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Painful Urination

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Having discomfort while peeing? Painful urination is a condition when one experiences pain, discomfort or burning with urination. This is often experienced around the urethra, that carries urine outside the body or around the genital region. Painful urination is a common problem among women, but it can also occur in men. Let us learn more about this condition in the following paragraphs.

Overview of painful urination

Painful urination is called as dysuria in medical terms. It is often described as a burning or stinging sensation when passing urine. This condition is often seen due to an underlying urinary tract infection. Women, pregnant women, diabetics as well as people with any type of bladder infection or disease can complain of painful urination or dysuria.

Symptoms of painful urination

Symptoms of painful urination usually include burning, itching or stinging feeling. The pain usually starts when one starts urinating or just after urination. When one experiences it at the beginning, it is a sign of urinary tract infection. When the pain occurs after urination it means one is having bladder problems or in case of men prostate trouble.

In women, these symptoms can be felt internally or externally. When it is external, it indicates inflammation of sensitive skin. Internal pain during urination indicates urinary tract infection.

Causes of painful urination

Painful urination in women is often due to the following causes:

  • Irritation and redness of the vulva and the urethra opening due to soap, shampoo or bubble bath
  • Vaginitis or inflammation of the vagina due to douche, use of tampons, bathing soap or low estrogen levels after menopause
  • Infection of the vagina due trichomoniasis, candidiasis or bacterial vaginosis
  • Yeast infection or herpes can cause a burning sensation during urination
  • Sexually transmitted diseases

In case of men, it can occur due to:

  • Kidney stones
  • Urethritis due to bacterial or viral infection
  • Infection of sexually transmitted diseases such as gonorrhea or chlamydia
  • Prostate infection
  • Prostate cancer is a common cause for dysuria in men
  • Pyelonephritis
  • Damage to the urinary bladder due to bladder tumor or cystitis

Diagnosis of painful urination

Painful urination requires medical attention. It is often an indication of an underlying infection or disorder that requires doctor’s advice. The doctor will take a full medical history to see if one suffers from diabetes or any other immunodeficiency disorder. He will also note down your sexual history to understand if you have caught an STD.

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The doctor will be able to diagnose the underlying condition based on the way you describe your symptoms. Thus, make sure you stick to the facts and not exaggerate on your symptoms. The doctor will ask you to send a urine sample to the lab for urinalysis. The urine will be checked for the presence of red blood cells, foreign chemicals as well as white blood cells. If there are white blood cells in your urine, it means you have a bacterial infection.

If there is no sign of infection, the doctor will suggest further tests to find bladder or prostate problems.

Treatment of painful urination

When painful urination is due to urinary tract infection, it is treated with antibiotics. Inflammation or irritation of the skin is treated by avoiding the irritant. Any underlying bladder or prostate condition is treated as required. Anti-fungal medications as well as analgesics are prescribed to manage dysuria.

Home Remedies for painful urination

Apart from medical treatment, you can follow these tips to treat painful urination:

  • Drink plenty of water to flush out the bacteria or other infectious agents from the body
  • Avoid drinking caffeinated drinks like coffee, tea as well as alcohol as they can lead to bladder irritation and lead to dehydration
  • Avoid eating citrus fruits and tomatoes
  • Maintain proper hygiene to avoid pain and burning due to an infection
  • Practice hygienic and safe sex. Avoid sex with unknown partners.
  • Avoid wearing tight, nylon or dirty undergarments
  • Do not apply talc, oils or soaps near the genital area as it can cause irritation of skin
  • Do not hold back urine. Flush your bladder as soon as you feel like peeing

These are some of the causes of painful urination. It is often an indication of infection or hormonal imbalance in the body. Speak to your healthcare provider for more details related to dysuria.

Written by: Saptakee sengupta
Date last updated: May 02, 2015

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