Despite the difference in the anatomical structure of the organs of the genitourinary system, both women and men may experience such an unpleasant and alarming symptom as burning in the urethra.Is it worth it at the first signs of dysuria to run to the clinic, and what treatment will help restore health?
Symptoms are the same, but the reasons are different?
Doctors call discomfort during bladder emptying difficult de-urination. Its symptoms are itching, burning and cramps, which can occur both at the beginning of the process and after. Sometimes pain, discharge, worsening of the general state of health and temperature sometimes joins these symptoms.
There are several diseases common to women and men that have similar manifestations. But they can also cause ills that are found only among representatives of a particular gender. Therefore, it is better to treat symptoms and its causes separately for each category of patients.
Why can there be a burning sensation in the urethra in men?
Men are less likely to suffer from burning problems in the urethra, as nature gave them a longer urethra and a special organ - the prostate, which releases disinfectants that prevent the spread of infection. The body of the stronger sex is more adapted to resist infections. Therefore, if it already begins to "tweak" when trying to go to the toilet, then the reason is quite serious.
What diseases can cause burning?
- If discomfort occurs at the beginning of de-rination, then this may be a sign of inflammation of the urethra. The disease is caused only by infectious factors, and the pathogen may not be felt for a long time, as it is restrained by immunity. When it is weakened, itching and purulent-mucous discharge with an unpleasant odor appear.
- The appearance of burning after urination may indicate the onset of urolithiasis.
- Prostatitis signals itself not only with unpleasant and painful sensations, but also with frequent urination, a violation of urine outflow (blood can appear in it).
- Burning, which is complemented by vitreous secretions, a slight increase in temperature and general malaise, indicates chlamydia.
- Unprotected sex can lead to gonococcus or mycoplasmosis virus infection. In this case, it is not limited to burning: discharge may contain pus and blood.
- Not always problems with urination are the result of perverse connections. This symptom is accompanied by inflammation of the bladder - cystitis, which develops due to hypothermia.
- Burning may occur after mechanical damage to the organs of the genitourinary system.
- In men, a slight burning sensation in the urethra may be due to disregard of hygiene of the genital organs - a rare change of linen and improper hygiene procedures.
- Some foods (acute and acidic) and alcohol can cause discomfort when emptying the bladder.
Factors and diseases that cause burning in women
Women are more at risk of problems with the urinary organs, as they have a short and wide urethra located in the immediate vicinity of the vagina.
Pregnancy also sometimes leads to the fact that there is a burning sensation in the urethra without secretions.But this occurs for a natural reason: the uterus puts pressure on the bladder. In all other cases, this symptom warns that an infectious or inflammatory process has begun.
What kind of diseases make women suffer when trying to go to the toilet for a small need?
- Pain can be caused by cystitis. Inflammation of the bladder membranes is accompanied by such unpleasant symptoms as increased urination, pain in the lower abdomen. Often the temperature rises, and blood may appear in the urine.
- Urethritis. “Identifying” this disease is quite easy, as a burning sensation in the urethra is not the only sign: itching and abundant purulent discharge appear. Another characteristic manifestation is that the first portion of urine has a cloudy color and inclusions in the form of threads and flakes.
- Stones in the bladder and kidneys. If they move along the urethra, they may scratch the urethra, which will cause a burning sensation.
- Sexually transmitted infections: gonorrhea, chlamydia, thrush, candidiasis, trichomoniasis, ureaplasmosis.
- A specific female problem is cervical inflammation.
But burning can cause not only diseases of the urinary system. Unlike men, hormonal disorders, allergies to soap and hygiene products, as well as nervous disorders can provoke such a problem in women. Therefore, you should not engage in self-diagnosis, so as not to lose your health.
What will help diagnose?
To select the most effective therapy, it is necessary to accurately determine the cause of dysuria. First of all, both women and men, the doctor will prescribe to pass a urinalysis. What can he show?
- If traces of protein and an increased number of leukocytes are found, then inflammation is localized in the urethra and bladder.
- If erythrocytes are present (there should be no red blood cells in it) and salt crystals, then the doctor will make a conclusion about the onset of urolithiasis.
- A large amount of protein indicates kidney problems.
- If the analysis is within the normal range, then the burning sensation may be a consequence of nervous overstrain.
If harmful microorganisms "wound up" in the body, this can be seen from the results of a clinical analysis of blood - an increase in the number of leukocytes, high ESR.
In women, special diagnostics can also be carried out - a study of the vaginal microflora (smear). A smear can also be made for men, only take it from the urethra.
To detect sexually transmitted infections, laboratory tests are carried out using ELISA and PCR.
If there is a suspicion of problems in the work of the kidneys, then an ultrasound scan will be ordered. To exclude the possibility of tumors and organic pathologies, an x-ray or MRI of the lower spine will be performed.
How and what to be treated?
Even a weak burning sensation in the urethra should be a reason for an immediate visit to the doctor. This should be done even more if the painful symptom does not go away, and the disease declares itself and other signs.
To be treated with folk remedies in such cases is strictly contraindicated. The only thing that can be done if the process of urination was accompanied by a burning sensation - drink 2 tbsp. water, and then every 6 hours take soda solution. It is prepared in proportions per 100 g of water 1 tsp. soda This will help flush out bacteria from the bladder and urethra.
Medical treatment will include such methods and medications.
- Cystitis in women and men is treated according to the same pattern. A gentle mode is assigned (spicy, salty foods, canned foods, seasonings, fatty meat broths are excluded from the menu). They prescribe thermal procedures - a sitz bath, thermal microclysters, a heating pad. In order to save the patient from pain, injections of No-shpy, Papaverina, Spazmolgon are prescribed. Antibiotics are used (Furagin, Furadonin, Nolitsin, Palin).
- If inflammation is detected in the urethra or kidneys, antibiotics are indicated - Norfloxacin, Cephalosporins, Ampicillin, Azithromycin. Treatment methods are the same for everyone.
- If urolithiasis is diagnosed, the patient should go on a diet: animal protein, salt is limited, fluid intake increases to 2 liters per day. If the size of the stones does not allow to dissolve them with medicines, then resort to ultrasonic fragmentation or carry out a surgical operation.
- Antibiotics (fluoroquinolones), non-steroidal anti-inflammatory drugs and medicines that improve microcirculation in the prostate are used to treat prostatitis. Also used physiotherapy and massage. Pain syndrome is removed with the help of analgesics.
- If an infection is detected in the vagina in women, then therapy includes antibiotics (Cefazolin, Pimafucin, Metronidazole), immunocorrectors, hepatoprotectors, antifungal agents (Clotrimazole, Nizoral, Flucostat), vaginal suppositories. In parallel with this, medications are prescribed to prevent dysbiosis (Linex, Hilak Forte).
- Treatment of gonorrhea is also the same for both sexes. It includes antibiotic therapy (Cefixime, Ofloxacin, Ciprofloxacin). Immunotherapy, instillation of the urethra, physiotherapy.
- For the treatment of chlamydia, macrolide antibiotics are used - Erythromycin, Oleandomycin, Summamed. These drugs are combined with antifungal drugs - Fluconazole and Nystatin.
Burning in the urethra is a symptom that is familiar to both men and women. It is usually caused by diseases that cannot pass on their own. To restore health and a full intimate life, it is necessary examination and serious treatment. We should not forget that the neglected problems of the urogenital sphere threaten with such complications as infertility, impotence and the acquisition of chronic diseases that are not amenable to treatment.