Definition:: Painful or difficult urination. This includes burning on urination. Dysuria is most commonly due to bacterial infection of the urinary tract causing inflammation of the bladder (cystitis) or kidney (pyelonephritis).
In women, dysuria may also reflect inflammation of the vagina (vaginitis) or vulva (vulvitis). And in men, dysuria may be due to inflammation of the prostate (prostatitis) or the urethra (urethritis) from gonorrhea or chlamydia.
In medicine, specifically urology, dysuria refers to painful urination. This is typically described to be a burning or stinging sensation. It is most often a result of an infection of the urinary tract. It may also be due to an STD, bladder stones, bladder tumours, and virtually any condition of the prostate.
It is one of a constellation of irritative bladder symptoms, which includes frequency of urination and haematuria.
It is a common complaint in women, and almost 25% of women suffer from dysuria each year. It can also affect men, but to a lesser extent. Infection is the most common cause of dysuria.
The most common age range for this complaint is 24 to 54 years old. The infection is also thought to be contracted more easily by people who are sexually active. Genital herpes is one infection that can cause dysuria.
Signs and symptoms of dysuria:
- Severe pain in urination
- Incontinence urinary
- Stinging or burning sensation during urination
- Swelling in the bladder.
- Urine frequency
- Expulsion of urine from bladder
There are other symptoms that may accompany dysuria. These can include blood in the urine or vaginal discharge. There may be a hesitancy or slowness when urinating, and there may also be pain during intercourse. All of these symptoms must be taken into account and investigated before a diagnosis can be made.
Causes of dysuria:
- Interstitial cystitis
- Excessive fluid
- Vulvitis and contact dermatitis
- Urinary retention
- Infection of urinary tract
- Diabetes mellitus
- Bladder infection
- Radiation cystitis
There are many other causes of dysuria including irritation from chemicals in soaps, bubble baths, spermicides, and douches.
Diagnosis of dysuria:
Ultrasonography and neurological tests may be used to detect the infection of urinart tract. Medical history related questions would be asked by health care providers. Medical history questions include:
When did you get problem during urination?
Is there any pain in thighs, urethra, or back pain?
Does pain continue or discontinue after urination?
Was there any blood in urine and drainage from vagina?
Physical activities, including horse riding and bicycle riding, may also cause the condition. There may also be some urethral damage during sexual intercourse. Certain conditions, such as depression, can also bring on dysuria.
A full medical history is required in order to diagnose the cause of dysuria. Factors taken into consideration include frequency and location of the pain. If pain is felt inside the body, then the cause may be cystitis or urethritis. If the pain occurs as urine leaves the body, then it may be a vaginal infection.
Treatment of dysuria:
Types of treatment of dysuria depend on the causes and symptoms of discomfort.
An antibiotic will be prescribed by the doctor to reduce the discomfort. Medications and antibiotics are effective treatment. They can be used in case of severe pain during urination. Sometimes surgical treatment may be used to reduce the infection of urinary tract. Urinary analgesics such as phenazopyridine may be used before completed the culture.
Phenazopyridine (oral) is an effective treatment for pain relief.
Prevention of dysuria:
- You should avoid tight clothes such as pent, suit.
- You should use latex condoms during sexual activities.
- You should wipe clearly from front to back after urination.
- You should manage self-care strategies.
- You should avoid intercourse.
- You should not use douching.
- You can drink 10-12 glasses of water regularly.
- You should keep the genital area dry and clean with mild soap and water.
- Do not use vaginal sprays and irritation soaps.
- Avoid sexual contact with infected person.
There are some simple measures that can be taken to prevent dysuria. These include using condoms and avoiding intercourse until an infection has left the body. Wearing loose clothing may help, and using feminine douches may also help. If dysuria occurs, it is important to seek medical help. Early diagnosis can prevent any infection from spreading.
When to seek medical advice
If you may experience severe pain during urination, you should call your health care provider immediately. There is blood in urine and drainage form vagina and panis call your doctor as soon as possible.
Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose
- Questions to Ask Your Doctor About Painful Urination (Dysuria) (everydayhealth.com)
- Questions to Ask Your Doctor About Urinary Tract Infection (UTI) (everydayhealth.com)
- Could something other than an STD make your urinating hurt? (zocdoc.com)
- DrSugar Answers: Smelly Urine? (fitsugar.com)
- 5 Ways to Prevent a UTI (fitsugar.com)
- Frequent urination (findmeacure.com)
- Do Diaphragms Cause Urinary Tract Infections? (webmd.com)
- Cystitis Causes, Symptoms and Treatment (healthadel.com)
- Is caffeine bad for you if you have a urinary tract infection? (zocdoc.com)
- Question of the Week # 219 (usmlestep3blog.com)