Pain During Gas Release and Urination: A Urology Perspective - Urology

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Experiencing pain when trying to pass gas and also during urination can be concerning?


Hello doctor, recently I have been experiencing sharp pain near the urinary system when I pass gas while lying down or sitting.
In the morning, I also feel pain when I exert myself to urinate, and I have searched online for any information regarding urinary tract inflammation, but I haven't found anything mentioning that passing gas could also be painful.
Why is this happening (for the first time) in the lower abdomen? Thank you.

Lai, 20~29 year old female. Ask Date: 2022/04/30

Dr. Sun Hongshun reply Urology


Hello, Lai: I wonder if you have ever been to the hospital for a urinalysis or other tests? Conditions such as cystitis, pelvic pain syndrome, prostatitis, or other causes could be responsible.
I hope you can go to the hospital for a thorough examination.
Wishing you a speedy recovery.

Reply Date: 2022/04/30

More Info


Experiencing pain during gas release and urination can be concerning, and it’s important to understand the potential underlying causes and the relationship between these symptoms. From a urology perspective, there are several factors that could contribute to the pain you are experiencing.

Firstly, the anatomy of the pelvic region is such that the urinary system and the gastrointestinal system are closely situated. This means that issues in one system can sometimes manifest as symptoms in the other. For example, if there is inflammation or irritation in the bladder or urethra, it may cause discomfort that can be perceived during gas release, especially if the gas is putting pressure on the surrounding tissues.

One possible explanation for the pain you feel when passing gas could be related to a condition known as pelvic floor dysfunction. This occurs when the muscles of the pelvic floor are not functioning properly, which can lead to discomfort during various activities, including urination and gas release. The pelvic floor muscles support the bladder, bowel, and reproductive organs, and if they are tense or spasming, it can result in pain.

Another potential cause could be related to urinary tract infections (UTIs) or bladder infections. These infections can cause inflammation and irritation of the bladder and urethra, leading to pain during urination and potentially discomfort during gas release. While it is less common for gas release to cause pain directly, the pressure from gas can exacerbate the discomfort caused by an underlying infection.

Additionally, conditions such as interstitial cystitis or bladder pain syndrome can cause chronic pelvic pain, which may be aggravated by gas release or urination. These conditions are characterized by inflammation of the bladder wall and can lead to significant discomfort.

It’s also worth considering gastrointestinal issues. Conditions such as irritable bowel syndrome (IBS) or diverticulitis can cause abdominal pain and discomfort during gas release. If the intestines are inflamed or if there is excessive gas production, this can lead to pain that may be felt in the lower abdomen and could be perceived as being near the urinary tract.

To address your symptoms, it is advisable to consult with a healthcare professional, particularly a urologist or a gastroenterologist. They can perform a thorough evaluation, which may include a physical examination, urine tests, and possibly imaging studies to determine the underlying cause of your pain.
In terms of management, treatment will depend on the identified cause. If a UTI is diagnosed, antibiotics may be prescribed. For pelvic floor dysfunction, pelvic floor physical therapy may be beneficial. Dietary modifications may also help if gastrointestinal issues are contributing to your symptoms.

In summary, while pain during gas release and urination may not be commonly discussed in relation to urinary tract infections, pelvic floor dysfunction, or gastrointestinal issues, it is essential to consider the interconnectedness of these systems. A thorough evaluation by a healthcare professional is crucial to determine the underlying cause and appropriate treatment for your symptoms.

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