Glans issues
Why do I have to strain when urinating, and why does the glans bleed towards the end of urination? Can you explain, doctor? Is it an infection? How can I prevent this?
Yao di diao, 10~19 year old female. Ask Date: 2016/10/25
Dr. Sun Hongshun reply Urology
Hello: Normal urination should not require excessive effort and should not involve any bleeding.
If urethral stones are suspected, it is recommended to drink plenty of water and avoid holding in urine.
Please consult a urologist for examination as soon as possible.
Wishing you good health.
Reply Date: 2016/10/25
More Info
Glandular pain, particularly in the context of urinary symptoms, can be concerning and may indicate an underlying issue that requires medical attention. Based on your description of experiencing pain during urination, the need to exert force, and the presence of bleeding from the glans (the tip of the penis), it is essential to consider several potential causes and preventive measures.
Possible Causes
1. Urinary Tract Infection (UTI): One of the most common causes of painful urination is a urinary tract infection. UTIs can cause inflammation and irritation of the urinary tract, leading to symptoms such as burning sensation, urgency, and sometimes bleeding.
2. Urethritis: This is the inflammation of the urethra, often caused by infections, including sexually transmitted infections (STIs) like gonorrhea or chlamydia. Symptoms can include painful urination, discharge, and bleeding.
3. Prostatitis: In males, inflammation of the prostate gland can lead to painful urination and may cause discomfort in the pelvic area. Prostatitis can be acute or chronic and may require specific treatment.
4. Bladder or Kidney Stones: The presence of stones in the urinary tract can cause significant pain, especially during urination. If a stone is obstructing the flow of urine, it can lead to bleeding and severe discomfort.
5. Trauma or Injury: Any recent injury to the genital area or pelvic region could also result in pain and bleeding during urination.
6. Tumors or Growths: Although less common, tumors in the bladder or urethra can cause similar symptoms, including bleeding.
Symptoms to Monitor
- Pain Level: Note the intensity and location of the pain. Is it sharp, dull, or burning?
- Bleeding: Is the bleeding consistent or does it occur only occasionally? Is it bright red or darker?
- Other Symptoms: Are there any additional symptoms such as fever, chills, nausea, or changes in urine color or odor?
Prevention Tips
1. Hydration: Drink plenty of fluids to help flush out the urinary system. Staying well-hydrated can dilute urine and reduce irritation.
2. Hygiene: Maintain good genital hygiene. Clean the area gently but thoroughly, especially after sexual activity.
3. Safe Sexual Practices: Use protection during sexual intercourse to reduce the risk of STIs, which can lead to urethritis and other infections.
4. Avoid Irritants: Certain products like scented soaps, lotions, or bubble baths can irritate the urethra. Opt for unscented products.
5. Regular Check-ups: If you experience recurrent urinary symptoms, consult a healthcare provider for regular screenings and evaluations.
6. Dietary Considerations: Some foods and beverages, such as caffeine, alcohol, and spicy foods, can irritate the bladder. Monitor your diet and adjust as necessary.
When to Seek Medical Attention
Given the symptoms you described, it is crucial to seek medical attention promptly. A healthcare provider can perform a thorough evaluation, which may include:
- Urinalysis: To check for signs of infection or blood in the urine.
- Culture Tests: To identify any bacterial infections.
- Imaging Studies: Such as an ultrasound or CT scan, to check for stones or other abnormalities.
- Physical Examination: To assess for any signs of trauma or other issues.
In conclusion, while there are several potential causes for the symptoms you are experiencing, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and improve your overall health.
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