What is Painful Urination?
Dysuria or painful urination is the medical term that refers to difficult urination, sometimes accompanied by a painful, burning sensation. This condition is commonly caused by bacterial infections of the urinary tract or genital infection.
It occurs in both men and women, but more commonly affects women who are sexually active and between the ages of 25 and 54. In men, painful urination often develops with increasing age or in the case of genital infection.
Diagnosing Painful Urination
The diagnosis of painful urination is often associated with a urinary tract infection (UTI) (/ailment/urinary-tract-infections.html). Other conditions such as an upper urinary tract infection, urethritis, vaginitis, or STD (sexually transmitted disease) may also contribute to the cause of painful urination.
The diagnosis is based on your symptoms as well as a physical examination. The physical examination entails checking the entire urinary tract (including the kidney area) for tenderness and examining the pelvic or prostate area. The doctor may also enquire about your personal hygiene and sexual habits.
Symptoms that May Accompany Painful Urination.
- Stinging or burning sensation during urination
- Urinary frequency
- Urinary hesitation
- Urinary slowness
- Urinary urgency
- Vaginal discharge
- Abnormal vaginal bleeding
- Swelling in the bladder
- Haematuria (blood in the urine)
- Dyspareunia (pain during sexual intercourse)
Tests to Diagnose Painful Urination.
- Urinalysis to check on infection and renal function
- Urine culture to identify the organism causing infection
- Urine dipstick is a useful screening test for identifying a probable UTI or renal impairment
- Vaginal and urethral smears to detect Trichomonas vaginalis, Candida species or Neisseria gonorrhoeae
- Ultrasonography to detect for suspected upper urinary tract pathology (e.g., abscess, hydroureter, hydronephrosis, suspected stones or diverticuli in the bladder or in the urethra
- Neurological tests
- Digital rectal exam to assess prostate problems
- Cytoscopy allows you to look at the interior of the bladder and can help to identify conditions such as interstitial cystitis or tumors
NOTE: Not all of these tests will be performed. Your doctor will chose which ones are the most needed in your case.
What Causes Painful Urination?
Painful urination can be caused a number of different conditions:
- Bacterial infection of the lower urinary tract – this is the most common cause of painful, burning urination.
- Cystitis – the infection involves the bladder
- Pyelonephritis – infection of the kidneys
- Interstitial cystitis
- Excessive fluid
- Contact dermatitis
- Urinary retention
- Diabetes mellitus
- Bladder infection
- Radiation cystitis
- Genital herpes
- STDs like gonorrhea
- Some medications
Painful urination may also be caused by noninfectious inflammation or trauma, neoplasm, calculi, hypoestrogenism, malformations of the genitor-urinary tract and psychogenic disorders.
Help for Painful Urination
There are various treatment options that can help with dysurea. Treatment usually depends on the symptoms and causes of the painful urination, such as cystitis, pyelonephritis, urethritis or vaginitis.
Conventional treatments, natural remedies, and complementary therapies can provide relief for the individual and can also be used as combination treatments.
- Urinary analgesics
- Antifungal drugs either in tablet form, cream, or suppository
Complementary therapies can also be effective in treating symptoms and relieving the pain and discomfort. The ones listed below are usually used in cases of chronic painful urination and can be of great benefit combined with conventional medicine or natural remedies.
- Nutritional therapies
- Pelvic floor treatments (to strengthen the pelvic floor muscles)
Natural and holistic treatments are very successful in treating the underlying cause, while also promoting the overall physical, mental, and emotional well-being of the individual. Herbal and homeopathic remedies are gentle yet effective, and can provide welcome relief.
A combination of herbal ingredients such as Agothosma betulina, Arctostaphylos uva-ursi, Melissa officinalis, Avena sativa, Hypericum perforatum, Vaccinium myrtillus, and Echinacea angustifolia are commonly used to treat Painful Urination and other bladder infections, and are specifically chosen for their supportive properties to the bladder and urinary system.
There are also many proven homeopathic remedies that can help to reduce symptoms of Painful Urination and related infections. These include Cantharis, Staphisagria, Equisetum and Apis. Consult an herbalist or homeopath to help choose a remedy that best suits your symptoms.
More Information on Painful Urination
Avoid painful urination by following these useful tips:
Some Useful Tips
- Drink lots of water (at least 8 glasses) everyday to cleanse the system.
- When visiting the toilet, wipe from the front to back. This is especially important for women.
- Change tampons and sanitary towels frequently.
- Wear cotton underwear and avoid wearing tight jeans, trousers, and wet bathing suits.
- Keep the genital area dry and cleanse with a mild soap.
- Avoid using irritants such as soap, talc, bath oil, or feminine products around your genital area.
- Practice safe, hygienic sex by using latex condoms and washing before and after intercourse.
- Urinate immediately after intercourse to flush bacteria from the bladder and urethra.