He probably has a urinary tract infection, increasingly common as men age usually due to partial blockage of flow by an enlarging prostate. There are no OTC treatments; he needs to see a doctor ASAP for diagnosis and probably an antibiotic prescription. Under-treatment of male UTI can rapidly lead to kidney infection and sepsis. See a doctor ASAP; urgent care today if pain is severe or has fever.
Answered 9/24/2023
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