What Causes Pain And Discomfort During Urination?

Posted on Wed, 1 Apr 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 1 Apr 2015 Answered on

Thu, 23 Apr 2015 Last reviewed on

Question : Dear Doctor,

How are you? I hope you remember us (daughter and mother).

About two weeks ago I noticed that my daughter was crying while passing urine, so we took her to the doctor. A urine sample was also given at the lab and the report came back negative. I have uploaded the report for your review. No medicines were prescribed except that the doctor advised us to put lot of nappy cream. The discomfort seemed to have subsided, but again last evening she cried while passing urine. I was wondering what could be the reason again.
Your inputs would help me ease my mind.
Thanking you in advance.
Regards,
XXXX(mother)

Answered by Dr. Sumanth Amperayani (-3 hours later)

Brief Answer:
I need to see the reports please

Detailed Answer:
Hi...I very well remember you both XXXXXXX Good day to you both.

I have a few questions for you -

1. Is there any high grade fever
2. Does she have vomiting?
3. Is she having chills and rigors?
4. I do not see any uploaded urine routine analysis here. Can you upload it again.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (4 minutes later)

Dear Doctor,

Please see my answers below:

1. No fever. She is playing around. Only thing is that she shows some disinterest in eating. I don't think, or rather, not sure if it would be related to the urine discomfort.

2. No vomiting.

3. No chills and rigors.

4. Urine analysis uploaded.

Regards,
XXXX

Answered by Dr. Sumanth Amperayani (2 hours later)

Brief Answer:
Nothing to worry - just concentrated urine

Detailed Answer:
Hi...Do not worry at all. This could just be a concentrated urine which is causing her this discomfort. Just give her plenty of water and she will be fine in a couple of hours. Moreover the temperatures are raising good hydration is essential to avoid this in future.
regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (1 hour later)

Dear Doctor,

Thank you for your reply. Yes, I guess she needs to drink more water.

Again, thanking you for your advice.

Best regards,
XXXX

Answered by Dr. Sumanth Amperayani (3 minutes later)

Brief Answer:
I am happy that my suggestoins are relieving your stress

Detailed Answer:
Hi XXXXXXX .. I am happy that my suggestions are relieving your stress and doubts. I feel even more happy by your positive feed back. Thank you for that.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (31 hours later)

Dear Doctor, I have been giving lot of water and applying nappy cream but today also she was uncomfortable while passing urine. I also noticed that her vaginal area has become red and looks sore. I am unable to get an appointment with the doctor till Easter is finished. Your inputs would definitely help.
Thanks,
XXXX

Answered by Dr. Sumanth Amperayani (5 minutes later)

Brief Answer:
May be a fungal infection of the genital area

Detailed Answer:
Hi XXXXXXX ... By what you quote I feel it could be a fungal infection of the genital area.

I suggest you apply any over the counter antifungal cream available and licensed in your country.

I suggest Quadriderm cream which covers everything. Apply twice a day till you see your doctor there.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sumanth Amperayani (16 minutes later)

Dear Doctor,
I have with me now Canes ten broad spectrum antimycotic with fungicidal action. 20g cream contain 0.2 g bis-phenyl (2 chloro-phenyl) - 1-imidazolyl-methane.
Pl advice Doctor if this can be used. If not, then I will immediately buy the other one suggested by you.
Please could you advise why she would have got a fungal infection. I'm not able to understand why she could get one.
Thanks
XXXX

Answered by Dr. Sumanth Amperayani (9 hours later)

Brief Answer:
You can use the cream you have

Detailed Answer:
Hi....

1. You can use the cream you have... No problem.

2. This type of fungal infection occurs in flexural areas due to moisture or humidity.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Neel Kudchadkar