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What Causes Pain During Urination?

Posted on Thu, 3 Nov 2016

Question: Pain in urine from last 4-5 days.
Went through some checkups sonography and routinw urine tests all are normal.

Last 10-15 days I was on travelling and my hygiene condition was also not good.

From last night sever pain in lower abdomen and bladder and after passing ring feel burning sessions.

Need relief from this.

Consultanted 2 doctors 1 homeopathy and other general physician tool 1 antibiotic as prescribed nitrofurantoin 100mg.

Answered by Dr. Matthew J. Mangat (44 minutes later)

Brief Answer:
Send the reports for an expert opinion.

Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist,i can understand your concern.

You should write your age.
How long have you had Nitrofuantoin and at what dose isn't clear.

If you've given urine for culture test,kindly send the report,with the scan report.
If any other tests have been done or you've any other reports,send them too.

Drink about ten glasses fluids daily.
Wish you good health.

Dr.Matthew J. Mangat.

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

Follow up: Dr. Matthew J. Mangat (1 hour later)

Thanks doctor for response.
Following my details.
Age - 39

And nitrofurantoin 100mg
And today I visited another doctor he suggested pyradium 200mg 3 time a day for 5 days.

Current situation
Pain in urine and lower bladder is in pain, skin burning

Reports
1) sonography is normal but I don't have scan copy now so can't attach
2) urine routine is also normal

Please suggest if you cay anything, I am in pain now and need relief asap

Thanks
-XXXX

Answered by Dr. Matthew J. Mangat (39 minutes later)

Brief Answer:
UTI or prostatitis is most likely possibility.

Detailed Answer:
Hi XXXXXXX

Assuming your scan report's normal,then the pain should be due to UTI.
UTI is urinary infection. The other possibility is a prostatitis.
This is the reason,why we ask for urine culture test,before starting an antibiotic.
Anyway, now complete the course of Nitrofurantoin100mg, thrice daily for 5 days.

Pyridium will give an orange discoloration to the urine,which goes away on stopping it.
Take it only twice daily after 2 days.

Drink more fluids,if the pain is more severe.
Wish you well.

Dr.Matthew J. Mangat.

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

Follow up: Dr. Matthew J. Mangat (42 hours later)

Hi Doctor,
I already stated Nitrofurantoin100mg twice (do I need to continue 3 time?) a day and Pyridium thrice a day as prescribed by doctor here .
Now pain is little improved by 10-15% only not much.
How much time it takes to cure ?

Thanks
-XXXX

Answered by Dr. Matthew J. Mangat (1 hour later)

Brief Answer:
Continue with same treatment.

Detailed Answer:
Hello XXXXXXX

It's good to note that you're improving.
The symptoms will reduce gradually and may take about 2-3 weeks for a cure.
In some cases,it takes over a month.
Without an examination,it's difficult to predict that.

Continue with the same treatment for the time being.
After five days,reduce NFT to twice daily,if you feel better.
Pyridium twice a day,may be enough,if the symptoms have reduced.
Drink at least 12 glasses of fluids daily.

Wish you well.
If you wish to close this query,you may rate the answers.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Matthew J. Mangat (1 hour later)

Thanks Doctor or quick response,
the only problem which I forgot to mentioned, after urine pass, outer sking is burning and that continue for some time if it touches clothes also irritate, I checked there is not rash / skin crack anything or any red spots.

Please suggest any cream I can apply here ?

-XXXX

Answered by Dr. Matthew J. Mangat (17 minutes later)

Brief Answer:
Send a photo to enable an expert opinion.

Detailed Answer:
Hi XXXXXXX

Your symptoms need an examination of the penis.
This should be done by an Urologist,for expert treatment.

Alternatively,you may send a photo of the skin changes here,for an expert opinion.
That will help in getting a better idea of the problem.
Send at least two views of the penis, from side and top or underneath.

Maintain good penile hygiene.
Avoid moisture over the penis.

Wish you well.
Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Matthew J. Mangat (2 hours later)

Hello Doctor,
Attached picture as required, also attached my urine testing report also.

Thanks
-XXXX

Please respond my query and one more observation after taking pyradium tablets felling lots of pain and burning.

Answered by Dr. Matthew J. Mangat (15 hours later)

Brief Answer:
All attached reports are normal.

Detailed Answer:
Hi XXXXXXX

The attached photos show normal penile skin.
No need to apply any cream.
Your urine report is normal.

You continue with the same treatment and you should be fine.
Take the Pyridium thrice daily,if the burning is severe.

Maintain good hydration and penile hygiene.
Wish you well.

Dr.Matthew J. Mangat.

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

Follow up: Dr. Matthew J. Mangat (47 minutes later)

thanks Doctor,
I am pain and burning is increase from last night. I don't know after Pyridium I feed more burning while passing urine and after that.

Thanks
-\XXXX

Answered by Dr. Matthew J. Mangat (12 hours later)

Brief Answer:
Stop Pyridium and switch to syrup citralka.

Detailed Answer:
Hi XXXXXXX

If you're not feeling relieved of your symptoms,you may stop the Pyridiym.
Take syrup Citralka twice or thrice daily.

You should continue with good hydration daily.
When you stop the antibiotic,after two days of stopping,get urine culture test.

You may send that report here,for an expert opinion.
Wish you well.

Dr.Matthew J. Mangat.

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

Follow up: Dr. Matthew J. Mangat (16 hours later)

thanks ,
but I didn't find Citralka , I am taking CITAL from yesterday and little better now.

XXXX

Answered by Dr. Matthew J. Mangat (3 hours later)

Brief Answer:
Good to know you're relieved.

Detailed Answer:
Hi XXXXXXX

Good to know you're having relief with Cital.
It's similar to citralka. So don't worry about that.

Some people get quicker relief with Cital in lemon juice,instead of water.
You may try the same and see.

Wish you well.
Dr.Matthew J. Mangat.

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

Follow up: Dr. Matthew J. Mangat (44 hours later)

Hi Doctor,
Now my condition i little improved but not 100% , still some light burning secession.
I stopped all medicines from (antibiotic and Pyridiym) only on CITAL.
I did my Urine test and Culture test on Tuesday today got results.
Attached both test for your reference and please suggest medicine accordingly.

thanks
-XXXX

Answered by Dr. Matthew J. Mangat (45 minutes later)

Brief Answer:
Start Ciprofloxacin soon.

Detailed Answer:
Hi XXXXXXX

Good to learn,you're improving steadily.
Your urine culture does show UTI, which is sensitive to Ciprofloxacin.

Start a course of Ciprofloxaxcin,twice daily,for a week.
You can get rid of this infection.
Continue with cital.
Maintain the hydration as advised earlier.

Wish you well.
Dr.Matthew J. Mangat.

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

Follow up: Dr. Matthew J. Mangat (13 days later)

Hi Doctor,
from today morning I am getting pain and burning sen-session after urine, do I need to go to another test now ? It was ok from last few days and I was on relief.
I took complete course 7 days antibiotic you suggested.

Please suggest next steps or any other medicine ? so far not taking anyting apart form water.

Thanks

Answered by Dr. Matthew J. Mangat (4 hours later)

Brief Answer:
Give urine for routine and culture test and start treatment.

Detailed Answer:
Hi XXXXXXX

Probably,you may have a residual, or a recurrent UTI.
To confirm that,you'll need to do the following tests :
1. urine routine and culture.

After that, start taking Ciprofloxacin500mg twice daily,till the report's available.
Repeat the syrup Cital,twice daily.

You should continue with drinking ten to twelve glasses fluids daily.
Wish you a speedy recovery.

Dr.Matthew J. Mangat.

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

Follow up: Dr. Matthew J. Mangat (59 minutes later)

Thanks Doctor,
I'll go for tests again tmr, just question, this UTI possible recur possible ?
now I am not at that bad share where I was previously.
and I am also not involved in any sexual activities from last 1 month at lest.

Will share routine tmr and Culter by two days.

Thanks

Answered by Dr. Matthew J. Mangat (8 hours later)

Brief Answer:
recurrent UTI is a common situation.

Detailed Answer:
Hi XXXXXXX

Recurrent UTI is well known.
Once suspected,confirm with urine routine and culture.

You're welcome to review with the reports.
Wish you well.

Dr.Matthew J. Mangat.

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

Follow up: Dr. Matthew J. Mangat (31 hours later)

Hello Doctor,
Attached new urine routine report. do I need to go for culter again if this report is ok?
I feel pain some time after urine done and some time fee need to urine again.

Thanks
-XXXX

Answered by Dr. Matthew J. Mangat (2 hours later)

Brief Answer:
Urine culture test only can confirm an UTI.

Detailed Answer:
Hello XXXXXXX XXXXXXX only an urine culture test, can confirm, if an urinary infection is present. What you've done is, only an urine routine test.
So reply with the culture report.
Wish you well.
Dr. Matthew J.Mangat.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Matthew J. Mangat (3 days later)

Hello Doctor,
Attached UC report and I did USG and Xray as per local doctor.
I am still feeling lots of burning on penins skin .

Attached UC report and I did USG and Xray as per local doctor.
I am still feeling lots of burning on penins skin .
this is continues not just after urine, I din't have any pain while urinate. Flow is smooth and Drinkining lots of water, I stopped all antibiotics for now.

Answered by Dr. Matthew J. Mangat (15 minutes later)

Brief Answer:
No antibiotics needed.

Detailed Answer:
Hi XXXXXXX
Reports are all normal.
No UTI. scan's also normal.
So nothing much to worry about.
continue with Citralka syrup and Tablet Phenazopyridine.
Both twice daily for a week.
Drink 10-12 glasses fluids daily.
Wish you well.
Dr. Matthew J. Mangat.

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