Pain when urinating in a child / Mama66.ru

Diagnosis of illness

If a newborn cries before urinating, twists his legs, makes faces, there is no need to immediately seek help from a specialist, especially at night. First you need to carefully examine the condition of the baby. To do this you need to define:

whether the baby’s health condition has worsened or the temperature has risen;
whether the baby’s night sleep and appetite have deteriorated;
does the skin under the diaper look healthy, does prickly heat appear?
Has the urine changed color?

If the little one is cheerful, enjoys playing and eating, and only shows anxiety when going to the toilet, there is no need to worry. This is how the baby shows that he just needs to empty his bladder. The excitement of the baby, who is a month old, is quite understandable: urine accumulates in the bladder, which is why it stretches and brings an unfamiliar sensation to the newborn.

If a one-month-old baby cries before urinating, it becomes painful for the girl to pee, it is worth carefully studying the problem (for more details, see the article: why does a baby cry before peeing?). Perhaps the baby wants to say that he is worried about a serious illness.

Under normal conditions, urination in an infant should not cause any discomfort.

Forms of cystitis

Cystitis can have an acute or chronic form. In the acute form, symptoms appear suddenly. The development of cystitis can be stimulated by decreased immunity, hypothermia or other factors.

The main manifestations of the acute form:

Cystitis is accompanied by an inflammatory process in the bladder. The stronger the inflammation, the more often the urge to urinate. If it hurts a girl to write and drops of blood are released, this means the presence of an inflammatory process. In the acute form of this disease, the urge to urinate is very frequent, every 20-30 minutes.

Chronic cystitis occurs with complications of the kidneys and genitals. All symptoms in this form are the same as in the acute form. To treat chronic cystitis, accurate diagnosis of diseases is necessary.

Cause of the disease

This is due to the individual structure of the reproductive system. Other symptoms also occur. This:

frequent trips to the toilet with a small amount of urinary fluid and false urges;
burning in the genital area and abdominal pain;
increased body temperature;
unpleasant odor coming from urine.

A child’s body can become hypothermic if there is insufficient insulation during walks in the cold, when swimming in cold water, or if the child sits on cold concrete or the floor.

Kidney stone disease

Complications after a long-term viral illness (ARVI, influenza). Sometimes a prolonged cold significantly weakens a child's immune system, which is why infections quickly spread throughout the child's body, reaching the genitals.
Exacerbation of kidney stone disease. This disease is accompanied by pulling and cutting sensations in the lumbar region. The child may suffer from nausea and vomiting, it is painful for the baby to go to the toilet, and the urine contains blood or purulent discharge. The child's behavior also changes. He cries, often changes the position of his body, thereby trying to reduce the pain, and a slight swelling can be felt in the lower abdomen.
The presence of a foreign body in the urethra. A small object can get there during the game. The fact is that small children have the habit of learning about themselves and the world around them through tactile contact. Therefore, they can insert small parts of toys into holes in their own bodies. Parents should definitely, but carefully ask the child about this and thoroughly examine his genitals. If the presence of a foreign body is confirmed, then you need to pull it out or seek help from a specialist.
Vesicopelvic reflux. This is a pathology due to which the secreted urinary fluid is thrown back into the renal pelvis, which causes pain in the child when urinating. This phenomenon occurs with a certain frequency and requires consultation with a doctor.
Mechanical injury. During walks and active games, children often get injured, hit objects and fall, bumping into obstacles. In all these cases, injury to the perineum or all pelvic organs may also occur. This leads to the child feeling pain during urination.

All these reasons can provoke painful sensations in children when going to the toilet. Factors that cause similar pain that appears in children may vary and depend on the gender of the child.

In boys, the cause of body malfunction may be balanitis or balanoposthitis. Additional symptoms are swelling and redness in the area of the reproductive system, and cloudy discharge appears from the urethra. The boy may complain of discomfort and burning of the head of the penis.

As for girls, this problem can occur with vulvovaginitis. In this case, symptoms such as:

redness and swelling of the genitals;
copious discharge with an unpleasant odor;
burning sensation when going to the toilet.

Sometimes pain when urinating in a girl can be the result of an ailment such as synechia (fusion of the labia). In such a situation, the baby usually sits on the potty with hysterics and constantly touches her genital area. She doesn't want to go to the toilet and can throw a real tantrum to her parents.

Why does pain occur when urinating in children?

Hypothermia is the main, but far from the only reason why children develop diseases accompanied by burning pain during urination. Viral infections and inflammations that arise as a result of exposure to low temperatures on the child’s body, or when they independently penetrate into organs, during epidemics or the development of favorable conditions for the development of infection. Thus, one of the favorable conditions for the occurrence of various diseases is weakened immunity.

Children's curiosity often leads to disastrous consequences. One of the reasons why painful urination begins to develop may be the entry of a foreign body into the urethra, for example, beads, small seeds or parts of toys; the child simply inserts them into the urethra. Below are the most common causes and diseases, as a result of which the normal process of urination turns into a problem:

infectious inflammations that occur in the cavity of the urinary system (renal pelvis, bladder, urethra);
formation of salt conglomerates (stones) in the kidneys;
penetration of a foreign body into the urethra;
vesicopelvic reflux (backflow of urine from the bladder into the renal pelvis).

Considering all the possible causes of pain, you should pay special attention not only to the baby’s complaints, but also try to find out at least the approximate location of the pain. Typically, burning pain appears when urinating in children, in the perineum, lower abdomen, in the lumbar region or navel. You should study the amount, color and even the smell of urine released, monitor how often the child is forced to urinate and what portions of urine come out (in normal quantities, in small portions, in several passes).

In a situation where renal pelvic reflux develops, the first urination occurs with sharp pain in the lumbar region, so the child cries and is afraid to go to the toilet the next time. Although the desire to urinate again appears almost immediately, and the second time urine comes out without any signs of pain, this indicates that the remainder of the urine has come out of the renal pelvis, which got there from the bladder.

Signs of deviations from the norm

If a child, no matter a girl or a boy, finds it painful to write, his behavior alone makes it clear to his parents that something is wrong with him:

Children under one year of age do not pay attention to their bladder emptying process. If discomfort occurs, the newborn cries when he pees, becomes very nervous, screams, and tightens his legs (more details in the article: why does a newborn often cry and be capricious?).
Children under 2-3 years old go to the toilet without any anxiety. If painful sensations appear, the baby cries and strains. The child may show where it hurts or refuse to write.
Children from 3 years old can report painful sensations to their mother and point to the genitals. They resist going to the toilet after experiencing pain when urinating.

Older babies can show their mother what hurts.
The situation is more complicated with infants. When the baby has difficulty urinating and it is very painful for the child to pee, there is severe pain in the lower abdomen or back, it is urgent to show him to a specialist (see also: what to do if a 3-4 year old child has severe stomach pain?). The doctor will examine the baby, write a referral for tests, as well as an ultrasound.

If necessary, the doctor will refer the child for an ultrasound

Cases in which you need to immediately visit a specialist:

the baby strains, kicks his legs, but cannot pee;
there is blood in the urine;
the baby's belly is swollen, the baby has difficulty emptying the bladder;
the child urinates frequently, with pain;
the urine has a bad smell;
urinary incontinence (enuresis) after a period of stable urinary control.

Diagnostic measures

Pediatrician consultation

The first people to suspect the presence of such a problem are the parents. They should pay attention to the child’s changed behavior and, even more so, listen to him if he complains of pain when urinating.

Of course, children from the age of three can already describe their feelings themselves and let their parents know about the disorders occurring in their body. Difficulties in diagnosis can arise with newborns, who may cry during the day for various reasons. And here parents should pay attention to the amount of urinary fluid secreted in the first month of his life. Also, if it hurts the baby to pee, he will push and scream before this process.

When parents suspect or learn from their child about such a problem, they should visit the clinic. After all, inflammatory and infectious processes develop at lightning speed, which only aggravates the situation and complicates the correct diagnosis. The doctor, in order to establish the true cause of concern, usually prescribes the following measures:

Ultrasound examination of all genital organs, kidneys and urinary tract.
General blood and urine tests.
Taking a smear from the urethra.
Pelvic examination using X-ray.

It is not recommended to try to cope with the problem on your own and do various washings and douching. Only a professional doctor can help cope with disorders of the genitourinary system.

It hurts to write to a boy: symptoms

To find out why it hurts to write to a girl, answer the following questions:

Is there any redness on the genitals?
When does the burning and pain occur - at the beginning of urination or at the end? Or does it hurt the girl to pee during the entire urination process?
How often does a girl run around in a small way?
How much urine comes out at one time?
What color is urine? Are there any blood impurities?
Is the stream constant or intermittent?
Does your side hurt? Back?

The answers to these questions will help to presumably find out the reason why it hurts to write to a girl, and an accurate diagnosis, if necessary, should be made by a doctor.

The table shows the symptoms of painful urination in girls.

Boys have a long urethra, while girls have a short one. Because of this physiological feature, women are more susceptible to infectious inflammation.

The questions that need to be answered for those who are looking for why it hurts to pee for a boy are almost the same as for girls:

Is the head of your penis red?
Does the pain occur at the beginning of urination or at the end? Or does it hurt for a child (boy) to write all the time?
How often does the child urinate, and how much urine comes out at a time?
Is the urine cloudy or clear? With blood mixed in? Is there a peculiar smell?
Does the stream of urine come intermittently or not?
In addition to the fact that it hurts to write, does the child complain of pain in the back or side?

The answers to these questions will help determine the probable reason why it hurts the boy to write, what parents should do, and when to see a doctor.

Below is a table that describes the main symptoms that a boy may experience in addition to pain when urinating. You cannot independently diagnose and prescribe treatment if it is painful for your child to write due to serious illnesses. This should be done by a specialist.

Phimosis and balanitis are the most common diagnoses that are made if it hurts a boy to pee - what to do before you visit a doctor?

You can dip the head of your penis into a jar with a weak solution of potassium permanganate.
It is also advised to urinate by dipping the penis in a solution of potassium permanganate or chamomile decoction to reduce pain.
Take sitz baths with chamomile.

For phimosis, most doctors do not recommend retracting the foreskin unless the child has problems urinating.

If it hurts a boy to pee, treatment (washing) can be done at home before visiting a doctor.

Furacilin solution is taken into a 10 ml syringe.
One adult pulls the skin upward (does not open the head, but rather closes it).
The second adult inserts a syringe with the needle removed (!) and squeezes out the solution under pressure.
In this simple way, you can wash away everything that has accumulated and caused pain when urinating in the boy.
If necessary, the procedure is repeated.
After you finish rinsing, you need to drop a couple of drops of olive (vaseline) oil or oil solutions of vitamins into the hole (slit).

After providing assistance at home, it is better to show the boy to a specialist who will make a diagnosis and decide whether the child needs to have his head opened for phimosis, or whether to undergo circumcision.

If a boy or girl often complains that it hurts to pee, baths with chamomile decoctions and rinses alone will not do. Be sure to see a doctor to figure out what to do if it hurts your child to write and what causes this condition.

If it becomes painful for a boy or girl to pee, it is necessary to determine the reasons causing the discomfort during emptying the bladder. They may be different.

Allergy

Features for girls and boys

In boys, painful sensations during the process of excreting urine may be associated with the special structure of the genitourinary system. In a child under 2 years of age, a cavity forms between the head and foreskin, which can be fused. For this reason, the process of emptying the bladder can cause pain and discomfort that disappears after urination. Another reason for boys’ crying may be balanoposthitis and balanitis, which are characterized by inflammation of the head of the genital organ and the fold of skin covering it. If hygiene is not maintained correctly, this area is affected by bacteria and fungi, causing discomfort.

Girls feel painful symptoms more vividly, since they more often suffer from genitourinary diseases. Young girls and teenagers often suffer from cystitis or infectious diseases of the reproductive system, which is associated with the special structure of the genitourinary system. Pain after urination in girls is due to the fact that their urethra is shorter and wider, resulting in more infections in the genitourinary system.

Which doctor should you contact?

To get a complete picture, parents should visit a general practitioner and nephrologist, gynecologist and urologist together with their child. You need to visit a therapist because he can tell you which tests to start with. Parents should also prepare and analyze when the child first began complaining about difficulty and pain when urinating, whether there have been cases of hypothermia, whether there are anomalies in the structure of the genital organs, where the painful spasm occurs and where it moves, and what treatment was undertaken at home.

Methods of treatment and prevention

After studying the disease in a certain form, a treatment plan is drawn up. If pathogenic microbes are present in the body, antibiotics and antimicrobial agents are offered. The patient is recommended:

bed rest;
low-salt diet;
physiotherapeutic procedures to stop the inflammation process.

A nutritious diet containing vitamins and biologically active substances to enrich the diet, as well as strengthening the immune system - this is what you should do to prevent inflammatory processes in the kidneys and urinary tract in children. You should not let your child freeze; this has a special relationship with girls. Their urinary canal is wider and shorter, so inflammation of the urinary tract occurs faster, and it becomes painful for the girl to pee.

When the reason why a child experiences pain when urinating is determined, the specialist prescribes treatment. Therapeutic measures should help eliminate inflammation and relieve the child of discomfort. All treatment will consist of the following stages:

To block the inflammatory process, antiviral and antibacterial agents are prescribed. It is recommended to give your child sitz baths using medicinal herbs and plants. Immunostimulating medications are prescribed. It is recommended to stay in bed and drink plenty of water.
When stones are found in the urinary system, plant-based preparations are prescribed that help break down such deposits and then facilitate their removal from the child’s body.
If the cause of painful urination is a foreign body in the urethra, then after its removal, antibiotics are prescribed, and the doctor also advises douching.
When a baby has reflux, the only solution is to fix the ureter.
This surgical intervention helps relieve spasm and eliminate the resulting reflux of urine. But at the same time, the problem is still not completely solved. Antibacterial therapy

For preventive purposes, in order to further avoid diseases and disorders of the child’s urinary system, parents should follow the following recommendations:

The baby's nutrition should be complete, balanced and varied. The diet should consist of foods rich in minerals and vitamins.
Hypothermia of the child's body should not be allowed. Since babies’ thermoregulation system is not yet normal, they need to be dressed as warmly as possible for winter walks.
The child’s immunity should be strengthened by taking vitamin complexes. If the baby stops getting sick often, then the risk of inflammation in the genitals will decrease.
It is better to purchase underwear only from natural fabric, which will provide the necessary air circulation.
From an early age, a child must be taught to maintain personal hygiene. Parents themselves should also monitor this. Small children need to be washed regularly, especially if they are still wearing diapers.
Parents of girls should teach their child that at the end of each urination process, toilet paper should be used. This will help reduce the buildup of bacteria on your underwear.

When a child begins to complain of pain that occurs when urinating, this may indicate disorders and malfunctions occurring in the body itself. Therefore, parents should respond to such complaints and consult a doctor to establish the true cause of the pain. This will help you choose a comprehensive treatment and alleviate the child’s condition.

Folk remedies for painful urination in children

Seeing a doctor is not always possible immediately. If a child has no other symptoms of illness, but experiences pain when peeing, certain measures must be taken. Ways to alleviate the condition include:

Give your child a lot to drink, especially: lingonberry, cranberry. Eliminate fried foods, spicy and sweet foods, as well as all fatty foods from your diet.
Sitz baths before bed will help relieve inflammation and reduce pain. They can be made with chamomile, string, and also a weak solution of potassium permanganate. This prevents the growth of bacteria.
Avoid disposable diapers; it is necessary to provide the child with loose cotton underwear and promptly change wet pants, each time rinsing the genitals with warm, clean water without detergents.
Provide the baby with bed rest. Often this causes the biggest problem; it is necessary to lure the child into a quiet activity so that he does not become active.
For everyday causes of pain, it is necessary to use products that will accelerate the healing of the mucous membrane and relieve the baby from discomfort.

Requires antibacterial therapy, which is prescribed by a doctor after tests and ultrasound.

Managing physiological needs is one of the main indicators of the health of the body. Urination and defecation are natural processes of cleansing the body, which have their own normal indicators, the violation of which indicates health problems. Responsible parents should monitor these indicators too, so as not to miss urinary tract diseases in their child.

It is imperative to pay attention to such phenomena as the frequency of urination, the color of urine, its smell, the presence of obvious sediments and impurities, and, of course, the absence of pain.

If a child has painful urination, this is a reason to consult a doctor and undergo appropriate tests. Timely treatment is a guarantee of preventing complications and the disease becoming chronic.