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Gonorrhea is a sexually transmitted disease caused by Neisseria gonorrhoeae that infect the inner lining of the urethra, cervix, rectum and throat or the whites of the eye (conjunctiva). Gonorrhea can spread through the bloodstream to other body parts, especially the skin and joints. In women, gonorrhea can rise to the genital tract and infect the membranes inside the pelvis, causing pelvic pain and reproductive disorders.

CAUSE
The bacteria Neisseria gonorrhoeae.

SYMPTOMS
In men, early symptoms usually appear within 2-7 days after infection. Symptoms began as discomfort in the urethra, which a few hours later followed by pain when urinating and a discharge of pus from the penis. Patients with frequent urination and feeling the urge to urinate, which worsened when the disease is spreading to the upper urethra. Hole penis looks red and swollen. In women, early symptoms can appear within 7-21 days after infection. Patients with women often have no symptoms for weeks or months, and are known to suffer from this illness only after her sexual partners tertular.Jika symptoms, usually mild. But some patients show severe symptoms, such as the urge to urinate, pain when urinating, vaginal discharge and fever.
Infections can strike the cervix, uterus, fallopian tubes, ovaries, urethra and rectum; causes pain in the pelvis or pain during sexual intercourse. Pus that comes out can be derived from the cervix, urethra or glands around the vaginal opening.
Women and homosexual men who have sex through the anus (anus) may suffer from gonorrhea in the rectum. Patients feel uncomfortable around her anus and the rectum discharge. The area around the anus looks red and rough, covered by stool mucus and pus.
On examination with anaskop will appear mucus and fluid in patients with rectal wall.
Sexual intercourse by mouth (oral sex) with someone with gonorrhea can cause any gonorrhea in the throat (gonococcal pharyngitis). This infection usually causes no symptoms, but sometimes cause sore throat and swallowing disorders.
If infected fluid on the eye then it could happen outside of the eye infections (conjunctivitis gonorrhea). Newborns can be infected by gonorrhea from her mother during the birth process, resulting in swelling of the eyelids and pus from her eyes out. In adults, similar symptoms can occur, but often only one eye is affected. If left untreated this infection can occur blindness.

COMPLICATIONS
Infection sometimes spreads through the bloodstream to one or several joints, in which the joints become swollen and very painful, so that its movement is limited. Infection via the bloodstream also can cause red spots on the skin containing pus, fever, malaise or pain in multiple joints that move from one joint to other joints (arthritis-dermatitis syndrome). Infection can occur heart (endocarditis).
Infectious wrappings liver (perihepatitis) can cause pain that resembles the abnormalities of the gallbladder.
Complications that occur can be treated and rarely fatal, but the cure for arthritis or endocarditis was slow.

DIAGNOSIS
Diagnosis based on the results of microscopic examination of pus, which found the bacteria that causes gonorrhea. If the microscopic examination found no bacteria, then performed in a laboratory culture. If it is suspected strep throat or rectum, taken samples from this area and created a culture.

TREATMENT
Gonorrhea is usually treated with a single injection of intramuscular ceftriaxone (intramuscularly) or by giving antibiotics by mouth (orally) for 1 week (usually given doxycycline).
If gonorrhea has spread through the bloodstream, usually the patient admitted to the hospital and get antibiotics intravenously (through a vein, IV).