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Health

Pain after urination

, medical expert
Last reviewed: 20.11.2021
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Pain after urination often occurs as a consequence of genitourinary diseases, various infections, kidney disease, it can cause chronic and acute prostatitis. Pain after urination occurs in both males and females.

To understand the cause, because of which there is pain after urination, it is necessary to understand in which part of the urinary system, there are discomfortable sensations. There is moderate pain after urination, severe pain after urination and burning during urination.

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Causes of pain after urination

There are causes of pain after urination, which are peculiar only to women (for example, cystitis, thrush) or only to the strong sex (prostatitis, phimosis). And there are reasons for pain after urination, which do not depend on sex (STDs, kidney problems, urethritis).

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Pain after urination in men

Causes of pain after urination in men:

  • prostatitis - inflammation of the prostate. It is caused by bacteria that are in the prostate through the urethra. The organism always suppresses microorganisms that enter the prostate gland together with the urine, but in the presence of special conditions (foreign infection, decreased immunity, trauma, stress), it can not always cope with its task.
  • phimosis - this disease also causes an infection, because of which the foreskin narrows. Its causes can be microorganisms that penetrate into the preputial bag, injuries that leave scars, and non-compliance with hygiene rules.

Causes of pain after urination in women

  • Candidiasis is a common disease caused by a fungal infection, because of which the genitals become inflamed, irritation and itching are observed, the labia and vaginal walls swell, thick white discharge from the vagina is visible. Men carry Candida fungus, but they do not show up. In women with candidiasis, there is pain and burning sensation when urinating in women, and even during sex.
  • Cystitis is an acute inflammation of the bladder. In the female, this disease manifests itself more often due to the special structure of the genitourinary system. Ureters in women are shorter and broader than in men, because the causative agent of the infection is easier to get inside. Cystitis is a disease that can often be seen in girls and pregnant women due to insufficient local immunity or immaturity of the ovaries. The symptom of cystitis is the presence of pain after urination in women and feeling as if urination is incomplete, pain in the lower abdomen.

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Pain after urination: causes of pain common to both men and women

These diseases, with the presence of pain after urination, are observed in both sexes:

  • urolithiasis: in any part of the genitourinary system, stone formation can occur, which causes pain after urination. When the place of dislocation of the stones was a bladder, there is pain after urination or while moving, which can also be felt in the perineum and genital area. Urolithiasis and, correspondingly, pain after urination, which is due to it, is still characterized by the so-called "mortem syndrome". This is when the outflow of urine suddenly stops and resumes only if you change the position of the body. In addition, the patient can feel the periodic urination desire, which appears in special moments (shaking, exercise, walking).
  • Urethritis is a disease when the urethra is inflamed. The pains are constant and only pain after urination. Burning pain after urination - chronic urethritis, acute and painful pain after urination - means the disease is acute.
  • gonorrhea. Pain after urination is a typical symptom. From infection, the lower parts of the rectum, the genitourinary system. Women are also prone to inflammation of the sex glands with soreness and edema of the labia.
  • Chlamydia is one of the venereal diseases of the urinary tract and the reproductive system. Pain after urination is also characteristic of her.
  • ureaplasmosis. It is caused by infection of the ureaplasma, which penetrates during sexual intercourse, promotes the development of inflammatory processes of the urogenital tract. Women feel burning and painful pain after urination, there is a clear discharge, pain in the lower abdomen. Men complain of sex life, pain after urination, frequent urges, nervous disorders.
  • trichomoniasis. Infection causes in the female cervicitis and colpitis, the male sex - prostatitis and urethritis, which leads to the occurrence of pain after urination.

Localization of pain after urination:

  • pain in the abdomen with and after urination;
  • back pain when and after urinating;
  • pain in the groin when and after urinating;
  • pain in the perineum during and after urination;
  • pain in the penis when and after urinating;
  • pain in the head of the penis when and after urinating;
  • pain in the vagina during and after urination.

Pain after urination in a child

When the child has pain after urination, most likely it is due to infection of the genitourinary system, inflammation of the renal pelvis. Unpleasant urination can be felt by the child in the form of burning, pain, and difficulty urinating. There is a frequent desire to "go to the toilet," perhaps incontinence during the day and even at night. There may be scanty discharge of urine (a few drops), its unpleasant odor.

The causes of pain after urination in the child can also become cystitis (inflammation of the bladder), which in children is very common, it is one of the most common childhood inflammatory diseases. The stronger the inflammatory process in the bladder, the more frequent will be the urge to urinate and the more pain will be after urinating in the child.

Pain after urination in a child can occur due to urolithiasis, as well as in the presence of a foreign body in the urethra. With urolithiasis, small stones, as well as blood and pus, may be present in the urine, the child is prone to acute intense colic in the stomach. There are cases when a child thrust a foreign object into the urethra. Then the urethra is clogged, urination is difficult, with blood, pain after urination is felt.

When the pain after urination in a child is felt in the lumbar region - it can be a puzarno-lohanochny reflux. That is, the correct way of urine is broken, and from the bladder it enters the renal pelvis. Usually, difficulty urinating is not observed, but pain occurs when urinating in the lower back. After urination, there is no pain. After a short period of time the child again feels the urge, the pain is not observed then, but the urine is very little - this is what was left from the last time. The child is difficult to determine exactly where he feels pain when urinating, usually he says that in the navel.

Pain after urination in a boy

Pain during and after urination in a boy can be caused by additional factors. So, for example, sometimes boys are born with a very narrow urethra, or only a hole at the exit is very narrow. Urine in this case, leave a thin trickle or drops, there is pain after urination. In such situations, as soon as you have discovered such a problem, you need to urgently go to the doctors. Reducing the diameter of the opening of the urethra can still be caused by inflammation of the glans penis and also lead to pain during and after urination. Around the hole there is inflammation, outwardly it looks like tattered skin.

Pain after urination in girls

Pain after urination in girls is a fairly frequent phenomenon and is usually caused by infectious diseases of the urogenital tract. In connection with the peculiarities of the structure of the reproductive system, the infection easily penetrates inside. This can be both quite serious diseases, described above, and irritation of the vaginal area. The latter can be caused by: a reaction to hygiene products (soap, shampoo, detergent residues on laundry); poor hygiene of the genitals; wearing too tight clothes; wearing a long wet bathing suit; penetration of feces into the urinary canal due to improper hygienic skills (when feces are wiped out in the wrong way - behind in front); bathing in a polluted pond and many others.

Pain after urination during pregnancy

Pain during and after urination during pregnancy is due to the increase in poppies, which thus presses on the bladder. Urination is difficult, urine is in the form of a thin and weak trickle, a woman is forced to strain and make efforts to empty the bladder. But usually pain with urination does not arise from this. If it appears, it is a pathology. Causes are all the same disorders and diseases as in non-pregnant (candidiasis, cystitis, etc.). Due to the fact that during pregnancy the bladder is in a cramped position, favorable conditions for the emergence and progression of all kinds of inflammation are created, so it is especially necessary not to allow hypothermia. When the pain after urination is observed in the side or waist, this may be a signal of damage to the upper part of the genito-urinary tract and complications in the work of the kidneys. In such cases, you urgently need to see a doctor, since such complications adversely affect pregnancy and childbirth.

Symptoms of pain when urinating

In order to understand what kind of disease we are dealing with, and to know which doctor should be treated with pain in urination, it is important to understand what exactly hurts, where and how. You need to analyze your feelings as much as possible.

Moderate pain, burning, a sense of heaviness in the pubic area speak of chronic processes. By the way, the intensity of pain when urinating does not always characterize how severe the disease is. For example, in the case of prostate cancer, initially it often occurs without any particularly pronounced symptoms, and the pain is mild and does not cause any particular discomfort.

When the urethra is affected, the pain is concentrated in the urethra. If not everything is in order with the bladder, pain during urination is observed in the area just above the pubis, in the case of prostate pathologies, the perineum suffers.

It is important to understand the ways in which pain spreads. For example, if pain in urinating in men gives to the head of the penis, and the female - to the clitoris, most likely we are dealing with stones in the bladder. When the prostate is affected, the pain moves toward the rectum, during the defecation its intensity increases. If it hurts in the side, lower back, this means that the infection has spread to the upper tract of the genito-urinary tract.

An important point in the diagnosis is the time of pain when urinating (before, at the beginning, during, after the process). When the pain occurs before urination, most likely, the bladder is stretched or it is inflamed, there are tumors, its physical volume (bladder contraction) has decreased.

When the pain is observed at the beginning of urination, it is most likely due to inflammation of the urethra, or rather not everything is in order with its initial department. With cystitis and oncopathologies, pain during urination appears due to contraction of the bladder.

Complete emptying of the bladder, when the prostate or cervical region of the bladder is affected), causes pain after urination. Usually, at the end of urination, it appears, then some time is still observed and goes away with the full filling of the bladder.

When diagnosing the causes of pain when urinating, take into account the age of the patient, as well as the illnesses that were transferred to him, which could lead to such processes or cause their complications.

There are additional symptoms that can clarify the diagnosis:

  • urination occurs more often than in the patient's usual state;
  • foreign impurities in the urine (blood, pus, etc.);
  • general malaise in the form of fever, anemia, exhaustion, neuroses.

Pain after urination after a smear

Many patients complain of severe pain after urination after a stroke. The presence of pain during urination after the analysis depends on the professionalism of the doctor and the instrument for a smear - catheter. A little discomfort after such a procedure is saved a day or two and then passes. Then you do not need to take any medications. If the pain when urinating after a catheter is very strong, you can use anti-inflammatory drugs.

Pain after urination after delivery

A characteristic postpartum syndrome is the appearance of pain and burning sensation when urinating. Experts say that there is nothing terrible in this, it is quite normal. However, if all this continues for three to four days, and after all the gaps and perineal incisions have healed, it is possible that an infection has entered the interior, which can lead to inflammation of the urinary tract.

Inflammation of the urinary tract is due to a trauma to the bladder during childbirth or a decrease in its tone; due to the imposition of obstetric forceps or vacuum extractor; insertion of a catheter.

Experts advise to consume more liquid, for example, cranberry juice or cranberries. The fact is that these berries are good at coping with microbes and all kinds of infections. Coffee and carbonated water during breastfeeding should be avoided. The first few days after the birth of a child, doctors advise to empty the bladder with two-hour intervals. If to wash more often, it will provoke the urge to urinate. It is important to monitor hygiene so as not to infect an additional infection.

If the pain during urination after delivery is very intense and does not go away for a long time, you should definitely contact your gynecologist.

Pain after urinary cesarean

A common phenomenon is pain during urination after cesarean. The woman's organism is always longer and more difficult to restore after cesarean than after usual birth. Problems with urination and pain when urinating appear due to a catheter that is injected into the ureter. Usually give the same advice as after the usual birth, as described above.

Pain after urination after sex

Pain when urinating after sex usually indicates all about the same problems - diseases of the genitourinary system, infections, venereal diseases.

Diagnosis of pain with urination

Naturally, if only you notice the pain when urinating, you need to contact the doctors who can accurately establish the diagnosis. The danger of inflammation of the genitourinary system is that they have the ability to quickly become chronic. Therefore, it is important for a specialist to diagnose the disease as soon as possible and to prescribe adequate therapy. To identify the cause of pain during urination, doctors take the following measures:

  • ultrasound (ultrasound) of the genitourinary system;
  • a fence of a smear, analyzes;
  • blood test;
  • PCR for the detection of hidden infections
  • X-ray of the lumbosacral spine.

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Pain management with urination

Diseases associated with pain during urination, treat professionals such as urologist, gynecologist, venereologist, andrologist.

Treatment is made depending on what disease caused the appearance of pain when urinating. In the case of a foreign body in the bladder, a polyp in the urethra, bladder tumors and the prostate gland is prescribed surgical intervention.

When diagnosed diseases such as urethritis, cystitis, prostatitis, cystalgia, then usually prescribe conservative treatment.

When pain during urination occurs during pregnancy, special attention should be given to drugs for treatment so that they do not harm the child.

Preparations for the treatment of pain during urination vary greatly depending on the diagnosis, the methods of treatment of each physician and the specific features of the organism of the particular patient. Therefore, do not self-medicate and contact a specialist.

Before providing medical assistance

There are measures that can be taken to reduce the intensity of pain when urinating before receiving medical care. First, you can drink more water than usual. Thus, the concentration of urine decreases, and the number of microelements that irritate the bladder and urinary canal, respectively, also decreases.

To reduce inflammation and edema, baths are recommended from hot foot water. Then the blood is directed to the veins of the legs and reduces the inflammatory processes, and also alleviates the symptoms. But these procedures can not be carried out if a person has venous insufficiency, thrombosis and thrombophlebitis on his legs. You can use anesthetic drugs (non-steroidal anti-inflammatory drugs).

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Diet in the treatment of pain with urination

In diseases associated with painful urination, it is important to adhere to a special diet during treatment and, importantly, and some more period after it, and return to the usual diet gradually. You can not eat fried, smoked, spicy, salty, fatty and sour.

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Alternative methods of treating pain with urination

  • a decoction of crushed cucumber seeds for the treatment of pain when urinating. For cooking, you need to take a glass of boiling water, pour seeds into it and boil them for fifteen minutes. After cooling, take half the glass three times a day, preferably before meals, about thirty minutes.
  • broth from bear ears (grass) for the treatment of pain when urinating. Grind the leaves, mix one tablespoon and a glass of boiled water, prepare a water bath, keep for about thirty minutes. After cooling, strain and add boiled water to restore the original volume. Take half a glass three times a day after eating (after thirty minutes).
  • decoction of leaves of lettuce for the treatment of pain when urinating. One teaspoon of leaves, two glasses of water, to insist for two hours. Take one tablespoon three times a day.
  • decoction of aspen buds for the treatment of pain when urinating. A teaspoon of kidneys is steamed with a glass of boiling water and infused for an hour. One tablespoon is taken at intervals of several hours one day.
  • broth of lilac for the treatment of pain when urinating. One tablespoon of lilac flowers is poured into a glass of boiling water, in an hour everything must be filtered. Drink one tablespoon three times a day.

But all these methods do not abolish medical treatment, even if they managed to relieve pain when urinating, it's only for a while. Pain with urination is most often caused by serious illnesses, so it is absolutely essential to consult a doctor.

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