Urine Pain is a highly unpleasant burning sensation at the tip of the penis (in the genital area in women) or in the lower abdomen (in the bladder area) during or immediately after urination. Sometimes this symptom is described as an itching or stinging sensation in the genital area. Urine Pain can also remain constant, regardless of urination. In females, this continuous discomfort might increase while sitting.
Urine Pain results from irritation of the urethra (the tube that carries the urine out) and the bladder. This irritation does stimulate the nerves carrying the pain feeling to the brain. Most frequently, UTIs cause irritation. However, urine composition (hyperacidity) or irritating substances (like soaps and detergents) can cause Urine Pain.
The diagnostic workup is crucial to identify the causes and set the proper treatment.
UTI is the most common cause. Vaginal thrush (Candida) is usually harmless, but symptoms can develop if yeast numbers increase. Symptoms include genital itching or burning, a white discharge other than stinging or burning while urinating. Endometriosis is another possible reason. In this case, other symptoms are painful menstruation and pain during sexual activity. Ovulation can exacerbate the bladder pain of concomitant interstitial cystitis (a chronic bladder pain syndrome). In early pregnancy, this symptom is very uncommon. Later in pregnancy, it is reasonable to have sporadic and transitory urine pain. It is merely due to a growing uterus and will subside without further treatment. However, if the urination is progressively painful and worsens, it may be a UTI symptom and require treatment.
The leading causes of pain and burning urination in young adult men are urethritis and prostatitis. They can occur along with urethral discharge, painful ejaculation, and sometimes fever. In most cases, these infections are sexually transmitted diseases (STD like gonorrhea, chlamydia, mycoplasma, and herpes).
Pain during urination in a child is usually a sign of a lower urinary tract infection. Urinary tract infection (UTI) is the second most common bacterial infection in children.
UTI is not always the reason for irritation and pain. The urine hyperacidity makes it chemically aggressive and irritates the mucosa of the urinary tract. Also, bladder hyper-contraction or overstretching is a possible reason for pain:
The treatment of painful urination depends on the disease that is causing it. Since infectious diseases, sexual or not, are the most frequent causes, we almost always use antibiotics.
The doctor should prescribe the correct treatment according to the type of infection. Incorrect antibiotic use might worsen, become chronic, or increase bacterial resistance.
Progressive worsening painful urination is always a good reason to see a doctor, especially if it comes with discharge, blood, and fever.
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