A 30 year old male, married, taxi driver came to the clinic complaining of pain with urination and noticeable increase in frequency of 3 days duration. He also noted a yellowish green copious penile discharge that often leaves stain in his underwear. He also said that he had a slight fever and took Paracetamol 500mg which relieved the symptom. On further prodding , the patient volunteered that he had unprotected sex with a sex worker in a bar in Pasay City a week prior to consultation.
History,laboratory and physical examination points to a diagnosis of Urethritis, most probably Gonococcal(Tulo),Gonorrhea, in etiology. Patient was given Azythromycin 1gm as a single dose together with Cefixime 200mg, 2 tablets as single dose. Patient was also advised to increase fluid intake and to practice safe sex in the future.
Gonococcal Urethritis, Tulo, is a sexually transmitted disease with an incubation period of 2-7 days, that causes urinary symptoms like frequency,urgency and dysuria.Almost always there is a copious ,green, yellow urethral discharge that often leaves a mark in the underwear thus the local term "Tulo" or drip . The penile opening or meatus and the anterior urethra may also be inflammed thus a patient may experience a burning sensation with the passage of urine.
Gonorrhea also called the clap, which is caused by Neisseria gonorrhoeae, is an important public health problem and is the most common reportable infectious disease. Gonorrhea is most frequently spread during sexual contact. The most common local complication of gonorrhea in men is Epididymitis which causes unilateral testticular pain and swelling, and epididymal tenderness. Urethral dischage may or may not be present.
(image courtesy www.cdc.gov)
Photos and Images compiled from Google.com
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18 comments:
hi doc! im stephen, i know im suffering this also ... inom ako inoflox ng 400mg sa umaga at 200mg sa gabi ... nabawasan sya pero di pa rin naalis ... 7 days na ko umiinom ng gamot pero meron pa rin... kulang pa ba yun antibiotics ko? salamat doc!
have good day doc,this mark..uminom po ako ng cefalixen and tubig ng buko everymorning pero until now meron pa rin.what should i do dok?
doc. meron ako uti tapos ng karon ng tulo ung bf ko pag kalipas ng ilang araw pero wala nmn ako tulo my posibilidad ba na sakin talaga nya nakuha un dulot ng infection ko sa uti
Hi dok im reinier Nag katulo ako umiinom ako ng ciprofloxacin 3 days na kong meron nito mawawala ba yun sa tulong ng ciprofloxacin ? Anu ang dapat kung gawen at inumen salamat dok
hi doc. im jeof. meron po ata ako tulo. kc po nanga2ti po ung ari ko tapos my nalabas po na yello. pero kaunti lng po. lumalabas lang po un pag hinihilot ko ung ari ko para po lumabas un. tapos my naiiwan po sa underwear ko. pero hindi nmn po ako nahi2rapan o masakit umihi. ano po pwede kung inumin na gamot para po gumaling ako. plz help me doc.
plz email mo po ako sa sagot. rastafari_cafe@yahoo.com
hi doc. jeof po ulit. doc tanung lang po. san po ba pwedeng makuha ang tulo. kc po hindi ko alam kung san ko po nakuha ung skin. kasi po last po na nagsex kami ng gf ko last mar 28. pagkatapos po nun wala nmn po akung naramdaman na kahit ano. tapos po nagpa.blowjob po ako sa ibang babae nung apr 8. at cgurado po ako na wala sa kanilang pareho ang nki2pagsex sa ibang. tapos po nung bj na un. nd ko lng po sure kung kelan po nangati ung ari ko. pero po pang 2 days ko na po npa2nsin na my lumalabas na yellow sa ari ko. pls help me doc. plz. gusto ko pong gumaling agad.
plz email mo po ako sa sagot. rastafari_cafe@yahoo.com
Im suffering from tulo since last week. I went to the clinic 3days after i realized that i have the infection and it was really embarassing. The doctor prescribed doxycycline 2x a day for 7 days. The discharge was reduced but still there is so i went back 6 days later for a follow up, i said that there is still discharge when the doctor said there should not be any by now. She then recommended for me to take the shot. They injected ceftriaxone rocephin into me. After 24hrs, so far i didn't see any stains in my undies and also no matter how i squeeze my penis, there is no more discharge and no more pain when i pee. I hope this is a start of my recovery, im still taking the antibiotics ciprofloxacin 2x a day for 7 days.
Hi. Doc. This is jess.. May tulo po ako since yesterday.. Ang sabaw lang po.ba ng buko ay pwede ng panglunas? Or meron pa pong ibang paraan kahit di na bumili ng antibiotics? I need help doc.. Di naman po ako nahiirapan umihi. Pero may lumalabas na kulay yelow sa titi ko.
There is effective Urethritis Natural Treatment, which are also used to cure a urinary tract contamination.
doc. 1 month napo tulo ko pero dpa nagaling pag naihi po ako hinde po masakit pero ang similya kupo brown ang nalabas tapos ang itlog kupo parang namaga, ano po maipapayo nyo skin? salamat po
Chronic Urethritis Treatment includes antibiotics or other medications to kill the infection. Sex partners should be treated as well. It is imperative to refraining from sexual activity until the treatment is completed because infections can remain active even after your symptoms have disappeared.
HI PO ,
IM 21 YRS OLD PO AT BABAE PO AKO AND NKA EXPERIENCE PO AKO NG SINTOMAS NG GANORRHEA LAST YEAR 2 WEEKS AFTER HAVING SEX WITH MY BF THAT TIME (ex bf ko na sya ngayon), HINDI KO SINABI SA KANYA DAHIL AKALA KO UTI LANG , THEN TUMAGAL SYA NG MONTH , NATAKOT NA AKO NAGSEARCH AKO SA GOOGLE TAPOS NALAMAN KO NGA NA TULO ITO, HINDI AKO NGPA DOKTOR DAHIL NAHIHIYA AKO
and now i already have a new partner, and we had sex pero saglit ko lang pinapasok *** penis nya sken , as in 1 min lang kase takot ako at hindi nya alam *** case ko , then nakita ko na bitin sya so i just gave him a blowjob , so heres the question , prone pdn ba sya mahawa sken ? and please help me po kung anong gamot po dito... thank you
hi dok tanong kulang kung ano ang gamot sa tulo? at saan mabibili thnks doc
hi dok tanong kulang kung ano ang gamot sa tulo? at saan mabibili thnks doc
While medications are definitely helpful at fighting an infection but various people prefer more natural remedies. Let’s look at how to cure urethritis naturally. Here are some of the best Natural Remedies for Urethritis .
hi dok. matanong ko lang, nilalabasan po ng puti na may halong dilaw yung kasama ko. HIndi ko po alam kung tulo nyun o hindi pero masakit daw po pah umihi sya? anong gagawin ko? Naaawa po kasi ako sa kanya.
Doc.tanong lng po merun po lumalabas sa Ari KO minsan na parang Nana peru hndi nmn po masakit umihi minsan p wla nalabas minsan merun lalo pag tumitigas at hinihilot KO ito
Hi doc di ko po alam kung meron po akong ganyan na sakit kasi po minsan may lumalabas na kulay puti pero di naman po masakit kapag umiihi ako doc.. anu po ba pwede ko inumin na pang lunas po sa ganito? salamat po
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