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Most of this sounds like typical IBS.

It is basically the result of nerve irritation while defecating.

The most important thing is to relax on the toilet. Don't force it too hard. Don't over-wipe when you're done. This can irritate the nerves and cause muscle spasms. The muscle spasms often lead to urinary problems.

Try adding more fiber to your diet and use vaseline if you are irritated.

Generally reducing stress will also help. Even simple stress/relaxation techniques like breathing or combing your hair can help if something causes pain to flare up again.
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Look into prostatitis...seems to fit all the categories. I had a urologist diagnose me with that.
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I'm having a lot of the symptoms mentioned on this post. With that being said I'm also seeking treatment with alternative medicine, aka naturopathy/homeopathy. The reason I'm suggesting this option is that while I love holistic medicine I also LOVE my penis and balls. You can try traditional meds but, overall they've a bad track record for treating only the symptoms not the cause.
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I have had the same symptoms and it is worrying me as well. It is a pain after masturbation or urinating and sometimes just present for no reason...it seems to be much worse when i am not doing anything or when i smoke marijuana. There is an odd feeling in my anus kind of an outward pressure, and the head of my penis and the scrotum seem to be phasing in and out of being fine and being slightly irritated/itchy/ and red. This too all started for me with an unprotected encounter but i have tested negative during tests. I have taken doxycycline and azithromycin but just as soon as i think that this has all stopped and the medicine has worked, it comes back again a day or two later. I am extremely worried about herpes and really have no way to identify it even though two different doctors have told me they really do not think it is herpes. What is it???
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i know i have the herpes 1 virus of the mouth, I have these same symptoms, could it mean we have herpes 1 of the genitals? I have tried treament for Trichomoniasis and NGU, being Doxy, Azithro, and the 4 nasty pills for Trich, cant remember the name right now. Totally hear you about the smoking thing, it whacks me out. I fear that smoking herb might somehow kill the affect of the antibiotics, because I have blazed after taking the dosage both times. Stupid I know. Could it? Someone has to have had this cured or diagnosed. I don't have health insurance and am tired of waiting at free clinics.
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I know its long, but read to the end, it could REALLY help you!

I have been having rectal pain, pain in my urethra, pain in the tip of my penis not related to voiding and while voiding urine, hell you name the pain, I've had it. The pain becomes more accute after sexual intercourse or masterbation. This has been happening for around 5 months now. I have tested negative for any std or infection on multiple occasions. I've had a three week course of Cipro, and a 10 day course of doxycycline. I have done hours of research on this, because to simply put it, I liked the idea of having a penis that functioned normally like it used to! I have become very frustrated with my Doctor, because all he can really do is supply me with new antibiotics with nasty side effects. This pain also more accute after smoking marijuana. Another person has mentioned the Headache in The Pelvis book on this forum. I have become familiar with their approach, and to me it seems like the only logical approach out there that I have been able to find at least. this is the url to their website and I strongly suggest looking at it. I have heard multiple success stories about this protocol and I am desperate to try it myself. However it is somewhat expensive I think ( in the range of 4000$). I will write back if and when I do undergo it. Until then I would say look at their website or keep doing whatever works for you because I've given up on the urologists.
I believe that the majority of the cases are caused by stress and anxiety and a poor diet, not a bacterial infection.
Figuring out techniques that relieve stress and anxiety such as yoga or pilates/ deep breathing techniques and hot baths are very important in helping deal with the pain of this problem. An unhealthy diet supplemented with caffeine and marijuana may irritate the prostate further.
I truly hope that one day their is a clear cut solution to this awful awful problem.
I would like to stress one last time reading the book A Headache in the Pelvis and learning more about their methods.
This is only a friendly word of advice. You do with it what you choose. I have no medical license of any kind, and this is just one person suffering from this problems opinion. I truly hope that we can all overcome this. Hopefully we will.
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I have had the same problem for 5 months. Started with unsafe sex with a woman I didn't know. Been to family dr., urologist, and dermatologist over and over. Negative for STDs. Penis sore and ass started to become sore (these seemed to get worse after bactrin antibiotic). i also had a bad back and back surgery, with pain in testicle from nerve pinched in my back - so it could be nerve related. I also have soreness on the skin of my penis. I have tried antifungal creams, steroid creams, bactin, now I'm on valtrex because the dermatologist thinks I have herpes even though it came out negative (and got another herpes test today).
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hi guys just to let you know i also have most of the symptoms mentioned, however my doctor has put it down to thrush! i am male and didn't realise that thrush is also common in males. however my doctor told me this can be caused by allergy to certain fabric softeners etc and also from wearing tight underwear/jeans etc and also from wearing jeans in the sun??? hope this helps for you guys...
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Guest wrote:

Yeah, I have the same problems!! I've had them for over a year now. Mine started with an initial "infection" that included more severe burning sensations than I have now and some clear discharge, but was diagnosed as Non-Gonochoccal Urethritis which seems to translate to "we don't know what it is." The Doxycycline seemed to clear that up, except for that little nagging occasional itch/stinging at the end of urethra - sometimes it feels like someone is sticking a needle into me right at the base of my penis head - and then yes, the anal itching and fullness developed after that - if I touch my anus, it feels like it's recoiling or something, like it's too tight.

Oh, and the worst part for me is that masturbation doesn't feel the same anymore - it's just not as enjoyable; there's a feeling like a sort of "stiffness" in my urethra, a slightly burning/hot sensation that's not very pleasurable.

Two different prostate exams resulted in them saying it felt a little swollen and "boggy." I think I've taken 3 rounds of Doxy, and an aggressive round of Cipro - which may have lasted a month, I can't remember now if it was Doxy or Cipro that they had me take for a month. 2 different urologists and a general family practice person - they even had me use scotch tape to test my anus for worms! they always seem to give up though - my last visit to the urologist, and he was kinda like "well it's probably not bacterial ... y'know, some people just have itchy anuses ... here's a prescription for what amounts to Hydrocortisone." What?! I lived about 25 years without this problem, so what happened? And gee, thanks for your topical band-aid solution!

I think this experience has shown me the limits of modern western medicine - all doctors can really do is prescribe antibiotics and steroids and perform surgeries, it seems like they're bad at little things like this, things that may require a more holistic approach.

So that's where I'm at right now, considering exploring other options - I got a book called "A Headache in the Pelvis" that attributes a lot of pelvic disorders to pelvic muscle tension. Unfortunately, I lack the discipline to really follow their advice thoroughly, especially because part of it involves finding someone who can do "trigger-point release therapy" which can even involve going in through the anus and pressing down on tense points - seems like it might be difficult to find a person trained in this. But this idea makes sense to me - why would my anus and the tip of my penis feel irritated? Maybe because they're connected to the same groups of muscles internally?

It also makes sense because when this first afflicted me, I was under a lot of stress, and it could be that my body was tensing muscles that I was not aware of.

Has anyone noticed any relationship with diet or anything like that? I feel like coffee might make mine feel a little worse, and possibly alcohol, but I'm not sure about that. I did this thing called the Master Cleanse last fall, a 10 day fast with only a maple-syrup-based-lemonade for sustenance, and absolutely no other chemicals, and I felt some improvements. In fact, I forgot about this, but before the cleanse I was even starting to get random pains creeping up my abdomen, and the cleanse (as well as exercise, yoga, etc.) seemed to abate that, but still the penis/anus pain/itching keeps coming back - it's actually getting worse for me right now, and I'm not sure why. I think I need to dive headlong into that book and see what happens.

I'm glad that I found this forum that describes my symptoms so accurately. I would be interested in working together to solve this. I'm tired of the psychological damage that this has caused, the feeling that I will never be well again, that I'm just going to have to live with this.

[ well its good to know that some one out there has the same symptoms as me.
but what i really need now is SOLUTIONS.
I dont mean to sound rude, but im simply so tired of this feeling and i
really need to know how to get rid of it.
i no longer live a free life.
im constantly under frustration and people who know me
end up wondering what has happened to me.
i miss my old life.
i need this load off me.
if you can, i beg you to PLEASE help...]

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same here, there this itchy feeling in the tip of the penis, the ansu also itches sometimes...
i'm going to the clinic tomorrow... wish me luck...
its amazing no one has answer for this symptom.
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I too have these symptoms. Red irritated meatus, sometimes like a gripping pain around the meatus, perianal itch and quite a itchy scrotum at times. These irritated meatus began about 2 weeks after initial unprotected sexual encounter, then I started feeling a pain in my kidneys for about a week or so, then about a month later I started feeling the perianal itch after the kidney pain had subsided. It is true that this may be a anxiety/stress related issue as well as a combination of diet or other factors. I have recently undergone a series of stressful events which could have well led this to happen, but I am now feeling much better about all these things and have recently taken a holiday for two weeks which did seem to help the irritated meatus but not the perianal itch.

I must point out that the perianal itch isn't always a constant itch, but I do always feel as though there is some irritation there and that i need to frequently number 2 as a result of this. Masturbation/sexual encounters really irritate my meatus and i'm finding it difficult do frequently out of fear I will just irritate it more and more - bloody terrible to feel this way. I sometimes also experience a groin twitch/spasm, which i'd never experienced before these symptoms occurred. Since the stress levels have subsided so too has the frequency of these spasms.

At 3 weeks after the sexual encounter I underwent a STD check and all came back negative. I am seeing a skin specialist in the beginning of November to determine whether it is a skin problem and if not will undergo another STD check, as that will be 4 months after symptoms started occurring.

I have found that hot baths with salts really help relieve symptoms for a few hours at least and give you a sense of normalcy for a little while. This is indeed a very difficult situation to deal with and i'm very much at the point of trying something holistic if it is going to help me. Please post back anyone who has recently tried these methods to let us know how they went. I'm tired of living with this health issue, it is very degrading and really does effect your mental well-being in a terrible way.

If anyone has any further information or has any better relief methods, please post!

Thanks guys and good luck. I will keep you informed on my progress.
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I had these symptoms about 5 years ago. After about 3 months or so they went away. Towards the end of that period I asked my doctor what he thought and he said it sounded like a mild case of Ecoli. A few days ago this started again. I noticed about a couple weeks prior I started having stomach issue with a bit of diarreha. Now this started again. So I am convinced it is related to food bacteria. I was eating out a lot when my mother came to visit so probably ate in some dirty restaurant. I am thinking positve that it will go away again on its own. I certainly don't want to start taking mediations like I read here because it sounds like that just causes more issues. My past experience with this showed me it will go away so that is the course I am on again.
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has anyone done the clinic from the headache in the pelvis authors?
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Possible Cause

I also have the same symptoms, burning skin in the genital region, and it is more pronounced when bored or sitting around. I am pretty sure my particular case is HPV. Unfortunately there is no medicine for getting rid of it aside from keeping healthy and letting your immune system fight it (taking vitamins, exercise, homeopathic remedies all can help just google them). HPV doesn't show up in male STD testing because there is no test for it (doctors will do anal swabs for gay men though). HPV is a virus of the skin, can be transferred even when using condoms via skin to skin contact, and many people who get it do not have visible warts. Normally HPV clears on its own in 1 - 3 years, high risk strains sometimes persist longer and in rare cases can develop into cancer.

I saw a lot of questions here and not many answers, so I thought I would throw this out there for people to consider.
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So I've had this for the past 2 months and it's driving me mad. I'm looking for answers too.

No pain - more like hot feeling on tip of penis and hot/itchy anus and in between.
At times blotchy redness on penis tip (not always same place) - but inside of foreskin redness all the time.
Not an STD - but is definitely not a natural thing that I just woke up with all of a sudden (I can tell you the date this started), and not muscular or nerve related. It's not stress related either or my imagination.
Pretty much same symptoms as described by many here.
I reckon we notice it more when not doing anything because it's not severe enough to keep hold of our full attention when concentrating on something else but when we're not it just takes hold - and is irritating enough to make me miserable and sick of thinking about it.

One thing that nobody else has mentioned but is very apparent for me, is that water (i.e. bath or shower) gives some relief but causes penis tip and inner foreskin to get really red - it's like water causes it to react but only in terms of redness. Doesn't make it worse or better once dry. That's why I thought it was yeast or thrush but none of normal treatments/antibiotics for those are having any effect.
Maybe the water just causes the full extent of the skin irritation to show itself? i.e. maybe there is something there on the skin all the time that just isn't visible normally?

Canesten, which I've been trying for last few days seems to help with redness of penis tip and gives some relief but inner foreskin still redness so I don't think it's doing anything.

This HPV thing is intriguing - what's the treatment for that?
Ecoli too is another interesting one - again what treatment?

Somebody somewhere must know what it is and what we can do to get rid of it!!
Large reward for anyone with information leading to return of my genitals! :-D
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