Men have pus discharge

When a man has pus discharge, it must be taken seriously, because it is very likely caused by gonorrhea. Gonorrhea is a very harmful sexually transmitted disease, which is highly contagious. It must be controlled and treated in time after contracting the disease, otherwise it will be transmitted to other people. Therefore, we can first understand this disease and make a comprehensive judgment based on our own situation. Let's take a look at the relevant situation of gonorrhea.

Clinical manifestations of gonorrhea

The incubation period of acute gonorrhea in men is generally 2 to 10 days, with an average of 3 to 5 days. At the beginning, the urethral orifice will be burning, red, swollen and everted. There will be burning pain during urination, accompanied by frequent urination, and a small amount of mucous secretions at the urethral orifice. After 3 to 4 days, most focal necrosis occurs in the urethral mucosal epithelium, producing a large amount of purulent secretions, stinging during urination, and significant redness and swelling of the glans penis and foreskin. Gonorrhea or blood can be seen in the urethra, and pus and crusts may form at the urethral orifice in the morning. Accompanied by systemic symptoms of varying severity. ② Chronic gonorrhea in men generally has no obvious symptoms. When the body's resistance is reduced, such as excessive fatigue, drinking, and sexual intercourse, symptoms of urethritis may appear.

treatment

1. Treatment principles

(1) Early diagnosis and timely treatment First, a diagnosis should be made as soon as possible after the disease is diagnosed, and treatment should not be given arbitrarily before the diagnosis is confirmed. Second, treatment should be given immediately after the diagnosis is confirmed.

(2) Clarify the clinical classification to determine whether there are complications. Clarifying the clinical classification is extremely important for correctly guiding treatment.

(3) Clarifying whether the patient is resistant to penicillin, tetracycline, etc. will help guide treatment correctly.

(4) Clarify whether there is concurrent chlamydia or mycoplasma infection. If there is concurrent chlamydia or mycoplasma infection, a combination drug treatment plan should be formulated.

(5) Correct, adequate, regular, and comprehensive treatment: The drug that is most sensitive to gonococci should be selected for treatment. The dosage should be sufficient, the course of treatment should be regular, and the method of use should be correct.

(6) Strictly evaluate the efficacy and follow up observation. The cure standard should be strictly controlled and the efficacy evaluation should be adhered to. Only when the cure standard is reached can it be judged as cured to prevent recurrence. Those who are cured should insist on regular follow-up examinations.

(7) Examine and treat their sexual partners at the same time. Patients, whether spouses or sexual partners, should receive examination and treatment at the same time.

2. General Notes

Do not have sex before recovery. Get enough rest. If you have complications, you need to maintain a balance of water, electrolytes, and carbohydrates. Pay attention to local hygiene of the genitals.

3. Systemic therapy

For uncomplicated gonorrhea, such as gonococcal urethritis, cervicitis, and proctitis, give ceftriaxone, intramuscularly, as a single dose; or spectinomycin, intramuscularly, as a single dose; or ceftriaxone, intramuscularly, as a single dose. The second option is other third-generation cephalosporins, which can also be selected as alternative drugs if they have been proven to be more effective. If Chlamydia trachomatis infection cannot be ruled out, add anti-Chlamydia trachomatis infection drugs.

For gonorrhea with complications, such as gonococcal epididymitis, seminal vesiculitis, and prostatitis, ceftriaxone is injected intramuscularly once a day for 10 days; or spectinomycin is injected intramuscularly once a day for 10 days; or ceftriaxone is injected intramuscularly once a day for 10 days.