Hi Sir/Ma’am, I’m 49 M, had protected sex and unprotected oral during Jan 2014 with a prostitute (one Oral and 3 intercourse). After 10 days started pain in my penis and lower abdomen, as per the CDC website I took 1 course Azithromycin 1MG Single dose and Cefixime 400 single dose. But the symptoms didn’t improve after 6 days then went to a dermatologist, without any test he gave me Triaxone (Ceftriaxone) injection and prescribed Ciprofloxacyn 500 (1-0-1 for 7 days) and (as symptoms exists and also because I had a long trip in next few days) 5 days later added Doxycycline (1-0-1). Unfortunately when I started Doxy got severe stomach problems like diarrhea and had to stop the medicines (Took Cipro 12 dozes and Doxy only 2 dozes). After 65 days of exposure, tested for all STDs (HIV, HBV, HCV, VDRL, HSV1,2 antibodies, Chlamydia Antibodies and Urine culture) in two different labs all came negative. Same time I was suffering from internal hemorrhoids but no bleeding. So my doctor had a doubt that the symptoms could be due to hemorrhoids and sent to a surgeon. Later in Aug had a Staple hemorrhoidectomy surgery. Unfortunately, still I have tingling inside tip and middle of my penis and most of the time it happens immediately the urination and stays for about half an hour to one hour. Also same feeling when I sit or having some pressure in rectum/anus area. No pain or burning during sex or urination. Also please note that still I have hemorrhoid pain and bulging even after surgery as the surgery was not successful. Recently Noticed some growth (total 5 nos) under the glans of penis in frenulum area (2 & 3 bumps on both side of frenulum). Not painful also not looks like HPV pictures found in internet. Not sure whether it was there even before. Looks like Pearly Penile Papules (As seen in internet) Kindly advise what to do? I am suffering from this since Jan 2014. Is it related to any STI’s or reason could be due to hemorrhoid or the bumps mentioned above. What test I have to go for. Your prompt answer would be very much helpful and appreciated. Regards, Amraj

Home / Answered Questions / Hi Sir/Ma’am, I’m 49 M, had protected sex and unprotected oral during Jan 2014 with a prostitute (one Oral and 3 intercourse). After 10 days started pain in my penis and lower abdomen, as per the CDC website I took 1 course Azithromycin 1MG Single dose and Cefixime 400 single dose. But the symptoms didn’t improve after 6 days then went to a dermatologist, without any test he gave me Triaxone (Ceftriaxone) injection and prescribed Ciprofloxacyn 500 (1-0-1 for 7 days) and (as symptoms exists and also because I had a long trip in next few days) 5 days later added Doxycycline (1-0-1). Unfortunately when I started Doxy got severe stomach problems like diarrhea and had to stop the medicines (Took Cipro 12 dozes and Doxy only 2 dozes). After 65 days of exposure, tested for all STDs (HIV, HBV, HCV, VDRL, HSV1,2 antibodies, Chlamydia Antibodies and Urine culture) in two different labs all came negative. Same time I was suffering from internal hemorrhoids but no bleeding. So my doctor had a doubt that the symptoms could be due to hemorrhoids and sent to a surgeon. Later in Aug had a Staple hemorrhoidectomy surgery. Unfortunately, still I have tingling inside tip and middle of my penis and most of the time it happens immediately the urination and stays for about half an hour to one hour. Also same feeling when I sit or having some pressure in rectum/anus area. No pain or burning during sex or urination. Also please note that still I have hemorrhoid pain and bulging even after surgery as the surgery was not successful. Recently Noticed some growth (total 5 nos) under the glans of penis in frenulum area (2 & 3 bumps on both side of frenulum). Not painful also not looks like HPV pictures found in internet. Not sure whether it was there even before. Looks like Pearly Penile Papules (As seen in internet) Kindly advise what to do? I am suffering from this since Jan 2014. Is it related to any STI’s or reason could be due to hemorrhoid or the bumps mentioned above. What test I have to go for. Your prompt answer would be very much helpful and appreciated. Regards, Amraj

Hi Sir/Ma’am, I’m 49 M, had protected sex and unprotected oral during Jan 2014 with a prostitute (one Oral and 3 intercourse). After 10 days started pain in my penis and lower abdomen, as per the CDC website I took 1 course Azithromycin 1MG Single dose and Cefixime 400 single dose. But the symptoms didn’t improve after 6 days then went to a dermatologist, without any test he gave me Triaxone (Ceftriaxone) injection and prescribed Ciprofloxacyn 500 (1-0-1 for 7 days) and (as symptoms exists and also because I had a long trip in next few days) 5 days later added Doxycycline (1-0-1). Unfortunately when I started Doxy got severe stomach problems like diarrhea and had to stop the medicines (Took Cipro 12 dozes and Doxy only 2 dozes). After 65 days of exposure, tested for all STDs (HIV, HBV, HCV, VDRL, HSV1,2 antibodies, Chlamydia Antibodies and Urine culture) in two different labs all came negative.Same time I was suffering from internal hemorrhoids but no bleeding. So my doctor had a doubt that the symptoms could be due to hemorrhoids and sent to a surgeon. Later in Aug had a Staple hemorrhoidectomy surgery.Unfortunately, still I have tingling inside tip and middle of my penis and most of the time it happens immediately the urination and stays for about half an hour to one hour. Also same feeling when I sit or having some pressure in rectum/anus area. No pain or burning during sex or urination. Also please note that still I have hemorrhoid pain and bulging even after surgery as the surgery was not successful. Recently Noticed some growth (total 5 nos) under the glans of penis in frenulum area (2 & 3 bumps on both side of frenulum). Not painful also not looks like HPV pictures found in internet. Not sure whether it was there even before. Looks like Pearly Penile Papules (As seen in internet)Kindly advise what to do? I am suffering from this since Jan 2014. Is it related to any STI’s or reason could be due to hemorrhoid or the bumps mentioned above. What test I have to go for. Your prompt answer would be very much helpful and appreciated. Regards, Amraj

I can see how this can be frustrating for you as it has been going on for so long.

It is great that you have seen a doctor and that your STI tests came back negative.

When coming up with a medical diagnosis it is important to have the sexual history, past medical history, lab results and physical exam. Given this it is difficult to give any specific advice on your care via the internet.

I would just recommend going back to your doctor and discussing your symptoms with them. In BC Canada it is common that general practice doctors will refer clients to a specialist e.g. urologist if symptoms continue after standard treatment. If this is not possible you could always see another doctor for a second opinion.

It is normal to have bumps around the frenulum. It is possible they could have been there for a long time and you have just noticed them now. I would just show them to the doctor you see.

Please leave a comment to let us know if this answers your question or if you need more information.

Health Nurse

For other readers, please feel free to leave a comment, or let us know if this was helpful.

This answer was posted on January 28, 2015.

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