Pain When You Want to Pee? Here's The Treatment
Pain when you urinate or a burning sensation in medical language is called dysuria. Men with dysuria usually have pain in the distal urethra during voiding and resolve shortly after urinating.
Men who experience inflammation of the urethra usually feel pain at the beginning of urination. This condition causes discomfort in the urinary tract. When he finishes urinating and feels pain in the suprapubic area that is more severe, this indicates that there is swelling of the bladder.
When men experience pain when urinating
Frequent pain when urinating is a common problem that is often experienced by men, especially older men. Causes of pain when urinating include infections of the urinary tract, kidney stones and problems with the prostate.
Pain when urinating can be caused by the same conditions but frequent, painless urination can also be a sign of certain conditions, such as diabetes or gonorrhea.
If a man experiences pain or a burning sensation when urinating, these conditions should immediately take a thorough history. The examination carried out is by physical examination and urinalysis (both urine dipsticks and microscopic urine specimens).
Dysuria in older men is usually due to urinary stasis secondary to benign prostatic hyperplasia. Other causes that can trigger pain when urinating are renal calculus, genitourinary malignancies, spondyloarthropathy and other medications.
Causes of men experiencing dysuria
The cause of dysuria (pain when urinating) occurs due to irritation, swelling of the urinary tract, especially the urethra, bladder and prostate. Dysuria is also sometimes associated with other symptoms such as urgency, frequency and nocturia, but the main cause of dysuria is urinary tract infection.
Urinary stasis caused by urethral obstruction is a predisposing cause for urinary tract infections. The most common cause of recurrent urinary tract infections is chronic bacterial prostatitis.
What are the symptoms?
Symptoms of dysuria depend on the cause, there may be other symptoms besides pain when urinating such as:
Infection of the lower urinary tract (cystitis)
1. Frequent urination
2. Loss of bladder control
3. Pain in the lower abdomen (near the bladder)
4. Bloody and smelly urine
Infection of the upper urinary tract (pyelonephritis)
1. Upper back pain
2. Fever accompanied by shaking
3. Nausea and vomiting
4. Frequent urination
5. Urine feels warm
Urethritis (in women)
1. Red in the area of the urethral opening
2. Frequent urination
3. Vaginal discharge
4. Urethral discharge
Vaginitis (in women)
1. Vaginal itching
2. Vaginal discharge accompanied by an unpleasant odor
3. Pain during intercourse
How doctors diagnose
Some people who experience pain when urinating that makes them feel uncomfortable, this condition is usually due to irritation. If the pain lasts longer or even gets worse, the doctor will ask about your personal habits as well as your sexual relationship.
When you experience pain when urinating and have a history of free sex without using a condom. The doctor will check to see if there are indications of sexually transmitted diseases such as gonorrhea, chlamydia, trichomoniasis, syphilis and HIV.
During a physical examination the doctor will check your kidneys and genitals, digital rectal (men with prostate problems), for women including the pelvic area. If the results of the examination indicate that there is a bladder infection, then the next step is to make sure that a urine examination is carried out.
Treatments that can be done
Cystitis and pyelonephritis
Symptoms like these are usually treated with antibiotics by taking them by mouth. For symptoms of severe pyelonephritis accompanied by high fever and vomiting, antibiotics are given into a vein (intravenously).
Urethritis
These antibiotics are adjusted according to the infection causing the urethritis.
Vaginitis
Bacterial vaginosis is treated with antibiotics, for yeast infections antifungal drugs are used. As an oral pill or as a cream (suppository) that is inserted into the vagina.
