Bladder Pain: Causes and Remedies for Urinary Discomfort - Urology

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Bladder distension can cause a burning sensation during urination?


I have been experiencing a stinging sensation after urination lately, and there is also some discomfort for a while after I finish.
I had a urinary tract infection a long time ago, and it improved after I took medication seriously.
Around August of this year, I had a urine test, and the doctor mentioned that my bladder was full of bacteria.
I also have some gynecological issues, such as increased discharge.
However, I did not complete the course of antibiotics prescribed by the doctor because I felt very uncomfortable while taking them, so I stopped on my own.
I drink plenty of water and love to stay hydrated, but due to my work schedule, I can't go to the bathroom frequently, which sometimes leads to holding it in until I can't anymore.
Is it necessary to take antibiotics to improve my condition? (Taking them makes me feel really uncomfortable, and I also have difficulty swallowing pills.
ToT) Are there any other supplements I can take to help improve my situation? By the way, I have had my urine tested, and the protein content is high.

Wei Ni, 30~39 year old female. Ask Date: 2015/11/23

Dr. Xu Weikai reply Urology


Vini: Hello, if you frequently experience infections, it's essential to eliminate all bacteria in the bladder for improvement.
If you use insufficient amounts of antibiotics, it only creates superbugs, and over time, your body will have no antibiotics left to use.
Note: If you prefer not to use antibiotics, it’s better to avoid them entirely rather than exposing bacteria to suboptimal doses.
You mentioned that you drink a lot of water; do you know how many cc you consume daily? Note: It is generally recommended to drink at least 3000 cc per day, and if the infection is severe, even more.
Additionally, if you want to avoid antibiotics, consider consuming a large amount of cranberry, such as drinking 500 cc of cranberry juice daily.
You can drink it all at once, in divided doses, or diluted.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/23

More Info


Bladder pain and urinary discomfort can be distressing and significantly impact your quality of life. Understanding the potential causes and remedies is crucial for effective management. Based on the symptoms you've described, including the sharp pain during urination and discomfort afterward, it is essential to consider several factors that could be contributing to your condition.


Potential Causes of Bladder Pain
1. Urinary Tract Infection (UTI): One of the most common causes of bladder pain is a urinary tract infection. Symptoms often include a burning sensation during urination, frequent urges to urinate, and sometimes blood in the urine. If you had a previous diagnosis of a UTI and did not complete your antibiotic course, the infection may not have been fully resolved, leading to persistent symptoms.

2. Bladder Inflammation: Conditions such as cystitis (inflammation of the bladder) can cause similar symptoms. This inflammation can be due to infections, irritants (like certain soaps or hygiene products), or even stress.

3. Interstitial Cystitis: This is a chronic condition characterized by bladder pressure, bladder pain, and sometimes pelvic pain. It can lead to frequent urination and discomfort, often without an identifiable infection.

4. Kidney Stones: While you mentioned not having kidney pain, stones can sometimes cause referred pain to the bladder area, especially if they are located in the ureters.

5. Hormonal Changes: Since you mentioned having gynecological issues, hormonal fluctuations related to your menstrual cycle could also contribute to bladder discomfort.

6. Dietary Factors: Certain foods and beverages, such as caffeine, alcohol, spicy foods, and artificial sweeteners, can irritate the bladder and exacerbate symptoms.


Importance of Completing Antibiotic Treatment
If a healthcare provider prescribes antibiotics for a UTI or bladder infection, it is crucial to complete the entire course, even if symptoms improve. Stopping antibiotics prematurely can lead to antibiotic resistance and may allow the infection to persist or recur. If you experience side effects from antibiotics, discuss these with your doctor; they may be able to prescribe an alternative that is easier for you to tolerate.


Non-Antibiotic Remedies and Lifestyle Changes
1. Hydration: Continue to drink plenty of water, as this helps dilute the urine and flush out bacteria. Aim for at least 2-3 liters a day, but adjust based on your comfort and lifestyle.

2. Dietary Adjustments: Consider keeping a food diary to identify any foods that may trigger your symptoms. Reducing intake of irritants like caffeine, alcohol, and spicy foods may help alleviate discomfort.

3. Pain Relief: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage pain. However, consult with your healthcare provider before taking any medication.

4. Bladder Training: If you find yourself holding urine for extended periods, consider bladder training techniques. Gradually increase the time between bathroom visits to help your bladder adjust.

5. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises like Kegels can improve bladder control and reduce discomfort.

6. Consultation with Specialists: If symptoms persist, consider consulting a urologist or a gynecologist for further evaluation. They may recommend additional tests, such as a cystoscopy or bladder ultrasound, to assess the bladder's condition more thoroughly.


When to Seek Medical Attention
If you experience worsening symptoms, such as increased pain, fever, chills, or blood in the urine, seek medical attention promptly. These could be signs of a more serious infection or other complications.


Conclusion
While antibiotics are often necessary for treating bacterial infections, there are several lifestyle changes and non-antibiotic remedies that can help manage bladder pain and discomfort. It is essential to communicate openly with your healthcare provider about your symptoms, treatment options, and any concerns regarding medications. By working together, you can develop a comprehensive plan to address your urinary discomfort effectively.

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