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Painful urination
Painful urination
Painful urination is a consequence of dysuria - a violation of the functions of the organs of the genitourinary system. Both men and women suffer from this, children can also experience pain.
The reasons for painful sensations during urination may be the same for everyone - regardless of gender and age, and may be associated with the peculiarities of male and female physiology. Dysuria is accompanied by a feeling of discomfort, during urination a person feels pain and burning. Children tolerate dysuria worse - it is difficult to persuade a child to go to the toilet, because he is afraid that it will hurt, the bladder overflows, causing him suffering.
Reasons in men
Men suffer from dysuria less frequently than women, mostly in old age. Most often, infections that enter the urinary tract through the urethra become the cause of problems.
Infection can settle:
- In the kidneys;
- In the ureters (they carry urine from the kidneys to the bladder);
- In the bladder;
- In urethra (through which urine from the bladder is expelled from the body).
Factors contributing to the disruption of the genitourinary system, in which painful frequent urination becomes the most likely:
- Diabetes;
- Older age;
- Prostate enlargement;
- Urolithiasis (kidney stones);
- Medically placed urinary catheter.
Increased painful scanty urination may indicate candidiasis - this fungal disease affects the mucous organs of the genitourinary system, gonorrhea, and happens with genital herpes.
If everything is in order with the excretory organs, the factors that lead to temporary discomfort and pain during going to the toilet, in men - due to physiological characteristics - may be irritation of the urethra during intercourse, riding and cycling.If pain does not arise from mechanical irritation, and the person is not sick with infectious diseases, then painful urination may be the result of taking medication - as a side effect, or indicate the appearance of tumors in the urinary tract.
Often, in addition to pain, dysuria is accompanied by fever and frequent urge to go to the toilet, and the urine becomes cloudy, sometimes with an admixture of blood, and acquires a pungent odor.
Women's reasons
In women, inflammation of the urinary tract occurs more often than in men. This is due to the fact that, due to the physiological structure of the genital organs, the woman's urethra is much shorter and wider, that is, it is easier to get into the female body of the infection.
One of the most common causes of pain during urination in women is cystitis. Pain is a sure sign of an inflammatory process. Accompanied by pain when going to the toilet and inflammatory diseases of the kidneys, vagina and urethra, they also have frequent urination.
The causes of diseases of these organs can be:
- Reduced immunity;
- Regular hypothermia;
- Exacerbations of chronic diseases;
- Ingestion of pathogenic bacteria.
Infectious diseases of the genitourinary system occur in three ways:
- Descending - infection from the outside through the urethra enters the internal organs;
- Descending - the infection goes down, for example, with infectious inflammation of the kidneys;
- By spreading the infection in the body through the lymphatic and circulatory systems.
Frequent painful urination can be a symptom of:
- Cystitis of various nature is a constant desire to go to the toilet, although the amount of urine released is very small, burning during the process, pain in the bladder, urine has a pungent odor; the disease often occurs in girls who have just begun a sexual life, this is due to a change in microflora due to interaction with the microflora of a partner;
- Urethritis - inflammation of the channel that leads urine out; the urethra is located in close proximity to the vagina, so women's diseases often accompany discomfort when visiting the toilet; pains are cutting in nature, sometimes there are discharges;
- Internal inflammation - in women, such diseases are associated with physiology, they can occur against the background of prolonged use of antibacterial agents, when the hormonal background changes, with those diseases in which metabolism is disturbed substances.
Soreness can be not only in the urethra itself, but also in the side - then it is a clear sign of inflammation of the internal genital organs. With sexually transmitted diseases, the urethra can also be affected, therefore, against the background of redness and burning of the external genital organs, there are pains associated with going to the toilet. Urination with blood is observed not only in diseases of the urinary tract, but also in the reproductive system.
When there are no diseases of the genital organs, blood in the urine is a sign of damage to the canals in the kidneys or the presence of stones (or sand) in them or in the bladder. The presence of blood in the urine in women is the norm only during menstruation, and soreness in women during the end of urination speaks of the pathologies of the reproductive system.
But urination during pregnancy with bloody patches of mucus is not necessarily a sign of a pathology of the mother or fetus, this is a variant of the norm. When carrying a child, a woman should be observed by a doctor and follow his recommendations, and not be afraid if bloody impurities sometimes appear in the urine.
Child's reasons
If the child is generally healthy, it will be painful to write to him only with cystitis, which occurs in children in 25-35% of cases of the disease only once in childhood after the child is 1 year old. This is due to the fact that it is in the year that the child begins to move freely, which means that he can get an infection. Girls get sick, on average, 6 times more often than boys, which is explained by the physiology of the urethra in women.
After the doctor examines the patient's medical history and tests, he draws conclusions on such parameters as:
- Whether the pain during urination came on gradually or became very noticeable all at once;
- Does it happen once, or is there pain every time you go to the toilet;
- Present Is there a burning sensation at the beginning of the act of urination.
The doctor will also take into account such moments as - there is a feverish state when going to the toilet, what is the quality of the urine stream - is it arbitrary, or does the patient control it, does the person pee freely, or makes efforts to urinate, analyze the color of the urine, the presence of pus in its composition.
Two methods are used for diagnostic purposes:
- Ultrasound;
- Urine and blood tests.
Therapy is prescribed depending on the symptoms. Traditional methods of treatment are aimed both at eliminating the causes of pain and discomfort, and at suppressing the pain of the process, and are combined.
From medicines, analgesics, antibiotics, antifungals are used to eliminate cramps and therapy. Of the means of alternative medicine - acupuncture. From physiotherapy - exercises aimed at strengthening the muscles of the pelvic floor, therapeutic massages. Herbal preparations from lemon balm and St. John's wort soothe pain and cramps well.
Prevention
A few simple rules should be observed in order not to get sick: drink at least two liters of water a day - this cleanses the urinary system; after visiting the toilet, wipe yourself from front to back so that particles of feces do not get into the urinary tract; wear cotton underwear; do not walk for a long time in a wet swimsuit; keep the genitals fresh and dry.
If the pain during urination is not associated with serious diseases, then by observing the rules of hygiene, they can not only be avoided, but also get rid of them by returning to keeping the body clean.