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What Causes Severe Pain When Passing Urine?

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Posted on Mon, 14 Jul 2014
Question: Getting severe Pain when passing Urine. Its happening often like monthly once and it will take 10 days of time to cure even if i'm having medicine(citralka and norflex). I delivered baby before one year by LSCS. I got the pain first time when they inserted the catheter. After delivering baby only i'm getting pain like this. I never experience this pain before my baby birth.
doctor
Answered by Dr. Naveen Poola (4 hours later)
Brief Answer:
recurrent(repeated) urinary tract infections, kidn

Detailed Answer:
Hello,

Thank You for consulting HealthcareMagic!

I mainly suspect two things, recurrent(repeated) urinary tract infections or there may also be chances of kidney stones. However, a Physical examination and an ultrasound of abdomen/pelvis is mandatory to assess this since there are variety of other causes that needs to be ruled out.

I also suggest you to undergo a urine culture and sensitivity test as there is chance of yourself resistance to antibiotics like Norflox, because of repeated episodes. This test helps in selecting appropriate sensitive antibiotics.

Stay healthy and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in future. Kindly rate the answer if you are satisfied.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Naveen Poola (20 hours later)
I have already gone for Urine culture Test and doctor informed me its normal.
After the culture test only they had given the medicines like Norflex and citralka.

I never experience this pain before my baby birth, It happens for me after the catheter insertion at the time of cesarean.
doctor
Answered by Dr. Naveen Poola (3 days later)
Brief Answer:
an ultrasound scan will be helpful.

Detailed Answer:
Hi,

Urine infection should have cleared if Norflox antibiotic would have worked. I suggest to repeat urine tests again. To rule out kidney stones, an ultrasound scan will be helpful.

Take Care!
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Naveen Poola (2 days later)
Hello sir,

As per your suggestion, I went for Ultrasound Scan To the Radiologist.
The impression for the report i mentioned below.
"NORMAL SONOGRAPHIC STUDY OF LIVER, GB, PANCREAS, SPLEEN, BOTH KIDNEYS, BLADDER, UTERUS, OVARIES, ADNEXA."

Finally Radiology doctor suggest me that due to the wrong insertion of the catheter, may urethra got affected and that position may changed as narrow and some diameter varies it seems. So consult Urologist for this and it will be curable like he said.
So Please advice.

Note: I never experience this pain in life time ie: before my baby birth. It happens for me after the catheter insertion at the time of cesarean. Cesarean happened a year before.
doctor
Answered by Dr. Naveen Poola (2 days later)
Brief Answer:
A stricture is possible in your case

Detailed Answer:
Hi,

A stricture is possible in your case, as there is strong suspicion regarding catheter misplacement. You need a physical exam first and a urethrogram can find out if it is due to stricture in urethra which commonly occurs because of catheter misplacements and other urological surgeries. Stricture should again be treated surgically if confirmed.

Take care!
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Naveen Poola

Urologist

Practicing since :2002

Answered : 421 Questions

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What Causes Severe Pain When Passing Urine?

Brief Answer: recurrent(repeated) urinary tract infections, kidn Detailed Answer: Hello, Thank You for consulting HealthcareMagic! I mainly suspect two things, recurrent(repeated) urinary tract infections or there may also be chances of kidney stones. However, a Physical examination and an ultrasound of abdomen/pelvis is mandatory to assess this since there are variety of other causes that needs to be ruled out. I also suggest you to undergo a urine culture and sensitivity test as there is chance of yourself resistance to antibiotics like Norflox, because of repeated episodes. This test helps in selecting appropriate sensitive antibiotics. Stay healthy and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in future. Kindly rate the answer if you are satisfied.