How to treat long-term urinary pain?

Painful urination is a common condition that can happen to anyone and is mostly caused by inflammation. Most female friends’ urinary pain is directly related to bacterial invasion. In order to get effective treatment, laboratory tests must be performed first, and then appropriate antibiotics can be selected for treatment after the cause is determined.

1. Causes of painful urination

First of all, the female urethra and vagina are adjacent to each other, and bacteria can easily invade the vagina, especially after sexual intercourse. This is why "honeymoon cystitis" occurs.

Secondly, the female vagina is close to the intestines and anus, and many large intestinal bacteria can enter the vagina, causing urinary tract infection and leading to painful urination.

Third, although the surface of the female urinary tract is covered with a layer of mucus like a protective film, under normal circumstances, the vaginal mucosa will breed a kind of lactobacillus, making the vagina acidic and inhibiting bacterial invasion. However, when these natural defense functions are congenitally deficient or acquiredly changed, they can easily cause vaginal or urinary tract infections. These changes include:

1. Tumors or stones block urine excretion.

2. Cystocele changes the structure and function of the urinary tract.

3. The use of contraceptive spermicides and the abuse of antibiotics lead to changes in vaginal flora.

4. Menopausal women lack hormones.

5. Urinary tract instrument surgery or catheterization destroys the urinary tract mucus protective layer.

Fourth, allergies to soap, toilet paper, lubricants, vaginal cleansers, contraceptive sponges or foams can also cause urinary pain.

2. What diseases can cause urinary pain?

In the human excretory system, the kidneys are where urine is produced, the ureters are located upstream of the urinary tract, and the urethra is downstream of the urinary tract, which can excrete urine from the body. Therefore, in addition to the above factors, various diseases of the female reproductive system may cause urinary pain. Experts point out that endocervicitis, nonspecific vaginitis, candidal vaginitis, uterine fibroids, ovarian tumors, urinary stones, cancer that requires chemotherapy or pelvic radiation therapy can all cause urinary pain.

(1) Urethritis. Urethritis directly affects urination. The inflammatory bacteria can spread in the urethra and is one of the main factors causing urinary pain.

(2) Endocervicitis Endocervicitis in women causes congestion and edema of the cervix, easy bleeding when touched, increased yellow mucopurulent secretions, and lower abdominal discomfort. These parts are closely related to the urethra and are all factors that cause urinary pain.

(3) Nonspecific vaginitis The main symptoms of nonspecific vaginitis are massive shedding of the vaginal epithelium, congestion of the vaginal mucosa, obvious tenderness, and in severe cases, general fatigue and lower abdominal discomfort. The amount of vaginal discharge is large and purulent or serous. The outflow of vaginal discharge irritates the urethra and causes severe urinary pain.

(4) The prominent symptoms of candidal vaginitis are increased leucorrhea and severe itching of the vulva and vagina. The vaginal membrane is highly edematous with white flaky films adhering to it and easily peeling off. In addition, the eroded base of the damaged mucosa or the formation of shallow ulcers can irritate the urethra and cause urinary pain.

(5) Uterine fibroids are benign genital tumors that are common in women aged 30 to 50. The symptom is a lump in the lower abdomen. Bacteria on these lumps may invade the urethra through the reproductive tract and cause painful urination.

3. How to treat urinary pain? Avoid abusing antibiotics when urinating

Since there are so many reasons for painful urination as mentioned above, it is inappropriate to take antibiotics as soon as painful urination occurs. Instead, you should go to the hospital in time to find out the cause. If it is caused by a urinary tract infection, a clean midstream urine culture should be done first. Based on the results of the drug sensitivity test, effective antibiotics should be selected for correct anti-inflammatory treatment to avoid bacterial resistance due to the abuse of antibiotics, or the situation where symptoms are relieved while taking the medicine and recur once the medicine is stopped.