What is Dysuria (Painful Urination)?

Dysuria, or painful urination, is a symptom characterized by discomfort or a burning sensation while urinating.

Dysuria Implications

  • It is not a standalone clinical diagnosis, but rather a symptom of an underlying health condition.
  • This discomfort is experienced both during urination and within the body.
  • Dysuria is frequently encountered in primary care settings and can impact individuals of any age or gender, although it is more common in women.
  • The specific ICD-10-CM Code assigned to dysuria is R30.0.

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What are the Dysuria symptoms?

  • Symptoms of dysuria can differ between women and men, but both genders experience it as a burning, itching, and stinging sensation. The most common characteristic of dysuria is burning.
  • Primarily, painful urination is felt at the beginning or after a person urinates. When pain occurs at the start of urination then it mostly indicates urinary tract infection (UTI). Pain after urination indicates trouble with the bladder or prostate.
  • Painful symptoms in women can be inner or outer. When pain occurs outside the vaginal area then it is due to inflammation or sensitive skin irritation. Pain experienced internally signifies a urinary tract infection (UTI).
  • Some of the common symptoms of dysuria include:
    • Painful urination or discomfort during urination
    • A strong, sudden feeling to urinate
    • Strain while urinating
    • Urinary incontinence
    • Different urine color and/or smell

Dysuria in women

  • Dysuria (painful urination) is a common symptom in women and may not always be associated with urinary tract infection (UTI).
  • Women are at a higher risk of UTIs because of their shorter urethra and various lifestyle factors.
  • Delaying urination, engaging in sexual activity, and using diaphragms and spermicides are some of the factors that can lead to bacterial colonization and potential health complications.

Dysuria in men

Dysuria (painful urination) is a common complaint in men, mostly older men. The presence of dysuria indicates a urogenital infection such as urethritis, urinary tract infection, prostatitis, or urinary tract infection (UTI). In men, pain can exist in the penis before and after they urinate.

Generally, the symptoms in men observed are:


What are the causes of dysuria (Painful Urination)?

  • Bladder infection (cystitis)
  • Interstitial cystitis
  • Bladder and kidney stones
  • Bladder cancer
  • Acute and subclinical pyelonephritis
  • Vaginal infection
  • Urinary tract infection
  • Endometritis
  • Urethral diverticulum
  • Urethritis
  • Genital herpes
  • Burning vulvar syndrome
  • Chronic bacterial prostatitis
  • Prostate disease
  • Sexually transmitted diseases (STDs)
  • Medications
  • Cancer treatment (chemotherapy or radiation therapy)
  • Chemical irritation
  • Frequent urination due to certain health problems
  • Diet - spicy or acidic foods, carbonated drinks, caffeine, and alcohol

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What are the dysuria treatment options?

Painful urination (dysuria) treatment is determined by the source of the symptoms (pain/burning sensation). The doctor will first want to investigate if the painful urination is due to any infection, inflammation, dietary intake, or bladder or prostate problems.

  • Antibiotics are used for bacterial infections (STDs, UTIs, bladder infections).
  • Antifungal drugs to cure vaginal yeast infections.
  • Skin inflammation is treated by identifying the cause of the irritant.
  • Dysuria because of a bladder or prostate medical condition is managed by addressing the specific health problem.

Dysuria treatment at home

By following a few steps it is easy to keep away dysuria symptoms and also prevent them from occurring.

  • Water : Drink more water. Consuming more water will help to remove the toxins and also decrease the pain and irritation.
  • Probiotics: Probiotics are live microorganisms that produce positive health outcomes. Consuming probiotics aid to fight the bad bacteria and fungi responsible for dysuria.
  • Ginger : Raw ginger, ginger tea, or ginger supplements keeps away dysuria as well as other infections.
  • Cardamom : Cardamom has natural antibacterial and diuretic properties. It flushes out waste products and retains water. Taking cardamom also helps in digestion and improves circulation.
  • Vitamin C : Vitamin C boosts immunity by encouraging white blood cell (WBC) production. Eating vitamin C-rich foods helps us to fight off infections more strongly.

Citations

Dysuria Dysuria Dysuria Dysuria(burning) Dysuria (Pain with Urinating)
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Frequently Asked Questions

Does dehydration cause painful urination?

Dehydration may result in the production of concentrated urine, which has the potential to cause irritation in the urinary tract and contribute to discomfort while urinating.

What is the difference between dysuria and UTI?

Dysuria is characterized by painful or uncomfortable urination, whereas a UTI specifically denotes a bacterial infection in the urinary system.

Is dysuria common in pregnancy?

UTIs are often seen in pregnancy. It’s not an emergency in pregnant women but should be treated with antibiotics that are safe to use.

How can you differentiate dysuria and UTI?

Dysuria is painful urination or a feeling of discomfort while urinating. Usually, it means urinary tract infection (UTI), but there may be many other causes. UTI is not a symptom, but it’s an infection.

How can dysuria be diagnosed?

Following are some diagnosis methods

  • Medical history
  • Physical examination
  • Urine analysis
  • Urine microscopic examination
  • Urine culture
  • Vaginal or urethral smears/pH
  • Ultrasound examination of kidneys and ureter
  • A cystoscopy
  • An intravenous pyelogram (IVP)

When to see a doctor for dysuria?

Visit a doctor for dysuria, if you notice:

  • Painful urination not going away
  • Drainage or discharge from penis or vagina
  • Foul-smelling or cloudy urine
  • Blood in the urine (hematuria)
  • Passing of bladder or kidney stone
  • Pregnancy

Can dysuria be cured?

Yes, it can be cured by using prescribed medicines and adopting good lifestyle habits.

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