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Urination - painful

Definition

Painful urination describes any pain, discomfort, or burning sensation during urination.

Alternative Names

Dysuria; Painful urination

Considerations

Pain on urination is a fairly common problem. It is most often caused by an infection somewhere in the urinary tract.

Causes

• Candidal dermatitis or vaginitis
• Contact dermatitis or vulvitis
• Interstitial cystitis
• Prostatitis
• Radiation cystitis
• Urinary retention
• Urinary tract infection
• Urethritis (in men) caused by gonorrhea or chlamydia

Home Care

Follow prescribed therapy.

When to Contact a Medical Professional

Call your health care provider if:

• There is drainage or a discharge from your penis or vagina
• You are pregnant and are having any painful urination
• You have painful urination that lasts for more than 1 day
• You notice blood in your urine

What to Expect at Your Office Visit

Your health care provider will perform a physical examination and ask questions about your symptoms and medication history, such as:

• When did the painful urination begin?
• Does the pain occur only during urination?
• Does the pain stop after urination?
• Is there back pain?
• What other symptoms do you have?
• Have you had a fever higher than 100 degrees F?
• Is there drainage or discharge between urinations?
• Is there an abnormal urine odor?
• Are there any changes in the volume or frequency of urination?
• Do you have the urge to urinate?
• Did you notice blood in the urine?
• Are there any rashes or itching in the genital area?
• What medications are you taking?
• Are you pregnant or could you be pregnant?
• Has there been a previous bladder infection?
• Do you have any allergies to any medications?
• Have you had sexual intercourse with someone who has, or may have, gonorrhea or chlamydia?
• Has there been a recent change in your brand of soap, detergent, or fabric softener?
• Have you had surgery or radiation to your urinary or sexual organs?

A urinalysis will be done. A urine culture may be ordered. If you have had a previous bladder or kidney infections, a more detailed history and physical are needed, and extra laboratory studies may be necessary. A pelvic exam and examination of vaginal fluids are necessary if a female has a vaginal discharge. Men who have penile discharge will need to have a urethral swab done.

Treatment depends on what is causing the pain.

See:

• Prostatitis
• Urethral stricture
• Urinary tract infection
• Yeast infection - vagina

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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