Bladder Infection or Urethritis? Your Symptoms - Urology

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Uncertain whether it is cystitis or urethritis?


Hello doctor, I have been feeling unwell for two weeks...
At first, I experienced some unusual sensations on the side of my scrotum and near my buttocks.
Later, I developed pain from prolonged sitting, and I also feel uncomfortable when standing.
Sometimes, I have an increased urge to urinate, and after urinating, I feel a burning sensation in my urethra.
Holding my urine for too long makes me feel even worse...
I'm not sure what the issue might be or which specialist I should see.
Thank you, doctor.

Fan Xiansheng, 40~49 year old female. Ask Date: 2022/02/24

Dr. Du Shixi reply Urology


Hello: It is difficult to say before examination.
You should see a urologist at the hospital.
Currently, maintain normal hydration, avoid irritating foods, refrain from alcohol, and do not sit or stand for prolonged periods.
Seek medical attention at the hospital, especially if you experience urethral pain or fever, as this indicates a more urgent situation.
Wishing you good health.

Reply Date: 2022/02/24

More Info


Hello! I'm sorry to hear that you've been feeling unwell for the past two weeks. Based on the symptoms you've described, it sounds like you may be experiencing a urinary tract issue, which could be either a bladder infection (cystitis) or urethritis. Let's break down your symptoms and discuss the potential causes and next steps.


Symptoms Overview
1. Discomfort in the Scrotum and Perineal Area: The sensation of discomfort near the scrotum and the area close to the buttocks can be indicative of several conditions, including infections or inflammation in the urinary tract or reproductive system.

2. Increased Urgency to Urinate: Feeling the need to urinate more frequently than usual is a common symptom of bladder infections. This urgency can be accompanied by discomfort or pain.

3. Burning Sensation After Urination: A burning or stinging sensation during or after urination is a hallmark sign of urethritis or cystitis. This symptom suggests that there is irritation or inflammation in the urethra or bladder.

4. Discomfort When Sitting or Standing: Pain or discomfort when sitting for long periods can be associated with pelvic floor issues or inflammation in the surrounding tissues.


Potential Conditions
1. Bladder Infection (Cystitis): This condition is characterized by inflammation of the bladder, often due to a bacterial infection. Symptoms typically include frequent urination, urgency, burning during urination, and sometimes lower abdominal pain.

2. Urethritis: This is the inflammation of the urethra, which can be caused by infections (bacterial or viral) or irritants. Symptoms include burning during urination, discharge from the urethra, and discomfort in the genital area.

3. Prostatitis: In males, inflammation of the prostate gland can also cause similar symptoms, including pelvic pain, discomfort in the perineal area, and urinary issues.

4. Other Conditions: Conditions such as sexually transmitted infections (STIs), interstitial cystitis, or even kidney stones can also present with similar symptoms.


Recommended Actions
1. Consult a Healthcare Provider: Given the duration and nature of your symptoms, it is advisable to see a healthcare provider. A urologist would be the most appropriate specialist to consult for urinary tract issues. They can perform a thorough evaluation, including a physical examination and possibly urine tests, to determine the underlying cause of your symptoms.

2. Urine Analysis: A urinalysis can help identify the presence of bacteria, blood, or other abnormalities in your urine, which can guide diagnosis and treatment.

3. Avoid Irritants: While waiting for your appointment, try to avoid irritants such as caffeine, alcohol, spicy foods, and acidic foods, which can exacerbate bladder irritation.

4. Stay Hydrated: Drinking plenty of water can help flush out your urinary system and may alleviate some symptoms.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the presence of fever, chills, or worsening pain, which would necessitate immediate medical attention.


Conclusion
In summary, your symptoms suggest a possible urinary tract infection, either in the bladder or urethra. It is essential to seek medical attention to receive an accurate diagnosis and appropriate treatment. Early intervention can prevent complications and help you feel better sooner. I hope you find relief soon, and please take care of yourself!

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