Dysuria is the term used to indicate difficult urination. It could pain, burning,
itching or discomfort while passing urine which makes urination difficult. It is
more common in females due to the anatomical proximity of the urethra to the vagina
and the anus which facilitates the passage of bacteria into it.
Q: What are the causes?
There are a variety of underlying conditions that may cause dysuria, such as:
Diabetes weakens the immune system and predisposes one to infection thus, causing dysuria.
Usually, pain during or before urination is due to external or superficial factors such as injury, lesions or lower urinary tract infections. Pain after urination indicates bladder or kidney diseases.
Q: What are the signs and symptoms of dysuria?
Apart from dysuria, other symptoms that may accompany include:
Blood in urine
Nausea and vomiting
Frequent or dribbling urination
Redness around the urethra
Q: How can we prevent it?
Maintain proper hygiene. Wash and dry the area after every bathroom visit.
Wipe the area from front to back after passing stool to avoid entry of any bacteria from the anus.
Do not use scented soaps, chemicals, lubricants on the genital area as that disturbs the healthy bacteria balance.
Do not douche.
Have safe and protective sex. Urinate after every act.
Drink adequate amount of water.
Q: What are its diagnosis?
Mild attack of pain may resolve spontaneously. However, for chronic, severe or recurrent attacks, examination by a medical professional is necessary.
Physical examination followed by a urine sample analysis is generally sufficient for diagnosis. In case of STD suspicion, a comprehensive STD test may be done.
For upper UTI involving kidneys or bladder, a blood test or ultrasonography may also be required.
Q: What are the treatment available?
A course of antibiotics can treat most of the cases of
dysuria. Other cases may include topical applications, antifungal drugs or pain killers.
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