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What Causes Frequent Urination Along With Burning Pain During Urination?

Posted on Wed, 18 Mar 2015

Question: I am taking several medicines for high blood pressure, atrial fibrillation, and BPH. My high blood pressure is under reasonable control and so is the atrial fibrillation. After several recent medicine changes. But, I am urinating constantly and it is burning. I suspect medicine is causing the problem.

Answered by Dr. Tushar Kanti Biswas (1 hour later)

Brief Answer:
Dysuria and BPH

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

Of all the anti-hypertensives, drugs which can cause increased urination are hydro-chlorthiazide group of drugs and amlodipine (calcium channel blocker).

BPH itself can cause increased urination due to irritation of bladder base.

BPH also can predispose to urinary tract infection, cystitis due to obstruction to urinary flow and consequent stasis factor leading to burning micturition and increased frequency of urination.

Go for urine routine examination and urine for culture and sensitivity test.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Tushar Kanti Biswas (4 hours later)

Concerning the urination frequency and burning. The new drugs I was prescribed are Hydralazine and Carvedilol. They replaced Amlodipine and Metoprolol. Should I suspect Hydralazine as the cause and will it go away. I was prescribed 3 times per day of the Hydralazine pill. (10mg)
I was prescribed Hydralazine and Carvedilol. I suspect the Hydralazine to be causing the urination frequency and burning. 10mg 3x/day. Will it lessen over time?

Answered by Dr. Tushar Kanti Biswas (15 minutes later)

Brief Answer:
Follow-up query.

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Hydralazine is not known to cause any genito urinary symptoms.

However Carvedilol can cause genito urinary side effects like UTI; hematuria etc.

You may discontinue Carvedilol after consulting with your treating doctors as it is not a common side-effect with Carvedilol .
Even then you need to subject urine for routine analysis and culture-sensitivity test as you have BHP.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Tushar Kanti Biswas (44 minutes later)

I had a urinary tract infection test a couple of days ago and it was negative. My Blood Pressure is not under control as well as I thought. It is 11:30 am here, I took morning meds about 8:30 am. I just checked my BP and it was 177/88. I expected much lower numbers! I am currently taking Lisinopril (40mg) 1x/day, as well as the other medicine I stated in my previous message. Do you have any other suggestions for medicine?

Answered by Dr. Tushar Kanti Biswas (6 hours later)

Brief Answer:
Follow-up query

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

In view of your associated co-morbidity like BPH,Prazosin ( peferably single dose long acting preparation) ,a selective postsynaptic alpha-1-adrenergic receptors blocker will be a better option.

The smooth muscles at the bladder outlet are under alpha1-adrenergic innervation.The first line therapy for BPH is an alpha blocker, which targets the dynamic component of the bladder outlet obstruction.

Orthostatic hypotension is however sometimes a problem.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad