Pain while urinating is most often a sign of an urinary tract infection, which is much more frequent in women, but can also happen in men, causing symptoms like the feeling of a heavy bladder, frequent urge to urinate and general malaise.
However, the presence of a burning sensation may also indicate the presence of other urinary or gynecological problems, such as yeast infections, sexually transmitted diseases, or allergy to a certain product. Therefore, it is important to see a gynecologist when the burning sensation persists for more than 2 or 3 days, so that the cause can be identified and he most appropriate treatment initiated.
Painful urination may also be known as dysuria, which is the medical term used to describe discomfort while urinating. However, this term can also be used in cases where pain in felt while urinating, but the burning sensation isn't felt.
1. Urinary tract infection
Urinary tract infections are most frequent and the most common cause of the burning sensation when urinating. This type of infection happens especially in women, because of the proximity of the urethra to the anus, but it can also happen in the man, especially when there is bad intimate hygiene or when having unprotected anal sex.
The classic symptoms of a urinary tract infection include, in addition to the burning sensation, there is a sense the bladder is always full, a low fever, strong-smelling urine, general malaise, and difficulty in holding your pee. See all symptoms of an urinary tract infection.
How to treat: It is necessary to take antibiotics prescribed by your gynecologist or urologist, for 3 to 7 days, depending on the severity. In addition, people who have recurrent infections can do supplementation with cranberry capsules.
Candidiasis arises when there is an excessive growth of fungi in your intimate region and usually it is also accompanied by a burning sensation when urinating. This excess of fungi is more frequent in women due to the constant humidity in the region, but can also happen if you have a weak immune system, after catching a cold cooling or after using antibiotics, for example.
Some symptoms that can help to identify candidiasis include intense itching in the intimate region, redness, whitish discharge and discomfort during intimate contact, for example.
How to treat: Treatment is usually quick and done with the use of antifungal ointments, such as miconazole or isoconazole. However, proper hygiene should also be maintained by keeping the area always dry and using cotton underpants to allow the skin to breathe.
3. Sexually transmitted diseases
Although they are less frequent, sexually transmitted diseases are also one of the main causes for painful urination, especially in cases of chlamydia and trichomoniasis. It is possible to get these diseases through sex without a condom, so it is recommended you always use a condom, especially when there are several partners.
The symptoms that usually accompany these diseases are yellowish discharge with foul smell, bleeding, pain when urinating and itching. The only way to know the specific cause is by consulting a gynecologist or urologist and doing a laboratory examination of the discharge.
How to treat: Treatment is almost always done with oral antibiotics like Metronidazole or Azithromycin, depending on the STD. These diseases should be treated as soon as possible to avoid the onset of complications such as infertility or pelvic inflammatory disease.
4. Small wounds in your genital organ
The onset of small wounds in the genital area can cause tissue irritation, which is aggravated when urinating, causing burning, pain or even the onset of blood. This type of wounds are more common in women because of the friction that occurs during intimate contact, but it can also occur in men.
How to treat: Normally the burning sensation improves after 2 or 3 days, while the tissues heal and, during this period, it is recommended you drink lots of water to keep urine less concentrated, as well as avoiding having sex.
5. Use of intimate hygiene products
There are several products that can be used in your intimate region, especially if you are a women, from creams, to deodorants and soaps. However, some of these products can cause allergy or even a pH unbalance, leading to the appearance of burning sensation when urinating. Remembering that there is no need to try to alter the smell of the woman's normal vaginal flora, and therefore, these products are not necessary.
In these cases, the burning may still be accompanied by constant itching and redness in your intimate region, especially after using the product, improving during bathing.
How to treat: If the symptom arises after starting to use a new intimate hygiene product, the region should be washed with warm water and a neutral pH soap and evaluated if the symptom improves. If this happens, you should avoid using this product again.
What exams do you need to do to find the cause
The primary test used to identify this problem when urinating is a urine summary exam, in which the doctor evaluates the presence of blood, leukocytes or proteins that may indicate an infection.
However, when another cause is suspected, other tests such as a uroculture, ultrasound, or examination of vaginal secretion may still be ordered.