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Pain when urinating during pregnancy
Last reviewed: 04.07.2025

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Pain when urinating during pregnancy occurs in several cases - from natural compression of the bladder by the enlarged uterus and growing fetus, with the development of cystitis, with the release of stones and sand from the kidneys. How to determine what painful urination means and what a pregnant woman should do in this case - we will consider all this below.
Cystitis during pregnancy: causes, treatment, prevention
The bladder, which is in a compressed state for a long time, is not able to empty completely. Part of the urine, constantly present in the bladder cavity, stagnates and serves as a favorable environment for the development of inflammation. Such a stagnant process is one of the causes of cystitis during pregnancy.
In addition to urinary stagnation, cystitis can be caused by hypothermia, poor personal hygiene, and genital tract infections that enter the bladder cavity in an ascending manner through the urethra.
When pain during urination during pregnancy is especially acute at the end of the process of urine excretion, it can be confidently stated that this is a manifestation of cystitis. In addition to pain, changes in the urine are also observed, it acquires a foul odor, and its overall consistency is turbid.
Experimenting with home remedies for cystitis, and this applies not only to pregnant women, is not the best way to solve the problem. It is much easier and safer, both for the woman herself and for her baby, to seek help from your gynecologist as soon as possible. A doctor who monitors a pregnant woman from the first days of her registration knows everything about her health, has all the data from previous examinations, and, most importantly, is able to assess the situation from all sides, taking into account the safety of the baby.
This is the only way to select adequate and safe treatment, and in the case of existing concomitant problems or foci of chronic diseases, prescribe the correct diagnostic methods, of which there are not many during pregnancy. The most informative, in this case, will be a urine test, where an increased content of epithelial cells and leukocytes is detected.
Taking medications is also limited due to the woman's "interesting position". Therefore, doctors usually prescribe homeopathic remedies. The easiest way, of course, is to avoid such situations and follow simple rules, practically from the first days of pregnancy. Drink more water, clean drinking water, and empty your bladder as often as possible.
Avoid synthetic underwear and try to wear loose-fitting underwear and clothing. Protect yourself from exposure to low temperatures, especially be careful not to overcool your feet. Carefully observe the rules of personal hygiene, washing your genitals from the pubis to the anus, so that pathogenic microflora that has accumulated during the day will not be able to get into the urethra, which means that the bladder will be safe.
Kidney stone disease
Pain during urination may appear at the very beginning of urine flow or be traced throughout the entire urination. Such pain syndromes are characteristic of kidney stone disease. Pain during urination during pregnancy, radiating to the lower abdomen and lower back, is caused by a stone that either blocks the ureter duct and begins to injure its walls under the pressure of the fluid, or the stone begins to move independently, again, under the influence of the urine flow. Any movement of stones in the narrow space of the urinary organs can cause significant pain.
Urolithiasis is a more serious diagnosis than cystitis, although in both cases, letting the problem slide is fraught with serious consequences. And yet, the movement of stones in the urinary system during pregnancy is dangerous due to various complications. As already mentioned above, the growing fetus and the growing belly lead to the processes of compression of all organs in the small pelvis, including the urinary ones.
The movement of a stone along an excessively compressed ureter can lead to a cut of the latter, which will inevitably lead to the opening of bleeding, traces of which will be clearly visible in the urine. If a pregnant woman notes sharp and sudden pain during urination, no matter at what moment, at the very beginning, in the middle of the process or at the end, you need to consult a gynecologist as soon as possible. Diagnostic measures will not be superfluous, but will bring peace and confidence in the successful course of pregnancy.
If the concerns are confirmed by diagnostics and the presence of sand and stones in the kidneys or bladder is detected, then the treatment will depend on several factors. Firstly, the severity of the disease should be taken into account, secondly, the gestational age, thirdly, the nature of the pain syndrome. If the pain is not significant, there are not many stones and they are all small in size, then getting rid of the stones before the period of delivery is not advisable. The main treatment will be carried out in the postpartum period.
To alleviate the general condition of the woman, to relieve pain, gentle antispasmodics, homeopathic medications and plenty of fluids are prescribed.
Note for pregnant women!
Pregnancy is often associated with many painful symptoms and how seriously and even meticulously a woman treats her health, how carefully she monitors every response of her body to new sensations, how quickly she will be able to react to all pathological manifestations. Pain when urinating during pregnancy should be stopped as early as possible, the process of rapid recovery without any accompanying complications depends on this.
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