Pain with urination

Pain during urination is characteristic in most cases of lesions of the lower parts of the urinary system, as well as problems in the organs of the reproductive system, both in men and in women. It should be clearly recorded the period in which pain occurs when urinating. Knowing this period of the appearance of pain, it is possible to make correct preliminary assumptions of the basic diagnosis. So the pain may appear before the beginning of urination, after completion or accompany the entire process of urine release.

[1], [2], [3], [4], [5]

What causes pain when you urinate?

Very briefly and very clearly you can imagine the reasons underlying the painful urination, in the form of several large blocks:

• urological diseases;
• venereal diseases;
• gynecological diseases;
• pathology of the male genitourinary system;
• urolithiasis disease.

Each of these blocks includes a variety of diseases that sometimes form a combined diagnosis. The true cause of painful urination can only be established through accurate diagnosis through laboratory analysis and detailed instrumental examination.

For yourself, we should note a few important details. When there is a sudden and sharp pain when urinating, calling a doctor should be a priority. Such a manifestation of pain can serve as the beginning of the movement of the stone in the urethra or a violent inflammatory process in the bladder cavity. In these cases, the speed of the medical intervention directly determines the success of the treatment process.

Pain in different moments of urination

Knowing that the pain appears shortly before the beginning of urination, you can make the assumption that it is caused by the stretching of a filled bladder and the reason lies precisely in this. This leads to another assumption that the main diagnosis will be directly related to the bladder. Most likely it is a cystitis. Additional diagnostic methods, both instrumental and laboratory, will help to confirm the correctness of the hypothesis or refute it.

Pain that precedes urination is also inherent in diseases caused by cancer of the bladder. There is such a thing as a "wrinkled bladder". In this case, we mean a decrease in the volume of the bladder, due to the pathological processes taking place in it for a long time. A bladder must be included in differential diagnosis before an accurate diagnosis of patients older than 50 years.

Talking about pain when urinating, you should also divide two points. The pain that appears at the very beginning of the outflow of urine testifies to the defeat of the upper part of the urethra, which can be caused by infectious nature or the formation of stones. Such pain with urination can provoke urethral polyps in women, men have similar pains with acute urethritis.

Painful urination, throughout the entire outflow of urine, until the complete completion of the process, accompanies one of the most common diseases - cystitis. Patients complain about the cutting pain in the process of urination, when throughout the urethra can be traced a strong burning sensation. It is not necessary to exclude the possibility of developing oncological damage to the parts of the bladder with this kind of pain.

It remains to consider another version of the appearance of pain associated with the process of outflow of urine - pain after the completion of urination. A similar characteristic is found in diseases associated with the prostate gland. The neck region of the bladder, affected by the inflammatory process, clogged with a stone or an oncological neoplasm is accompanied by the appearance of pain already at the very end or immediately after the completion of urination. Thus, there is a logical connection with the fact that the decrease in volume, the bladder provokes pain syndrome. That is why it is important, when visiting a doctor, to give a clear idea not only about the nature of pain, but also about the moment of its appearance.

Diagnosis of painful urination

When visiting a doctor should pay attention to the localization of the underlying pain. Pointing to the location of the painful area, the patient facilitates the simplification of the basic diagnosis. So pain when urinating, can capture the perineum (typical for prostatitis), the urethra (with urethritis) or the suprapubic zone (more often with cystitis). The clearer and more detailed the patient's explanations, the higher the probability of prompt diagnosis.

Pain may not be local in nature, but may be given in different directions. With urolithiasis, complaints of pain accompanying urination come to the penis (if the patient is a man) or to the clitoris (if it is a woman). The presence of such a complaint immediately indicates the disease and if the patient does not hesitate to indicate such a character of the pain, then the diagnosis will not take long.

Pain when urinating, extending to the waist or side, indicates an upward inflammatory process that covers the overlying parts of the urinary system - the ureters and the kidneys.

Soreness of urination rarely occurs when there is a general well-being. As a rule, it is possible to increase body temperature and general malaise. In the urine with the naked eye, you can notice the presence of impurities, such as turbidity, flakes, blood veins or the presence of sand. In severe cases, there is a delay in urine, until the complete cessation of its outflow. The situation can develop on the contrary, when urinary incontinence is observed.

After a visual examination of the patient and a conversation with him, a course of laboratory tests is appointed, among which the most generalized urinalysis, general and clinical blood tests should be considered as the most informative. From the instrumental methods, ultrasound of the urinary system and x-ray of the urinary system with contrast agent are assigned.

[6], [7], [8], [9]

How to treat pain while urinating?

Definitely should seek help from specialists to accurately diagnose the situation. The course of treatment will depend on the affected organ and severity of the pathological process. The choice in favor of a surgical or conservative method of treatment also depends on the situation. If in the process of the appearance of pain when urinating large urethral stones or extensive lesions with polyps are guilty, then surgical intervention will be one of the most probable methods of treatment and the most effective in this case.

In all other situations it is quite possible to dispense with therapeutic algorithms for influencing the cause of the disease. In most situations, regardless of the cause of the disease, attention is always paid to selecting the right diet, excluding all irritating foods, such as fried foods, smoked foods, sharp and fatty, salty and acidic ingredients. All that is listed should be completely excluded from the diet for the entire period of treatment and adhere to the chosen diet for some time after a full recovery, returning to the usual diet gradually.

Selection of medicines also directly depends on the diagnosis, and it is difficult to make a guess as to which particular drug will be preferred.

Prevention of pain during urination

To avoid most of the problems with the genitourinary system, you should pay more attention to your lifestyle. Frequent presence in a motionless, sitting position can lead to the formation of stagnant processes in the pelvic area. In this regard, favorable conditions for the development of inflammatory processes are created.

A diet with minimal salt content and maximally rich in vitamins, including dishes from vegetables and fruits is an excellent opportunity to maintain the body in excellent condition. The use of a large amount of pure drinking water protects the urinary system from the formation of stones and removes all harmful substances from the entire body. Active lifestyle increases the activity of metabolism, which also helps to protect against the development of situations in which the main trouble is pain when urinating.