Dysuria is painful urination; it is a feeling of pain, discomfort, or a burning sensation during urination. It exhibits symptoms like frequency or urgency. Dysuria is not a clinical diagnosis; it indicates a symptom of a primary health issue. The discomfort is felt when the urine passes out of the body. The pain is experienced within the body too. It is a very clinical presentation in primary care. Any individual including children can experience painful urination, irrespective of gender, but it’s more common in women. The ICD-10-CM Code for dysuria is R30. 0
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Dysuria in women
Dysuria (painful urination) is a common symptom in women and it’s not always associated with urinary tract infection (UTI). Women are more prone to developing UTIs due to their short urethra, and a few lifestyle factors such as delay in micturition, sexual relations, and use of diaphragms and spermicides. All these factors give rise to the colonization of bacteria and related 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, epididymitis, 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
Burning pain with urination
Itching, tenderness, or swelling in the penis or groin
Pain during sex or masturbation
Blood in the urine (hematuria) or semen (hemospermia)
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
Different urine color and/or smell
The causes of dysuria (painful urination) are as follows –
Bladder infection (cystitis)
Bladder and kidney stones
Acute and subclinical pyelonephritis
Urinary tract infection
Burning vulvar syndrome
Chronic bacterial prostatitis
Sexually transmitted diseases (STDs)
Cancer treatment (chemotherapy or radiation therapy)
Frequent urination due to certain health problems
Diet - spicy or acidic foods, carbonated drinks, caffeine, and alcohol
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.
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.
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)