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What causes pain while urination? - Online Doctor Chats

Date : 18-Apr-2014
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1566 Questions
User:I had endometriosis removed a yr ago, v.extensive with adhesions, my bowel was stuck to abdomen and endo in pouch of XXXXXXX re-secected. I have also had major urinary urgency, had 2 cystoscopys and bladder was slightly inflamed. Been on meds to control urgency and now have major pain in a very small area just above surapubic bone/area. Have lidocaine patches for this, 1st day being today. I take amiptryline and paracetemol at night. Have avoided urinary irritants as advised and have been gluten/diary free for a while although have not stuck to this in the last few months. I have intense pain at end of urination and also when going to the toilet properly - like a horrible stabbing sensation. I look pale probably due to pain. I have urethra prolapse which feels very sore all the time and have had this for over a yr, hope to get this removed in the next few months. I have been to pain clinic and am waiting for injections in to painful surapubic area. I also have lumbar arachnoid cyst which I think has popped, herniated disc, annular tear and am waiting for injections in to spine for these and re-hab. I am really worried about tummy pain, it really is not right, can you give me some advise?
Let me read your query for few minutes to be able to have a good discussion here.
Doctor:all right, I have read your query
Doctor:the intense pain at the end of urination is your current concern, isn't it?
Doctor:and the pain in suprapubic area
Doctor:are you there?
User:Can you give me some advise as to lower tummy pain, it is very centralised and like a sharp stabbing pain and urethra is incredibly painful. When I urinate I do not get the normal urge always and when I go I do not have a lot of control, feels like it is just like turning a tap on. Not very strong urinary stream when it comes out and sometimes at night feels like kidneys are aching?
Doctor:It is possible that you may be having an on-going urinary tract infection
Doctor:Your nature of symptoms and their progression suggests this
Doctor:You probably need to get a urine routine test done
Doctor:I strongly suspect UTI that may need effective urinary antibiotics
Doctor:Why don't you get the urine test done at the earliest?
Doctor:are you there?
Doctor:are you getting my texts?
User:Yes, thanks, am going to have urine test done and also urethral swab next week
Doctor:ok, that should be perfect
User:Yes, am going to have urethral swab done next week and urine asap
Doctor:Please take appropriate antibiotics as well
Doctor:drink plenty of fluids orally
Doctor:cranberry juice would help you too
User:can urethral prolapse/caruncle cause pain at end of urination, this has been ongoing for over a year, infact getting on for two
Doctor:are you talking about uterine prolapse causing pain at the end of urination?
Doctor:If so, yes
Doctor:Definitely, a urethrocoele or uterine prolapse can cause pain at the end of urination
User:It is my urethra that has prolapsed slightly, I can see looks like a red strip of skin at urethral opening and redness just inside, I cannot take baths and do not use anything scented as it irritates this. Oestrogen cream irritates it too and is incredibly sensitive
Doctor:oh, I am really sorry on this
Doctor:Then you must get this looked into by an urologist at the earliest
Doctor:Seems like an active on-going infection
Doctor:The redness, pain all go in favor of it
Doctor:And until then, please do not use anything on the area
Doctor:It is better to even avoid using soap
Doctor:just wash the area with cold water
Doctor:Do not use any creams for that matter
User:I do not use soap atall, I have had streb b and antibiotics a few times,
Doctor:I see
Doctor:Get a urine routine done on asap basis now
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