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What Causes Recurrent Pain During Urination?

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Posted on Fri, 14 Oct 2016
Question: Re-occurring urination pain that started 3wees ago. Lasted for 1 week went away for a week and now back again. Pain level stays at a 4-8 out of 10.
doctor
Answered by Dr. Luchuo Engelbert Bain (1 hour later)
Brief Answer:
Rule out an infection, drink lots of fluid, urine culture, antibiotics, uro

Detailed Answer:
Hi and thanks for the question,

Sorry about that and understand this can be very disturbing. The commonest cause of pain on urination is usually an infection as for your age. It might worth asking if you have any recent history of unprotected sex, or if your sexual partner or wife is complaining lately. Have you also experienced any discharge from the urethra? If any of these are true, a urinary tract infection is most probable.

If not, rare causes like urinary stones or kidney stones could. However, in this case, the pain will be there and intermittent, even when you are not urinating.

It is not rare to also have early onset enlargement of the prostate gland (prostate hypertrophy) that could cause urination difficulties. However, in this case, other symptoms like regular urination and in small quantities are expected.

I suggest you see a doctor for urine samples to be collected for urine examination and cultures. Antibiotics could be prescribed while you drink lots of water. In case an infection is not the cause (ruled out), in depth investigations to exclude prostate issues should be started, preferably by the urologist.

I do not think it should be very serious so you need not bother so much as of now.

Thanks and kind regards as I wish you the best of health.

Dr Bain
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Luchuo Engelbert Bain (7 hours later)
Went to see the doctor last week and a urine sample was taken and came back with no issues. This was the start of the few days without any pain. No discharge from the urethra. If it's a UTI or Kidney Stones, are/will the following help:

A) Hot Baths with cap full of bleach?
B) Hot Shower with pain pills?
C) Exercise and cranberry vitamins 4,200mg?
D) Exercise and Chanca Piedra 2 caps 1000mg?
doctor
Answered by Dr. Luchuo Engelbert Bain (22 hours later)
Brief Answer:
Opinion of the urologist remains important

Detailed Answer:
H and thanks for the update,

I am afraid, in case of a urinary tract infection, you might certainly need antibiotics. All you cited are healthy but none unfortunately is an antibiotic. Exercise for sure is perfect. Pain pills can be taken if absolutely necessary.

However, I still suggest booking an appointment with a urologist.

Kind regards,


Dr Bain
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Luchuo Engelbert Bain

General & Family Physician

Practicing since :2009

Answered : 3092 Questions

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What Causes Recurrent Pain During Urination?

Brief Answer: Rule out an infection, drink lots of fluid, urine culture, antibiotics, uro Detailed Answer: Hi and thanks for the question, Sorry about that and understand this can be very disturbing. The commonest cause of pain on urination is usually an infection as for your age. It might worth asking if you have any recent history of unprotected sex, or if your sexual partner or wife is complaining lately. Have you also experienced any discharge from the urethra? If any of these are true, a urinary tract infection is most probable. If not, rare causes like urinary stones or kidney stones could. However, in this case, the pain will be there and intermittent, even when you are not urinating. It is not rare to also have early onset enlargement of the prostate gland (prostate hypertrophy) that could cause urination difficulties. However, in this case, other symptoms like regular urination and in small quantities are expected. I suggest you see a doctor for urine samples to be collected for urine examination and cultures. Antibiotics could be prescribed while you drink lots of water. In case an infection is not the cause (ruled out), in depth investigations to exclude prostate issues should be started, preferably by the urologist. I do not think it should be very serious so you need not bother so much as of now. Thanks and kind regards as I wish you the best of health. Dr Bain