What are the symptoms of nongonococcal urethritis

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I don't know if my grandfather's eating habits are not good at ordinary times. He likes to eat pickled food and smokes a lot. He suffers from urethritis. I'd like to share with you the symptoms of nongonococcal urethritis according to my grandfather's condition.

What are the symptoms of nongonococcal urethritis

First: nongonococcal urethritis (NGU) is a sexually transmitted disease with clinical symptoms of urethritis, but no Neisseria gonorrhoeae can be found in urethral secretion smear or culture. It is a kind of venereal disease without specific pathogen. Due to the female suffering from this disease, not only urethritis, but also cervicitis and other genital tract inflammation.

Second: 30% - 40% of the patients have no symptoms, and many patients have atypical symptoms. About half of the patients are easy to be misdiagnosed at the initial diagnosis. The typical symptoms are urethral spasm and itching, with varying degrees of frequency, urgency, pain and dysuria. A few fluid secretions can escape from the external orifice of urethra before long-term non micturition or the first micturition in the morning. In severe cases, there may be fluid purulent components. 10% of the patients had persistent or recurrent symptoms. These patients are often associated with incomplete or inappropriate treatment, urethral structural abnormalities, excessive drinking, frequent sexual behavior and psychological disorders. In repeated cases, the condition of each attack is generally lighter than the last one, but the patient's heart is more and more heavy, some even restless, for fear that they have incurable disease. In some frequent cases, even in the interictal period, urethral discomfort still exists; in other cases, the symptoms are not obvious, but there are more pus cells in urethral secretion smear. (2) signs: common urethral orifice swelling and urethral secretions. In refractory cases with recurrent Chlamydia infection, there is a circle of swelling around the urethral orifice, which is often lip like redness and swelling, with luster, and is not easy to fade; in refractory cases with Candida infection, the urethral orifice can be funnel-shaped expansion, dark red, with a little scale, and most of them are accompanied by balanoposthitis; in patients with Mycoplasma and Trichomonas infection, the urethral orifice is not obviously red and swollen. Urethral secretions are usually serous or purulent. Most of them are serous in patients with mycoplasma, Candida albicans and simple scab virus infection. Most of them are purulent in patients with chlamydia or mixed bacteria infection. The patients with simple scab virus infection may have inguinal lymphadenopathy and tenderness.

Third: when there is urethritis, about 50% of the patients have urgency, frequent urination and dysuria, but no or only slight pain. Cervix is the main site of infection in women. The main symptoms are purulent endocervicitis with increased leucorrhea, vulvovaginal spasm and lower abdominal discomfort. (2) signs: the urethral orifice may be flushed and swollen, the urethra may be compressed, and there may be a small amount of yellowish secretion. Insert the white cotton swab into the cervix and rotate it slightly. After removal, the swab turns light yellow. Cervical congestion and edema often occur. Swab rotation at the junction of squamous and columnar epithelium can cause bleeding. Because chlamydia and mycoplasma are not parasitic on the stratified squamous epithelium, they generally do not cause vaginitis.

matters needing attention

Urethritis is a common disease, more common in women, clinically divided into acute and chronic, non-specific urethritis and gonococcal urethritis, the latter two clinical manifestations are similar, must be differentiated according to the history and bacteriological examination.