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Why is there discomfort when urinating in men?

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Why do men have a burning sensation in the urethra

With normal urination, no one is uncomfortable, the outflow of excrement occurs naturally. After emptying the bladder, everyone feels relieved.

But in some men, itching, soreness and burning begin to appear when dealing with a small need.

Such a symptom is a sign of a disease in the body, so it is imperative to consult a specialist urologist.

Causes of discomfort when urinating

In urology, pathologies are known in which pain and itching are noted, as well as a burning sensation during urination in men, appearing due to such diseases:

Pain in the urethra

  • purely male disease prostatitis;
  • cystitis and urethritis;
  • venereal diseases;
  • the presence of urolithiasis, kidney stones, cholelithiasis;
  • pyelonephritis and glomerulonephritis;
  • the presence of various tumors;
  • phimosis, when the head of the penis opens painfully and with difficulty;
  • gout.

Itching and burning are also caused by pubic lice, irritation of the penis is provided by the use of a condom and intimate hygiene products, low-quality synthetic underwear.

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Urethritis

Urethra

Diseases in the genitourinary sphere very often cause discomfort when urinating. One of these pathologies is inflammation of the urethra, which is called urethritis in medicine.

The causative agents of pathology are pathogenic bacteria: gonococci, mycoplasmas, chlamydia, which penetrate the urethra into the genitourinary system.

Urethritis develops in the presence of inflammatory processes in the body, it can be transmitted with intimacy, increased physical activity, urolithiasis.

An unbalanced diet with low-quality products also plays a negative role. Signs of urethritis begin to give about themselves with weak immunity of the body, when its defenses are reduced.

Men with urethritis feel discomfort when dealing with a small need:

  • itching and soreness appears on the head of the penis;
  • purulent discharge from the urethral canal is observed, an admixture of blood in the discharge;
  • pain in the anus during the act of defecation.

When these symptoms are present, emptying the bladder becomes difficult.

If the appearance of these pathological signs is left unattended, urethritis can contribute to the development of serious diseases in the genitourinary system in men, which are difficult to treat. For urethritis, a complex treatment is prescribed with the introduction of anti-inflammatory drugs and antiseptic solutions into the canal, which gives a guarantee to get rid of this pathology.

Prostatitis

One of the common causes of discomfort is prostatitis, which causes pain and burning during urination. Prostatitis begins with inflammation of the prostate, it can be acute and chronic.

Promote prostate inflammation:

Discomfort in the groin

  • various pathogenic bacteria,
  • infections,
  • hypothermia of the body during the cold season,
  • constipation
  • costs of the profession (drivers, office workers),
  • irregular sex life,
  • mechanical injury.

Prostatitis makes itself felt with the following symptoms:

  • emptying the bladder occurs in small portions, with effort,
  • sometimes complete emptying does not work,
  • the stream of released urine becomes sluggish and intermittent,
  • frequent urination with an admixture of blood occurs with a sensation of pain in the genitals, perineum and groin,
  • erectile function problems.

If urinary excretion causes problems, this should alert the representatives of the stronger sex, if they identify formidable signs of the disease, they should definitely contact a urologist. If prostatitis is not treated, it leads to urinary incontinence, threatens impotence, decreased fertility, and infertility.

Prostatitis, which is not treated in time, of an advanced form can develop into a tumor of the prostate gland. Treatment of the disease should be started at an early stage, this gives a positive result with the complex prescription of antibacterial drugs, physiotherapy, massage. A very important factor is the rejection of bad habits, a healthy lifestyle.

At times, folk remedies for improving the body are useful for prostatitis.

Urolithiasis

Urolithiasis is a disease of the genitourinary system, in which the outflow of urine is difficult. Urine accumulates in the urinary tract, stones are formed in the renal pelvis and kidneys.

With an exacerbation of the disease, there is a burning sensation after urination in men, the causes of which are thyroid diseases glands, a hereditary factor, the predominance in the diet of foods that increase the formation of salts, leading to the appearance stones.

Symptoms of urolithiasis manifest themselves as a burning sensation when emptying the bladder, a pulling, aching pain in the lower abdomen.

It can be of a permanent and periodic nature, noted in the genitals and lower extremities.

When there is frequent urination in men, in which the color of the urine becomes pink, sometimes you can find an admixture of blood in it. The patient's condition worsens from an increase in blood pressure.

Prescribed for urolithiasis treatment with the use of an operational and instrumental method. Men should, when symptoms of the disease appear, visit the urologist's office, since it is very difficult to treat advanced urolithiasis.

Cystitis

Constantly wants to go to the toilet for a little

With cystitis, the walls of the bladder become inflamed.

If patients notice the frequent appearance of the urge to urinate, which are characterized by pain in the lower abdomen, and the urine at the same time becomes dark, then these signs indicate a suspicion of the presence of cystitis.

In addition to these symptoms, stinging, burning and itching in the urethra during urination of men are added. Catarrhal diseases will provoke the development of cystitis with hypothermia.

Treatment of inflammation of the bladder with antimicrobial medicines, physiotherapy and herbal medicine with various herbs on an outpatient basis gives a positive outcome.

Sexually transmitted diseases

Sexually transmitted diseases such as trichomoniasis, gonorrhea, chlamydia too cause burning and itching after urination in men who have promiscuous unprotected genital a life. Purulent discharge mixed with blood is added to the burning sensation. If left untreated, sexually transmitted diseases can lead to prostatitis and infertility. Treatment is based on the use of antibiotics.

Non-hazardous factors not associated with diseases

Foods that provoke a burning sensation in the urethra

The consumption of spicy and salty foods, specific foods such as alcohol, coffee, vinegar, citrus carbonated drinks, can cause discomfort and burning. In addition to them, such a reaction can be from hygiene products: soap and shampoo, shower gels.

Synthetic underwear for some men leads to undesirable consequences. Irritation on the surface of the penis is also from the use of hygiene, cosmetic products and condoms, especially with aromatic additives.

Even a small amount of salt in the urine in the absence of pathology also causes pain and burning sensation in the urethra during urination in men.

Preventive measures

The basis of preventive measures is the observance of certain standards:

Practice intimate hygiene

  • You should be wary of casual relationships; if such meetings are inevitable, you need to protect yourself with a condom.
  • If signs of a genitourinary disease appear, you should contact an experienced specialist.
  • It is not recommended to engage in self-diagnosis and self-medication. Time must not be wasted, doctors' prescriptions must be followed in a timely manner.
  • Do not neglect water procedures, since the penis also needs daily hygienic bathing, then many men will get rid of diseases of the genitourinary system.

Regardless of the peculiarity of the manifestation of discomfort, men need to think about how to treat prostatitis, cystitis, urethritis and other diseases, so that urination is not frequent and without discharge. They are advised to be examined by a urologist who can make an accurate diagnosis and prescribe appropriate treatment.

Source: http://prostamed.ru/simptomy/pochemu-u-muzhchin-poyavlyaetsya-chuvstvo-zhzheniya-v-uretre.html

Causes and treatment of urinary discomfort in men

Discomfort during urination in men, which is accompanied by pain, burning, itching, indicates inflammation developing in the lower urinary tract. Sources of discomfort can be infectious diseases, trauma, or various types of irritation of the urinary system.

There are many reasons that can cause discomfort when urinating.

Urolithiasis causes discomfort. A disease in which pain is caused by stones formed anywhere in the genitourinary system. A feature is that people at any age can get sick with it.

When urinating, you can observe a small bleeding. Blood in the urine is formed as a result of injury to the mucous membrane of the reproductive system by stones or sand trapped in it.

The following factors can affect this:

  • constant overeating;
  • eating irritating foods;
  • hypothermia;
  • lifting heavy objects;
  • Concussion activities (horse riding)

The formation of renal colic is a pathology manifested by a sharp pain that radiates to the groin.

In some cases, severe itching and persistent discomfort may be due to a pubic lice infection.

Chemical irritants - Signs of burning can be caused by certain medications in the form of suppositories or tablets, as well as certain personal care products.

Phimosis also causes discomfort. A disease resulting in a process of pathological narrowing of the foreskin. This process leads to painful erections and pain after urination in men. The cause of the appearance is considered to be infections, injuries, due to which scars form, the lack of regular hygiene of the genitals.

Gout - discomfort when urinating occurs as a result of urate crystals entering the urine, which, passing through the urinary canal, damage it.

Read also:Signs and symptoms of appendicitis in men

Violation of patency in the ureters is formed due to the movement of salt crystals, blood clots, stones in the urinary system.

Tumors formed on the urinary organs. Pain occurs in case of pressure of a malignant or benign tumor on the organs of the reproductive system.

Discomfort caused by an infectious nature

Microorganisms that can cause discomfort when urinating in men include:

  • chlamydia;
  • streptococci;
  • colibacillus;
  • gardnerella;
  • staphylococci;
  • mycoplasma;
  • ureaplasma;
  • gonococcus;
  • Pseudomonas aeruginosa;
  • Trichomonas.

These microorganisms not only feel great, but also multiply at lightning speed under the following conditions:

  • weak work of the immune system;
  • improper, poor nutrition with an insufficient amount of vitamins and minerals;
  • promiscuous sex;
  • violation of hygiene rules or non-compliance with them in general.

All these nuances lead to the fact that harmful microorganisms, getting on the organs of the reproductive system, begin to multiply rapidly and lead to the following serious illnesses:

  1. Ureaplasmosis is a disease caused by specific bacteria that, when released into the urinary tract, cause an inflammatory process. The main symptoms include: frequent urge to urinate, accompanied by pain, sexual disorder, neurosis. You can get infected through unprotected intercourse and through everyday life.
  2. Urethritis is an inflammation that is accompanied by unpleasant sharp pain and burning sensation both during urination and of a constant nature. Here it is important not to delay the disease, but to turn to an experienced specialist who is able to prescribe a treatment suitable for the patient. Failure to apply any measures will entail a rapid spread of the disease to other internal organs. And not timely treatment - to prostatitis.
  3. Chlamydia is a serious venereal disease in which not only the urinary tract is affected, but all genitals. And also, over time, it leads to irreversible changes in the reproductive system (infertility). Therefore, treatment should be started immediately at the first signs of illness for both partners at the same time. This is the only way to avoid re-infection.
  4. Gonorrhea is another sexually transmitted disease of a sexually transmitted nature. At the onset of the disease, an unpleasant burning sensation appears when going to the toilet, and in a neglected form, a sharp pain that forms unpleasant sensations after urination. The main symptom in men is purulent, slippery discharge from the urethra.
  5. Trichomoniasis is a venereal disease in which there is redness of the genitals, unpleasant purulent discharge. All symptoms are accompanied by pain, pain when urinating, unpleasant severe itching in the intimate area and edema. The causative agent of the disease is Trichomonas - this is the simplest of the parasites; it chooses the seminal vesicles and the prostate as a habitat for men. Trichomoniasis is transmitted only through sexual contact and requires immediate antibiotic treatment both for the person seeking help and for all of his sexual partners.
  6. Candidiasis (thrush) is a fungal infection that is manifested by constant itching of the external genital organs in men. There may also be light discharge, slight swelling. If you do not take any measures and do not engage in treatment, then thrush due to incessant itching can lead to a neurotic state.
  7. Prostatitis is inflammation and swelling of the prostate tissue. It is considered the most common disease among men today. The precursors of the disease are the earlier transfer of chlamydia, mycoplasmosis, ureaplasmosis, yeast infection, and various infections. Prostatitis is manifested by severe sharp pain, burning sensation, which radiates to all male organs and causes unpleasant sensations when urinating, defecating, ejaculating. Discomfort is also present during the very process of urine waste. This is due to the inflamed prostate gland, which constricts the opening of the urethra and thereby disrupts the process itself.
  8. Cystitis is a disease in which the bladder becomes inflamed. More often, this disease can be found in the female half of the population, since their urinary canal duration is much less than that of the male. But men are also prone to the disease, which is manifested by a burning sensation and pain when passing urine, as well as frequent urge to urinate. A clinical urinalysis may reveal pus in the fluid.

Having found the first signs of the disease, you should immediately seek the advice of a doctor. He will prescribe the treatment suitable for the patient. You do not need to self-medicate, as this can only aggravate the disease and prolong the healing process.

Treatment of urinary discomfort in men

At the first signs of the appearance of even the slightest discomfort when urinating, pain, cramps, suspicious discharge from the penis, you need to seek the help of a special doctor to establish the cause diseases. A urologist and venereologist will help to conduct a thorough examination, determine the disease and prescribe qualified treatment.

If an infection is detected, a course of anti-inflammatory and antibacterial drugs will be prescribed, which will be combined with a special diet and careful hygiene of the genitals.

With a sexually transmitted infection, a specialist will prescribe special drugs that will cope with the disease. In no case should the treatment be delayed, as this can cause infertility and impotence in a man.

When the reproductive system is attacked by a thrush fungus, drugs are prescribed that can eliminate the focus of the disease.

As a result of hormonal disorders, hormone therapy is prescribed.

Important!

The only correct option in this case is an urgent appeal to an experienced specialist who will be engaged in establishing the cause and its further treatment.

Source: https://zppp03.ru/simptomy/diskomfort-pri-mocheispuskanii-u-muzhchin.html

Unpleasant sensations and discomfort when urinating

It would seem, what could be more mundane and more natural than the process of urination? However, even such a simple physiological act can deliver a lot of unpleasant minutes.

Often, the discomfort when urinating is so pronounced that going to the toilet can be a real torture. Regardless of what kind of symptoms are causing discomfort in the urethra or bladder, their appearance should be a signal to start intensive treatment.

Causes

The main reason why there is discomfort during urination is damage to the mucous membrane of the urinary tract. At the same time, unpleasant sensations can be of the most diverse nature and manifest themselves in the form of:

  • difficulty urinating;
  • burning pain before, after and during urination;
  • cut with irradiation into the scrotum;
  • itching.

The epithelium of the inner surface of the urinary tract has a large number of nerve receptors in its structure, which are responsible for regulating the system for removing urine from the bladder. It is they that cause the increased sensitivity of the mucous membrane even to the minimum negative impact that causes its damage.

Typically, urinary discomfort is caused by:

  1. Infectious diseases of the lower urinary tract - cystitis, urethritis, candidiasis.
  2. Sexual infections - chlamydosis, ureaplasmosis, gonorrhea, trichomoniasis.
  3. Urolithiasis disease.
  4. Nervous diseases - painful (hypersensitive) bladder syndrome.
  5. Damage to the mucous membrane as a result of exposure to chemicals - poisoning, the use of poor-quality hygiene products, an allergic reaction to detergents.

An increase in blood sugar levels above 9.9 mmol / L can also cause discomfort in the urethra

Infectious diseases

If we compare the pathologies that cause discomfort during urination, according to the degree of occurrence, then infectious diseases would rightfully receive the palm.

Cystitis

Cystitis is an inflammatory process that develops mainly in the upper layer of the mucous membrane bladder caused by gram-negative bacteria (mainly Escherichia coli) or staphylococci.

The main symptoms of cystitis are:

  • frequent urge to urinate (sometimes false);
  • a small amount of urine excreted;
  • extremely painful urination (accompanied by burning, cramps);
  • clouding of urine (associated with the presence of purulent discharge);
  • microhematuria (a small amount of blood, usually appearing at the end of urination).

Due to the physiological differences between the sexes, cystitis occurs mainly in women. A certain barrier to infection in the ascending type in the male body is the size of the urethra, which is much narrower and longer than in women.

Cystitis, urethritis and other infectious diseases of the urinary tract in men, as a rule, are of a descending nature and are the result of inflammatory processes in the prostate gland. The location of the prostate gland in the immediate vicinity of the bladder greatly facilitates the migration of infectious agents in men into nearby tissues, including the bladder.

Non-gonorrheal urethritis

Bacterial or viral lesion of the urethra resulting from non-compliance with the rules personal hygiene or the result of an infectious disease (for example, tonsillitis or pharyngitis). In the latter case, pathogens enter the urethra through the bloodstream.

The main signs of urethritis when emptying the bladder are:

  • severe pain during urination;
  • purulent discharge from the urethra;
  • redness of the external opening of the urethra;
  • adhesion of the outer edges of the urethra.

Important! Treatment of urinary tract infections is reduced to the use of various antibiotics and antimicrobial drugs.

Unpleasant sensations after urination can be the result of the development of yeast-like fungi of the genus Sandida. Candidamycosis is not always the result of infection entering the urethra. Very often, the development of the disease occurs as a result of a weakening of the body's immune defense, due to:

  • long-term use of antibiotics;
  • changes in the place of residence (climate, water);
  • hypovitaminosis;
  • disruption of the digestive tract.

Read also:Premature ejaculation as sexual dysfunction

The course of the disease is accompanied by cheesy discharge from the urethra (in women from the vagina), burning and itching. At the same time, some relief is noted during urination, while during the breaks, the discomfort in the urethra increases significantly.

Sexual infections

Sexually transmitted diseases include bacterial and parasitic sexually transmitted diseases.

The causative agent of the disease is the simplest microorganism - chlamydia. A distinctive feature of chlamydia is its ability to simultaneously affect all types of tissues:

The appearance of cramps and burning during urination in women

  • the inner mucous surface of the genitals;
  • external genital organs;
  • muscle layer (including the heart muscle);
  • vascular walls;
  • organs of hearing and vision.

The main object of damage in chlamydia is the genitourinary system. In this case, the following symptoms may be observed:

Important! Due to the fact that chlamydia can be asymptomatic, late diagnosis can lead to the development of infertility.

A single dose of 1 g of Azithromycin is effective in the treatment of uncomplicated chlamydosis

Ureaplasmosis

Infection of the urinary and genital tract with opportunistic pathogens. Despite the fact that ureaplasmosis is considered a sexually transmitted infection, pathogenic microflora can be permanently in the body for several years without causing any damage.

The role of a barrier preventing the appearance of infection is played by the natural microflora of the mucous membranes. Even a slight imbalance of microorganisms can cause uncontrolled growth of ureaplasmas, eventually causing an inflammatory process.

Due to the fact that the development of inflammatory processes caused by ureaplasma occurs according to the type of urethritis, adnexitis or parametritis (inflammation of the appendages) - ureaplasmosis is not recognized as independent in the international classification of diseases disease.

Gonorrhea is a sexually transmitted disease caused by a gonococcal infection. The activity of gonococci causes damage to the mucous membranes of the urinary and genital tract, accompanied by profuse purulent discharge. The incubation period is about 5-7 days, after which the disease becomes acute.

In acute gonorrhea, patients experience the following symptoms:

  • tickling feeling in the urethra;
  • pain or burning sensation in the urinary tract;
  • increased urge to urinate;
  • profuse purulent and mucous discharge from the urethra.

Important! There are cases of self-recovery of the patient after 3-4 weeks of illness, but in most untreated cases, the infection spreads to the bladder, testes and epididymis, causing infertility.

Gonococci are bean-shaped and have the ability to attach to the epithelium of the mucous membranes.

Trichomoniasis

The most common disease of the genitourinary system, the main symptom of which is discomfort after urination. This is due to the fact that the initial penetration of Trichomonas into the body primarily causes urethritis and only then other complications appear:

  • inflammation of the prostate;
  • appendages;
  • seminal vesicles;
  • testicles;
  • vagina.

In men, the disease is accompanied by constant discharge from the urethra, and in women, edema and hyperemia of the vaginal mucosa.

Trichomonas is a unicellular parasite of the flagellate family

Urolithiasis disease

The sensations during urination accompanying the discharge of stones or sand with urolithiasis can hardly be called pleasant. Small stones, moving along the urinary tract, have a traumatic effect on the mucous membrane of the ureters, bladder and urethra. This condition is characterized by the appearance of pain when urinating, while sitting or walking.

A particularly painful condition is observed after urination in men. The urethra is thin and long, making it difficult for even the smallest fragments of stones or sand to pass.

Important! In 80% of cases, the course of urolithiasis is accompanied by inflammatory processes, since damage to the mucous membrane of the urinary tract, allows pathogenic microflora to freely penetrate into epithelium.

Unpleasant sensations after urination, in the absence of any pathological signs, may be the result of neuropsychiatric disorders. In medical practice, this phenomenon is called "hypersensitive bladder syndrome."

As a rule, the syndrome is observed in women prone to neuroses, depression, with a nervous constitution and a tense emotional state. Soreness in the urethra and bladder may be accompanied by nausea or vomiting.

Other reasons

A certain proportion of the causes of discomfort when urinating is occupied by various physiological changes and reactions of the body to external stimuli:

  • irritation when using personal hygiene products for women (pads, tampons);
  • an allergic reaction to some components of detergents (shower gels, soap);
  • hormonal changes (especially during menopause in women);
  • genital trauma.

Treatment

The tactics of treatment used when discomfort in the urethra appears depends on the results of the examination. If pathological changes of an inflammatory nature are detected, antibacterial drugs and antibiotics are used. The choice of a drug depends on the degree of sensitivity of the pathogen to a particular type of medication.

Monural (fosfomycin trimetamol) is an effective drug with a wide range of antimicrobial activity

Antiallergic agents (tavegil, suprastin) effectively relieve irritation. If hormonal changes in the body are the cause of the disorders, hormonal therapy may be required to mitigate sharp fluctuations in hormonal levels. The neurological origin of pain involves the use of sedatives and antidepressants.

In the overwhelming majority of cases, the appearance of even mild pain or other sensations during urination can be considered as a timely signal of the penetration of pathogenic microflora into the body. It is the sensitivity of the mucous surface of the urethra and bladder that allows you to instantly respond to the presence of the pathogen before it continues to spread further.

Source: http://2pochki.com/diagnostika/nepriyatnye-oshchushcheniya-diskomfort-mocheispuskanii

Discomfort when urinating: a sign of STDs and other illnesses

Content:

Urination or miction (deurination) is the emptying of the bladder. Normally, the process is regulated by a person and proceeds without problems.

Burning sensation during urination, difficult deurination and blood in the urine appear with inflammation or mechanical damage to the urinary tract, a decrease in their lumen, with the development of tumors, as well as due to changes in the chemical composition of urine. Urinary disorders are called dysuria.

A bit of anatomy and physiology

Urine is formed in the kidneys, then enters the ureters and accumulates in the bladder.

When stretching its walls, there is an urge to urinate, which for some time can be deliberately restrained thanks to the circular muscle, the sphincter of the bladder.

During deurination, the sphincter relaxes and urine flows into the urethra, the urethra. The intensity of urination is regulated by the abdominal muscles, the contractions of which increase the pressure on the bladder.

In women, the urethra is short and wide enough, so inflammation from the genitals easily passes to the urethra and higher to the bladder, ureters and kidneys.

In men, the urethra is narrow and long, the ducts of the prostate gland open into it, secreting fluid with antimicrobial action.

Inflammation of the urethra in the stronger sex is observed less often than in women, but urethritis is often complicated by a narrowing of the lumen of the urethra.

The infection is primarily transmitted to the prostate and epididymis (prostatitis and epididymitis), to the seminal vesicles (vesiculitis).

Pain when urinating

Damage to the urethral epithelium - the layer of cells lining its lumen - is always felt as a burning sensation in the urethra.

  • The most common cause is a sexually transmitted infection (gonorrhea, herpes, trichomoniasis, chlamydia, ureaplasmosis and mycoplasmosis). Microorganisms attach to the surface of the urethral epithelium or penetrate into the cells, destroying their walls and releasing metabolic products with a high degree of acidity. In turn, they affect the membranes of healthy cells and help the "aggressors" to capture an ever larger surface of the urethra. Sensitive nerve endings are located under the epithelium, which, after the death of integumentary cells, are in the zone of accessibility of stimuli. So a burning sensation in the urethra is a signal of the development of inflammation.
  • Yeast fungi can cause candidal urethritis, cause inflammation of the urethra and a burning sensation in it. With candidiasis, discharge from the urethra is whitish, combined with vaginal thrush. Always accompanied by discomfort and itching in the perineum, often occur after a course of antibiotics.
  • Stagnant urethritis develops in violation of venous circulation in the submucous layer of the urethra. It is observed as a complication of hemorrhoids, chronic constipation, prostatic hypertrophy, after prolonged intercourse.
  • Chemical damage to the urethral epithelium possibly when oxalates appear in the urine (gout); excess glucose in diabetes mellitus; toxic and irritating substances after inadequate pharmaceutical therapy or intoxication with urotropic poisons (benzidine, carbon tetrachloride, mercury); after consuming unusual spicy food in combination with alcohol.

Urethritis with gout is observed along with an increase in the concentration of oxalic acid salts in the urine, often an exacerbation of the disease is associated with abundant feasts and holidays.

With diabetes mellitus, the blood glucose level increases (the norm for peripheral blood is 3.3 - 5.5 mmol / l). The excess is excreted by the kidneys in the urine, but for the body, the physiological concentration of glucose is 5%, and everything that is higher causes dehydration of cells.

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In diabetics, sugar in the urine is even tasted; this is the diagnostic technique used in the past. The epithelium of the urethra under the influence of a hypertonic glucose solution seems to "dry up", its protective properties are reduced.

Then the infection joins, inflammation begins.

  • Mechanical trauma to the urethra. The reasons can be external (catheter, surgery, trauma) and internal (passing of fragments of kidney stones and sand in the urine). Urinary catheters, which are placed in some patients for a long time, form pressure ulcers of the walls of the urethra and provoke the development of urethritis. Inadequately performed catheterization procedures injure the mucous membrane and lead to burning and pain when urinating. Exit through the urethra of calculi is accompanied by the appearance of blood in the urine, cuts in the abdomen.

Pain after urination

Severe burning after urination in the urethra and lower abdomen is a possible sign of cystitis (in men and women) or inflammation of the space between the anterior wall of the uterus and the bladder with perimetritis, inflammation of the tissue around uterus. It is especially painful for men to pee at the end of urination when strictures in the urethra are combined with inflammation of the bladder.

Cystitis is characterized by frequent urge (pollakiuria) with the release of small amounts of urine, but after deurination there is always an unpleasant feeling: it seems that the bladder is not completely emptied. There may be periodic or persistent pain above the pubis, fever and weakness, blood flow in the urine.

The main symptom of cystitis is frequent urination., due to the increased sensitivity of the walls of the bladder. Causes:

  • Infection;
  • Emotional stress and neurological disorders;
  • Hypothermia;
  • Kidney and ureteral stones;
  • Compression of the bladder by tumors;
  • Prolapse, prolapse or bend of the uterus;
  • Enlargement of the uterus during pregnancy or during oncological processes;
  • Blooming of the prostate gland;
  • Inflammation of the seminal vesicles - vesiculitis;
  • Narrowing of the urethra;
  • Diabetes;
  • The period of convergence of edema in cardiac or renal failure.

Pollakiuria in various diseases can become a symptom for dif. diagnostics. For example, every minute urge during the day is observed with tuberculosis of the kidneys and bladder, while the amount of daily urine is slightly increased or decreased.

The convergence of edema gives a combination of severe polyuria (daily urine volume is several times higher than normal) and pollakiuria, and mainly at night. Increased urination during movement and during the day is a characteristic sign for calculi in the ureters and bladder; in the supine position and at night - for prostatic hypertrophy.

The combination of frequent, painful urination (without reference to the time of day) and discharge from the genitals is a sign of many sexually transmitted diseases.

Pain outside the urethra accompanying urethritis, signal the spread of inflammation to the bladder, ureters and kidneys, as well as to the genitals.

Pain in the abdomen during urination associated with cystitis is localized above the pubis and radiates to the groin areas.

The patient takes a forced position, slightly relieving pain: during urination, he presses his hands to the lower abdomen and bends at the waist.

Pain in renal colic is compared in strength with labor pains. The person is restless during the attack, constantly moves, but there is no fixed position.

It hurts in the lower back, on the sides of the abdomen; pain when urinating gives to the labia majora or scrotum. There is fresh blood in the urine, without clots.

On your own, you can take a couple of no-shpa pills or give an injection intramuscularly, but the treatment of renal colic is best done in a hospital.

If, after colic, the pain suddenly subsides, this cannot guarantee that the stone has reached the bladder or exited through the urethra.

Smooth stones up to 5 mm in diameter freely pass through the ureters, but larger ones with sharp edges may remain in them, blocking the outlet for urine generated in the kidneys. The result is hydronephrosis: the accumulation of urine in the kidneys expands the pelvis and compresses the parenchyma, the soft tissue of the kidneys.

As a complication, rupture of the ureter, kidney necrosis can occur. That is why, after stopping an attack of renal colic, an ultrasound scan is always done in order to exclude the risk of developing hydronephrosis.

Genital inflammation associated with sexually transmitted infections (STDs) causes severe pain in the acute period. They are projected in the form of a lowered belt - they cover the lower back, groin areas and the inner part of the thighs.

In chronic inflammation, the pain is not very pronounced: patients complain that they periodically "pull in the lower abdomen" and discomfort appears when urinating. The process proceeds with periods of exacerbations associated with colds, stress and active sex life.

Urethritis, abdominal pain and lower back pain are combined with vaginal or urethral discharge.

Difficulty urinating

Difficulty urinating (stranguria) is the inability to empty the bladder to such an extent that the urge to urinate completely disappears.

The causes of stranguria can be narrowing of the lumen of the urethra after burns or injuries; STDs are often complicated by stenosis of the urethra along its length (in men) and the cervical part (in women). Intermittent urination with pain is a characteristic symptom of congestive prostatitis.

Possible blockage of the urinary tract by a tumor of the prostate or bladder, calculi, or blood clots. Difficulty urinating occurs with hysteria and problems with the innervation of the bladder (spinal trauma, tabes dorsum, old age), during pregnancy.

Alcohol abuse, uncontrolled intake of diuretics and stimulants also lead to stranguria.

Video: problems with urination - the program "Live Healthy!"

Blood in urine

Urination with blood is called hematuria and occurs in many conditions. According to the amount of blood in the urine, microhematuria is distinguished, when blood components are detected only under a microscope, and gross hematuria, determined visually - urine turns red. To diagnose the problem, it is important to consider what else the appearance of blood in the urine is associated with.

If blood appears at the beginning of painful urination, there are no clots, the color is scarlet: it looks like urethritis. The blood is dark red in color, appeared at the end of deurination along with a burning sensation: the inflammatory process is localized in the bladder. The same symptoms, which occurred 10-14 days after unprotected intercourse, suggest a urogenital infection from the category of STDs.

There is a lot of blood, the urine is completely brownish or dark red, there are clots, urination without pain: the source of bleeding is the kidneys or ureters, it can be assumed that the tumor has disintegrated or their mechanical injury. The combination of hematuria and intermittent urination is a sign of a neoplasm in the prostate gland.

Sharp pain in the lower back and abdomen plus hematuria - renal colic is possible. Prolonged back pain, swelling, red blood cells, and protein in the urine are similar to glomerulonephritis. If symmetrical inflammation of the joints joins these signs, then one can think of a systemic autoimmune disease (rheumatoid arthritis).

In women, menstrual blood that has entered the urine from the vagina can be taken for hematuria. In men, both urine and ejaculate, a mixture of sperm and prostate secretion, are excreted through the urethra. An admixture of blood in the ejaculate indicates prostatitis or tumor growth in the prostate gland.

Some foods and medications color the urine in unusual shades. Beets and phenolphthalein (a component of laxatives) give urine a red color, pyridium and rifampicin a reddish orange.

Video: blood in urine - the program "Live Healthy!"

Dysuria treatment

For banal bacterial inflammation of the urethra or bladder, antibiotics (norfloxacin, cephalosporins) are used.

For candidiasis - antifungal drugs fluconazole, nystatin and prebiotics (fiber) along with eubiotics (lactobacilli).

Gout is treated with allopurinol, which helps block the formation of oxalates and improves their excretion. Prescribe a diet with limited consumption of meat, chocolate, green vegetables, fatty and spicy.

The basic treatment of STD dysuria is with antibiotics.that are capable of acting on intracellular forms of pathogens (erythromycin, azithromycin). Doxycycline is additionally used.

With trichomoniasis, trichopolum remains the main remedy; for herpes, human interferon is prescribed.

The complete scheme consists of antibiotics, hepatoprotectors (carsil), immunomodulators (aloe and echinacea compositum, cycloferon), fungicidal agents (fluconazole) and beneficial microflora (linex, yogurt). The effectiveness of therapy is monitored using PCR.

In case of urolithiasis, calculi are removed by ultrasonic crushing or during abdominal surgery. In the future, the diet and water regime are adjusted so that new stones do not appear.

Prostate adenoma: use drugs (omnic) that reduce the size of the prostate gland. If therapy is ineffective, surgery is resorted to.

Tumors are removed, if indicated, chemotherapy and radiation sessions are performed.

To reduce pain and ease urinary problems use antispasmodics (no-shpa, papaverine), anti-inflammatory and analgesic drugs (paracetamol).

Local treatment - instillation of protargol, sessile baths with phyto-antiseptics (chamomile, sage). Diet with limited salt and spices.

From folk remedies for the treatment of dysuria, cranberry and lingonberry juice, bearberry broth are recommended.

Source: http://izppp.ru/proyavleniya/diskomfort-pri-mocheispuskanii/

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