Resi when urinating is most often the hallmark of diseases that spread through sexual contact. Clinical picture of gonorrheic urethritis in males is supplemented by mucopurulent droplet discharge from the urethra, burning and itching. The first signs of the disease may appear on the second or third day after infection, although sometimes the incubation period lasts up to two to three weeks. In men, especially young men, the disease usually proceeds with acute symptoms. With prolonged course of the disease, the symptoms are characteristic after urination.
Female representatives often tolerate the disease without severe symptoms, but in about 30% of cases, characteristic signs are frequent and frequent urination, grayish-whitish purulent discharge, there may be an admixture of mucus. In some cases, the sexuality of the labia and their soreness are noted. Often, gonococci parasitize in Trichomonas, causing heterogeneous infection, which usually occurs with severe symptoms: in male males, gonorrheal symptoms predominate, and female symptoms are predominantly trichomoniasis.
The initial stage of infection with trichomonas infection is accompanied by urethritis. Trichomoniasis in female representatives in most cases occurs with severe symptoms, specific foamy discharge from the vagina. Different in color - grayish, greenish, yellowish with an unpleasant odor, irritating the mucous membrane of the external genitalia and vagina. Painful deurination with frequent urges is a characteristic complaint of patients, sometimes pains occur in the lower abdomen.
The males, basically, after infection become asymptomatic carriers of the disease. Clinical manifestations resemble inflammation of the urethra with droplets of grayish-green discharge.
Rezi when urinating causes an assumption about the possibility of chlamydial infection. Patients of both sexes are marked, transparent and not too abundant. Patients with this may bleed during the intermenstrual period and tenderness in the lower abdomen.
Frequent and painful urination is one of the symptoms of ureaplasmosis or mycoplasmosis, discharge in the first case is cloudy, in the second - transparent.
Candidiasis (thrush) is characterized by curdled secretions of white color, causing hyperemia and severe itching of the vagina or urethra up to neurotic disorders.
In male patients, resi before urination are a consequence of inflammation of the urethra. Purulent discharge, accumulating in the canal between urination, glues the lips of the inflamed urethra, causing tension and soreness. When the purulent plug is washed away under the pressure of urine, the discomfort ceases. This symptom is characteristic of gonorrhea, chlamydia, mycoplasmosis and candida urethritis.
The appearance of vaginal discharge (urethra) and stitching during urination is almost always symptoms of a venereal disease. Acute forms in addition to this combination are characterized by very palpable pains - lumbar, inguinal and in the inner thighs. Chronic course is usually manifested by pulling pains in the lower abdomen and discomfort during deurination. It is characterized by alternating exacerbations associated with high nervous and physical stress, colds, intense sexual life, and remissions, when the symptoms almost do not remind themselves.
In women, urethritis almost does not occur as an independent disease and is a complication of cervicitis, colpitis or vulvovaginitis. Infection due to the wide and short urethra almost immediately enters the bladder. Cystitis develops - mostly a woman's disease, men suffer extremely seldom. This disease is characterized by pollakiuria (frequent desires during the day) and carvings during urination, persistent and paroxysmal pains over the pubis. Urine is excreted in small portions and there is no feeling of relief and complete emptying of the bladder. Later in the urine can be found traces of pus and blood, it becomes cloudy, incontinence develops.
In persons of both sexes, the urine after urination can also indicate the presence of cystitis, traumas with small calculi, and in women for inflammation of the serous layer of the uterus (perimetritis). In men, at the end of urination, it speaks of narrowing the urethral lumen in combination with cystitis. As a separate sensation, after urinating, it occurs when the internal epithelium of the urethra is damaged. Urine is a physiological fluid, while passing through the urethra channel, the nerve receptors "calm down", however, when released from the liquid, the wounds are exposed and the resists are intensified.
Rezi in the abdomen with urination testify that inflammation from the urethra has spread to the genito-urinary organs. When inflammation of the bladder is characterized by suprapubic localization of pain, irradiating in the groin. The patient has an involuntary desire to alleviate the pain - he urinates, bending and pressing his hands to the stomach.
Cutting and frequent urination is the main symptom of cystitis. However, in addition, it can be noted with urolithiasis, when the patient is in an active state; urogenital tuberculosis (in the afternoon); hyperplasia of the prostate (at night and lying down); with the convergence of cardiac and renal edema (at night). Regardless of the time of day - with infectious diseases of genital organs, including - venereal, in combination with secretions; neoplasms compressing the bladder; pregnancy; disposition of the uterus; vesicles; strictures of the urethra; diabetes mellitus. This condition can be the result of hypothermia or a nervous system disorder.
In males, infection of the prostate with active infections or once transferred causes its inflammation. This cause is one of the most common, causing pain and pain when urinating. In acute inflammation or during exacerbations of chronic chronic constipation pains are observed, giving mainly to the scrotum or perineum, sometimes to the sacral zone of the waist. Their intensity is affected by the change in sexual activity, and the pain can both intensify and weaken. Symptom of prostatitis can be painful ejaculation and deurination.
In men, when urinating and pain in the side in combination with swelling and flushing of the scrotum, men may appear as a result of inflammation of the epididymitis epididymis. In young men, most often it is caused by venereal infections, in older people - conditionally pathogenic microorganisms, for example, E. Coli. Symptoms grow over time, pains descend into the scrotum, there may be mucopurulent discharge, large bloody inclusions in the urine, high fever and chills.
Rezi with urination and spotting is a characteristic sign of urolithiasis (calculous formations in the bladder), showing themselves pains in combination with frequent urges for deurination during walking, physical exertion, shaking in transport. Kidney stones cause renal colic, with pain in the lumbar region very strong. Rezi in the process of deurination irradiate into the scrotum and labia. In urine, there is a presence of fresh blood without clots.
Back pain and pain when urinating in combination with swelling, the presence of proteins and erythrocytes in the urine can talk about glomerulonephritis, and if there are also joint pains and inflammations, then - about rheumatoid arthritis.
Symptom of renal colic is a sharp pain in the kidneys, when you urinate while passing urine, giving to the perineal region, can talk about the movement of the stone in the kidneys. But if the attack passes, it does not mean that the stone safely left. It can block the ureter, urine accumulates in the kidney. Develops hydronephrosis - a very dangerous condition.
Hematuria (deurination with blood) is a symptom of many diseases, it is visually possible to notice a macrohematuria when the urine is colored red. Microhematuria is noticeable only when microscopic examination of urine, but from this it does not become less dangerous. Cutting and blood when urinating, dark red, is a symptom of acute cystitis or urogenital infection, especially if the emergence of this trouble (about two weeks) was preceded by unprotected sex. Blood scarlet, which appeared from the very beginning of a painful deurination, is a probable evidence of urethritis. Its presence indicates damage to the vessels located close to the urethra. If a lot of blood with clots is released, and urine is red-brown, then there is kidney bleeding or - from the ureters. Dark color speaks of stagnant phenomena. We can assume the disintegration of the neoplasm in these organs, their trauma. In this case, the resistances and burning are usually absent.
Difficult intermittent urination with blood testifies to the development of the tumor process in the prostate gland, in particular, prostate cancer, prostate adenoma, this is also indicated by the presence of veins of blood in the semen. Hematospermia can be a symptom of inflammation in the urinary organs, prostatitis, and also - just a physiological phenomenon.
The cut in the lower abdomen with urination can appear in almost all diseases of the genito-urinary organs of infectious and inflammatory genesis. Organic lesions are described above - cystitis, urethritis, urolithiasis, venereal diseases. They are combined with other symptoms already mentioned. Rezi can be moderate, quite tolerable, and can be very intense. Acute cutting pains during bladder emptying can be a symptom of cystalgia - a disorder of nervous regulation leading to pain, in this case, along the nerves of the urinary system. Visually, it does not detect any impurities in the urine and itchy discharge. Laboratory tests in such pathologies show no anomalies, instrumental diagnostics - too.
Women can feel a strong cutting pain in the area above the pubis and in the process of deurination during acute gynecological pathologies: ectopic (ectopic) pregnancy, sudden rupture of the ovary vessels or twisting the legs of his cyst. The development of these catastrophic conditions occurs suddenly and is characterized by a rapid deterioration of the woman's well-being. In the presence of increasing paroxysmal or pulsating pain, in which the usual medications, for example, no-shpa, baralgin do not bring relief, the appearance of hemorrhagic symptoms (pallor, weakness, dizziness, development of syncope); pulse about 100 beats per minute or more, hypotension; the appearance of symptoms of inflammation of the peritoneum (the gases form, but do not depart, the skin is moist but cold, the frontal wall of the abdominal cavity is painful).
Sometimes such manifestations are reflected. Because of the anatomical proximity of the organs located at the bottom of the peritoneum, they can indicate their acute inflammation (appendicitis, endometrium, adnexitis). When the process of the caecum is located behind the peritoneum near the kidney and / or the ureter, this helps the pain to reach the genitals, and during the emptying of the bladder, rezi appear. The symptom of acute appendicitis is almost always a high fever.
The appearance of the above-described signs should prompt urgently to seek medical help.
Cutting and burning with urination, in addition to the cases already mentioned, can cause a local allergic reaction to unsuitable means for intimate hygiene, synthetic underwear, any brand of pads or condoms. With gout, such feelings refer to additional symptoms, however, microcrystalline uric acid, abundant in urine, damage the urethral mucosa, which leads to discomfort. In diabetics, the constant presence of high glucose in the urine leads to the drying and microcracks of the urethra epithelium.
In most cases, cutting pain in the emptying of the bladder is characteristic of local processes and systemic symptomatology is not observed. Nevertheless, especially with acute inflammatory processes in addition to the cuts, high fever, headache, weakness, nausea and vomiting can occur. An increase in body temperature may indicate a beginning purulent complication. In men, the temperature in combination with cuts is usually inherent in acute urethritis, in women - acute cyst. If symptoms have appeared that are typical for general intoxication of the body, you should immediately contact a medical institution.
In men, subfebrile fever in the evenings and rezi when urinating may be symptoms of urogenital tuberculosis. This disease is difficult to diagnose. In cases when it is taken for a venereal infection and treated with appropriate medications, temporary relief comes, but then the disease manifests itself again. In addition to the above symptoms, the patient feels constant weakness, pain in the perineum, irradiating to the lumbar region, he has problems with potency and sweating is observed.
Rez when urinating after intercourse is most often the result of infection as a result of unprotected sexual intercourse. It can also be a sign of a neoplasm of the bladder, a stricture of the urethra, urolithiasis, disposition of the uterus or vagina, prostatic hyperplasia, diabetes mellitus, or atrophic vaginitis.
Cutting during urination during menstruation can be provoked by any of the above reasons. Most often - it's cystitis, which in critical days is observed in many women. Thus, any inflammatory process in the pelvic organs that occurs latently can manifest itself. In this period, pathogenic microorganisms migrate unimpeded from the site of inflammation to the bladder, causing clinical signs of cystitis. Deurination with cuts on critical days or after their termination may indicate a laxly current almost asymptomatic inflammation of the internal genital organs or the spread of infection during this period. After all, menstrual blood is an excellent nutrient medium for pathogens.
Rezi in the process of emptying the bladder with menstruation can be a reaction to the use of a new gel for intimate hygiene, tampons and even gaskets of new brands. Perhaps changing the brand of hygiene products quickly enough to get rid of the rubber. From the use of tampons it is generally desirable to refuse or reduce their use to a minimum, changing every three to four hours. Tampons contribute to the stagnation of menstrual blood and the intensive development of pathogenic flora in it, which can cause a cutting pain in the urethra when the bladder is emptied.
Rezi with urination after menstruation can be interpreted as infection of the bladder in critical days, they indicate poor health in the body. It is advisable not to delay the process and consult a doctor to find out the reason.
The development of cystitis can cause rezi with urination and a delay in menstrual periods. This is a fairly common phenomenon in women. However, not the cystitis itself is the cause of the delay, but the inflammation affecting the ovaries and causing hormonal imbalance. Simply the symptoms of cystitis are more visible and therefore there is an opinion that cystitis can cause a delay in menstruation. Delay in menstrual and discomfort during urination can occur for various reasons: pregnancy, venereal infections. This symptom should alert and force the woman not to postpone the visit to the doctor.
Resi when urinating in the morning is a special case of painful urination and can occur with erased forms of urethritis, endometritis and myometrium. When infecting with pubic lice, burning and itching during urination can appear only in the morning after a night's sleep.
Frequent urination without rezi is not always a symptom of the disease, however, the cause is still to find out. Frequently called the number of urination more than 10-15 per day. First, after analyzing your diet and drinks, you need to understand whether this affects the frequency of deurination. The diuretic effect is possessed by coffee, beer, herbal teas and some preparations. Pollakiuria (urge to frequent emptying of the bladder during the day) is observed in women bearing a child, with fluctuations in the hormonal background, in particular, in the climacteric period. This symptom can also indicate the presence of diabetes or urolithiasis, so you need to see a doctor.
Night - nocturia, can be accompanied by a decrease in the amount of excreted urine during the day (true nocturia), not constant - does not affect daytime deurination. It develops in pathologies of the heart and blood vessels, liver, kidneys, endocrine diseases and others.
The cause of the appearance of the rez when urinating in women can be chronic fatigue, changes in the immune and hormonal status, frequent hypothermia, alcohol and spicy foods, insufficient hygiene procedures or improper technique of their performance. But if this symptom is accompanied by discharge, turbid urine and the presence of blood in it, frequent or incomplete and difficult withdrawal of this physiological fluid, vagina in urination, pain and even slightly subfebrile elevated temperature, you should immediately seek medical advice.
Slurry when urinating in men can have completely innocent reasons, not requiring medical intervention - abuse of alcoholic beverages and / or spicy spicy food, intense sexual intercourse the day before or a minor perineal injury. These manifestations are usually not accompanied by other symptoms and quickly pass on their own.
In men, the neck in the head with urination may indicate the release of small calculous formations, sand and its trauma. Not following carefully the hygiene rules can cause inflammation of the head of the penis and foreskin (balanitis, balanostitis), its consequence can be phimosis - constriction and compaction of the prepuce and inability to expose the head. Possible and the reverse sequence of events - phimosis can lead to inflammation. In this case, the rez when urinating in the head of the penis is accompanied by pains of the whole organ and often - the lower part of the abdomen. The risk factor for the development of balanitis is diabetes, since "sweet urine" is a wonderful breeding ground for the reproduction of microbes.
Resi when urinating in a child
In childhood, urinary tract infection often occurs, which is accompanied by discomfort in the process of deurination. A typical sign of infection in a child is urinary incontinence, both during night sleep and during wakefulness. On the contrary, there may be a stranguria (difficult bladder emptying) or oliguria (discharge of urine drop by drop), urine may have a sharp odor, and also fever (fever, chills), weakness and lack of desire to eat.
In this case, as a result of hypothermia, cystitis often arises, suddenly and acutely. Typical is frequent, every quarter of an hour, and a meager deurination with pain, cuts and burning. The temperature may rise.
In childhood, stones can appear in the kidneys, bladder, ureters. In this case, there are not only rezi in the process of urination, but also symptomatology of renal colic - paroxysmal cutting pains in the lower back or lower abdomen, irritability, vomiting and nausea.
Often in boys there is a phimosis - the inability to expose the head of the penis due to the narrowness of the hole in the foreskin, which causes an inflammatory process, caused by the accumulation of secret in its folds. It is characterized by cuts with urination, localized in the head and foreskin area, secretions with pus, lymph nodes and temperature. When the head of the penis is infringed (paraphimosis), the child experiences severe pain, the squeezed head can turn blue and swell.
Children examine their bodies and often thrust foreign objects into the natural openings of the body, in particular, into the urethra. This also can cause rezi and burning sensation during deurination, and also - it can block the urine output.
Injury of the perineum and genital organs can cause their inflammation. And "adult" bacterial infections suggest that they were preceded by some kind of sexual abuse.
Rezi when urinating in pregnant women
During this period, the appearance of burning and cutting in the process of deurination is noted much more often. Firstly, this is facilitated by a change in the immune and hormonal status of women in this period, and secondly, the growing uterus presses on the bladder and may arise as a desire to frequent its emptying, and some discomfort. Slurry when urinating during pregnancy can appear from contact with intimate hygiene products, which in the usual state of such a reaction did not cause, and also - a decrease in immunity can trigger the growth of fungal flora and candidiasis. The pressure of the uterus on the bladder can provoke relapses of chronic diseases of the genitourinary sphere.
However, in addition to physiological reasons, this phenomenon can be a sign of dozing infectious and non-infectious diseases, which can be dangerous to both the mother and her unborn baby. Therefore, when you see cuts, you need to report them to the doctor. The most likely pathological causes of this symptom are urolithiasis, cystitis, inflammation of the internal genital organs, and other diseases.
Appearance of additional signs that should induce, without delay, to seek medical help, such as pain and other discomfort in the lower abdomen, pollakiuria (nocturia), a feeling of incomplete bladder release after deurination, color changes, turbidity and a sharp smell of urine.
A considerable number of women have rez when they urinate after giving birth. The most likely cause is cystitis. Its development is favored by: bladder overflow, associated with rare deurination, infection, changes in the immune and hormonal status, circulatory disorders in the pelvic organs. Risk factors for pathological cuts are hypothermia and postpartum catheterization. This discomfort with deurination in the puerperium can occur due to other causes, so the appearance of this symptom requires diagnosis and treatment.
Resi when urinating after Caesarean is accompanied by a variety of infectious and chronic diseases, aggravated by surgical manipulation. The weakened organism of a woman after the intervention is susceptible to infections. Resi can be observed in any interval of deurination, after it, or at urge. Urine can also change color and transparency. With catarrhal cystitis in the fluid, mucus fragments are observed, purulent fragments impart a turbidity to urine, hemorrhagic cystitis is diagnosed when there is blood in the urine.