Painful urge to urinate – causes and treatment

Proven content

Painful urge and pain when urinating is most often a symptom of inflammation of the urethra or bladder, and less frequently of prostatitis in men. Pre-medical treatment includes taking painkillers and anti-inflammatory drugs or using warm baths.

What is painful urge to urinate?

Painful urge to urinate is an unpleasant sensation during which you feel a frequent or even constant urge to urinate. This discomfort is felt even when the volume of residual urine is small. This condition is most often a consequence of inflammation of the urinary system. Then the patient feels an unpleasant burning sensation and pressure on the bladder, which can wake him up even from sleep (it happens that urine is released involuntarily). Some people also have hematuria. Other causes of painful urge to urinate may include diseases of the nervous system or age.

The causes of a painful urge to urinate

The causes of the disease can be classified into three groups:

1. Painful urge to urinate in diseases of the urinary system (genital tract and kidneys):

1. neoplastic diseases of the urethra or bladder;
2. prolapse of the uterus and vagina,
3. prostate hypertrophy (worsening with age),
4. urinary tract infections,
5. prostate infections,
6. sexually transmitted venereal diseases such as chlamydia
7. bladder stones / kidney stones,
8. overactive bladder.

2. Painful urge to urinate related to diseases of the nervous system (may be related to a defective structure and functioning of the nervous system):

1. Parkinson’s disease,
2. brain tumor
3. spinal cord tumor,
4. multiple sclerosis,
5. stroke: hemorrhagic or ischemic,
6. spinal cord or brain injuries,
7. spina bifida.

3. Painful urge to urinate in inflammatory conditions: various diseases of the urinary and genitourinary systems lead to inflammation, e.g .:

1. Reiter’s syndrome (reactive arthritis),
2. chronic prostatitis,
3. inflammation of the bladder and urethra (possibly related to gonorrhea or non-gonorrhea): inflammation of the urethra or bladder must be confirmed by laboratory examination of the urine and successfully treated by a doctor, because the consequences of not thoroughly curing these conditions are very painful even after years, due to to the possibility of ascending spread of infection through the ureters and renal pelvis to the renal parenchyma.
4. urinary tract injuries,
5. allergy to various types of chemicals, e.g. in bath liquids, washing powders or spermicides.

The pressure on the bladder can also be one of the first symptoms of pregnancy. This is due to the enlargement of the uterus, which puts pressure on the bladder, reducing its volume. Also, the high level of progesterone in pregnant women stimulates the muscle fibers of the urinary bladder to work more intensively.

Diagnosis of painful urge to urinate

Painful urge to urinate can have many causes. It can be one of the symptoms of a serious disease developing in the body, so you should always consult a specialist who will implement appropriate diagnostics. There is a group of symptoms that should be consulted immediately, e.g .:

1. mechanical injuries of the urinary tract,
2. impotence,
3. oliguria,
4. disturbance of consciousness (e.g. delirium, confusion, hallucinations)
5. elevated temperature (higher than 38 degrees Celsius),
6. dyspnoea,
7. nausea and vomiting
8. pain localized in the abdomen, back or pelvis.

During the visit, a specialist (urologist, general practitioner) conducts a medical interview with the patient and performs a physical examination. In most patients, it is necessary to extend diagnostics to find the cause of the painful urge to urinate. The most useful tests are:

1. general urine test
2. Ultrasound of the abdominal cavity and the smaller pelvis,
3. bacteriological urine test (so-called urine culture),
4. bladder endoscopy,
5. measuring the pressure in the bladder (so-called cystometry),
6. urodynamic examination (insertion of catheters into the bladder and rectum).

Treatment of painful urge to urinate

W home pre-medical procedurein order to alleviate these troublesome ailments, until the treatment recommended by the doctor is applied, you should:

1. wear warm underwear,
2. use warm sit-ups in the evening, after which you should go to bed immediately to extend the time of heat exposure and prevent cooling of the perineum area,
3. drink 2/3 cup of infusion made of a herbal mixture based on bearberry leaf, chamomile and blueberry leaf between meals,
4. if the symptoms are very bothersome, symptomatic painkillers and diastolic agents may be used.

The soothing effect on symptoms such as painful urge to urinate is demonstrated by the Uroner dietary supplement for the support of the urinary tract and Uroner D-mannose.

In addition, during treatment, you should avoid food that will aggravate the symptoms of painful urge to urinate. Very often pollakiuria occurs when too much is consumed:

1. cranberries,
2. tea (e.g. green) or coffee
3. chocolate,
4. fruit juices,
5. certain medications (e.g. cholinergics or diuretics).