed first. If she does not answer all the questions and it is difficult to clarify the diagnosis, then a computed tomography scan of the bladder or an MRI scan of the pelvis is required.

Is urinary tract infection always to blame for urinary dysfunction?

Both men and women have situations when they have complaints, but nothing is found during examination.In postmenopausal women, hormonal imbalances can cause soreness, itching, and dryness. There are also psychosomatic patients, both men and women, who have urological complaints, but there are no objective reasons for them. These complaints are caused by unresolved psychological problems that affect specifically sexual relations. There is another group of patients who do not find reasons for complaints, because perhaps they are caused by systemic connective tissue diseases and autoimmune diseases.

Some patients have neurological problems, for example, deforming spondylosis of the spine can cause similar pain and mimic a urinary tract infection. These symptoms do not always indicate the presence of a urinary tract infection. For example, both a man and a woman may complain about the need for frequent visits to the toilet, moreover, urgently. If during the examination it turned out that there is no inflammation, then the cause may be either an overactive bladder or an increased level of emotional stress.Therefore, a thorough examination is always required to identify the true cause.

Medical center ARS
Skolas iela 5, Riga
Tel. 67 201 007
www.ars-med.lv

Polyuria | Description of the disease – meds.ru

Polyuria is a pathology characterized by a significant increase in the amount of urine excreted from the body. If the rate of urination in a healthy person is 1.5 liters per day, with pathology this amount doubles.

What causes polyuria?

Polyuria can be a consequence of kidney disease, impaired functioning of the neuroendocrine apparatus. Concomitant diseases of this ailment are tachycardia and hypertensive crisis.

Risk factors

Depending on the causes of polyuria, there are several types of polyuria.

According to the duration of the course, polyuria is: temporary (occurs during infectious processes in the body) and permanent (a consequence of impaired renal function).

Taking into account the factors of influence, distinguish between: pathological (is a symptom of the disease) and physiological (arising from the use of foods, liquids and drugs with a diuretic effect).

Most often, pathology develops in diseases of the prostate, sarcoidosis, diabetes mellitus, chronic renal failure, cancerous tumors, disorders of the nervous system, heart failure.

Symptoms and clinical picture of polyuria

Symptoms of polyuria are: profuse urination with each visit to the toilet, increased urine output at night, decreased specific gravity of urine (due to increased water content in urine).Signs of polyuria in children (rare) appear with increased fluid intake, mental and nervous disorders, kidney and heart disease, Conn and Tony-Debre-Fanconi syndromes, diabetes mellitus.

Which doctor treats polyuria?

Polyuria is treated by a urologist or general practitioner. When diagnosing, you will need an endocrinologist’s consultation.

Diagnostics of polyuria

A comprehensive diagnostic examination can help to distinguish increased urination from polyuria, including:

  • ECG and CT of the kidneys – allow to identify the cause of the pathology;
  • Kidney ultrasound – shows pathological changes in the urinary tract;
  • CT / MRI of the skull – detects tumors, diseases of the hypothalamus;
  • kidney biopsy – helps to determine the presence of acute tubular necrosis, chronic tubular-interstitial nephritis.

The tests prescribed for polyuria will help to make an accurate diagnosis and choose adequate methods of therapy:

  • Zimnitsky samples – to determine the volume of urine and its specific gravity;
  • urinalysis – to assess the water balance of blood plasma;
  • blood test – for plasma osmolarity and the presence of creatinine, chlorine, sodium, total CO2, potassium, calcium, urea nitrogen, glucose.

Treatment regimen for polyuria

As an independent disease, polyuria is not treated.Replenishment of fluid and electrolyte losses is ensured by a healthy and balanced diet and the use of nutritional supplements. Treatment of polyuria with a significant decrease in electrolytes involves emergency therapy. Establishing the cause of the pathology makes it possible to determine how to treat polyuria. A successfully completed course of treatment allows you to finally get rid of increased urination. Doctor’s prescriptions:

  • for diabetes mellitus – drugs that reduce blood glucose levels;
  • to normalize the exchange of sodium ions in the body – Aldosterone, Mineralocorticoid;
  • for leptospirosis and pyelonephritis – antibiotics;
  • for cleansing the body and kidneys from toxins – hemodialysis;
  • for severe forms of polyuria – thiazide diuretics, preventing the dilution of urine.

Potential Complications

Ignoring the problem can lead to serious consequences. Complications of polyuria are: dehydration, hypovolemia, anuria, nocturia.

Measures for the prevention of polyuria

For the prevention of polyuria, doctors recommend: control the amount of fluid consumed, exclude from the diet foods that irritate the bladder (spices, alcohol, chocolate). 90 027 90 000 Signs of STDs and how to detect a sexually transmitted disease in time

signs of std

Dangerous Thirty

The topic is very prosaic – sexually transmitted diseases (STDs).By the way, there are more than 30 of them: from the deadly HIV infection to the banal chlamydia, which, by the way, cannot be called trifling either. Of course, most STDs are curable, but not all. For example, it will never be possible to part with genital herpes – treatment only softens the course of the disease and reduces the frequency and severity of relapses. Only those under the age of 25 have a chance to permanently get rid of the human papillomavirus (HPV).The genital herpes virus also affects semen, and if a woman contracted it during pregnancy, it can cause severe congenital diseases of the fetus. signs of std

Treatment will be successful only if it is started without delay and brought to an end. How to spot the very first signals of danger?

Alarm declared!

There are seven main signs that you shouldn’t delay visiting a doctor.

  • Itching and burning in the intimate area.
  • Redness in the genital area and anus, sometimes – ulcers, blisters, pimples.
  • Discharge from the genitals, odor.
  • Frequent, painful urination.
  • Enlargement of lymph nodes, especially in the groin area.
  • In women, pain in the lower abdomen.

However, for example, syphilis or chlamydia can appear several weeks after infection, and sometimes STDs can go latent for a long time, turning into a chronic form.

signs of sts

Let’s take a closer look

Chlamydia

Symptoms . In 1-4 weeks after infection with it, patients develop purulent discharge, painful urination, as well as pain in the lower abdomen, lower back, bleeding between periods in women, in men – pain in the perineum.

Why is it dangerous? In women, it can lead to inflammation of the fallopian tubes, cervix, pathologies of pregnancy and childbirth, diseases of the liver, spleen; in men – to inflammation of the epididymis, prostate, bladder, impaired potency.In newborns, conjunctivitis, nasopharyngeal damage, and pneumonia can develop.

Trichomoniasis

Symptoms . They may appear 4–21 days after infection, sometimes later. Women have profuse foamy discharge of white or yellowish-green color with a pungent odor, causing severe itching and irritation of the genitals, as well as pain, burning sensation when urinating. In men, there is a burning sensation when urinating, mucopurulent discharge from the urethra.However, this disease is often asymptomatic.

Why is it dangerous? In women, the cervix and the inner layer of the uterus, fallopian tubes, ovaries, urinary tract are affected. The infection can even cause peritonitis! In men, the prostate gland, testicles and their appendages, urinary tract are affected.

Mycoplasmosis (in men – ureaplasmosis)

Symptoms . It can reveal itself 3 days after infection, and maybe even a month later, manifested by itching and discomfort in the genital area, scanty transparent discharge, painful urination.

Why is it dangerous? A frequent complication of trichomoniasis in women is inflammation of the genitals, in men – a violation of spermatogenesis.

Gonorrhea

Symptoms . 3-7 days after infection, women develop a yellowish-greenish vaginal discharge, frequent, painful urination, pain in the lower abdomen, and sometimes bloody discharge. However, in most of the fairer sex, the disease goes unnoticed for a long time.Men experience pain and burning sensation when urinating, yellowish-greenish purulent discharge from the urethra.

Why is it dangerous? In women, the urethra, vagina, anus, uterus, ovaries, fallopian tubes are affected. In men – internal genital organs, chronic inflammation of the epididymis, seminal vesicles, prostate develops, which threatens impotence, infertility.

signs of std

Forget the Internet!

Notice something is wrong? Better to play it safe and hurry to the doctor, rather than search the Internet for symptoms and treatments.

90,000 False urge to urinate – require examination

False urge to urinate can occur in different ways and be accompanied by other symptoms. For example, there is a constant urge to urinate, and urine is either not excreted at all, or only a very small amount is excreted. Or false urge to urinate is accompanied by a burning sensation and other unpleasant symptoms. In both cases, it is necessary to contact a medical center to establish an accurate diagnosis and prescribe treatment.A neurogenic bladder is a case when the cause of false urge and urinary disorders is damage to the nervous system.

How is urination

The function of regulating the urge to urinate lies on the bladder, which is a hollow sac with walls of muscle fibers. It collects urine from the kidneys, and when it is full, the walls contract and it is emptied. At the same time, the corresponding signals are sent to the brain, which cause the sensation of the urge to urinate.The presence of substances that irritate the urinary tract can interfere with the normal bladder response and cause a false urge to urinate. These substances include alcohol, coffee, tea, and a sugar substitute called newrasvit.

Causes of disorders of the bladder and false urge to urinate

The most common reason for the appearance of false urge to urinate is various infectious diseases, and the occurrence of urges does not depend on the localization of the site of infection.These symptoms occur with inflammation of the kidneys, urethra, bladder, prostate, or vagina. The infection irritates the genitourinary system and prevents it from working properly.

Urethritis – inflammation of the urethra (urethra) can be equally common in men and women, but due to anatomical reasons in men it manifests itself more quickly and more acutely, because their urethra is narrower and longer. In women, symptoms may be less pronounced or even go unnoticed.Urethritis can be infectious or non-infectious. The causative agents can be gonococci, viruses, bacteria, chlamydia, Trichomonas and others.

Causes of urethritis in women

There are a lot of predisposing factors, and among them it can be noted:

  • severe hypothermia, single or recurrent;
  • the onset of sexual activity, that is, violent intercourse can provoke symptoms of urethritis;
  • sexually transmitted diseases, genital infections;
  • malnutrition, in which strongly spicy, sour, salty, fried, spicy or alcohol, when excreted in urine, irritate the urethra;
  • gynecological problems leading to changes in the microflora of the vagina;
  • menopause;
  • urolithiasis, in which secreted crystals injure the walls of the urethra;
  • decreased immunity.90 130 90 140

    Causes of urethritis in men 90 029

    The reasons are absolutely the same as for women. Manifestations – whitish or mucous discharge from the genitals, pain, itching, cramps and often false urge to urinate.

    With urethritis, the inflammatory process can easily spread to the bladder and then cystitis will develop, and if to the kidneys, then pyelonephritis, so you cannot expect that it will pass by itself.

    False urge to urinate during pregnancy

    During pregnancy in the first and third trimester, there may be frequent false urge to urinate.This is due to the fact that the amount of fluid in the female body increases, and the kidneys get rid of harmful products faster, and the pressure of the uterus on the bladder increases. If the amount of fluid you drink and the amount you drink is the same, then you should not worry, because this is quite normal. If less fluid is released and protein appears in the urine, measures should be taken immediately under the supervision of a specialist.