Urinary Pain Female

URINARY PAIN, FEMALE

DEFINITION

  • Discomfort (pain, burning or stinging) when passing urine
  • May include urgency (can't wait) and frequency (passing small amounts) of urination.

General Information

  • Urinary Tract Infection: Urinary tract infections are the most common cause of painful urination.
  • Vaginitis: Women with vaginitis sometimes have mild pain with urination but the main symptom of vaginitis is a new or abnormal discharge from the vagina. Vaginitis is a general term that means "vaginal inflammation." Vaginitis may occur because of chemical irritation (e.g. excessive douching, or excessive use of over the counter yeast medication) or it may have an infectious cause (e.g. trichomonas, yeast).
  • Sexually Transmitted Disease: Sexually transmitted diseases (e.g. gonorrhea, chlamydia, herpes) can also cause painful urination.

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WHEN TO CALL YOUR DOCTOR

Call 911 now (you may need an ambulance) if:

  • Very weak (can't stand)

Call Your Doctor Now (night or day) If

  • You feel weak or very sick
  • Can't pass urine or only can pass few drops
  • Blood in urine
  • Severe pain
  • Fever of 100.5 F (38.1 C) or higher
  • Shaking chills
  • Side (flank) or back pain is present
  • Abdominal pain is present
  • Have diabetes mellitus or a weakened immune system (e.g. HIV positive, cancer chemotherapy, chronic steroid treatment, splenectomy)
  • Are bedridden (e.g. nursing home patient, stroke, chronic illness, recovering from surgery)
  • Are a transplant patient (e.g. liver, heart, lung, kidney)

Call your doctor within 24 hours (between 9 am and 4 pm) if:

  • Blood in urine
  • All other women with painful urination
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HOME CARE ADVICE (pending talking with your doctor)

  • Fluids: Drink extra fluids. Drink 8-10 glasses of liquids a day. (Reason: to produce a dilute, non-irritating urine)
  • Cranberry Juice: Drinking cranberry juice may help in fighting urinary tract infections. Do not exceed 12 oz (Reason: too much cranberry juice can also be irritating to the bladder).
  • Warm Saline SITZ Baths to Reduce Pain: Sit in a warm saline bath for 20 minutes to cleanse the area and to reduce pain. Add 2 oz. of table salt or baking soda to a tub of water.
  • Call Your Doctor If:
    • You become worse

And remember, contact your doctor if you develop any of the "Call Your Doctor" symptoms.

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REFERENCES

  1. Avorn J, et.al. Reduction of bacteruria and pyuria after ingestion of cranberry juice. JAMA.1994; 71(10):751-4.
  2. Bass PF, Jarvis JAW, Mitchell CK. Urinary tract infections. Prim Care. 2003;30(1):41-61, v-vi.
  3. Bent S, Nallamothu BK, Simel DL, Fihn SD, Saint S. Does this woman have an acute uncomplicated urinary tract infection? JAMA. 2002;287(20):2701-10.
  4. Bent S, Saint S. The optimal use of diagnostic testing in women with acute uncomplicated cystitis. Am J Med. 2002; 113 Suppl 1A: 20S-28S.
  5. Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2006. MMWR Recomm Rep. 2006;55(RR-11):1-94.
  6. Gupta K, et.al. Increasing prevalence of antimicrobial resistance among uropathogens causing uncomplicated cystitis in women. JAMA. 1999;281(8):736-738.
  7. Hooton TM, Winter C, Tiu F, Stamm WE. Randomized comparative trial and cost analysis of 3-day antimicrobial regimens for treatment of acute cystitis in women. JAMA. 1995;273(1):41-5.
  8. Llenderrozos H. Urinary tract infections: management rationale for uncomplicated cystitis. Clin Fam Pract. 2004; 6(1); 157.
  9. McLaughlin SP, Carson CC. Urinary tract infections in women. Med Clin North Am. 2004; 88(2): 417-29.
  10. Patel HP. The abnormal urinalysis. Pediatr Clin North Am - 01-JUN-2006; 53(3): 325-37, v.
  11. Simerville JA, Maxted WC, Pahira JJ. Urinalysis: A Comprehensive Review Am Fam Physician 2005;71:1153-62.
  12. Stapleton A. Urinary tract infections in patients with diabetes. Am J Med. 2002;113 Suppl 1A: 80S-84S.
  13. Yoshikawa TT. Management of complicated urinary tract infection in older patients. J Am Geriatr Soc. 1996;44(10):1235-41.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

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