Pain and that means a painful urinary excretion, physician called burning during urination, Algurie. The term is derived from the Greek word “algos” for pain. The discomfort may occur depending on the cause rather at the beginning of urination, or at the end of the emptying of urine.
Diseases derived urinary tract, so the ureter, urethra and bladder are cause of burning during urination. Especially young women, but also pregnant women, women in menopause and people with certain diseases such as diabetes mellitus or make his monument are more susceptible to urinary tract infection.
In the so-called dysuria, the urinary drainage system is very difficult and there occurs a burning during urination. Often, the dysuria from a Pollakiuria is accompanied. Including physician are the frequent urination by only small amounts of urine. The emptying of urine is so difficult and painful that only individual droplets are made, it is called a Strangurie. Often, burning during urination is then accompanied by pain above the pubic bone and abdominal cramps. All of these symptoms, such as the Algurie, is among the so-called urinary symptoms (discomfort during urination).
When pain and burning during urination, it is important to identify the underlying causes and to treat. To do this, the doctor performs a urine test. Sometimes, further investigations such as a blood test or imaging techniques such as ultrasound (Sonography) are needed to determine the causes of complaints.
Pain and burning during urination can be alleviated by pain relievers (analgesics) and antispasmodic drugs (anticonvulsants). The complaints disappear permanently, the underlying disease must be treated. In urinary infections, which are often the cause of pain and burning during urination, the doctor that prescribes antibiotics. Bladder stones are the cause, the doctor removes them.
Urination pain: causes
There are various causes for pain and burning during urination, a common cause is a urinary tract infection, such as a bladder infection (cystitis) or an inflammation of the urethra (urethritis). Women are more frequently affected by a urinary tract infection, because their urethra is shorter and bacteria can more easily get into the bladder. Also sexually transmitted diseases such as gonorrhea (Tripper) can be the causes of a bladder infection and cause pain and burning during urination. The causative agent of most urinary tract infections are bacteria.
Also the following causes can be responsible for burning and pain during urination:
- Stones in the bladder or urethra
- Foreign body in the bladder or urethra
- Inflammation of the bladder neck
- Inflammation of the prostate (prostatitis)
- Abscess of prostate
- Inflammation of seminal vesicles (Spermatozystitis)
- Prostate cancer
- Urethral cancer (urethral carcinoma)
- Injury of urethra after sexual intercourse
Sometimes, but also a Reizblase or a gynecological cause such as a Scheidenentzündung (vaginitis, vaginitis) is behind the pain and burning during urination. In men, an acute inflammation of the prostate (prostatitis) can lead to pain and burning during urination.
In very rare cases, burning during urination can be caused by disorders of the nervous system or mental causes.
Urination pain: diagnosis
When pain and burning during urination, a medical diagnosis is important. A detailed description of the supply complaints can first indications of the possible cause of pain and burning during urination already, for example whether burning or pain occur during urination rather at the beginning or at the end of the emptying of urine. Some people suffer from a chronic urinary tract infection, the by alone do not disappear and must be treated with special drugs.
Most important method for the investigation of burning during urination is a urinalysis, which allows the doctor to determine possible pathogens such as bacteria and fungi in the urine. The doctor suspected sexually transmitted diseases as a cause of the pain and burning during urination, he takes also a blood sample and a smear of a bacterial culture is created from the diagnosis.
Pain and burning during urination a determination of residual urine, an ultrasound of the urinary tract and bladder, a cystoscopy (cystoscopy) or a X-ray with previous administration of contrast agent can useful for further diagnosis. If the doctor suspects prostate diseases, he scans the prostate via the rectum and determines the value of a specific protein in the blood of prostate specific antigen (PSA) test.
Urination pain: treatment
Treatment is dependent on the corresponding causes pain and burning during urination. The doctor treated with antibiotics (E.g. amoxicillin, cotrimoxazole) bacterial inflammation of the bladder or urethra. To assist the therapy in pain and burning during urination, stakeholders should also plentiful drink to flush out the bacteria more quickly from the Harnwegen.
Blow – and often the doctor may remove ureteral stones during an endoscopy. From a certain size, he smashed the stones previously with ultrasound probes (extracorporeal shock wave therapy). In some cases, also an operation may be necessary.
The pain and burning during urination is a symptom of other underlying disease, the treatment of this disease requires for example the treatment of cancer or a sexually transmitted disease.
The pain and burning during urination can be alleviated by pain relievers (analgesics) and antispasmodic drugs (anticonvulsants) in addition to the treatment of the underlying disease.