Urine Burning-Dysuria while urinating-What is dysuria?
Urine Burning – Dysuria is the medical term for pain or discomfort when urinating. Dysuria, which is often defined as painful urination, that is, a burning sensation while urinating, is most commonly caused by bacterial infections of the urinary tract. In the absence of infection, a burning sensation may occur when urinating for many reasons. The burning sensation in the urine at the beginning of the urine, the end of the urine, and after it is finished or continuous can give us an idea about the cause of the burning and the area of origin. In addition, other complaints accompanying burning (bleeding, fever, frequent urination, etc.) contribute to the diagnosis. Complaints of burning in urine are more common in women than in men. The pain accompanying dysuria, the need to urinate frequently, pain in the groin indicates that the event is mostly due to infection. In addition, the possibility of bladder cancer in men should be kept in mind for smoking above middle age, which only has burned at the end of urine. Bladder infection in men over the age of 50 is usually associated with an enlarged prostate or prostate infection.
Causes of Urine Burning-Dysuria
– Causes of urinary obstruction: In diseases that cause obstruction in the urinary tract, such as urethra (urinary tract stenosis, prostate enlargement, etc., there may be a burning complaint while urinating. Prostate enlargement seen in men with increasing age is the most common cause of burning and congestion in the urine. Together with dysuria, these patients complain of intermittent urination, bifurcated urination, and urinary incontinence. In the case of bladder dysfunction and vesicoureteral reflux (VUR) in children, urine burning may be seen.
-Urological Cancers: Kidney, Bladder and prostate cancer, Urethral cancer (urinary tract cancer). Dysuria may appear as an early symptom of bladder carcinoma. Bladder cancer should be kept in mind in a smoking male patient, if there is no urinary tract infection, burning in his urine, and microscopic or visible bleeding in his urine.
Stone disease: Stone diseases (kidney, bladder, and urinary tract stones with or without obstruction). They irritate and irritate the urinary tract cells and cause dysuria. Excretion of stone-forming substances (calcium, uric acid, and oxalate, etc.) in urine is high.
Among other non-infectious causes: Reiter’s syndrome, rheumatic diseases such as Vasculitis, glomerulonephritis, Diabetes (diabetes), Pregnancy, some drug side effects may also cause dysuria. In addition, dysuria can be seen. Dysuria may occur in the last stages of pregnancy. Dysuria may occur in case of allergies and irritations due to activities such as riding or cycling, soaps, perfumes, and other personal care products. Tissue growth in the outer urine hole (caruncle) seen in postmenopausal women and burning in the urine may occur due to the obstruction.
– Allergic conditions: Dysuria can be seen in allergic cases to certain foods, chemicals, herbal and medical drugs. Especially, severe dysuria can be seen in allergies to seafood (such as shrimp, squid).
2-Causes Related to Infection
-Cystitis: It is the most common cause of burning in urine, especially in women. Cystitis is very common in women ages 20 to 50. It usually begins with bacteria entering the opening through which urine comes out (urethra) during sexual intercourse. When bacteria enter a woman’s urinary tract, they quickly reach the bladder as the distance is short, where they multiply and cause cystitis.
– Kidney infection (Pyelonephritis): It is a relatively severe clinical picture with flank pain, fever, need to go to the toilet frequently, and nausea with urine burning.
Waist cold (Urethritis): It is accompanied by burning in the urine, discharge, and itching in the urinary tract. The type of bacteria can be estimated based on the color of the discharge. It is usually a sexually transmitted infection.
-Prostatitis: Prostate infection, urinary burning, frequent urination, intermittent urination, bifurcated urination, pain in the genital area are seen.
-Epididymitis and Epididymo-Orchitis: Dysuria is a testicular infection manifested by pain, swelling, redness, and fever in the testicles.
Vaginitis: It manifests itself with vaginal discharge, itching, burning in the urine, and pain. Vaginitis may be due to fungi and bacteria. Burning in the urine may appear after menopause without any signs of infection due to hormone withdrawal.
DIAGNOSIS of Urine Burning-Dysuria
History, physical examination, blood and urine tests, and urine culture constitute the first step of approaching a patient with urine burning. Even a simple urinalysis can give an idea about many diseases. Since approximately 60% of the causes that cause burning in urine are due to infections, infection-related examinations should be considered in these studies. If there are no signs of infection, in this case, other diseases and causes that may cause burning in the urine are investigated. According to the information obtained here, urine velocity measurement, ultrasonography, tomography (UT) and magnetic resonance (MR) may be required.
TREATMENT of Urine Burning-Dysuria
The treatment of the complaint of burning in urine is directed towards the underlying cause. Treatment aimed solely at reducing the dysuria complaint can only be given some medications to reduce the complaints if the cause of dysuria cannot be completely eliminated. Depending on the cause of dysuria, it responds well to treatment within a few days. Complaints may take longer if the underlying cause is difficult or involves a complex situation. To help prevent dysuria caused by cystitis or pyelonephritis, it may be recommended to drink several glasses of water each day.