Urethral Swelling: Causes and Symptoms Explained

Urethral swelling

Doctor, I feel swelling in my urethra, and it hurts when I sit or get up due to pressure.
I've also had a lot of discharge in the past two days, and although my period hasn't started yet, there are some blood stains on my underwear.
What could be happening?

H, 20~29 year old female. Ask Date: 2015/12/09

Dr. Li Yilun reply Urology

Your symptoms may indicate a urinary tract infection, which can include urethritis, cystitis, or pyelonephritis.
Any infection of the urinary system falls under this category and is typically caused by bacteria.
Generally, antibiotic treatment is required, with a course lasting between 7 to 10 days.
The physician may determine the treatment plan based on urinalysis or urine culture results, along with routine urine tests to check for inflammatory white blood cells.
It is important to note that a simple description of your symptoms is insufficient for diagnosing the condition; a thorough medical history and physical examination are necessary.
It is advisable to consult a specialist for evaluation and treatment.
Physicians often need to conduct a detailed history inquiry, visual inspection, palpation, and other examinations to confirm the diagnosis and treatment approach.
If you are experiencing symptoms, it is recommended to seek evaluation and treatment from a nearby urologist.

Reply Date: 2015/12/09

More Info

Urethral swelling can be a concerning symptom, and it is essential to understand its potential causes and associated symptoms. Based on your description, it seems you are experiencing urethral swelling accompanied by pain when sitting or standing, increased discharge, and some bloodstains in your underwear. These symptoms can arise from various conditions, and it is crucial to consider them in context.

Possible Causes of Urethral Swelling
1. Infection: One of the most common causes of urethral swelling is a urinary tract infection (UTI). UTIs can lead to inflammation of the urethra (urethritis), causing swelling, pain, and increased discharge. The presence of blood in your discharge could indicate irritation or inflammation in the urinary tract.

2. Sexually Transmitted Infections (STIs): Conditions such as gonorrhea or chlamydia can cause urethral swelling and discharge. These infections often present with similar symptoms, including pain during urination and unusual discharge.

3. Trauma or Injury: Any recent trauma to the pelvic area or urethra can lead to swelling and pain. This could be due to physical activity, accidents, or even aggressive sexual activity.

4. Allergic Reactions or Irritants: Sometimes, irritation from soaps, lotions, or other products can cause localized swelling and discomfort in the urethra.

5. Urethral Stricture: A narrowing of the urethra can lead to swelling and pain, particularly when pressure is applied, such as when sitting or standing.

6. Hormonal Changes: If you are close to your menstrual period, hormonal fluctuations can sometimes cause increased sensitivity and swelling in the pelvic area, although this is less common.

Symptoms to Monitor
- Pain Level: Note the severity of your pain. If it becomes severe or is accompanied by fever, chills, or vomiting, seek medical attention immediately.

- Discharge Characteristics: Pay attention to the color, consistency, and odor of the discharge. Unusual characteristics may indicate an infection.

- Urination Changes: Monitor for any changes in urination patterns, such as increased frequency, urgency, or pain during urination.

- Additional Symptoms: Keep an eye out for any other symptoms, such as fever, back pain, or abdominal discomfort, which could indicate a more serious condition.

Recommended Actions
1. Seek Medical Attention: Given your symptoms, it is advisable to consult a healthcare provider as soon as possible. They can perform a thorough examination, including a urinalysis and possibly cultures to identify any infections.

2. Avoid Irritants: Until you see a doctor, avoid any potential irritants, such as scented soaps or lotions, that could exacerbate your symptoms.

3. Stay Hydrated: Drinking plenty of water can help flush out any potential infections and may alleviate some discomfort.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help manage your pain until you can see a doctor.

5. Follow Up: If you experience worsening symptoms or new symptoms arise, seek immediate medical care.

In summary, urethral swelling can result from various causes, including infections, trauma, or irritants. Given your symptoms, it is crucial to seek medical evaluation to determine the underlying cause and receive appropriate treatment. Early intervention can prevent complications and promote a quicker recovery.

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