Painful Urination

Painful urination bladder

Last Updated February 21st, 2019

Overview

Genitourinary problems become more common after a certain age. These diseases mainly arise from urinary tract infections. “Painful urination” is a very common manifestation in such cases. It is precipitated by hygiene factors and existing medical conditions. According to the reports of the National Kidney Foundation, around 20% of women having a history of urinary tract infection is likely to develop a similar infection accompanied by painful urination in future. On being left undiagnosed, these infections may lead to renal dysfunctions of fatal nature.

 

What is painful urination?

Painful urination womanPainful urination or “painful micturition” or “dysuria” is a disorder of the renal tract which is characterized by pain, burning sensation and discomfort during passing urine.

It is primarily caused by the bacteria residing in the urinary tract.

Poor hygiene conditions combined with a weak immunity and existing kidney diseases can worsen the symptoms. Around 50-60% of women experience painful urination after the age of 40.

 

Causes of painful urination

Painful urination is caused by a number of etiological factors. The most common contributors to painful urination are listed below-

  • Failure of the renal system to eliminate bacteria from the body, which leads to excess accumulation of Escherichia coli bacteria along the linings of the urinary tract, thereby causing infections
  • Infection of the urethra due to Chlamydia or Mycoplasma species
  • Infections of the vagina in Vaginal Candidiasis and Atrophic Vaginitis
  • Inflammation of the urinary bladder due to activation of the mast cells
  • Direct contact of the sub-mucosal nerve filaments with the harmful elements in urine
  • Urothelial dysfunctions
  • Auto-immune diseases (vascular immune-pathology with immune deposits on the bladder wall, T-cell infiltrates and B-cell nodules)
  • Elevated levels of IgA and IgG in the urine
  • Functional abnormalities of the enzyme responsible for urinary nitric oxide metabolism
  • Abnormally reduced microvascular density in the suburothelium
  • Obstruction of the renal tract due to constriction of the urethra or enlarged prostate in men
  • Accumulation of calcium or protein wastes
  • Urinary schistosomiasis
  • Tumors present in the urethra, kidney or the urinary bladder
  • Pelvic floor diseases or pressure exerted by some abnormal pelvic mass
  • An injury caused to the vagina or urethra due to sexual abuse (For example, forced entry of some foreign object through the vagina)
  • Unprotected sexual activities or engaging in sexual activities from a very young age
  • Vaginal irritation caused by a defective contraceptive diaphragm
  • Overuse of some drugs like danazol, cyclophosphamide or allopurinol
  • Irritation caused due to allergies caused by chemicals contained in soaps, vaginal lubricants, and spermicides
  • Existing diseases like Arthritis, Diabetes mellitus, Sickle cell disease or Behçet’s disease
  • Polycystic kidney disease or glomerular disease
  • Hormonal fluctuations during menopause or pregnancy
  • An occurrence of cysts or scars in the kidneys
  • Using urinary catheter for a long time
  • Poor hygiene habits like using unclean sanitary napkins, using poorly sanitized toilets and improper cleaning after a bowel movement
  • A regular diet rich in sodium and purine
  • Low intake of fluids on a regular basis (causes dehydration)
  • Congenital defects of the urinary tract or a family history of urinary infections
  • Instrumental surgeries in the past
  • Unprotected exposure to ionizing radiations during the treatment of some existing diseases

 

Symptoms of painful urination

Painful urination bladderDysuria is not only accompanied by painful urination but also has several other symptoms. The general symptoms of painful urination and dysuria are discussed below-

  • Pain, irritation and burning sensation during passing urine
  • Pain in the bladder and urethra
  • Pain and discomfort in the lower abdomen
  • Pain radiating to the lower extremities and groin
  • Passing very small volumes of urine in spite of the excessive need to urinate
  • Feeling of urine retention and bladder fullness immediately after passing urine
  • Presence of trace amount of blood in the urine (indicates kidney stones or tumors)
  • The frothy or foamy appearance of urine (Proteinuria)
  • A release of excess vaginal discharge along with urine
  • Malodour from urine
  • Yellowish-brown discoloration of urine
  • Fever and fatigue
  • Abdominal swelling (due to an accumulation of urine)
  • Frequent need to pass urine, particularly at night (observed in aged people)
  • Swelling of face, hands, and feet
  • Muscle cramps and body pain

 

Conditions related to painful urination

Four primary conditions are related to painful urination. These are described below-

  • Lower urinary tract infection: It is associated with urinary bladder infection or cystitis. In this case, the bacteria enter the urethra through the vaginal passage. This may occur during unprotected sexual intercourse with an infected partner or during improper wiping after a bowel movement. From the urethra, the bacteria reach the bladder within a very short time and cause infections.
  • Upper urinary tract infection: This is evident in people suffering from kidney stones, bladder dysfunctions or enlarged prostate. In this condition, the bacterial infection spreads from the bladder to the kidney. A common example of the upper urinary tract infection is Pyelonephritis. In some children, reverse flow of urine from the bladder to the kidneys occurs. This is called Vesicoureteral reflux and it leads to painful urination.
  • Urethritis: Acute inflammation of the urethra occurs in this condition. This disease is normally triggered by the Gonorrhoea or Chlamydia species. Urethritis is also caused by an Indwelling Catheter (IDC) or as an inflammatory response to certain chemicals present in spermicides, antiseptics or bubble bath soaps.
  • Vaginitis: Vaginitis is characterized by inflammation of the vagina. It may be caused due to an allergic response to bath soaps and spermicides, infected tampon or dropped estrogen level after menopause.

 

Diagnosis

The following diagnostic tests are recommended-

  • Voiding cystourethrogram
  • Radionuclide scan
  • Cystoscopy
  • Urodynamics
  • Ultrasonography

 

Treatment & Prevention

Painful urination kidney stonesTreating episodes of painful urination often includes:

  • Antibiotic treatments can help in treating UTIs which are a primary cause of causing painful urination.
  • Pain medications are also prescribed to help relieve the painful symptoms.
  • Getting treatment for the underlying STI (sexually transmitted infection) also helps control the symptoms.
  • There are several home remedies that are used to treat urinary tract infections. Few of these include cranberry juice, vitamin C rich foods, and bearberry leaves.

You can prevent the onset of painful urination by following these steps:

  • Drinking lots of water and regularly emptying your bladder.
  • Not indulge in tobacco and alcohol consumption.
  • If you have a tendency to get urinary infections, limit your caffeine intake.
  • Keep the genital area clean.
  • Refrain from using unsanitary toilets.
  • Practice safe sex and get regularly screened for STIs.

 

Facts

  • Since women have a shorter urethra than men, they are more likely to acquire urinary tract infections. This is because bacteria can enter the body through a shorter urethra more easily.
  • One of the biggest causes of UTI, E. Coli bacteria, is normally found in the intestines and the rectum. Owing to sexual acts, it can get transferred to your urethra.

Facts

  • Body-changes during pregnancy can also initiate UTI and other infections but during pregnancy the symptoms are less obviously felt by the infected individual.
  • Globally, 200 million women are affected every year with the schistosomiasis (a flat worm), which is drug-resistant bacteria causing UTIs.

Facts

  • Certain studies indicate that obese men are twice as likely as obese women to contract UTIs that could cause painful urination.

Related Conditions

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Dos and Don'ts

Dos
  • Wear cotton undergarments that will keep your groin area dry, fresh, and bacteria- free.
  • Practice safe sex methods and always remember to urinate after intercourse to flush out any pathogens from the system.
  • Drink adequate amount of water and refrain from replacing water with sugary and soda drinks.
Don'ts
  • Put off going to the bathroom. If you have an urge to urinate, holding it in longer will cause spread of toxins and infections.
  • Have a high intake of caffeine. Caffeine can irritate bladder. Same goes for alcohol and tobacco.
  • Swipe back-to-front when using a toilet paper. This will introduce bacteria into your urethra.

 

 

 

 

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Bromelain: 11 reasons why you should start adding pineapple to your pizza! If you didn't love pineapples already, here are some of the top health benefits that bromelain can bring…
Find all the instant ways to get rid of blackheads Blackheads - Not only are they aesthetically unappealing but if left untreated these can cause bacterial overgrowth on…
Tattoo Aftercare: The best practices to follow once you get inked Planning getting permanently inked? Make sure you follow these critical tattoo aftercare techniques to avoid infectious agents attacking…
How accurate is the hair follicle drug test? Hair follicle drug test is one of the best ways to identify drug use in professional circles. But…
Inversion Therapy: The anti-gravity way of healing chronic back pain Inversion therapy involves suspending a person upside dow using different types of equipment. This works by taking the…
thyroid_scan
Thyroid Scan Thyroid scan is a diagnostic procedure that aims to view the thyroid gland and detect any growths or…
lp-pla2
LP-PLA2 Test The LP-PLA2 test is a test which is carried out to assess the levels of Lipoprotein-Associated Phospholipase A2…
complement c4 test
Anemia Profile Anemia Profile test (Basic) is a blood screening test that measures the levels of important components of the…
immunoglobulin M
Immunoglobulin M Test Immunoglobulin M is the largest and the first produced antibody which helps in the prevention or fighting of…
macadamia nuts in food
Proven health benefits and nutrition of macadamia nuts Know all about scientific, amazing health benefits of macadamia nuts, its nutrition, recipes, how to consume, price and…
macadamia nuts in food
Proven health benefits and nutrition of macadamia nuts Know all about scientific, amazing health benefits of macadamia nuts, its nutrition, recipes, how to consume, price and…
fitness routine fun
10 fantastic ways to make your fitness routine more fun! Are you too bored to exercise? Do you avoid gym cause it's too monotonous? Looking for fun and…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
The complete “what to eat” guide for gluten intolerance Does eating breads and pastas often makes you nauseous? Gluten intolerance is a common reason why you might…
Pescatarian Diet 101: What are the inherent health advantages of this diet? People opt to become a pescatarian in order to enrich their bodies with the essential health benefits that…
Oxidative Stress: Understanding the most lethal phenomenon happening in your body right now Free radicals cause damage to the body, which is known as oxidation.  The amount of oxidation caused by…
Tamarind: The top health benefits of this staple Asian ingredient Did you know this sweet and sour pulpy fruit does more than just add a tangy flavor to…
SIBO Diet: The important dos and don’ts of this gut-healing diet A SIBO diet is a diet that works by eliminating certain sugars from your diet and adding fibers…
Internal bleeding brain
Beware: Ignoring these tell-tale signs of stroke could cost a life The signs and symptoms of a stroke differ depending on which part of the brain has been affected.…
Bubble Tea: Bubbling with nutrition or a hidden sugar mine? The tapioca pearls present in the tea looks like bubbles and hence the name bubble tea became popular.…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
vdrl test syphilis
VDRL Test The VDRL test is a blood test that is used to diagnose sexually transmitted or venereal diseases, primarily…