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Pain when urinating in women


Pain when urinating is a common problem in women. Sometimes women try to treat themselves, thinking that there is nothing terrible and the symptom will pass by itself. However, this approach is fundamentally wrong, because the pain during emptying the bladder is not only a manifestation of pronounced discomfort that significantly reduces the quality of life, but also a symptom that can hide a number of serious pathologies.

Women are much more likely to encounter diseases of the urogenital system than the representatives of the stronger sex, because the length of the urethra in them, on average, is ten times shorter than in men. Therefore, the infection enters the bladder much faster.

Causes of pain when urinating in women

Pain when urinating in women There are causes of painful urination that do not require close attention and therapeutic treatment, as they are a manifestation of the norm. For example, mild discomfort after intercourse may be caused by spasm of the muscles of the pelvis, which passes on its own in a very short time. During pregnancy, this syndrome also occurs quite often.

But it should be understood that in the above cases we are talking about mild pain, but if the discomfort is more serious and systemic, then it is necessary to consult a doctor.

Among the somatic diseases that cause painful emptying of the bladder, can be identified:

  • Воспалительные заболевания мочевых путей: 1 Inflammatory diseases of the urinary tract:
  • Cystitis ;
  • Pyelonephritis;
  • Urethritis.

When inflammation of the ureters, kidneys or bladder, tissue swelling occurs, which prevents the flow of urine, and causes pain. In addition, the inflamed tissue itself is very sensitive.

  • Венерические заболевания, урогенитальные инфекции и воспаление органов репродуктивной системы: 2 Venereal diseases, urogenital infections and inflammation of the reproductive organs:
  • Chlamydia ;
  • Herpes;
  • Vulvovaginitis;
  • Vaginitis

The proximity of the vagina to the urethra promotes the mutual penetration of bacterial and viral infections.

  • Мочекаменная болезнь. 3 Urolithiasis.

Sand or kidney stones contribute to the appearance of salt crystals in the urine. When the crystals pass through the urinary tract, they cause local irritation, which we perceive as pain.

  • Опухоли мочевого пузыря. 4 Bladder tumors.

The reason, the probability of which increases sharply with age. Benign and malignant neoplasms interfere with the normal functioning of the organ, which entails the occurrence of various symptoms, including pain.

  • Местное раздражение. 5 Local irritation.

The use of cosmetic products for intimate life, personal care products with dyes and fragrances, wearing synthetic underwear can cause irritation of the tissue around the urethra. This causes swelling, which seems to impede the removal of urine from the bladder.

  • Патологии развития матки. 6 Pathologies of development of the uterus.

Both symptoms are associated with the proximity of the vagina and anus to the urethra, which leads to the ingress of E. coli or urogenital infections.

Methods of diagnosis of painful urination in women

1. The urine test is the most informative for painful urination. Urinalysis is assigned to determine the values ​​of the following indicators:

  • Density - indicates the filtration ability of the kidneys. Low density indicates renal failure, but in some cases it can be caused by a large amount of fluid consumed.
  • Protein is normal in the urine should not be protein, its presence indicates the permeability of the renal membranes. Proteinuria is the main symptom of glomerulonephritis. With increasing protein in the urine, the number of cylinders also increases.
  • Leukocytes - indicate inflammation in the urinary tract, bladder and kidneys. A large number of leukocytes in the urine can be seen with the naked eye: it takes on a greenish tint and has an unpleasant, pungent odor.
  • Red blood cells - blood cells in the urine indicate glomerulonephritis, bladder tumors or urolithiasis. If the number of red blood cells in the urine is large (gross hematuria), the urine becomes brown.
  • Mucus and bacteria - speaks of the cause of the inflammation and its cause - a bacterial infection.
  • Salt - the main marker of urolithiasis.

For the analysis is taken the first morning portion of urine. To do this, after waking up, it is necessary to carry out hygienic procedures, and then to urinate in a sterile container, lowering the first and last portion of urine into the toilet. In order for the indicators of the analysis to be reliable, a day before the analysis you should not eat large amounts of water, protein, as well as products that can affect the color of urine, for example, beets.

2. Blood test. In the biochemical analysis of blood of interest are the following indicators:

  • ESR and fibrinogen are markers of the inflammatory process in the body.
  • Cholesterol - a decrease in kidney function leads to a violation of lipid metabolism, which, in turn, leads to an increase in blood cholesterol levels.
  • Creatinine and uric acid - an increase in their blood levels indicates a violation of renal filtration.

Blood is taken on an empty stomach, and one should not eat food eight hours before delivery. It is also not recommended to drink water from the moment of awakening immediately before the analysis itself.

  1. Swabs on sexually transmitted infections.
  2. Ultrasound procedure.

If you experience pain in the process of urination, you must undergo an ultrasound examination of the kidneys and bladder. Before the procedure it is necessary to drink about one and a half liters of pure non-carbonated water and not empty the bladder before passing the test. Also of great importance for the reliability of ultrasound is the lack of gas formation in the intestines, so when planning a procedure, it is necessary to reduce the amount of simple carbohydrates in the diet, and a day before the study to take carminative preparations or sorbents, for example, activated carbon.

Pain during urination in women: treatment

Depending on the diagnosis, the doctor prescribes a therapy consisting of antibacterial agents or antibiotics, based on which bacteria were detected during the analysis. From the beginning of taking antibiotics, it is necessary to use dairy products, on packages of which there is a "bio" label, or preparations with bifidobacteria and lactobacteria. This ensures the maintenance of a healthy balance of microorganisms in the intestines. If antibiotics were taken for a long time, then sorbents are consumed with a course: Enterosgel, Polifepan, in order to promptly remove dead bacteria from the intestines, not waiting for the development of intoxication.

In addition to taking such drugs, it is also recommended local irrigation of the external genital organs with antiseptic solutions, for example, "Miramistin". It is very important to observe the drinking regime, consuming at least one and a half liters of liquid per day. At the same time it is worth making a choice in favor of vitamin Morses, compotes, drinking water and decoctions of herbs. You should not drink drinks that can provoke frequent urination, for example, hot chocolate, coffee, cocoa.

If during the examination stones or sand were found in the kidneys, then it is necessary to start taking special preparations that dissolve them to the state of salts and excretes with urine. In order for salt crystals not to irritate the mucous membranes, causing an increase in pain, it is important to simultaneously take emollient pastes to remove salts from the urinary tract. If necessary, surgical removal of stones or lithotripsy is indicated.

Inflammatory processes in the kidneys require adherence to bed rest and a special diet, which implies the restriction of salty and high-protein foods. Priority should be given in favor of cereal porridge, vegetarian soups, meatballs with rice steamed. Baking is recommended to use only homemade, as industrial loaves contain a lot of salt. Also, do not eat carbonated drinks because of the large amount of phosphate in them, and fast food products.

For symptomatic treatment, pain medications from the group of antispasmodics are used. They help ease the process of urination, relieve inflammation and swelling. However, it should be remembered that the elimination of symptoms is not a method of treatment, therefore, when the first signs of kidney and bladder disease appear, you should immediately consult a doctor: a general practitioner, urologist, nephrologist or venereologist. In the event that the symptoms are accompanied by high fever, fever, severe weakness, swelling and increased blood pressure, immediate hospitalization is required in the hospital with strict bed rest.

Preventing painful urination

To avoid diseases that can cause such a symptom as painful urination, you must remember the following rules:

  • To maintain body hygiene: daily, at least twice to take a hot shower with soap, which can get rid of disease-causing bacteria.
  • Wiping underwear, in no case can not use strong chemicals with a whitening effect, since their particles are able to remain on the pile of the fabric and provoke irritation.
  • Hypothermia should not be allowed, especially if the kidney and bladder diseases are already in history. It is necessary to wear warm waterproof shoes, to exclude a long stay in damp in cold rooms, for example, in basements. At least one year after suffering an acute infection of the urogenital tract is not recommended to swim in open water, even in very warm weather. It is also very important to pay attention to the purity of the water: if it is suspicious, you should not swim in it in principle.
  • It is very important to empty the bladder at the onset of urging. Long patience makes the urine more concentrated, which provokes the development of cystitis, pyelonephritis, urethritis.
  • And finally, it is very important to maintain a healthy diet: limit the use of chemical dyes and preservatives. This will keep the immune system healthy, so that it can fight and fight against any penetrating infections.

Features of urogenital diseases during pregnancy

For pregnant women, urinary tract infections are particularly important, since the proximity of the fetus to the urinary tract is a great risk. In addition, antibiotic therapy, which is indicated for painful urination, also has a very negative effect on the fetus.

If the culprit of the disease are kidneys, it is very important to undergo treatment in inpatient conditions, even if symptoms in the form of high blood pressure, edema, high fever are absent. The fact is that during pregnancy, the kidneys are a very large load, with which even a healthy organ can not cope. This is expressed in the appearance of isolated urinary syndrome: the appearance in the urine of protein, erythrocytes, leukocytes. If the kidney already has a pathology during pregnancy, it is fraught with very rapid development of chronic renal failure, which not only threatens the life of the future mother, but also the health of the child.

Physiotherapeutic procedures with a warming effect, which speeds up blood circulation in the inflamed area and speeds up the healing process, should be priorities in the treatment of pregnant women. In order to avoid latent forms of the disease, during pregnancy it is necessary every month to pass an overall urine and blood test, which will identify the minimum deviations and timely provide measures that are harmless to the child.

| 24 August 2015 | | 1 308 | Diseases in women
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