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You are here : AllRefer.com > Health > Medical Symptoms Guide > Painful Urination: What to Expect at your Health Care Provider's Office

Urination - Painful

Provided by A.D.A.M.

Definition

Overview & Considerations

Common Causes

Home Care & Treatment

Call your Health Care Provider if

What to Expect at your Health Care Provider's Office

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Alternate Names : Dysuria, Painful Urination


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What to Expect at your Health Care Provider's Office

Your health care provider will obtain your medical history and will perform a physical examination.

Medical history questions documenting painful urination may include the following:

  • Time pattern: When did the painful urination begin?
  • Quality
    • Does the pain occur only during urination?
    • Does the pain stop after urination?
  • Location
    • Is the pain in the urethra?
    • Is there back pain?
  • Other
    • What other symptoms are also present?
      • Have you had a fever higher than 100 degrees F?
      • Is there drainage or discharge between urinations?
      • Is there an abnormal urine odor?
      • Are there any changes in the volume or frequency of urination?
      • Do you have the urge to urinate?
      • Was any blood in the urine noticed?
      • Are there any rashes or itching in the genital area?
    • What medications are you taking?
    • Are you pregnant or could you be pregnant?
    • Has there been a previous bladder infection?
    • Do you have any allergies to any medications?
    • Have you had sexual intercourse with someone who is known to have gonorrhea or chlamydia?
    • Has there been a recent change in the brand of soap, detergent, or fabric softener?
    • Have you had surgery or radiation to your urinary or sexual organs?

With previous bladder or kidney infections, a more detailed history and physical are needed, and extra laboratory studies may be necessary. In women with a vaginal discharge, an examination of the vagina and any discharge is necessary. Men who have penile discharge will need to have a urethral swab done.

Diagnostic tests:

Your health care provider will probably start with an office urine dipstick. Based on those results, a urine culture may be ordered. DNA probes for gonorrhea or chlamydia may also be obtained.

Treatment:

If a urinary tract infection is confirmed or highly suspected, treatment will include the prescription of an antibiotic. If appropriate, pain medications will be administered. If gonorrhea or chlamydia is suspected, your health care provider will provide you with antibiotics to treat these infections, usually even before the lab can confirm the infection, and instructions on notifying your sexual partner(s) for treatment.

If vaginitis or vulvitis is diagnosed, your health care provider will recommend appropriate treatment.

Other medications or surgical treatment may be necessary depending on the cause of the discomfort.



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Definition
Painful Urination: Overview & Considerations
Painful Urination: Common Causes
Painful Urination: Home Care & Treatment
Call your Health Care Provider if
What to Expect at your Health Care Provider's Office
Pictures & Images

Topics that might be of interest to you

Diseases & Conditions

Allergies
Atrophic Vaginitis
Chlamydia
Contact Dermatitis
Eczema (Atopic Dermatitis)
Gonorrhea - Female
Interstitial Cystitis (IC)
Urethritis
Urinary Tract Infection
Vulvitis

Tests & Exams

Urine Culture - Clean Catch
Urine Odor

Other Topics

Back Pain - Low
Fever
Itching
Pain Medications
Physical Examination
Rashes
Urine - Bloody
Vagina

Review Date : 10/28/2002
Reviewed By : David R. Knowles M.D., Department of Urology, New York-Presbyterian Hospital Columbia Campus, New York, NY. Review provided by VeriMed Healthcare Network.

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