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Pain when urinating, known as dysuria, is usually caused by a urinary tract infection and is a very common problem in women, especially during pregnancy. However, it can also happen in men, children or babies, and may be accompanied by other symptoms such as burning or difficulty urinating.
In addition to urinary tract infection, pain when urinating can also arise when there are problems such as benign prostatic hyperplasia, inflammation of the uterus, bladder tumor or when you have kidney stones, for example.
Thus, in order to make the correct diagnosis and start the most appropriate treatment, it is necessary to go to the gynecologist or urologist, who, according to the symptoms described by the patient and an appropriate clinical evaluation, may indicate the performance of diagnostic tests, such as urine tests. .
Pain when urinating can arise due to several problems such as:
1. Cystitis
Cystitis is a urinary tract infection that affects the bladder and causes other symptoms such as frequent urge to urinate, burning sensation, presence of blood in the urine, fever, malaise and cloudy or dark urine. Know how to recognize the symptoms of cystitis.
What to do: In this case, it is important that the urologist or nephrologist is consulted so that the diagnosis can be confirmed and the most appropriate treatment can be started, with the use of antibiotics according to the microorganism responsible for the infection being usually recommended.
2. Pyelonephritis
Pyelonephritis is an infection of the urinary system usually caused by bacteria in the bladder that can reach the kidneys, causing inflammation and infection, with fever, pain in the back and smelly urine.
What to do: Treatment for pyelonephritis should be done with antibiotics and it is important that it be done according to the doctor's guidance, even if there are no more symptoms, this is because if the bacteria remains in the urinary system, complications may arise. See how to treat pyelonephritis.
3. Urethritis
Urethritis is a urinary tract infection that affects only the urethra, generating symptoms such as frequent urge to urinate, itchy urethra or difficulty urinating. Know other symptoms of urethritis.
What to do: In this case, it is important that the treatment is guided by the urologist to avoid complications, such as pyelonephritis, for example.
4. Cervicitis or vulvovaginitis
Cervicitis and vulvovaginitis are inflammations of the uterus or vulva, which most often occur as a result of infections by fungi, viruses or bacteria, accompanied by other symptoms such as yellow discharge, fever above 38ºC and vaginal bleeding.
What to do: It is important to identify the cause of vulvovaginitis so that the gynecologist can indicate the most appropriate treatment, which is usually done with antibiotics, anti-fungals or antivirals according to the cause of cervicitis and vulvovaginitis. Understand how treatment is done for these situations.
5. Kidney stone
A kidney stone, also called a kidney stone, is a mass similar to stones that can form anywhere in the urinary system, creating difficulty and pain when urinating.
What to do: In the case of kidney stones, it is important that the person adopts some attitudes to favor the elimination of the stone through the urine, being recommended to drink plenty of water, mainly. However, in some cases the doctor may recommend the use of medications that help to relieve symptoms and eliminate stones. See how the treatment for kidney stone should be.
6. Sexually transmitted infections
Sexually transmitted infections, or STIs, such as gonorrhea or chlamydia can occur in both men and women and it generates symptoms such as greenish discharge, burning in the urethra and fever, in addition to pain when urinating.
What to do: It is important that the person consult the urologist or gynecologist so that tests can be done to identify the microorganism responsible for the infection and, thus, the most appropriate treatment is indicated. In addition, it is important that the condom is used at every sexual intercourse, and it is also recommended that the partner also undergo the treatment even if he does not show signs or symptoms of infection.
7. Benign prostatic hypertrophy
Benign prostatic hypertrophy is characterized by an enlarged man's prostate which, in addition to pain, can cause difficulty urinating and frequent urge to go to the bathroom. According to some studies, there is no clear relationship between the size of the prostate and the frequency and severity of symptoms. Race, diet and family history can influence the development of the disease.
What to do: In this case, the treatment must be indicated by the urologist, who takes into account the man's age, prostate size and symptoms presented. Thus, depending on the case, the use of remedies that reduce symptoms and prostate size may be indicated, or the performance of a surgical procedure.
8. Cancer
The growth of a tumor in the bladder, uterus or prostate can cause painful urination and other symptoms such as constant pain, blood in the urine, weight loss without apparent cause or excessive tiredness, for example.
What to do: If the presence of cancer is confirmed, surgery may be indicated followed by chemotherapy and radiotherapy and the use of immunosuppressive drugs, according to the oncologist's guidance.
Since all causes have very similar symptoms, the best way to identify the problem is to go to the gynecologist or urologist for urine tests, blood tests, bladder ultrasound, uterus and vagina exam, digital rectal examination, gynecological ultrasound or abdominal, for example.
Other pain symptoms when urinating
Dysuria causes sharp pain when urinating, but other common symptoms in these cases also include:
- Willing to urinate often;
- Inability to release more than small amounts of urine, followed by the need to urinate again;
- Burning and burning and burning with urine;
- Feeling of heaviness when urinating;
- Pain in the abdomen or back;
In addition to these symptoms, others may also appear, such as chills, fever, vomiting, discharge or itching of the genitals. If you have any of these symptoms, you are more likely to have a urinary tract infection, so see what other signs may indicate urinary tract infection.
How the treatment is done
To relieve pain when urinating it is always necessary to go to the doctor, to find out the cause of the pain and make the indicated treatment.
Thus, in the case of a urinary, vaginal or prostate infection, antibiotics prescribed by the doctor are indicated. In addition, you can take a pain reliever, like Paracetamol, which helps to relieve discomfort, but does not treat the disease.
In addition, when a tumor occurs in Organs genitals, it may be necessary to have surgery to remove it and treatments such as radiotherapy and chemotherapy to cure the disease.