How to stop painful urination. Painful Urination: Causes, Symptoms, and Treatment Options
What causes painful urination. How to recognize symptoms of urinary tract infections. When to seek medical attention for dysuria. What treatments are available for relieving urinary pain and discomfort. How to prevent recurrent urinary tract infections.
Understanding Dysuria: What Causes Painful Urination?
Dysuria, the medical term for painful urination, can be an uncomfortable and concerning symptom. It occurs when you experience pain, discomfort, or a burning sensation while urinating. This discomfort may be felt at the urethra (where urine exits the body) or internally in the bladder or prostate region. While often a sign of infection, dysuria can stem from various underlying causes.
Common Causes of Painful Urination
- Urinary tract infections (UTIs)
- Sexually transmitted infections
- Vaginal infections or irritation
- Prostate problems in men
- Bladder irritation from certain medications
- Kidney stones
- Chemical sensitivities to hygiene products
Is painful urination always a sign of infection? Not necessarily. While urinary tract infections are a leading cause, dysuria can occur without infection due to irritation, inflammation, or underlying health conditions. Understanding the potential causes can help guide proper diagnosis and treatment.
Recognizing Urinary Tract Infections: Signs and Symptoms
Urinary tract infections are the most common cause of painful urination, especially in women. UTIs occur when bacteria enter and multiply within the urinary system, which includes the kidneys, bladder, ureters, and urethra. Recognizing the symptoms of a UTI is crucial for seeking timely treatment.
Key Symptoms of a UTI
- Burning or pain during urination
- Frequent urge to urinate, often with little output
- Cloudy or strong-smelling urine
- Lower abdominal pain or pressure
- Feeling tired or shaky
- Fever (in more severe cases)
How quickly do UTI symptoms develop? Symptoms of a urinary tract infection can appear suddenly and worsen rapidly, often within a day or two of bacterial infection. Prompt recognition and treatment are essential to prevent the infection from spreading to the kidneys, which can lead to more serious complications.
When to Seek Medical Attention for Painful Urination
While mild urinary discomfort may sometimes resolve on its own, certain symptoms warrant immediate medical attention. Knowing when to consult a healthcare provider can help prevent complications and ensure appropriate treatment.
Red Flags Requiring Medical Evaluation
- Pain lasting more than 24 hours
- Blood in the urine
- Fever or chills
- Back or flank pain
- Nausea or vomiting
- Discharge from the genitals
- Painful urination during pregnancy
Should you wait to see if painful urination resolves on its own? It’s generally advisable to seek medical attention if painful urination persists for more than a day, especially if accompanied by other symptoms. Early intervention can prevent the progression of infections and alleviate discomfort more quickly.
Diagnosing the Cause of Urinary Pain and Discomfort
Accurate diagnosis is crucial for effective treatment of painful urination. Healthcare providers employ various diagnostic tools and techniques to identify the underlying cause of dysuria.
Common Diagnostic Procedures
- Urinalysis to check for infection, blood, or abnormalities
- Urine culture to identify specific bacteria
- Physical examination
- Medical history review
- Ultrasound imaging of the kidneys and bladder
- STI testing when appropriate
How does a doctor determine the cause of painful urination? The diagnostic process typically begins with a detailed medical history and physical examination. Urinalysis is a key test, providing valuable information about the presence of infection, inflammation, or other urinary abnormalities. Additional tests may be ordered based on initial findings and suspected causes.
Treatment Options for Relieving Urinary Pain and Discomfort
The treatment for painful urination depends on its underlying cause. Once a diagnosis is established, healthcare providers can recommend appropriate interventions to alleviate symptoms and address the root problem.
Common Treatments for Dysuria
- Antibiotics for bacterial infections
- Antiviral medications for certain STIs
- Pain relievers and anti-inflammatory drugs
- Increased fluid intake to flush the urinary system
- Avoiding irritants (e.g., harsh soaps, douches)
- Probiotics to support urinary tract health
How long does it take for urinary pain to subside with treatment? With appropriate treatment, many people experience relief from urinary pain within a few days. However, it’s important to complete the full course of any prescribed medications, even if symptoms improve, to ensure complete resolution of the underlying issue.
Preventing Recurrent Urinary Tract Infections and Dysuria
For individuals prone to frequent urinary tract infections or recurrent dysuria, preventive measures can significantly reduce the risk of future episodes. Implementing healthy habits and lifestyle changes can promote urinary tract health and minimize discomfort.
Effective Prevention Strategies
- Stay well-hydrated by drinking plenty of water
- Urinate frequently and completely empty the bladder
- Practice good hygiene, wiping from front to back after using the toilet
- Urinate before and after sexual activity
- Avoid using irritating feminine hygiene products
- Wear breathable, cotton underwear
- Consider cranberry supplements or probiotics for urinary health
Can lifestyle changes really prevent urinary tract infections? While no prevention method is foolproof, adopting healthy urinary habits can significantly reduce the risk of UTIs and other causes of painful urination. Consistency in these practices is key to maintaining urinary tract health over time.
Understanding the Link Between Sexual Activity and Urinary Discomfort
Sexual activity can sometimes lead to urinary discomfort or increase the risk of urinary tract infections, particularly in women. Understanding this connection and taking appropriate precautions can help minimize post-coital urinary issues.
Sexual Activity and Urinary Health
- Bacteria can be introduced to the urinary tract during intercourse
- Friction may cause irritation to the urethra
- Some lubricants or spermicides may cause sensitivity
- Frequent or intense sexual activity may increase UTI risk
How can you protect urinary health during sexual activity? Urinating before and after sexual intercourse can help flush out bacteria and reduce infection risk. Using gentle, water-based lubricants and avoiding harsh chemicals can minimize irritation. For those prone to recurrent UTIs, speaking with a healthcare provider about preventive strategies or treatments may be beneficial.
The Role of Hydration in Urinary Tract Health
Proper hydration plays a crucial role in maintaining urinary tract health and preventing issues that can lead to painful urination. Adequate fluid intake helps flush bacteria and other potential irritants from the urinary system, reducing the risk of infection and inflammation.
Benefits of Staying Hydrated
- Dilutes urine, reducing irritation to the bladder and urethra
- Increases urinary frequency, helping to flush out bacteria
- Supports overall kidney function
- May help prevent the formation of kidney stones
How much water should you drink for optimal urinary health? While individual needs vary, aiming for 6-8 glasses of water per day is a good general guideline. Monitoring urine color can also be helpful – pale yellow urine typically indicates adequate hydration. However, it’s important not to overhydrate, as this can dilute urine too much and potentially increase infection risk.
Exploring Alternative and Complementary Therapies for Urinary Discomfort
While conventional medical treatments are essential for addressing underlying causes of painful urination, some individuals find relief through complementary approaches. These alternative therapies may help manage symptoms or support overall urinary tract health when used alongside traditional treatments.
Popular Complementary Approaches
- Cranberry products (juice, supplements)
- D-mannose supplements
- Probiotics for urinary and vaginal health
- Herbal teas (e.g., uva ursi, marshmallow root)
- Acupuncture
- Pelvic floor exercises
Are alternative therapies effective for treating urinary tract issues? The efficacy of complementary approaches can vary, and scientific evidence is mixed for many of these treatments. While some people report benefits, it’s crucial to consult with a healthcare provider before trying alternative therapies, especially if you have an active infection or ongoing urinary symptoms.
Special Considerations: Painful Urination in Men
While urinary tract infections and painful urination are more common in women, men can also experience these issues. In men, dysuria may have different underlying causes and require specific diagnostic approaches.
Potential Causes of Painful Urination in Men
- Prostatitis (inflammation of the prostate gland)
- Benign prostatic hyperplasia (BPH)
- Urethritis
- Sexually transmitted infections
- Bladder or prostate cancer (rare, but possible)
Why is painful urination in men often linked to prostate issues? The prostate gland surrounds the urethra in men, and any inflammation or enlargement of this gland can affect urinary function. Prostate-related issues become more common as men age, making it important for older men to be vigilant about urinary symptoms and undergo regular prostate health screenings.
Addressing Chronic Interstitial Cystitis and Painful Bladder Syndrome
For some individuals, painful urination may be a symptom of chronic conditions such as interstitial cystitis (IC) or painful bladder syndrome. These conditions can cause long-term discomfort and require specialized management approaches.
Characteristics of Interstitial Cystitis
- Chronic pelvic pain
- Frequent urination
- Urinary urgency
- Pain that worsens as the bladder fills
- Discomfort during sexual intercourse
How is chronic interstitial cystitis managed? Treatment for IC typically involves a multifaceted approach, including dietary modifications, stress management techniques, physical therapy, and medications to manage pain and reduce inflammation. Some patients benefit from bladder instillations or neuromodulation therapies. Working closely with a urologist or urogynecologist is crucial for developing an effective management plan.
The Impact of Medications on Urinary Health
Certain medications can affect urinary tract function and potentially contribute to painful urination. Understanding these effects is important for both patients and healthcare providers in managing urinary symptoms.
Medications That May Affect Urinary Function
- Some chemotherapy drugs
- Certain antidepressants
- Blood pressure medications
- Diuretics
- Antihistamines
- Muscle relaxants
Can changing medications alleviate urinary symptoms? In some cases, adjusting medication dosages or switching to alternative drugs may help reduce urinary side effects. However, it’s crucial never to stop or change prescribed medications without consulting a healthcare provider. If you suspect a medication is causing urinary discomfort, discuss your concerns with your doctor to explore safe alternatives or management strategies.
Navigating Urinary Health During Pregnancy
Pregnancy brings numerous changes to a woman’s body, including alterations in urinary tract function. Pregnant women may be more susceptible to urinary tract infections and experience unique urinary symptoms.
Urinary Considerations During Pregnancy
- Increased frequency of urination
- Higher risk of urinary tract infections
- Potential for urinary incontinence
- Changes in urinary tract anatomy due to the growing uterus
Why is prompt treatment of urinary issues crucial during pregnancy? Urinary tract infections during pregnancy can pose risks to both the mother and the developing fetus if left untreated. These may include an increased risk of preterm labor or low birth weight. Pregnant women should report any urinary symptoms to their healthcare provider promptly for appropriate evaluation and safe treatment options.
Long-Term Outlook: Managing Recurrent Urinary Issues
For individuals who experience frequent urinary tract infections or chronic urinary discomfort, developing a long-term management strategy is essential. This often involves a combination of preventive measures, lifestyle modifications, and ongoing medical care.
Components of Long-Term Urinary Health Management
- Regular check-ups with a urologist or urogynecologist
- Adherence to preventive strategies
- Consideration of long-term preventive antibiotics in some cases
- Stress management and pelvic floor exercises
- Dietary modifications to support bladder health
- Ongoing patient education and self-care practices
Is it possible to overcome chronic urinary issues? While some individuals may always be more susceptible to urinary problems, many people find significant improvement with comprehensive long-term management. Consistency in preventive measures, prompt treatment of acute issues, and regular medical follow-up can greatly enhance quality of life and reduce the frequency of urinary symptoms over time.
Understanding the causes, symptoms, and treatment options for painful urination empowers individuals to take proactive steps in maintaining urinary tract health. By recognizing warning signs, seeking timely medical attention, and implementing preventive strategies, many cases of dysuria can be effectively managed or prevented. Remember, urinary health is an important aspect of overall well-being, and open communication with healthcare providers is key to addressing any concerns or persistent symptoms.
Painful Urination – familydoctor.org
Painful urination (dysuria) is when you feel pain, discomfort, or burning when you urinate. The discomfort may be felt where urine passes out of the body. It may also be felt inside the body. This could include pain in the bladder, prostate (for men), or behind the pubic bone. Sometimes it can be a sign of an infection or other health problem.
Path to Improved Health
There are several conditions that can cause painful urination. The most common is a urinary tract infection (UTI). The urinary tract consists of the kidneys, bladder, and urethra. The urethra is the tube that carries urine out of the body. Bacteria can build in the tract when waste isn’t removed or the bladder isn’t emptied correctly. This causes an infection. Swelling and irritation from the infection can make urination uncomfortable.
Sometimes painful urination can occur even if you don’t have a UTI. Other causes include:
- Medicines. Certain medicines, like some used in cancer chemotherapy, may inflame the bladder.
- Something pressing against the bladder. This could be an ovarian cyst or a kidney stone stuck near the entrance to the bladder.
- Vaginal infection or irritation.
- Sensitivity to chemicals in products. Douches, vaginal lubricants, soaps, scented toilet paper, or contraceptive foams or sponges may contain chemicals that cause irritation.
- Sexually transmitted infections. Gonorrhea, chlamydia, or herpes can cause urination to be painful for some people.
- Prostate infection
Things to Consider
Sometimes painful urination comes and goes on its own. Other times it is the sign of a problem. If you have any of the following symptoms along with painful urination, call your doctor:
- Drainage or discharge from your penis or vagina.
- Blood in the urine.
- Cloudy or foul-smelling urine.
- Fever.
- Pain that lasts more than 1 day.
- Pain in your back or side (flank pain).
Also call your doctor if you are pregnant and are experiencing painful urination.
Painful urination can be a symptom of a more serious problem. Be sure to tell your doctor:
- About your symptoms and how long you’ve had them.
- About any medical conditions you have, such as diabetes mellitus or AIDS. These conditions could affect your body’s response to infection.
- About any known abnormality in your urinary tract.
- If you are or might be pregnant.
- If you’ve had any procedures or surgeries on your urinary tract.
- If you were recently hospitalized (less than 1 month ago) or stayed in a nursing home.
- If you’re had repeated UTIs.
- If you’ve tried any over-the-counter medicines for your pain.
If your doctor thinks you have a UTI, he or she will do a urinalysis. This tests your urine to look for infection. He or she may also order an ultrasound of your kidneys or bladder. This can help find sources of pain, including kidney stones.
Your doctor might think your pain is from vaginal inflammation. If so, he or she may wipe the lining of your vagina with a swab to collect mucus. The mucus will be looked at under a microscope. This will test for yeast or other organisms. Your doctor might think your pain is from an infection in your urethra. He or she may swab it to test for bacteria. If an infection can’t be found, they may suggest other tests.
Questions to Ask Your Doctor
- What is causing my discomfort?
- Is it a UTI or other infection?
- What is the treatment?
- Are there any side effects to the treatment?
- How soon will my symptoms get better?
Resources
American Family Physician: Painful Urination
National Institutes of Health, Medline Plus: Urination – painful
Copyright © American Academy of Family Physicians
This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.
Is That Burning Sensation a Urinary Tract Infection?
Chances are, it has happened to you: You go to the bathroom and feel a burning sensation when you urinate. That feeling is a telltale symptom of a urinary tract infection (UTI), and it’s one that most women are familiar with. UTIs are incredibly common. In fact, the risk of a woman contracting one in her lifetime ranges from 40% to more than 50%.
UTIs are inconvenient and can make a woman feel miserable from the pelvic pain, frequent urination and that burning feeling. Prompt treatment is key to relieving these symptoms and preventing possible complications, such as kidney infection.
Melindia Mann, a women’s health nurse practitioner who specializes in the diagnosis and treatment of UTIs at Johns Hopkins Bayview Medical Center, talks about the common causes of urinary tract infections, how to prevent them and when to see a doctor or practitioner.
What Is a Urinary Tract Infection?
Wondering where that burning comes from? A urinary tract infection happens when bacteria grow in the kidneys, bladder or urethra. The urethra is the tube that connects the bladder to the opening between the clitoris and the vagina so urine can exit the body.
Once the bacteria settle in, they wreak havoc and can cause a laundry list of UTI symptoms that include:
- Pelvic or abdominal pain.
- Frequent or painful urination.
- Feeling the urge to urinate even when your bladder is empty.
- Cloudy or reddish urine.
If the infection spreads to the kidneys or bloodstream, a woman may also experience:
- Nausea and vomiting.
- Fever or chills.
- Middle back pain, a possible sign of kidney inflammation.
Urinary Tract Infection Diagnosis
If you think you might have a UTI, don’t worry. Diagnosing one requires a simple urinalysis. You urinate into a cup, and your clinician examines the urine for signs of infection. The standard course of treatment is three to five days of antibiotics.
In some cases, especially if your infections keep coming back, your practitioner may order a urine culture, a specific test for UTIs. A culture identifies the bacteria causing your infection so your clinician can choose the most effective antibiotic to treat it. The results of a urine culture are typically not available for two to four days.
Causes and Risk Factors of UTIs
Common risk factors for urinary tract infection in women include:
- Sexual activity: “You are at an increased risk for urinary tract infections from intercourse and even your birth control,” according to Mann. A diaphragm, spermicide and some vaginal lubricants can change the bacterial makeup of the vagina, leading to increased risk of UTI for some women.
- Immune system suppression: “Chronic or acute illnesses can weaken the body’s immune system and defense against bacteria, leaving you vulnerable to a UTI,”says Mann.
- Voiding dysfunction: Conditions that make it hard to completely empty the bladder can raise the risk of a urinary tract infection. These include spinal cord injury or neuropathy, a condition that affects nerve function.
- Menopause: Mann explains that during menopause your body’s pH levels change, which alters the vagina’s bacterial flora (the community of microorganisms living in the vagina). This change in bacterial makeup increases your risk of UTI.
How to Prevent Urinary Tract Infections
UTIs are unpleasant enough that most women will try anything to avoid getting one. Mann discusses some simple lifestyle changes that might help you prevent UTIs. These steps help reduce the chance of bacteria entering the urinary tract, which is the main cause of UTIs. Make sure to:
- Empty your bladder more often: Don’t hold it when you feel the urge to go. Mann says that you should empty your bladder at least every four hours during the day. And urinating immediately after intercourse can help wash bacteria away from the urethral opening.
- Drink more water: Studies have shown people who drink more water are less likely to have recurrent urinary tract infections. Mann suggests that you drink at least 2 liters (9 cups) of water daily.
- Practice safer wiping and cleaning: Wiping from front to back helps avoid bacterial contamination. Avoid irritating feminine products with dyes, fragrances and parabens. Instead, wash with water whenever possible. “And, please, don’t ever douche unless otherwise advised to do so by your practitioner,” says Mann.
- Try a different birth control: If you have repeated urinary tract infections, you may want to avoid using a diaphragm and spermicide, including spermicidal condoms. Talk to your doctor or clinician about other birth control options that can lower your risk for UTIs.
Does Cranberry Juice Help Prevent UTIs?
You’ve probably heard cranberry is an effective way to ward off a UTI. Though cranberry is a popular home remedy, scientific evidence does not currently support that it helps prevent UTIs.
Mann says if you want to try it, opt for cranberry tablets rather than sugary cranberry juice. Before taking any supplements, talk to your health care practitioner. These tablets may interact with other medications you are taking, such as blood thinners.
Treating UTIs
Mann emphasizes that you should see a doctor or other health care provider if you experience any of the symptoms of UTI, especially pelvic pain, urinary leakage, painful urination or a frequent urge to go. A clinician can confirm a diagnosis and rule out other conditions that may be causing your symptoms.
Don’t just suffer through a UTI and wait for it to go away on its own. Talk to your health care provider for diagnosis and treatment so you can feel better. Getting treatment for UTIs is not just about feeling better now — it’s important to treat it so you don’t develop a more serious infection. So, if you’re experiencing any changes in urination or unexplained pelvic pain, see your doctor. With the right treatment, you can be back to your active life in a few short days.
Painful Urination and Burning (Dysuria)
Painful urination with burning, also known as dysuria, is most often felt in the tube that carries urine out of your bladder (called the urethra) or the area surrounding your genitals (called the perineum). Pain is often felt when you stop urinating.
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Common Causes of Dysuria
Painful urination with a burning sensation is usually a sign of a urinary tract infection, irritation, or inflammation of the bladder, urethra, or prostate. In women, it is most likely a urinary tract infection.
If you feel severe pain just as you stop urinating, your bladder is probably the source of the problem.
Men are less likely to get urinary tract infections overall, but infection or inflammation of the prostate or urethra can cause painful urination.
Other Causes of Painful Urination
In women, candidal dermatitis or vaginitis, vulvitis, and interstitial cystitis (bladder infection) may be causing the painful urination with burning. Urinary retention and radiation cystitis also can result in painful urination with burning.
Other common medical conditions and external causes of painful urination include:
- Bladder stones or kidney stones
- Drugs, such as those used in cancer treatment, that have bladder irritation as a side effect
- Having a recent urinary tract procedure performed, including use of urologic instruments for testing or treatment
- Kidney infection
- Sexually transmitted diseases including chlamydia, genital herpes, gonorrhea, and others
- Soaps, perfumes and other personal care products
- Urethral stricture (narrowing of the urethra)
When to See a Healthcare Provider
Make an appointment to see your healthcare provider if:
- Your painful urination persists
- You have drainage or discharge from your penis or vagina
- You see blood in your urine
- You have a fever
- You have back pain or pain in your side (flank pain)
- You pass a kidney or bladder (urinary tract) stone
Diagnosis
Your healthcare provider will most often be able to diagnose the cause of your painful, burning urination when you describe your physical symptoms and submit a urine sample for testing. For female patients, the healthcare provider may also swab the lining of the vagina or the urethra to check for signs of infection.
At your visit, your healthcare provider will ask about your medical history, including information about conditions you or close family members may have, such as diabetes mellitus or immunodeficiency disorders.
You may also need to share your sexual history to determine if a sexually transmitted disease (STD) is causing your pain. Tests for STDs may also be required.
The urine and/or swab sample your healthcare providers take will be analyzed for white blood cells, red blood cells, or foreign chemicals. White blood cells usually mean you have a bacterial infection.
A urine culture, which takes about two days for final results, will show which bacteria are causing the infection. It also helps the healthcare provider understand which antibiotics will help treat the bacteria.
If your urine sample shows no sign of infection, you may undergo additional tests to look at the bladder or prostate.
Frequent or Painful Urination | Colorado Urology Associates
Frequent or painful urination at a glance
- Frequent or painful urination occurs when a person urinates more often than is normal for him or her and when urinating causes pain, burning or stinging.
- Painful or frequent urination is most often a symptom of another condition.
- Most treatments for these conditions treat the underlying condition or include behavioral changes a person can make to feel better.
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What is frequent or painful urination?
Urination is the process of passing liquid waste from the body in the form of urine. For most people, the bladder holds urine until it is convenient for them to use the toilet. Urination is normally painless.
Most people urinate four to eight times a day depending on fluid intake. Frequent urination is when a person needs to urinate much more often, experiences an urgent need to urinate or when a person urinates more frequently than is normal for him or her.
Painful urination (also called dysuria) is more common in women than in men. In both men and women it results in pain, discomfort, burning or stinging. Pain may be felt at the spot where urine leaves the body (urethra) or inside the body at the prostate (in men), bladder or behind the pubic bone at the lower part of the pelvis.
Frequent urination or painful urination can indicate another physical problem and should be evaluated by a physician.
Causes of frequent urination
Sometimes frequent urination and painful urination go together. In women, painful urination is most often a symptom of a urinary tract infection (UTI). UTIs often include an urgent need to urinate, uncomfortable, painful or burning sense when urinating, fever, and a painful or uncomfortable abdomen.
A variety of other problems can cause frequent urination, including:
- Diabetes. People who notice that they are urinating frequently, or an unusually large amount, should see a physician. These symptoms can indicate that a person has type 1 or type 2 diabetes. Increased urination is the way the body eliminates unused glucose (sugar).
- Diuretic medications. These eliminate excess fluid from the body. The drugs usually are prescribed to treat high blood pressure or other fluid buildup.
- Interstitial cystitis. This condition in which the walls of the bladder become inflamed can include frequent urination, an urgent need to urinate and pain in the bladder. Women experience about 80 percent of cases of interstitial cystitis.
- Overactive bladder (OAB) syndrome. Involuntary contractions of the bladder in OAB create sudden, uncontrollable urges to urinate. OAB often makes people need to use the bathroom during the night and might cause urinary incontinence or leaking. Up to one-third of men and 40 percent of women experience OAB.
- Most pregnant women notice they need to urinate often. This is because as the uterus grows, it pressures the bladder.
- Prostate problems. Men who experience an enlarged prostate, also known as benign prostatic hyperplasia (BPH), may have increased urinary frequency. As it enlarges, the prostate presses the urethra, which can block urine flow and irritate the bladder, causing it to contract more often. These contractions feel like a need to urinate.
- Stroke or other neurological diseases. After a stroke or other nerve damage, many people need to urinate more often. Neurological issues also can cause other bladder function problems.
Rarely, bladder cancer, bladder dysfunction and radiation therapy or other cancer treatment can cause issues with frequent urination.
Causes of painful urination
Several kinds of infection or inflammation can cause painful urination. These include:
- Urethritis and prostatitis. These two inflammatory conditions are the most frequent causes of painful urination in men.
- Vaginal infection, such as a yeast infection. Women who have a vaginal infection may notice vaginal odor, discharge and painful urination.
- Sexually transmitted infections. STIs such as chlamydia, genital herpes and gonorrhea can cause painful urination.
- Can be caused by:
- Interstitial cystitis (see above).
- Irritation of the urethra from sexual activity or activities like bicycling or horseback riding.
- Irritation from douches, spermicides, bubble baths, soap or toilet paper with fragrance.
- Side effects of certain medications, supplements and treatments.
- Stones in the urinary tract.
- Vaginal changes related to menopause (“vaginal atrophy”).
- Tumor in the urinary tract.
Symptoms of frequent or painful urination
Frequent or painful urination can be a symptom of a variety of health conditions requiring treatment.
Symptoms of frequent urination that call for a visit to the physician as soon as possible include:
- Pain in the lower abdomen, side or groin
- Painful urination
- Blood in the urine, or red or dark brown urine. This can be a dangerous sign and should always be evaluated.
- A powerful urge to urinate
- Difficulty urinating, or trouble emptying the bladder completely
- Fever
- Discharge from the vagina or penis
- Loss of bladder control.
People should see a physician when urinary frequency increases with no obvious cause (such as drinking an unusual amount of fluids), especially if other symptoms are present.
Symptoms accompanying painful urination requiring medical attention are:
- Painful urination lasting more than one day
- Discharge from the penis or vagina
- Blood in the urine
- Fever
- For pregnant women, any painful urination.
Diagnosis of frequent or painful urination
The physician will study the symptoms (listed above) and take a complete medical history to determine the cause of the frequent or painful urination. He or she may order additional tests, such as:
- A laboratory examines and tests a urine sample to determine its contents and whether infection is present.
- Cystometry or Urodynamics. This measures the pressure within the bladder and assesses how well the bladder is working. This test allows physicians to understand if nerve or muscle problems may be interfering with bladder function.
- Using a thin, lighted instrument called a cystoscope, the physician can view inside the urethra and bladder to look for physical problems.
- Neurological tests. A physician might request tests to confirm or eliminate the possibility of a nerve disorder that affects bladder function.
- This imaging test uses sound waves to make a “picture” of the organs inside the body to check for issues affecting urinary function.
Preventing frequent or painful urination
Whenever possible, physicians treat frequent or painful urination by determining what underlying problem is causing the symptoms, and treating that problem. For example:
- If diabetes is the cause of a person’s frequent urination, the physician will work with the patient to control blood sugar to minimize the urinary issue.
- If a man’s frequent urination is due to benign prostatic hyperplasia (BPH) or prostatitis, the physician will treat that issue to relieve urinary symptoms.
- For women who have painful or frequent urination due to urinary tract infections, the physician will prescribe antibiotics or suggest other treatments to eliminate the infection.
Sometimes, behavioral treatments may also help alleviate symptoms of painful or frequent urination. These are activities the patient can do to minimize or eliminate symptoms for conditions such as OAB. Behavioral treatments might include:
- Avoiding fluid intake before bed. People need to stay hydrated, but avoiding drinking before bedtime can help stop overly frequent urination at night.
- Bladder retraining. Over time (about 12 weeks), the person makes an effort to wait longer between trips to the bathroom. This process helps the bladder hold urine longer so people do not experience frequent urination.
- Dietary changes. Physicians usually advise people to avoid foods that cause them to urinate more often. These foods may include alcohol, caffeine, carbonated beverages, chocolate, imitation sweeteners, spicy foods and tomato-based foods. Additionally, people should incorporate high-fiber foods into their diet. Constipation can make OAB worse.
- Kegel exercises. Men and women can do these exercises to strengthen the muscles around the urethra and bladder. Doing Kegel exercises three times a day, five minutes at a time, can strengthen the bladder and reduce frequent urination.
Lifestyle changes to treat & prevent painful urination
Treating the underlying cause often eliminates or reduces painful urination. People can also undertake lifestyle changes to prevent painful urination. Treatments include:
- Antibiotics to treat UTIs, prostatitis and some sexually transmitted infections
- Drugs to treat interstitial cystitis
- Using condoms during sex to protect against infections
- Avoiding scented detergents and toiletries that may cause infections
- Avoiding foods and drinks that can irritate the bladder, such as:
- Caffeine
- Alcohol
- Spicy food
- Artificial sweeteners
- Citrus and tomato products
Medical treatment for frequent & painful urination
Some conditions may require more aggressive treatment. Treatment options include:
- Botox injections. Some people respond to injections of Botox into the bladder muscles to relax them. This allows the bladder to store more urine, reducing frequent urination.
- Physicians might prescribe one of a variety of medications that improve bladder function.
- Several types of surgery are available. In the most common (and least invasive) procedure, a physician implants a small nerve stimulator just under the skin. These devices help improve muscle control to reduce accidents due to frequent urination.
Painful Urination – American Family Physician
Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education website.
Information from Your Family Doctor
Am Fam Physician. 2004 Jan 1;69(1):149-150.
Why does it sometimes hurt when I urinate?
Painful urination can be caused by several things. A common cause is a urinary tract infection (also called a UTI or bladder infection). Urination may hurt if your bladder is inflamed. Inflammation can happen even if you do not have an infection. Some medicines can inflame the bladder. Something pressing against the bladder (like a cyst) or a kidney stone stuck near the opening to the bladder also can cause painful urination.
Painful urination can have other causes, such as an infection or inflammation in the vagina or in the prostate gland. You may feel pain when urine passes over the inflamed tissue. If the urethra is inflamed, you would feel pain as the urine passes through it. (The urethra is the tube that carries urine from your bladder out of your body.)
You might be sensitive to chemicals in certain products, such as douches, soaps, scented toilet paper, personal lubricants, or contraceptives like foams, sponges, and the sperm killer nonoxynol–9. If it hurts to urinate after you have used these products, you are probably sensitive to them.
What will I need to tell my doctor?
You should tell your doctor if you have had UTIs before (including when you were a child), how many you have had, and how they were treated. Tell your doctor about any other medical conditions you have, such as diabetes or AIDS, because these could affect your body’s response to infection. Tell your doctor if you know about any abnormality in your urinary tract, or if you are pregnant or might be pregnant. Tell your doctor if you have had unsafe sex or anal sex. Tell your doctor if you have had any procedures or surgeries on your urinary tract, if you were recently hospitalized, or if you recently stayed in a nursing home.
What kind of tests will I need to have done?
Your doctor usually will be able to tell what is causing your pain by the way you describe your pattern of urination and your symptoms, along with a physical exam. Testing your urine (called urinalysis) can help your doctor see what kind of infection you have. Usually, a sample of your urine is taken at the doctor’s office and sent to a lab to check for infection.
If your doctor thinks your pain may be from vaginal inflammation, he or she may wipe the lining of your vagina with a swab to collect mucus. The mucus is looked at under a microscope to see if it has yeast or other organisms. If your pain is from an infection in your urethra, your doctor may swab it to test for bacteria. Your doctor may examine your prostate gland if your pain might be caused by an enlarged or infected prostate gland.
If an infection cannot be found, your doctor may suggest other tests, such as pressure measurements within the bladder or cystoscopy (a way to look at the bladder lining with a very thin tube put into the urethra).
How are UTIs treated?
If you are a healthy adult woman (who is not pregnant) or man, antibiotic pills usually will cure your UTI. It is important that you tell your doctor if you have symptoms such as back pain and fever (especially a fever higher than 101°F, which could mean that the infection has spread to your kidneys). It is important that you take the antibiotic exactly as your doctor tells you to, because skipping pills could make the treatment less effective and allow a kidney infection to develop.
If you are having three or more UTIs each year, your doctor may want you to begin a preventive antibiotic program. A small dose of antibiotics taken after you have sex may help reduce infections that occur after having sex. A small dose of an antibiotic taken every day helps reduce infections not associated with sex.
What can I do if I keep getting UTIs?
Some people, mostly women, get these infections over and over again, and they may get some help from preventive efforts. For example, drinking cranberry juice every day may decrease your chance of getting an infection. If you tend to get UTIs after having sex, going to the bathroom right after sex may lessen your risk.
Frequent UTIs may be caused by changes in the bacteria in the vagina. Antibacterial vaginal douches, spermicides, and certain oral antibiotics may cause changes in vaginal bacteria. Avoid using these items, if possible. Menopause also can cause changes in vaginal bacteria that increase your risk for UTIs. Using estrogen usually corrects this problem, but it is not right for everyone. Ask your doctor if estrogen therapy is right for you.
5 Ways to Get Instant UTI Relief
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Urinary tract infection (UTI) is one of the most common bladder infections to catch, especially for women. Most UTIs are caused by bacteria getting into the urinary tract and causing inflammation and pain. “The female anatomy is a set up for infections of the bladders,” explains Sherry A. Ross, MD, a women’s health expert and author of She-ology: The Definitive Guide to Women’s Intimate Health. Period. Dr. Sherry explains that because women have a shorter urethra, which is essentially the tube that leads urine from the bladder out of the body, bacteria can enter much more easily than it can through male anatomy. In fact, according to the U.S. Department of Health and Human Services, women are 30 times more likely to get a UTI than men and more than half of women will have at least one UTI in their lifetime. But as much as knowing you’re not in the minority may be reassuring, it doesn’t take away from the stinging, burning, and needing to rush to the bathroom every 10 minutes feeling you get when you have a bladder infection.
5 natural remedies for UTI relief
“A true UTI needs antibiotics to clear the bacteria responsible for the symptoms and infection,” Dr. Sherry explains, so call your doctor if you’re experiencing UTI symptoms. While you wait for your appointment, though, there are some home remedies you can try to help relieve some of the discomfort.
Avoid foods and beverages that will irritate your bladder
Drinking coffee and alcohol, and eating spicy food or foods with lots of added sugar will irritate the urinary tract. They can decrease the blood flow to the bladder, which will make it harder for your immune system to fight off the infection.
Drink lots of water and empty your bladder often
According to Chicago-based OB/GYN, Jessica Shepherd, MD, drinking lots of water when you are experiencing UTI symptoms can help flush away the bacteria. “Draining your bladder frequently is essential to getting rid of the bacteria,” Dr. Shepherd explains. The more water you drink, the more you’ll have to relieve yourself.
Use a heating pad
Dr. Shepherd and Dr. Sherry both recommend applying heat to your abdomen for relief from UTI cramps or the burning sensation. “A heating pad or hot water bottle over your lower abdomen can help ease some of the discomfort from a UTI,” Dr. Sherry says. If you’re using an electric heating pad, be careful not to fall asleep with it on or leave it on your skin for long periods of time. This can be dangerous and either burn your skin or worse, cause a fire.
Try an herbal remedy
Recent studies have shown that uva ursi plant extract, also known as bearberry, may help combat UTIs through the plant’s antimicrobial properties. However, there can be side effects, and uva ursi can be harmful if not taken properly, so be sure to consult your doctor before trying the supplement.
Avoid vitamin C if you’re already experiencing UTI symptoms
Vitamin C is known to help prevent UTIs by acidifying the urine, which can kill certain bacteria present in the urinary tract. But Dr. Sherry warns if you already have a UTI or are experiencing real symptoms of one, vitamin C will not be effective in killing off bacteria. This is because unless you know the exact bacteria causing the UTI, vitamin C—although helpful—may not be doing enough to kill the infection you’re experiencing.
How to prevent a UTI from striking again
Sick of dealing with urinary tract infections? Really, the best “natural remedy” is simple: just prevent one from striking in the first place! Here’s how:
Drink cranberry juice
Although it has often been thought of as a treatment option, cranberry juice can only help as a preventative measure. “Cranberry juice can be helpful in preventing UTIs by making the urine more acidic and preventing harmful bacteria from sticking to the walls of the bladder,” Dr. Sherry explains. “An acidic environment in the urine makes bacterial build-up more difficult and reduces your chance of getting a UTI. But even with this information, studies have conflicting evidence about cranberries being a reliable source for prevention.” So if you’re prone to UTIs, it won’t hurt to drink unsweetened cranberry juice. But it’s definitely not the UTI cure-all it has always been thought to be.
Practice good hygiene after sex and ask your partner to, too
“Overall health with increased water intake and exercise is the best way to improve health and help with decreasing UTIs,” Dr. Shepherd shares. This includes good hygiene and being diligent about cleaning all of your lady parts. And make sure your partner does, too. “Bacteria from sexual intercourse is one of the most common ways women can get a UTI,” Dr. Shepherd explains.
Limit antibiotic use
Although it can’t always be avoided, frequent antibiotic use can actually cause more harm than good and lead to UTIs. Antibiotics can cause diarrhea, which can allow unwanted bacteria to enter the urethra. When fighting off illness, antibiotics can wipe out good as well as bad bacteria, which can leave you more prone to infection. Dr. Sherry recommends taking a daily probiotic to help repopulate the good bacteria in your body, but more research is needed to test its effectiveness in treating UTIs.
Avoid feminine hygiene products with scents and chemicals
“Using feminine products that have perfumes and other irritating chemicals can introduce disruptive bacteria into your body,” Dr. Sherry says. Even more so, Dr. Sherry stresses that if you’re prone to UTIs, any products that will allow unwanted bacteria to enter your body should be avoided. “Avoid diaphragms, vaginal sponges, diva cups, and sex toys if you’re prone to UTIs,” she advises.
Wipe front to back
“Always remember to wipe ‘front to back’ to avoid bringing unwanted bacteria from the anus to the vaginal area,” Dr. Sherry says. A rule as simple as this make all the difference between frequent UTIs and not getting any.
Stay hydrated
“Drinking a lot of water will help keep unwanted bacteria moving out of your body,” Dr. Sherry says. “And, don’t hold in your urine for long periods of time—a general rule of thumb is to urinate every two to three hours or when you first feel the urge.”
Sara Shulman
Contributor
Sarah is a Florida-based freelance writer and personal trainer whose work has appeared in Business Insider, Well + Good, Men’s Fitness, TripSavvy, and more.
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AZO Maximum Strength | Let Us Help Ease Your UTI Pain
WHAT CAUSES UTIS (URINARY TRACT INFECTION)?
Bacteria entering the urinary tract system and attaching to the bladder wall typically cause urinary tract infections. The most common bacteria to cause a UTI is E.coli.1
WHAT ARE THE SIGNS AND SYMPTOMS OF A UTI?
The most common UTI symptoms are:
- Pain or painful urination
- Frequent need to urinate
- Burning sensation while urinating
- Bladder spasm
- Lower back pain
- Fever
If you experience any of these symptoms, immediately consult your physician. Learn more about common UTI symptoms and about diagnosing a UTI.
WILL AZO URINARY PAIN RELIEF CURE MY UTI?
No. The only clinically proven cure for a UTI is a prescription antibiotic. AZO Urinary Pain Relief will only provide fast temporary UTI relief from pain, burning and urgency.
HOW LONG CAN I TAKE AZO URINARY PAIN RELIEF?
The recommended dosage is two (2) tablets three times a day. Do not use for more than 2 days (12 tablets) without consulting a healthcare professional.
CAN I TAKE AZO URINARY PAIN RELIEF FOR MORE THAN TWO DAYS?
Please consult your healthcare professional before taking AZO Urinary Pain Relief for more than two days.
CAN MEN TAKE AZO URINARY PAIN RELIEF?
Yes. AZO Urinary Pain Relief will effectively provide relief from UTI symptoms in both men and women.
CAN I TAKE AZO URINARY PAIN RELIEF IF I AM PREGNANT OR BREASTFEEDING?
Please consult your healthcare professional before taking, especially if you are pregnant or breastfeeding. It is recommended to take a pregnancy test and consult with a healthcare professional prior to taking the product.
HOW LONG DOES AZO URINARY PAIN RELIEF REMAIN IN THE BODY?
AZO Urinary Pain Relief reaches the bladder within one hour as indicated by a change in urine color and may stay in your system for up to 24 hours.
WILL AZO URINARY PAIN RELIEF INTERFERE WITH DRUG TESTS?
AZO Urinary Pain Relief may interfere with the reading of any colorimetric urine analysis (such as AZO Test Strips), as the active ingredient, an organic dye, will color the test pads and may make them difficult to read. If you are concerned about potential test interference, please contact your healthcare professional.
CAN I TAKE ONLY HALF OF AN AZO URINARY PAIN RELIEF TABLET?
No, the tablets are intended to be taken whole. Cutting the tablet will break the thin protective coating and may cause staining on the skin and any other surface they come in contact with.
CAN I CHEW THE AZO URINARY PAIN RELIEF TABLETS?
No, chewing the tablets will cause the teeth and mouth to become stained. The tablets are intended to be taken whole, and should not be cut, chewed or crushed.
WILL AZO URINARY PAIN RELIEF STAIN MY SKIN?
Care must be taken when handling AZO Urinary Pain Relief as any objects that come in contact with them may become stained.
HOW CAN AZO URINARY PAIN RELIEF STAIN MY CONTACT LENSES?
Care must be taken when handling AZO Urinary Pain Relief products. If the tablets are handled in such a way as to transfer its contents onto your skin, then there is the possibility of transferring the medicine from your fingers to your contact lenses. Care must be taken when handling AZO Urinary Pain Relief as any objects that come in contact with the tablets may get stained.
WHAT KIND OF FOOD ALLERGIES DO THE AZO URINARY PAIN RELIEF PACKAGES REFER TO?
Phenazopyridine hydrochloride is an organic dye. If you are sensitive to dyes in foods then you may be sensitive to AZO Urinary Pain Relief. We recommend you consult your healthcare professional before taking, especially when concerned about potential allergies.
CAN I GIVE AZO URINARY PAIN RELIEF TO A CHILD?
AZO Urinary Pain Relief is not recommended for children under the age of 12, unless specifically instructed by a healthcare professional.
WILL AZO URINARY PAIN RELIEF CHANGE THE COLOR OF MY URINE?
Yes. This is normal as the active ingredient is an organic dye.
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Discomfort and pain when urinating
What does discomfort and pain when urinating mean?
Discomfort and pain during urination is one of the most common symptoms of diseases of the genitourinary system in men and women. For some, the discomfort in the process of emptying the bladder may be very minor, but for some it is a serious concern.
Regardless of the severity of urination disorders, we strongly recommend not to delay the visit to the doctor, because any disease is much easier to identify and cure in the early stages of development than at the advanced stage .
How is discomfort and pain during urination manifested?
Discomfort and pain during urination can manifest itself in different ways:
- A feeling of severe burning and itching, which can occur both at the beginning of urination and at the end
- Painful sensations in the genitals, urethra or groin area after urination
- Difficulty urinating, in which the stream of urine is very weak, intermittent, or urine comes out drop by drop.In men, a split urine stream may also occur.
If you have one or more of the above symptoms, may be a serious urinary tract disease , which must not be left untreated in order to avoid serious complications. Very often, other pathological signs join the discomfort during urination, for example, pain in the perineum or groin, discharge from the genital tract, etc. Based on the available clinical picture, as well as the data of the examination, the doctor will make the final diagnosis.
The main causes of this symptom
There are many pathological conditions accompanied by an urinary disorder, and in particular a feeling of discomfort when emptying the bladder. In women and men, a similar symptom may indicate the following diseases:
- Infectious diseases of the urinary tract – most often the infection affects the bladder and urethra, on the mucous membranes of which pathogenic microorganisms settle.In this case, you may feel pain and burning sensation when urinating, which, moreover, becomes more frequent. One of the most common urinary tract infections is urethritis.
- Cystitis – inflammation of the bladder is also one of the common causes of urinary discomfort. Severe burning sensation is a typical sign of damage to the main organ of the urinary system.
- Sexual infections – chlamydia, ureaplasmosis, gonorrhea, candidiasis and other sexually transmitted diseases cause very strong discomfort during urination.At the same time, pain and burning are not the only symptoms of genital infections, but are accompanied by pathological discharge from the genital tract, soreness in the lower abdomen, and general malaise.
- Vulvovaginitis and vaginitis – these gynecological pathologies often develop against the background of genital infections and are almost always accompanied by a burning sensation during urination, especially when urine drops fall on the irritated and inflamed mucous membranes of the external genital organs.
- Prostatitis – discomfort in the urethra is considered one of the typical manifestations of inflammation of the male organ – the prostate gland. Unpleasant sensations in the form of severe burning usually occur after the cessation of urination. Disorders such as difficulty urinating, interruption of the stream of urine, and dropping of urine may also occur.
- Kidney infections – pyelonephritis and other inflammatory kidney diseases are often accompanied by painful urination, which can occur in both sexes.
- Urolithiasis – due to the crystallization of salts in the bladder and kidneys, calculi of various shapes and sizes can form, causing considerable discomfort. With urolithiasis, you may experience frequent urge to urinate, and the process itself will be accompanied by pain. Urination becomes especially painful when small stones pass along with urine. Also, often with this pathology, blood impurities are found in the urine.
- Allergic reactions – in some cases, discomfort during urination can be caused by the usual irritation of the genitals from hygiene products.Due to the peculiarities of the anatomical structure, such allergic reactions are most often found in women.
Diagnostics and treatment in our clinic
If you feel discomfort and pain when urinating, this should be a good reason to contact a urologist. In our clinic, to find out the reasons for this condition, you may be assigned the following studies:
Based on the results of the studies, treatment will be prescribed to eliminate the main cause of discomfort.It can be antibiotic therapy , prescribed for inflammatory diseases of the genitourinary tract. The choice of specific medications for the treatment of certain pathologies that cause discomfort when emptying the bladder is always made on an individual basis. In case of urolithiasis, you will most likely be prescribed medications to help crush and remove calculi. For large stones, their crushing is carried out using ultrasonic equipment.
Treatment of pain during urination in the “CM-Clinic”
The most important thing to know about pain when urinating is that such a symptom is a sign of a disorder in the body. Disorders can be of a different nature, depend on gender, but in any case require consultation with a doctor. After all, timely assistance will help prevent possible complications and quickly alleviate the condition.
Causes of pain when urinating
The most common and common cause of pain is inflammation. Inflammation can be localized in any part of the genitourinary tract of men and women and often occurs with weakened immunity. Constant stressful situations, hypothermia, overwork and insufficient nutrition also cause the growth of pathogenic or opportunistic microflora. Pathogens that contribute to the development of inflammation include streptococci, staphylococci, E. coli, chlamydia, ureaplasma, mycoplasma, gardnerella and many others.
Poor hygiene should be noted separately as the cause of the development of infectious and inflammatory processes in the genitourinary system of the body. Failure to comply with the rules of hygiene promotes the growth of pathogenic bacteria and their ascending penetration into the urogenital tract. This is more true for women and girls, which is associated with the proximity of the anus, vagina and urethra. Therefore, it is important to teach girls to wash properly (front to back) from preschool age.
Causes of pain when urinating associated with the genitourinary system
Gender-independent and common diseases in which pain is noted are:
- Urolithiasis – a disease in which stones appear in one of the parts of the genitourinary system.Pain when urinating is not the only symptom of this disease. Soreness in the lower abdomen, colic in the side and back, radiating to the genital area, increased body temperature, and clouding of urine are also often observed. Bladder stones can also cause frequent urination or blockage of the urethra.
- Urethritis or inflammation of the urethra is characterized by pain, cramps during urination and requires urgent treatment. Timeliness of treatment helps prevent the spread of the infection along the ascending pathways.The development of chronic urethritis can lead to infection of other genital organs.
- Cystitis is an acute or chronic inflammation in the bladder. It occurs when pathogens spread through the urethra. Symptoms of cystitis are similar to urethritis, but pain in the lower abdomen and frequent urge to urinate are also observed.
- Sexually transmitted diseases – gonorrhea, trichomoniasis, ureoplasmosis, urogenital chlamydia, etc. They are sexually transmitted and require an urgent visit to a venereologist (urologist, gynecologist with a complicated course of the disease).These diseases are characterized by the presence of pathological discharge from the genitals, pain, itching and require prompt treatment.
Causes of pain during urination associated with other body systems
- Tumors – benign and malignant, in the organs of the urinary system or nearby organs. Pain occurs due to mechanical compression of the ureter, bladder. Relief of the condition in this case depends on the method of treatment of the tumor.
- Gout is a rheumatological disease in which uric acid salts are deposited in the joints. The kidneys and urinary system are often affected. In this case, not only pain is observed, but also a burning sensation during urination.
- Complications after diseases not related to the urinary system. These include sinusitis, all types of tonsillitis, influenza, bowel diseases, pathological changes in the teeth and other inflammatory diseases of organs and systems.
Causes of painful urination in women
Some diseases common to women cause pain when urinating.These include:
- Inflammation in the genitals – vaginitis, colpitis, cervicitis. In addition to abnormal vaginal discharge, itching, burning of the mucous membrane, dysuric phenomena are also observed – pain, cramps during urination, frequent urge. Any of these symptoms require a visit to a gynecologist. Experienced gynecologists will prescribe optimal treatment and advise on all contraceptive matters at the “CM-Clinic” Moscow, including individual selection of contraceptives.
- Candidiasis – observed with intensive growth of fungi of the genus Candida.The main symptom is discharge and itching in the vagina and on the external genitals, but it is often accompanied by pain, cramps during urination. Men also have thrush, but most often it is asymptomatic.
Causes of painful urination in men
There are few inflammatory diseases and pathological conditions characteristic only for men:
- Prostatitis is a widespread inflammation of the prostate gland among men.There are many factors provoking prostatitis. The main ones are infections, a sedentary lifestyle and stress. Pain during urination in men with prostatitis is almost an integral and painful symptom. It is accompanied by frequent urging, pain in the perineum and groin. An andrologist is involved in the treatment of prostatitis;
- Phimosis or narrowing of the foreskin of the penis. In this case, the head opens difficult or does not open at all. If hygiene rules are not followed, bacteria multiply in the lubricant and inflammation occurs.This leads to pain during urination and erection;
- Balanoposthitis – inflammation of the glans penis and foreskin;
- Vesiculitis – inflammation of the seminal vesicles;
- Orchoepididymitis – inflammation of the testicles and epididymis.
Despite the fact that many diseases of the genitourinary system have similar symptoms, high-quality diagnosis allows you to accurately establish the diagnosis. Any discomfort during urination can be eliminated after a visit to the doctor and the appointment of adequate treatment.
90,000 From which frequent urination in men. Frequent urination without pain. Causes of frequent urination.
Diagnosis with frequent urination
In order to understand how to treat frequent urination, tests are taken from men and women. The main thing is urine analysis, which allows you to study the composition of urine and identify deviations from the norm.
At the initial appointment, the doctor collects an anamnesis, including asking the patient about his condition.The doctor may be interested in how frequent urination manifests itself, at what time it begins and intensifies, what is accompanied. It is not enough to say that I often urinate. Be prepared to communicate the amount of fluid you drink, your medications, and your lifestyle. If there are suspicious changes in the color, consistency, odor of urine, you should also tell the doctor about this.
During the examination, the doctor will also conduct a physical examination. Based on the information received, the specialist makes a decision on the need to use certain types of in-depth diagnostics.
Diagnostic methods
When there is frequent urination in men, the causes can be diagnosed by simple observation. These include: measuring the speed and duration of the act of emptying, assessing the volume of excreted urine, testing for the ability to arbitrarily stop and continue the process.
It is possible to conduct a urodynamic study, in which the performance of the organs of the excretory system is assessed.This allows you to establish or exclude the functional nature of the urinary disorder. The study uses sensors of muscle and nervous activity, monitors to measure the pressure inside the urea, visualization.
Studying what causes frequent urge to urinate in men and women, doctors refer patients to the following diagnostic procedures:
- BUZI of the kidneys;
- X-ray or computed tomography of the abdominal region, pelvis;
- neurological testing;
90,023 tests for sexually transmitted diseases.
Treatment methods
When determining how and how to treat frequent urination in men or women, doctors use the results of the diagnostics. On their basis, the real causes of the phenomenon are established. Efforts are being made to eliminate the underlying principle, and with it the symptomatology.
Treatment approaches are fundamentally different. Persistent urge to urinate in men can be stopped along with a male disease.In the presence of a bacterial infection, a course of drugs is prescribed – antibiotics, pain relievers. If the diagnosis reveals diabetes, the doctor will first of all take control of the blood sugar level.
With overactive bladder, anticholinergic drugs are prescribed to prevent the involuntary work of the urethral detrusor muscles.
To eliminate formations that press on the organs of the excretory system and provoke the urge to empty, surgical procedures are performed.
Methods of prevention
There are methods that can help relieve the condition of people experiencing urinary problems. These include self-directed training aimed at strengthening the muscles of the pelvis and urethra.
One of the most famous methods is Kegel exercises. Doing 10-20 minutes daily for 1-2 months provides the necessary bladder support.
Bladder training teaches the urinary tract to hold urine for a longer time.The course is designed for 2-3 months.
When you often want to write, you need to monitor the amount of fluid you drink and, in general, listen to your body. Patients may be advised of a balanced diet based on fiber-rich foods. It is important to eliminate foods that irritate the bladder and act as diuretics from your diet.
To determine exactly whether you have serious illnesses, or perhaps a simpler solution to the problem, make an appointment with a urologist in Moscow.
How to avoid problems with “winter cystitis” – Rossiyskaya Gazeta
In the cold season, the most common illness after ARVI is not even flu, but cystitis.
This is the name of an inflammation of the bladder – an unpleasant and very common disease. More often it affects the weaker sex, but does not bypass men either. It is necessary to freeze a little in inclement weather, waiting for the bus at the bus stop, or then sit for 15-20 minutes on a cold seat in an unheated cabin, and problems with the bladder are almost guaranteed.
But one should not assume that only the cold season is to blame. Cystitis is caused by infections, not ambient temperature. The fact is that hypothermia weakens our immunity, and this, in turn, makes it possible to develop inflammation of the bladder.
First call
The disease usually begins suddenly and proceeds in an acute form. Here are her symptoms:
- Strong and frequent urge to urinate.
- Burning and cutting during and at the end of urination.
- Even with a strong urge, only a small amount of urine is excreted.
- Discomfort and pain in the lower abdomen.
- Blood in urine – more often detected in the general analysis, but sometimes it is determined by eye.
- Urine has a cloudy color, often with an unpleasant odor.
Doctors warn: if at the same time your temperature rises (above 38 degrees), chills, pains in your side or lower back, if you start to feel nauseous, this already indicates that the infection has made its way even further – into the kidneys, and pyelonephritis began.This is a serious reason to urgently see a doctor. However, cystitis should not be treated on its own. He cannot be defeated without an accurate diagnosis.
After examinations, the attending physician will prescribe medication – including antibiotics, which absolutely cannot be “prescribed” to oneself.
The fact is that in 80-95% of cases, the causative agent of cystitis is the usual E. coli that lives in our body. Therefore, the immune system reacts badly to her (she’s her own!), And she managed to get used to the antibiotics that you once took.This is where the professional help of a doctor is needed in the choice of drugs.
Folk remedies
But killing the harmful bacteria that cause cystitis is only part of the treatment. Regardless of the drug chosen by the doctor, the mucous membrane of the bladder heals for 3-4 days, so even with effective treatment, the symptoms of the disease may not disappear immediately. It is also necessary to “calm down” the mucous membrane, protect the kidneys, and restore regular urination. For this, it is already possible to apply folk recipes worked out by many generations.Here are 6 tips to help you get over your illness:
- Follow a gentle diet. For the duration of the illness, forget about spicy and irritating dishes, spices. It is advisable to choose a dairy-vegetable menu for these days.
- Drink more! But, of course, if you exclude alcohol and soda, it is better to give up coffee as well. You should drink a lot in order to quickly remove inflammation products from the bladder with urine.
- If you want to go to the toilet – don’t stand it! An overflowing bladder can cause infected urine to flow back into the kidneys, increasing the risk of pyelonephritis.
- Maintain a comfortable temperature. Try to avoid any hypothermia until complete recovery.
- Maintain immunity. If he has to be distracted by dealing with other problems, the process of treating cystitis will take longer.
- Do not tolerate pain and cramps, try to soften them. This can be helped by warm baths and heating pads, herbal decoctions.
Green Pharmacy
It is believed that cranberries, lingonberries, goldenrod, bearberry (bear ears), marshmallow root and other plants are especially useful for cystitis.Traditional medicine has amassed many recipes for those suffering from bladder problems. Here are some recipes:
- A tablespoon of lingonberry leaves is brewed with a glass of boiling water, let it brew until it cools down and take 1/2 cup 3-4 times a day before meals. Take a tablespoon of chopped root, pour a glass of boiling water and leave for 4 hours. Take 1 / 2-1 / 3 cup 3-4 times a day.
- 2 teaspoons of goldenrod herb insist for 4 hours in a glass of cold boiled water, filter.Take a glass of infusion 3-4 times a day before meals. Goldenrod is contraindicated in glomerulonephritis and pregnancy.
- Brew three teaspoons of corn silk with a glass of boiling water. Cool, add honey, drink two glasses in the morning and in the evening.
- Chop parsley leaves and roots. Pour one teaspoon of the resulting mixture with a glass of boiling water. Insist in a thermos for two to three hours. Drink in three doses in small sips one hour before meals.
- Pour one tablespoon of chopped bearberry leaves with a glass of hot water and hold in a water bath for half an hour.Cool, drain. Dilute the resulting broth with boiled water to the volume of a glass. Take three times a day for 1/3 cup.
- Pine and spruce bath. Finely chop pine and spruce needles and cones. Stir in an enamel saucepan and add three liters of water. Put on low heat and cook for half an hour. Infuse for an hour, then strain and pour into the bath.
The course of treatment consists of seven baths. Repeat the procedure every other day.
By the way
A common cause of cystitis is not only cold, but also the inability to empty the bladder in a timely manner.Remember – it is very harmful to postpone going to the toilet for a long time. It is especially important to explain this to children who are sometimes embarrassed to take time off to use the toilet from the lesson.
Problems with urination: pain and burning
Pain during urination is a sign of genitourinary diseases. They appear in both sexes, but in women it happens more often. This is a consequence of the shorter urethra. With an infrequent recurrence of pain, we usually do not seek to immediately consult a doctor, trying to endure or somehow smooth out the itching and burning with pharmacological agents.
Fortunately, the modern market provides them in abundance. But they only help for a while. A comprehensive, and, most importantly, correct, treatment is needed. Otherwise, the pain will return, and the disease will be neglected. Often it is sharp and lasts a certain time after urination. Symptoms vary depending on the specific condition. It can be determined by the professional diagnostics of a specialist.
Why it hurts when urinating
A number of diseases lead to similar symptoms.Here is a list of possible causes.
Urolithiasis
It results in blood in the urine, painful urination. Stones form in the bladder, pelvis, and calyces and can descend into the urethra and ureter, affecting the mucous membrane.
Genital herpes
A viral disease that affects the mucous membranes of the organs. It is characterized by tingling or burning, redness of the skin. Subsequently, bubbles and ulcers form. The bubbles burst very painfully.
Pyelonephritis
Symptoms are uncomfortable, poor urination, soreness in the lumbar spine, cloudy urine, and fever.
Trichomoniasis
In women it is defined as vaginitis, in men – as prostatitis and urethritis. An infectious disease that affects the urethra.
Prostatitis
The patient feels aching pains, also felt in the scrotum and perineum. They get stronger when you urinate.
Chlamydia
A sexually transmitted infection that affects the urinary tract.
Gonorrhea
It is more pronounced in men. Women do not feel to the same extent, so the disease can go into a chronic phase. Signs: pain and burning when urinating, the appearance of pus secreting from the urethra.
Cystitis
When urinating, there is a strong burning sensation, pain is experienced. The urine becomes cloudy and may contain blood. Strong odor is heard. The disease is accompanied by a deterioration in well-being and incessant back pain.
Problems with urination in women and men may be due to the usual irritation of the urethra.This is provoked by external factors: taking whirlpool baths, contact with aromatic and detergents (a high level of pH is dangerous), washing powder.
Difficulty urinating in men and women also appears as a result of the following pathologies:
- tuberculosis of the genitourinary organs;
- injuries, congenital abnormalities of the ureter, inflammation or tumors;
- diseases of the urethra, bladder;
- prostate cancer or hyperplasia in the stronger sex.
90,023 kidney diseases of various kinds;
In the latter case, the symptoms are manifested as frequent and difficult urination in men.
Frequent urination at night can be a consequence of a number of common diseases. Pathologies can be common to both sexes or manifest separately in men and women. To normalize processes and restore functions, it is necessary to find the causes of diseases of the urinary system and eliminate them. The complete list of diseases is extensive, and only a doctor can determine the real source of problems after examining the patient.For high-quality diagnostics and effective treatment, contact the Daily Medical Medical Center.
Diagnostics
If there is a delay or urinary incontinence in men and women, pain and discomfort when urinating, unpleasant itching in the prostate, etc., see your doctor right away. This can be a therapist, venereologist or urologist. The specialist collects anamnesis, examines by palpation, and prescribes a general urine test. It is very important to accurately indicate the localization of painful sensations.This will help to make the most accurate diagnosis.
Also can be assigned:
- cytoscopy;
- smear for the presence of infections, PCR;
- urine culture for sterility;
- X-ray of the lumbar spine.
After that, conclusions are drawn. Depending on the diseased organ and the degree of damage, treatment is prescribed – conservative or surgical. If necessary, the patient is referred to an oncologist. If you are interested in urology in Dnipro, contact the Daily Medical clinic.
What to do if it hurts to urinate
At the first manifestations of dysuria, it is necessary to consult a specialist. Sign up for a consultation at our clinic and you will receive a full report on your health condition. Here you can undergo a complete examination in a comfortable environment. The results obtained will allow you to pinpoint the source of the problems and take up their elimination.
What if you have urinary incontinence? Also, first of all, you should make an appointment with a doctor. Objective diagnostics are indispensable.It is necessary to determine the type and characteristics of the disease, and then proceed with treatment. It can take place in different forms:
- non-surgical non-drug – physiotherapy, exercise, bladder training;
- medication;
- surgical intervention.
The required method of treatment is determined by the doctor depending on the characteristics and degree of the disease.
The author of the article: urologist Treskovsky Alexander Petrovich Treskovsky Alexander Petrovich
May be interesting:
90,000 Pain when urinating – possible causes
Few people will run to the doctor at the first appearance of pain during urination.Usually in such situations, we drown out the pain syndrome with various drugs, and this helps for a while. Often, painful sensations, accompanied by burning and itching in the genital tract, return.
Pain during urination indicates a gynecological or urological disease. Unpleasant sensations are mainly sharp, cutting in nature, sometimes persist for some time after emptying the bladder.
Most often women suffer from urogenital diseases.This is due to the fact that their urethra is much shorter than that of men.
Why is it painful to urinate?
Painful urination can be caused by a number of diseases, including:
- Urolithiasis (kidney stones, bladder stones) is characterized by the formation of stones in the bladder, renal calyx and pelvis. As the stone descends into the ureter, the urethra, it injures the mucous membrane, causing pain when urinating.Sometimes urine comes out with an admixture of blood.
- Genital herpes is manifested by a viral lesion of the mucous organs. Itching or tingling occurs first, accompanied by redness of the skin, and then blisters and ulcers form. When they burst, the patient experiences severe pain.
- Pyelonephritis causes pain in the lumbar spine, which is accompanied by a rise in temperature, the release of cloudy urine and discomfort during urination.
- Trichomoniasis manifests itself as urethritis and prostatitis in men, vaginitis in women. The infection affects the urethra in both sexes.
- Chlamydia is mainly sexually transmitted and affects the urinary tract.
- Prostatitis is characterized by aching pains that radiate to the perineum and scrotum. Pain increases during urination.
- Gonorrhea .The disease is characterized by severe pain, burning, discharge of pus from the urethra. Gonorrhea is especially acute in men; in women, the disease can even become chronic, because for a long time the course is not so clear.
- Cystitis usually causes frequent and painful urination and a burning sensation. The urine smells strong and may be cloudy and bloody. In this case, you may feel unwell and constant pain in the lumbar region.
The cause of painful urination can be not only infectious and inflammatory processes, but also irritation of the urethra, which is caused by external factors: washing powders, aromatic detergents with a high pH level, whirlpool baths, etc.d.
Diagnostics
Only a specialist urologist who understands all the nuances of the course of the disease can find out the cause of the symptoms and prescribe competent treatment. Any pain during urination can be symptoms of various pathological processes, therefore, treatment should be directed to the disease that caused a number of these sensations.
In the urology departments of the Uro-Pro clinics, the following examinations are assigned to determine the correct diagnosis:
- Cytoscopy
- Study of anamnesis
- General urinalysis
- Urine culture for sterility
- Thorough visual inspection
- Smear for infections, PCR
- X-ray of the lumbosacral spine.
How to treat pain when urinating?
It is very important when visiting a doctor to correctly indicate the location of the main pain, this contributes to the rapid establishment of an accurate diagnosis. The course of treatment, as well as the choice in favor of a surgical or conservative method of treatment, will depend on the affected organ and on the stage of severity of the patient’s condition.
An important role is played by the selection of the correct diet, which must be combined with drug therapy.All irritating foods should be completely excluded from the diet: fried foods, smoked foods, spicy, salty, fatty and sour ingredients. In this case, it is advisable to adhere to the diet for some time and after treatment and return to the usual diet gradually.
You should also pay more attention to your lifestyle. It is undesirable to spend a long time in a motionless, sitting position. This leads to the formation of stagnant processes in the pelvic area, which creates a favorable background for the development of inflammatory processes.
Seeking medical attention for any manifestation of pain during urination should be a priority. After all, pain can be caused both by the initial symptoms of cystitis, and by a violent inflammatory process in the bladder area. Here, the success of the treatment process and your health directly depend on the surgical intervention of a specialist.
By contacting our clinic for an online consultation with a urologist, you will receive a detailed answer from our specialists about your health condition.We use an individual approach to each client and work for people who value their health.
- Make an appointment now
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90,000 Urolithiasis.Causes. Symptoms
Urolithiasis. Causes. Symptoms
13 December 2019
Urolithiasis. Causes. Symptoms
Urolithiasis (nephrolithiasis, nephrolithiasis) – the formation of salt stones in the organs of the urinary system – urates, oxalates, phosphates.
Stones are formed in the kidneys (in the calyx, pelvis) and urinary tract (in the ureters, bladder and urethra) due to metabolic disorders.In modern society, due to changes in nutrition, physical inactivity, exposure to unfavorable environmental factors, urolithiasis is increasingly common.
Stones appear mainly in one of the kidneys, but the process is also bilateral. The stone can be single, but often several stones are formed at once. Their size is very diverse: from 1 mm to 10 cm or more in diameter. Some stones can maintain a constant size for a long time, while others can fill the entire pelvis and calyx in the kidney in six months.In every third patient, stones are formed again: the disease recurs.
Causes of urolithiasis:
Currently, the cause of the formation of stones is not fully determined. The predisposing factors are metabolic disorders, infectious and other diseases of the excretory system.
Risk factors for urolithiasis:
· Complicated family history.
· Age: most often kidney stones form in people between 20 and 49 years old.
· Gender: men get sick three times more often than women.
· Dehydration: insufficient fluid intake increases the risk of urolithiasis. People living in hot and dry climates should consume more fluids than others.
· Diet: High in carbohydrates (sugar), sodium (salt) and protein increases the risk of certain types of kidney stones.
· Obesity: An increased mass index increases the risk of kidney stones.
· Diseases of the digestive system or surgery: chronic diarrhea, inflammatory bowel disease, gastric resection can lead to impaired absorption (absorption) of calcium and an increase in the level of stone-forming substances in the urine.· Other diseases: renal tubular acidosis, gout, hyperparathyroidism, cystinuria, some urinary tract infections.
Symptoms of urolithiasis:
· Paroxysmal pain – aching, dull or acute of various localization: in the groin, in the lower back, on the inner thighs, in the genital area. Pain sensations change depending on the position of the body.
· Violation of urination, blood in the urine, inflammation of the urinary tract. The admixture of blood in the urine is provoked by physical exertion.
· Deterioration of the general condition of the body, attacks of nausea and vomiting.
· Frequent painful urination, symptom of “stuffiness” – an unexpected interruption of the urine stream in case of insufficient emptying of the bladder.
Stones can move into the ureter, causing bouts of pain (renal colic) and blood in the urine.
Diagnosis of urolithiasis:
Diagnosis of urolithiasis is possible only at an appointment with a urologist. Treatment is prescribed on the basis of a conversation with the patient and the data of urological examination: · general urine analysis;
· general blood test;
· biochemical blood test;
Ultrasound of the kidneys;
· excretory urography;
radioisotope nephroscintigraphy.
Treatment of kidney stones:
When treating kidney stones, first of all, it is necessary to relieve an attack of renal colic. The next steps are stone removal, infection treatment, and prevention of stone reoccurrence.
Currently, the treatment of urolithiasis includes conservative and surgical methods of treatment.
· Conservative method: patients with stones up to 3 mm in diameter are shown drugs, adherence to the drinking regime and diet.They use drugs that can dissolve stones.
· Surgical method: surgical removal of stones, provided they are large or in the presence of complications. Surgical methods also include distance lithotripsy (stone crushing by a shock wave).
The article was compiled with the help of the following materials:
1. Komyakov BK Urology. Textbook. – M .: GEOTAR-Media, 2011. – P. 64.
2. Lopatkin N. A., Pugachev A. G., Apolikhin O. A. et al. Urology. Textbook.6th edition. – M .: GEOTAR-Media, 2007. – P. 520.