The perineal pain is not very severe, the urethral orifice stings, and there is no prostate or urinary tract infection. What medicine should I take?

Hello, this friend: I wish you good health and happiness first: in view of the age of the elderly, we should consider whether there are urinary calculi. We can suggest that regular hospitals check for symptomatic treatment, and don't casually use drugs to cause unnecessary losses: Urodynia refers to pain in the urethra, bladder and perineum when urinating. The degree of pain varies from light to heavy, often burning, from knife cutting to acupuncture. Urodynia is common in urethritis, prostatitis, prostatic hyperplasia, seminal vesiculitis, cystitis, urinary calculi, bladder tuberculosis and pyelonephritis. Clinically, male urine tingling can be suspected as nongonococcal urethritis, which is an infectious disease of male reproductive system. The main cause of infection is that patients do not pay attention to personal hygiene in daily life. Thank you for your support of the 360 question and answer. I hope it helps you. The main symptom of dysuria is inflammation, which is caused by sexual contact with chlamydia and mycoplasma infected people. If there is a slight heat sensation in the anterior urethra, abnormal secretions flow out of the intestine, or symptoms such as frequent urination, urgency, dysuria, dysuria and hematuria appear. (1) Gonorrhea may be gonorrhea if a large amount of viscous purulent secretions are seen at the urethral orifice. ② Non-gonococcal urethritis has only thin white mucus, which may be non-gonococcal urethritis. ③ Prostatitis If there is only a small amount of secretion in the morning or after urination, or even a small amount of gray mucus or purulent secretion can be seen when squeezing the urethra, it may be prostatitis [1]. ④ Acute gonorrhea may cause frequent micturition, urgency, severe pain during micturition, burning sensation at the urethral orifice, or even abnormal penis or persistent erection, which may be acute gonorrhea. (5) subacute gonorrhea. If there is inflammation and adhesion at the urethral orifice, and the urine flow splits like a fountain, it may be subacute gonorrhea. Is the cause of dysuria swelling and pain of prostate? Male friends with dysuria generally work in a high temperature environment or sit for a long time, such as drivers, people working in the it industry and people with unhealthy behaviors in their lives, which are prone to dysuria. What is the reason for the stabbing pain in urine? Prostatic pain is only one of the main causes of urinary tingling. Prostatic pain is a common prostate disease. Prostatic pain is a kind of discomfort similar to chronic prostatitis, which is caused by spasmodic pain of urethral muscles, prostatic muscles or perineum and pelvic floor muscles. Many male friends will feel pain in the prostate, but they don't know that the cause of the pain probably comes from bad daily habits. Some studies believe that the disease involves the primary abnormality of pelvic sympathetic nervous system, which leads to incomplete relaxation of bladder neck and functional urethral stricture of external sphincter. [2] Symptoms of prostate pain 1. The patient complained of scrotal pain and epididymal pain. Actually, the testicular examination is normal, and there is nothing unusual. Some of them respond to perineal swelling and pain, and sometimes the pubic symphysis and lower abdomen are painful. Some urethra always has a feeling of pain, or anal pain, some thigh root pain, one thigh pain, or low back pain. It is reflective and radioactive around the prostate, and some people can wake up in the anus at night. This kind of pain often urges patients to see a doctor. 2. Frequent urination, urgency, dysuria, urgency and dysuria may occur, which seems to be a urinary tract infection. In fact, there are no pathogenic bacteria in the urine, and there are not a lot of white blood cells in the examination. It has various symptoms of prostatitis, such as urinary weakness, bifurcation, thin urinary line, incomplete urine, urinary tract obstruction, urinary tract obstruction and so on. 3, most patients with prostate pain have mental stimulation, such as bad mood, depression, or unsatisfactory work, always angry, prostate pain will occur after a long time; Students will also have symptoms of prostate pain because of poor study and unsuccessful college entrance examination. The differential diagnosis of dysuria is to guide the urinary tract, bladder and perineum to feel pain when urinating. The degree of pain varies from light to heavy, often burning. The pain is like a knife, and the light one is like a needle. Urodynia is common in urethritis, prostatitis, prostatic hyperplasia, seminal vesiculitis, cystitis, urinary calculi, bladder tuberculosis and pyelonephritis. According to the characteristics of dysuria, it is helpful to diagnose the disease. 40%-50% of nongonococcal urethritis is caused by Chlamydia trachomatis and 20%-30% by Ureaplasma urealyticum. Then the mycoplasma related to humans are mycoplasma pneumoniae, mycoplasma hominis and mycoplasma genitalium. Mycoplasma and chlamydia can exist in healthy carriers. Ureaplasma urealyticum can decompose urea into ammonia, which is toxic to cells. Because mycoplasma has no cell wall, it is resistant to antibiotics such as penicillin, which disturbs the cell wall. The main symptom of male urinary tingling is inflammation, which is caused by sexual contact with chlamydia and mycoplasma infected people. Symptoms generally include itchy urethra, burning sensation and pain when urinating, frequent urination in a few cases, and slightly red urethral orifice. In the morning, there is a small amount of mucus secretion at the urethral orifice, or there is only a scab orifice, or the crotch is dirty, so the urine flow will diverge when urinating. Some patients need to squeeze hard with their hands before secretions overflow from the urethral orifice. Symptoms are similar to gonococcal urethritis, but to a lesser extent. Some patients have no symptoms. The patient also suffers from gonorrhea double infection. Characteristics of Urodynia (1) Urodynia is obvious in the early stage of micturition, or patients with dysuria are mostly in urethra, which is common in acute urethritis. (2) The patient has pain at the end of micturition, accompanied by urgency, and the lesions are mostly in the bladder, which is common in acute cystitis. (3) The pain at the end of micturition is obvious. Those who still feel pain after micturition, or those who feel "empty pain" or feel pain without micturition, the lesions are mostly in the urethra or adjacent organs, such as vesical trigonitis and prostatitis. (4) Sudden interruption of urination accompanied by pain or urinary retention: seen in bladder, urinary calculi or urinary tract foreign bodies. (5) Dysuria with swelling pain: Older men often suggest that prostate hyperplasia can also be seen in urethral stones. (6) Stinging or burning pain in urine: it is more common in acute inflammatory stimuli, such as acute urethritis, cystitis, prostatitis and pyelonephritis. It can also prevent and avoid the occurrence of dysuria. Pay attention to the hygiene of yourself and your sexual partner in your life; Do not engage in unclean sexual intercourse; Change underwear frequently; Drinking more water can prevent the urine from stinging. Gonorrhea is a common sexually transmitted disease in urogenital system, which is caused by Neisseria gonorrhoeae. The main symptoms are urethritis, swelling of urethral orifice, pus discharge, tingling and burning sensation, dysuria and frequent urination. If not treated in time, it will turn into chronic urethritis. Female patients with gonorrhea show cervicitis, purulent discharge at vaginal opening, redness, congestion and tingling of vagina, and other symptoms are not obvious. Nongonococcal urethritis is a sexually transmitted disease mainly caused by chlamydia trachomatis and mycoplasma. Its symptoms are similar to gonorrhea, and the incubation period is 10-20 days. The symptoms are mild, including dysuria, urethral discomfort, urethral itching, burning or stabbing pain, urethral swelling, urethral secretion, thinness and "life" in the morning. Improper or untimely treatment can cause premature ejaculation and acute epididymis. Genital herpes is a sexually transmitted disease caused by herpes simplex virus type II, which is highly contagious. Itching and burning pain can be seen mainly in pudenda, thighs or buttocks. Then, there will be obvious ulcers in the genitals, buttocks, anus or other parts of the body. These wounds will heal in a few weeks, but for most people, the disease will recur. Condyloma acuminatum is a sexually transmitted disease caused by condyloma acuminatum virus, which is human papillomavirus. There are many subtypes, such as HPV 1, 2,6,1,16,18,31,33,35. Syphilis is a sexually transmitted disease caused by Treponema pallidum infection, which can attack people's heart, eyes, brain, bones and nervous system. The course of the disease is very long, and the symptoms sometimes appear and sometimes disappear. Its natural process is divided into three stages: in the first stage, there is no feeling, and erythema, papules and ulceration appear at the site where the virus invades, and these symptoms can disappear temporarily; In the second stage, the virus proliferated in the blood, and erythema, blood rash and maculopapule similar to pityriasis rosea, psoriasis and acne appeared on the skin and mucosa. If you don't treat it at this time, it will be life-threatening if you don't treat it in time. Chlamydia mycoplasma is a special type of nongonococcal urethritis. They are neither bacteria nor virus microorganisms, but an independent microorganism. They are extremely harmful to the reproductive system of men and women, and may lead to infertility. Clinically, there are dysuria, reddish urethral orifice, frequent urination, urinary incontinence, urethral pain, burning sensation, urinary drip, backache, dull pain in the lower abdomen, perineal discomfort and so on. Trichomoniasis is an infection caused by parasites, and its symptoms are vaginal discharge, discomfort during sexual intercourse, painful urination and vaginal odor.