Burning sensation when urinating during pregnancy: causes, treatment "Venerolog.su"

It is generally accepted that burning when urinating during pregnancy is a natural physiological reaction. As a rule, it occurs at the beginning of the gestational period and before childbirth. At the same time, the expectant mother may feel an increased urge to urinate and feel incomplete emptying of the bladder.

The cause of these symptoms at the beginning of pregnancy is hormonal changes. An increase in progesterone levels and a lack of estrogen are recognized as a normal condition during pregnancy. However, hormone imbalance does not have the best effect on the functioning of the urinary system.

In the final weeks, discomfort after urination during pregnancy occurs due to the increase in the size of the reproductive organ. The growing uterus puts pressure on the dutrusor, resulting in a change in the angle between the urethra and the bladder. For this reason, a woman feels a sudden unbearable urge to empty the bladder and discomfort during its emptying.

The physiological reasons why a burning sensation appears after urination during pregnancy are not dangerous and go away on their own a few weeks after birth. It is important to monitor the regularity of bowel movements in the first days after the birth of the baby.

Diseases that cause burning when urinating during pregnancy If the expectant mother experiences painful urination, then we can confidently talk about a pathological process. During pregnancy, a woman's immunity decreases.

This is necessary for the normal course of pregnancy, but creates a high risk of disease. If a woman has chronic pathologies of the urinary tract, then at this time they usually worsen. Also, inflammatory processes may occur for the first time.

In the later stages, due to incomplete emptying of the bladder, a portion of urine is constantly present in it. This creates a favorable environment for the proliferation of pathogenic microorganisms. The simultaneous pressure of the growing uterus and the corresponding hormonal levels aggravate the course of the inflammatory process.

Causes

The most common statement is that burning or cramping during urination clearly indicates a pathology of the excretory system. As a rule, this is exactly the case.

In the early stages of pregnancy, a woman may experience frequent urges, which are the result of physiological changes in the body. But to find out the cause, you should always consult a doctor. Only he will be able to choose the most likely factor among such conditions:

Cystitis.
Urolithiasis disease.
Urethritis.
Urogenital infections (candidiasis, chlamydia, gonorrhea).

Among the causes there are also quite serious diseases that can lead to dangerous consequences. And during pregnancy, this is of particular importance, since in some cases there will be a risk to the health of the unborn child.

If it is painful for a pregnant woman to pee, one cannot think only about the possibility of physiological reasons, but first of all one must exclude pathology.

Symptoms

If urinary disorders (dysuric phenomena) occur during pregnancy, all accompanying manifestations must be taken into account. Consideration of a single symptom without a comprehensive concept of pathological changes will not bring results.

It is necessary to carry out a competent differential diagnosis of possible diseases, assessing the similar and distinctive signs of each disease. Most often, pain when urinating during pregnancy is accompanied by other symptoms, which include:

Cutting and burning sensation.
Increased urination.
Changes in the amount and color of urine.

A conclusion about a specific disease can be made after a thorough clinical examination using additional methods.

Cystitis

When the bladder becomes inflamed, people often complain that it hurts to pee. The disease is common among women of any age, but occurs much more often during pregnancy.

This is due to the relaxing effect of hormones on the urinary tract, which increases the risk of infection entering the bladder.

Cystitis is characterized by pain, burning or cramping that occurs in women at the end or after urination. This feature is associated with contraction of the muscular sphincter of the neck of the inflamed bladder. Therefore, there is also a frequent urge to go to the toilet.

Depending on the type of inflammation of the mucous membrane, urine may have different colors and transparency:

With mucus flakes - for catarrhal cystitis.
Cloudy with pus - with purulent inflammation.
Bloody - with a hemorrhagic process.

Often during pregnancy, there is an exacerbation of chronic cystitis, especially in the later stages, when the uterus puts pressure on the bladder, which leads to disruption of its emptying and changes in local blood flow.

Cystitis is accompanied by pronounced symptoms, which, with detailed questioning, can be easily distinguished from other diseases.

Urolithiasis disease

Pain or burning during urination can also bother women with urolithiasis. This is especially often observed when stones leave the kidney and pass through the urinary tract.

During pregnancy, this develops somewhat more often, since an enlarged uterus creates an additional obstacle to normal excretion.

The disease is often accompanied by renal colic, which is an acute condition in urology.

Depending on the level of stone retention, pain occurs both throughout urination and after it. They typically spread to the lower abdomen and lumbar region. You can often notice the appearance of streaks of blood in the urine, and sometimes the attack ends with the immediate passage of the stone.

Urethritis

The inflammatory process in the urethra in women is often nonspecific. In this case, pain and burning may bother you constantly or occur periodically. If cystitis is characterized by the appearance of pain after urination, then urethritis is accompanied by unpleasant sensations during the entire process.

Acute inflammation is characterized by pronounced symptoms, while chronicity of the process may be accompanied by a decrease in symptoms. With nonspecific urethritis, the color of the urine will change, but not as pronounced as with cystitis.

The pathological process of urethritis, in the absence of the necessary treatment, can spread to the bladder.

Urogenital infections

Pain and pain when urinating can be one of the symptoms of specific infections of the genitourinary system. The most common causative agents of such diseases are bacteria (gonococcus), fungi (candida), protozoa (Trichomonas), intracellular organisms (chlamydia, ureaplasma). The main environment for them is the vaginal mucosa, but the disease can also spread to the urinary organs.

Often women are bothered by itching and burning in the vagina, which intensify after sexual intercourse. Characteristic discharges have the following features:

White, curdled - with candidiasis.
Foamy, yellowish in color, abundant - with trichomoniasis.
Cloudy, white-yellow color - with gonorrhea.

Quite often, untreated infections lead to dangerous consequences: the spread of inflammation to the uterus, abdominal cavity, and infection of the fetus. Therefore, at the first symptoms, you need to come for a doctor’s examination.

Which pathogen caused the disease can be accurately determined by the results of bacteriological analysis of the discharge. Further treatment will depend on this.

Is it possible to push in the toilet during pregnancy and why not in the early or late stages?

Many women, while carrying a child, experience difficulty in bowel movements. Constipation during pregnancy not only creates discomfort, but also becomes a cause of constant anxiety. When pushing on the toilet, a woman is afraid of harming herself and her unborn child.

Can this unpleasant situation be avoided or should we accept the state of affairs? What traditional methods of eliminating constipation are suitable for pregnant women and is there a reliable recipe with which you can get rid of stool retention once and for all?

Why do problems with bowel movements occur during pregnancy?

The problem of stool retention during pregnancy is quite relevant. Between half and two-thirds of expectant mothers suffer from constipation. Factors that cause constipation include:

Hormone. Elevated progesterone levels cause many reactions in the body, one of which is smooth muscle relaxation. The result of this is decreased intestinal motility and constipation.
Insufficient food and fluid intake. This phenomenon is characteristic of early toxicosis, when everything eaten and drunk comes back with vomiting. Some women deliberately cut back on their meals in an attempt to get rid of the feeling of nausea.
Physical inactivity. A growing belly limits movement, or the woman, out of fear for the child, tries to be more at rest.
Taking iron tablets. They are prescribed to prevent anemia in pregnant women. The iron contained in the preparations is only partially absorbed into the blood, and a large proportion of it settles in the intestines, binding to food masses and causing a fixing effect.
Anatomical factors. The growing uterus with the fetus puts pressure on the pelvic organs, including the colon, causing congestion.

Is it possible to push on the toilet during pregnancy?

To empty the intestines, a pregnant woman suffering from constipation has to make considerable efforts. The woman pushes for a long time, straining the muscles of the perineum, abdominals and diaphragm.

At this time, intra-abdominal and general blood pressure increases, which is harmful for the mother and child.

Tense abdominal muscles put pressure on the uterus, which leads to its hypertonicity and impaired blood circulation in the circumuterine vessels.

In the early stages

The appearance of constipation in the early stages of pregnancy is often associated with toxicosis. Due to constant nausea and vomiting, a woman does not receive the amount of food and liquid necessary for normal digestion. Feces become dense and dehydrated, requiring great effort to get rid of them. When visiting the toilet, a woman has to push hard and strain her stomach.

The resulting muscle tension is dangerous, as it can lead to uterine hypertonicity and embryo rejection. It is especially harmful to push for pregnant women who are at risk, for example, women with isthmic-cervical insufficiency or a history of miscarriage.

In the later stages

At the end of the second and third trimesters, the large uterus compresses the final sections of the large intestine. This leads to decreased motility, fecal stagnation and constipation. The situation is aggravated by the fact that during this period it becomes more difficult for women to move and they prefer a sedentary lifestyle to movement.

A very common complaint accompanying constipation in later stages is hemorrhoids. Its appearance is associated with stagnation of blood in the veins and increased pressure in the rectum.

With strong straining in the later stages, the development of hemorrhoids accelerates, and the tone of the uterus increases, which can lead to premature birth.

Why is straining dangerous for a pregnant woman?

Why shouldn't pregnant women push hard on the toilet? The process of straining is equivalent to lifting weights, since it tenses all the muscles of the abdominal press and perineum. Straining these muscle groups can lead to the following complications:

increasing the tone of the uterus;
bleeding;
placental abruption;
miscarriage;
rupture of the membranes and leakage of amniotic fluid;
premature birth;
the appearance of a hernia;
hemorrhoids;
rectal prolapse;
cracks in the rectal area.

When is straining strictly contraindicated?

Some women have disorders in which straining is not only undesirable, but also dangerous. These conditions include:

risk of miscarriage;
isthmic-cervical insufficiency;
placenta previa;
hernias;
hypertension;
recent abdominal surgery;
conception using IVF.

How to solve the problem if you can’t push?

Several practical tips will help solve this problem. The fight against constipation must begin with diet correction. A pregnant woman's diet should include foods and dishes that promote normal bowel function:

fresh vegetable salad with vegetable oil;
boiled and stewed vegetables;
bread with bran and whole grains;
unpeeled fruits;
prunes, dried apricots and other dried fruits;
natural vegetable and animal fats;
buckwheat, millet, oatmeal and pearl barley porridge;
dairy products.

It is better to temporarily exclude rice and bananas from the diet due to their strengthening effect. If you have constipation, it is better to avoid tea and coffee, as they contain caffeine, which can cause constipation.

If one of the causes of constipation is taking iron-containing medications, you should consult a doctor. Further tactics depend on the hemoglobin level.

If it is normal, then iron supplements can be stopped and the body can be enriched with iron using natural sources (fresh greens, red meat, liver, spinach and lentils).

If iron supplements are urgently needed, your doctor may adjust the dose or prescribe a parenteral iron supplement.

Active lifestyle. Morning exercises and daily walks stimulate intestinal motility.

You cannot ignore the natural urge to defecate. For easier emptying, you can use the squatting position.

Laxatives. Since not all laxatives are approved for pregnant women, it will be better if the medicine is prescribed by a doctor. You cannot use senna preparations, castor oil, magnesia and some other drugs, as they can provoke contractions. Safe remedies include prebiotics (Lactulose, Inulin) and microenemas (Microlax).

Source: https://www.OldLekar.ru/beremennost/povedenie/mozhno-li-tuzhitsya-pri-beremennosti-v-tualete.html

Treatment

The disease can be treated only if all factors of its development are identified. Therefore, therapy should first of all be etiotropic, i.e., aimed at eliminating the cause, and only after that – pathogenetic and symptomatic.

It is necessary to try to have a comprehensive effect on the pathological process, since the effectiveness of treatment in this case will be maximum.

Drug therapy

The use of many medications during pregnancy is contraindicated, so self-administration of medications is strictly prohibited.

Necessary medications can only be prescribed by a doctor, taking into account the possible risk to the child’s health. The following medications are most often used for urinary tract diseases:

Antibiotics (amoxicillin, ampicillin, azithromycin).
Antispasmodics (no-spa).
Local antiseptics (chlorhexidine, furacillin).

Topical preparations in the form of vaginal suppositories, instillations, and baths are of great importance. This will protect women from systemic side effects, since the medicine acts directly on the pathological focus.

Only a doctor can tell you which remedy is best for a pregnant woman to use. The dosage and course of administration will depend on the severity of the disease and response to treatment.

Phytotherapy

Treatment of pregnant women is not complete without the use of herbal medicines. They can be used not only in the form of various mixtures and teas, but in the form of tablets and drops.

Many such medications are included in the standards for the treatment of diseases of the urinary system (for example, Canephron, Urolesan). Complex drugs have a wide range of positive effects:

Anti-inflammatory.
Antimicrobial.
Diuretic.
Antispasmodic.

Medicines based on herbal raw materials have virtually no contraindications, so their use during pregnancy is completely safe.

Treatment of burning sensation

Based on the diagnostic results obtained, gentle treatment is selected. If an infection is detected, broad-spectrum drugs are prescribed to eliminate it. Anti-inflammatory, analgesic, antispasmodic and diuretic drugs are used as additional assistance. It is important that all medications are prescribed by a doctor, taking into account the patient’s complaints and the duration of pregnancy.

The expectant mother can also take independent measures to eliminate the burning sensation that occurs during or after urination.

Maintain intimate hygiene and use soap solutions for washing that do not change the microflora. Dry the perineum with a clean towel from front to back.
Wear breathable underwear made from natural materials. Completely avoid thongs, tight panties and synthetic underwear.
Maintain drinking regime. If this is not contraindicated for health reasons, then drink at least 1.5-2 liters of clean water per day.
Use panty liners, changing them regularly. Daily does not mean intended to be worn throughout the day.
Avoid swimming in public bodies of water and baths. Give preference to the soul.
Before intimacy, empty your bladder, even if there is no obvious urge at the moment. After contact, wash using the usual method.
Eliminate from the diet foods that can change the acidity of urine or cause urine retention.
Avoid overcooling and choose clothes according to weather conditions.

A healthy lifestyle will help avoid pathologies of the urinary system during pregnancy.

Prevention

Preventing pain when urinating during pregnancy is easy. It is necessary to follow certain recommendations that will greatly reduce the risk of inflammatory phenomena in the genitourinary system. Here are some of them:

Drink enough fluids.
Eat properly.
Wear comfortable cotton underwear.
Wipe the perineum in the direction from the pubis.
Change sanitary pads promptly.
Take a shower daily.
Maintain normal acidity levels in the vagina.
Empty your bladder before and after sexual intercourse.

If it is painful for a woman to urinate during pregnancy, everything needs to be done to find out the cause of this condition. The treatment performed and its result will depend on this. Only timely consultation with a doctor can protect you from adverse consequences.

Pain during urination during pregnancy appears in several cases - from natural compression of the bladder by an enlarged uterus and growing fetus, with the development of cystitis, and with the passage of stones and sand from the kidneys. How to determine what painful urination means and what a pregnant woman should do about it - we will consider all this below.

Preventing burning sensation when urinating during pregnancy

To minimize the risks of pain, pain and burning during urination, it is important to first avoid hypothermia and not neglect personal hygiene. In addition, doctors recommend the following measures:

maintain a drinking regime - drink at least 2 liters of liquid;
wear comfortable underwear made from natural fabrics, refraining from tight clothes and stockings;
limit your bath time, replacing it with a warm shower;
before and after sexual intercourse, empty the bladder and wash the vagina with water;
use barrier contraception;
prevent injury to the internal and external genitalia;
diversify your diet;
Avoid contact with allergens.

The best option should be a healthy lifestyle, proper rest, long sleep, daily walks in the fresh air and a complete cessation of bad habits - smoking and drinking alcoholic beverages.

Cystitis during pregnancy: causes, treatment, prevention

The bladder, which is in a compressed state for a long time, is not able to completely empty itself. Part of the urine, constantly present in the cavity of the bladder, stagnates and serves as a favorable environment for the development of inflammation. Such a stagnant process is one of the causes of cystitis during pregnancy.

In addition to urine stagnation, cystitis can be caused by hypothermia, poor personal hygiene, and genital tract infections that enter the bladder cavity in an ascending manner through the urethra.

When pain during urination during pregnancy is especially acute at the end of the process of urine excretion, then we can confidently say that this is a manifestation of cystitis. In addition to pain, changes in urine are also observed: it acquires a foul odor, and turbidity can be seen in its overall consistency.

Experimenting with remedies to get rid of cystitis at home, and this applies not only to pregnant women, is not the best way to solve the problem. It is much easier and safer, both for the woman herself and for her baby, to seek help from your gynecologist as quickly as possible. A doctor who observes a pregnant woman from the first days of her registration knows everything about the state of her health, has all the data from previous examinations, and, most importantly, is able to assess the situation from all sides, taking into account the safety for the baby.

This is the only way to select adequate and safe treatment, and in the case of existing concomitant problems or foci of chronic diseases, to prescribe the correct diagnostic methods, of which there are not so many during pregnancy. The most informative, in this case, will be a urine test, which reveals an increased content of epithelial cells and leukocytes.

Taking medications is also limited due to the woman’s “interesting situation.” Therefore, doctors usually prescribe homeopathic remedies. The easiest way, of course, is to prevent such situations and adhere to simple rules, almost from the first days of pregnancy. Drink more water, clean drinking water, and empty your bladder as often as possible.

Avoid synthetic underwear and try to wear loose-fitting, non-tight underwear and clothing. Prevent yourself from exposure to low temperatures, and be especially careful not to overcool your feet. Carefully observe the rules of personal hygiene, washing the genitals in the direction from the pubis to the anus, so the pathogenic microflora accumulated during the day will not be able to enter the urethra, which means the bladder will be safe.

Kidney stone disease

Pain during urination can appear at the very beginning of urine output or can be traced throughout the entire urination. Such pain syndromes are characteristic of kidney stones. Pain during urination during pregnancy, radiating down the abdomen and lower back, is caused by a stone that either clogs the ureteral duct and, under the pressure of the fluid, begins to injure its walls, or the stone begins to move independently, again, under the influence of urine flow. Any movement of stones in the narrow space of the urinary organs can cause significant pain.

Urolithiasis is a more serious diagnosis than cystitis, although in both the first and second cases, leaving the problem to chance is fraught with serious consequences. And yet, the movement of stones in the urinary system during pregnancy is dangerous due to various complications. As mentioned above, a growing fetus and an enlarged abdomen lead to processes of compression of all organs in the pelvis, including the urinary ones.

The movement of a stone along an excessively compressed ureter can lead to a cut of the latter, which will inevitably lead to bleeding, traces of which will be clearly visible in the urine. If a pregnant woman notices sharp and sudden pain during urination, no matter at what point, at the very beginning, in the middle of the process or at the end, you need to consult a gynecologist as soon as possible for advice. Diagnostic measures will not be superfluous, but will bring peace of mind and confidence in a successful pregnancy.

If concerns are diagnostically confirmed and the presence of sand and stones in the kidneys or bladder is revealed, then treatment measures will depend on several factors. Firstly, the severity of the disease should be taken into account, secondly, the duration of pregnancy, and thirdly, the nature of the pain syndrome. If the pain is not significant, there are not many stones and they are all small in size, then getting rid of stones before the period of delivery is not advisable. The main treatment will be carried out in the postpartum period.

To alleviate the general condition of a woman, to relieve pain, gentle antispasmodics, preparations based on homeopathic remedies and plenty of fluids are prescribed.

If a woman is bothered by pain when urinating during pregnancy, then she should visit a doctor. The cause of such pain can be such as genitourinary and. The gynecologist will prescribe the necessary tests, and if their results are positive, gentle treatment will be prescribed, taking into account the “interesting situation” of the patient.

A symptom such as burning when urinating in women during pregnancy is also very alarming. In combination with an increased urge to urinate and cloudy urine, it may indicate cystitis. If the patient has already suffered from this disease, and the symptoms have not gone away, then the development of pyelonephritis, which is a complication of cystitis, is likely.

In addition, if it is painful for a woman to pee during pregnancy, then doctors may suspect the development of kidney stones or urethritis (inflammation of the urethra). And the presence of candidiasis in the body, especially, can cause pain when urinating during pregnancy.

One way or another, without undergoing tests, it is not possible to diagnose the disease, nor to prescribe treatment. Therefore, the doctor cannot prescribe tablets or ointments after the first dose; you need to visit him at least twice.

Diagnostics

As soon as a pregnant woman goes to a medical facility with symptoms such as burning and pain after urination, the doctor, after studying the signs, will be able to make a preliminary diagnosis at the initial stage and prescribe a number of additional studies to clarify it.

Note! To find out the exact cause of painful and uncomfortable urination, you should undergo a comprehensive diagnosis.

In order to make an accurate diagnosis, a woman needs to undergo the following tests:

take a smear test for STIs,
undergo a cystoscopy,
take a biochemical urine test,
undergo a polymerase chain reaction test for sexually transmitted infections,
undergo an ultrasound examination of genital infections and the urethra.

After all diagnostic tests are completed, the doctor will be able to make an accurate diagnosis and select the safest and most effective treatment. Since pregnancy is a direct contraindication to the use of numerous medications, treatment must be selected carefully and qualifiedly, taking into account all the characteristics of the woman’s body.

In the early stages

Often, women come to the gynecologist with complaints that it hurts them to pee during early pregnancy. As a rule, such pain is associated with stretching of the uterine ligaments and a rush of blood to the pelvic organs. In addition, in the first weeks of pregnancy, there is an increase in blood vessels in the uterine area, which can cause constant mild pain. Another reason why burning and pain occurs when urinating in the early stages of pregnancy may be “menstrual memory”. In this case, the pain is cyclical.

An increase in the size of the uterus is accompanied by slight pain and burning sensations, this is especially often observed with multiple pregnancies, backward deviation of the uterus and polyhydramnios. Such sensations are considered normal and physiological and do not require any treatment.

Proper nutrition during pregnancy and rest help reduce discomfort. Be that as it may, a woman should visit a doctor and inform him about the burning sensation and pain in order to prevent the development of pathology and abnormal development of the fetus.

ASK YOUR QUESTION DISCUSS ON THE FORUM

Women, more often than men, turn to doctors with the complaint that it hurts to go to the toilet. This is largely due to the characteristics of the urinary system: in women, the urethra is much shorter and wider than in the stronger sex. This anatomical feature significantly increases the risk of penetration of pathogenic agents into the genitourinary system, which can soon cause serious diseases in women. Cystitis is the most common, but other pathologies can also cause discomfort.

How to treat?

If it becomes painful for a woman to write, and a burning sensation occurs, it is better for her to consult her doctor. Timely diagnosis allows you to identify the disease at an early stage, when it can be cured without taking antibiotics. The course of treatment is determined according to the medical indications of the patient, taking into account the duration of pregnancy and its course, based on laboratory tests, ultrasound of the kidneys, CT scan of the abdominal cavity and kidneys (if necessary). Infectious diseases of the urethra require an integrated approach to therapy.

Due to the fact that the number of approved drugs for pregnant women is limited, doctors are especially careful when prescribing pharmaceuticals. Antibacterial drugs are prescribed only in extreme cases, since even the most modern and safe antibiotics pose a threat to the fetus. In addition to medications, the urologist should recommend a diet to the patient taking into account the specifics of the disease.

Herbal medicines should also only be prescribed by a doctor. They have a mild diuretic and antiseptic effect on the body. Unlike conventional pharmaceutical drugs, herbal medicines have a safe composition. For pain during urination, doctors recommend that pregnant women brew the following herbs and plants:

Causes of painful urination in women

The most common reason why women find it painful to go to the toilet is inflammatory damage to the urinary tract: cystitis and urethritis. Soreness occurs due to swelling of their tissues, which represents a serious obstacle to the outflow of urine. The following symptoms appear:

painful urination, which usually intensifies towards the end of emptying;
darkening of the urine, it may contain bloody impurities;
slight increase in body temperature.

If you do not undergo treatment on time, there is a high probability of the inflammatory process spreading to the kidneys and the development of pyelonephritis.

The next reason is urolithiasis. Against this background, it becomes painful to go to the toilet for one simple reason: salt crystals appear in the urine, which irritate the urinary tract. In addition to uncomfortable urination, the disease is manifested by the following symptoms:

pain in the lumbar area;
renal colic during movement, shaking, heavy physical activity;
bloody impurities in the urine (at an advanced stage of the disease).

An equally common cause is sexually transmitted infections: herpes, trichomoniasis, vaginitis, vulvovaginitis, chlamydia. With such sexually transmitted diseases, it not only becomes painful to go to the toilet, but other symptoms may also appear depending on the nature of the pathogen:

rash on the genitals;
uncharacteristic vaginal discharge and its pungent odor;
the appearance of foamy discharge, etc.

If pain occurs when urinating, you should consult a doctor as soon as possible, since the causes of such a symptom can be other diseases: malignant and benign tumors of the bladder, pathologies of the uterus, etc. Treatment of any of the listed diseases can only be prescribed by a specialist after diagnosis. .

Associated symptoms

The weakened immunity of a pregnant woman is very often unable to fully protect the female body from viruses and bacteria. Many urinary tract infections occur as a complication after influenza or ARVI. In addition to pain and burning during urination, diseases of the genitourinary system are accompanied by the following symptoms:

changes in urine parameters (color, turbidity);
the appearance of sand, flakes, bloody clots, mucus, pus in the urine;
nagging or sharp pain in the lumbar region, which can radiate to the groin;
increased body temperature, chills;
gastrointestinal disorder;
frequent urge to urinate;
copious vaginal discharge with an unpleasant odor.

Why does it hurt to write at the end?

If pain appears at the end of urination, accompanied by a burning sensation and a feeling of insufficient emptying of the bladder, it is most likely that the woman has developed acute cystitis or urethritis. In more severe cases, combined inflammation of the urinary tract is noted. If these inflammatory diseases are not treated in time, painful urination may be accompanied by urinary incontinence.

Pain after a woman pees may be due to the presence of sand in the urine due to urolithiasis. During the process of emptying, sand irritates the urethra, which is why the woman feels pain at the end of urination.

What is cystitis

Cystitis is an inflammatory process in the bladder. In women, the pathology is often associated with inflammation of the genitourinary organs, including the kidneys and bladder.

Infections are caused by pathogenic bacteria. They begin active life, appearing from two sources:

From the area between the vagina and anus;
From other internal organs.

Infection most often occurs after unprotected intimacy, hypothermia or poor hygiene.

More than 90% of recorded cases of the disease are caused by E. coli. The remaining 10% was divided among themselves by staphylococcus, Klebsiella, enterococci and other pathogenic microorganisms.

Cystitis in the acute stage has a number of striking manifestations, accompanied by pain. In the chronic course of the pathology, the symptoms are less pronounced, but it is also difficult not to notice them.

The most obvious signs of cystitis:

Cutting pain in the pubic area, which increases significantly during urination;
After emptying the bladder, the pain does not go away and there remains a feeling that it has not been emptied;
Frequent urge to urinate results in a slight release of urine;
Streaks of blood and other impurities are visible in the biological fluid;
Urine becomes dark;
The general condition worsens, it is accompanied by a slight increase in body temperature.

Sometimes, in the acute course of the pathology, urinary incontinence is observed. Cystitis often develops at the very beginning of pregnancy. As soon as the fertilization of the egg has occurred, all immune forces go to support the nascent life, leaving systems and organs without the necessary protection. Therefore, expectant mothers are faced with inflammatory pathologies at the very beginning of pregnancy. Including cystitis.

It hurts to pee during pregnancy

During this period of life, women often notice that as pregnancy progresses, various problems with urination may appear: the urge to urinate becomes more frequent, and the process itself may become painful. Such pain is called physiological when, as a result of an increase in the size of the uterus, pressure on the bladder increases.

But it is possible that during any week of carrying a baby, a pregnant woman may experience an aggravation of existing diseases of the genitourinary system (chronic cystitis, urethritis, urolithiasis, sexually transmitted diseases) or develop new ones, which is associated with the natural vulnerability of the vaginal microflora and a decrease in general and local immunity. Therefore, if any discomfort occurs when urinating, you need to consult with specialists and establish their true cause in order to be able to undergo treatment in time and prevent dangerous complications from developing.

Frequent urination as a sign of pregnancy

After ovulation, the uterus significantly reduces its contractile capabilities so that the fertilized egg can be successfully imported and then develop in the uterine cavity;
Due to increased blood flow in the genitals, swelling occurs on the uterine walls, which become loose;
The composition of the vaginal microflora changes;
The bladder becomes rigid (that is, its muscles have decreased tone), which is why the symptom of frequent urination is so common at the beginning of pregnancy.

Prevention of pain when urinating in women

To prevent pain when urinating, you should follow the simplest rules:

always use condoms when having sexual contact with an unreliable partner;
wash yourself twice a day, directing the stream of water from front to back;
prevent body hypothermia;
promptly treat emerging inflammatory processes in the body;
Regularly visit the gynecologist’s office and take all necessary tests twice a year.

How to treat when it hurts to go to the toilet

Treatment for painful urination can only be prescribed by a doctor. If it hurts to go to the toilet in a small way, therapy will depend on the cause that provoked this symptom:

for inflammation (cystitis, urethritis, pyelonephritis) or sexually transmitted infections, antibiotics are first prescribed;
urolithiasis requires taking herbal preparations that help crush and remove small stones and sand from the kidneys and urinary tract;
Antispasmodics and painkillers may be prescribed to relieve pain;
The doctor will also select the most suitable diet and recommend plenty of warm drinks.

In each specific case, treatment for painful urination is selected individually depending on the characteristics of the body, the course of the disease, etc.

Pain when urinating during pregnancy can be caused by various reasons. After conception, the uterus increases in size; already in the first weeks of pregnancy it puts pressure on the bladder and requires frequent urination. Such sensations are typical for the first and third trimester. At the end of the term, the fetus turns head down and descends into the pelvic region, increasing pressure on the bladder. To reduce pain in the lower abdomen when urinating during pregnancy, it is not recommended to wear tight underwear and clothing, and if there is tingling or burning, it is better to consult a doctor. Cutting and burning when urinating, pain in the lower abdomen during pregnancy can be signs of an infectious disease of the genitourinary system. It is likely that cystitis or urethritis is developing.

Ways to alleviate a woman’s condition

Cutting and burning sensations when urinating during pregnancy cause great discomfort to the expectant mother. And since in her situation it is important to maintain calm and good mood, not to mention health, the provoking factor should be identified, undergo a course of treatment or take other measures to eliminate it.

Drug therapy

Medicines will become an indispensable remedy if burning, sharp pain and itching during pregnancy when urinating are symptoms of any pathology. The choice of a suitable remedy is determined by the etiology of the disorder.

For a burning sensation of an infectious nature, a course of antibacterial therapy using macrolides, cephalosporins, and penicillins is indicated. Amoxicillin, Azithromycin, and Ampicillin are considered safe during pregnancy.
Minor allergic discomfort can be eliminated by taking H1-histamine receptor blockers. Zyrtec, Claritin, and Zodak may be prescribed.
For parasitic burning, the use of antihelminthics is indicated. Pyrantel and Vermox tablets are effective.

Depending on the cause of the burning sensation, the following groups of drugs may be prescribed:

antiprotozoal - "Metrogil";
eubiotics – “Acilact”;
uroantiseptics - “Canephron”, “Cyston”;
antispasmodics – “Drotaverine”, “No-Shpa”.

Home treatment with folk remedies

In the absence of serious factors that could provoke burning and cutting pain before intercourse, doctors advise using home remedies from the arsenal of traditional medicine:

infusion based on sage, chamomile, calendula and celandine;
fruit drinks from berries;
infusion of licorice root;
a remedy made from rosehip, barberry, grapes and knotweed.

Pain after urination during pregnancy

Pain in the lower abdomen after urinating during pregnancy indicates the development of cystitis. This disease occurs most often in pregnant women; the main cause of cystitis is changes in hormonal levels. In addition to this, the uterus increases in size and constantly puts pressure on the bladder, preventing the complete release of urine. Its remains cause inflammation; if left untreated, cystitis can develop into pyelonephritis, a serious kidney disease. To recognize cystitis, you should know its signs.

Symptoms of cystitis

Pain when urinating during pregnancy.
Inability to hold urine when wanting to urinate.
Burning and itching in the urethra, pain in the lower abdomen.
Unpleasant odor, cloudy urine.

To avoid cystitis and others, drink at least one and a half liters of water a day, observe personal hygiene rules, empty your bladder before and after sex, wear high-quality natural underwear that does not restrict movement too much.

What to do if you have frequent and painful urination

Frequent urination causes a lot of inconvenience, since when you are on the street or in a public place, it is not always possible to find a toilet nearby. Also, constant night trips to the potty worsen the quality of night sleep and can cause poor mood and well-being in the morning. What can be done to reduce the number of urinations without harming the course of pregnancy?

It is recommended to stop or reduce the consumption of diuretic foods and drinks while pregnant, but only if the gynecologist allows it. So, for 9 months you should not drink coffee, eat large quantities of watermelons, cucumbers and pumpkin, especially before bed.

If you have the opportunity to go to the toilet before a long journey, then you should do it without waiting for the feeling of a full bladder, since prolonged holding back leads to more frequent urination during pregnancy, as well as to weakening of the sphincters after childbirth. You should also try to completely empty your bladder when going to the toilet. To do this, you need to lean forward a little and try to tighten your bladder.

In cases where urination is accompanied by a burning sensation or pain, a pregnant woman should immediately consult a doctor for advice, as these are symptoms of diseases that are potentially dangerous to the normal course of pregnancy.

Abdominal pain when urinating during pregnancy

Pain during urination in pregnant women is felt in several cases. It can be caused by pressure from the enlarging uterus on the bladder, cystitis, or the release of sand or kidney stones. You can determine the cause before visiting a doctor and take action at home. More often than others, pregnant women develop cystitis. The bladder does not empty completely under the pressure of the uterus; the remaining urine stagnates and serves as an ideal environment for the development of inflammation. This process is the main cause of cystitis in pregnant women. In addition to stagnation, inflammation can be caused by infection of the genitourinary organs, failure to comply with the rules of intimate hygiene, hypothermia and a number of other, rarer factors. With cystitis, abdominal pain when urinating during pregnancy is especially acute at the end of the process. The urine becomes cloudy and has an unpleasant odor.

Cystitis cannot be treated at home; it is better to consult a doctor immediately. It is much easier and safer to get qualified help rather than experiment with your own health and the health of your baby. Only with examination data and test results can a diagnosis be made and treatment prescribed.

Causes of discomfort when urinating

Pain during urination during pregnancy can occur due to infectious tissue damage in the urethra, bladder and kidneys. Basically, such deviations include:

If a woman is suspected of having a deviation such as cystitis, then she should exhibit the following additional symptoms:

significant cloudiness of urine;
the appearance of an unpleasant odor in urine;
increased urge to urinate;
the appearance of pain in the lumbar region and lower abdomen;
with the urge to urinate, inability to hold urine;
pain and burning during urination.

Regardless of what disease caused such a deviation, you should seek medical help immediately. Self-medication is strictly prohibited, since during pregnancy treatment should be selected with extreme caution, since the treatment should not only bring the maximum therapeutic effect and not harm the child.

Among other things, the chronic course of various inflammatory processes can lead to such consequences, so a woman at the stage of planning a child should undergo a full diagnostic examination in order to promptly diagnose diseases and get rid of them even before conception. In this way, pregnancy can be ensured without any complications or undesirable consequences.

In addition to the reasons listed above, the following factors can provoke pain when urinating during pregnancy:

changes in hormonal levels, which are mainly observed in the female body in the first trimester of pregnancy;
fetal pressure on the bladder, which is mainly diagnosed in women in the last weeks of pregnancy.

In all of the above cases, radical treatment during pregnancy is not prescribed, but is only recommended and constant monitoring of the condition of the woman and the unborn child is carried out.

Pain when urinating in early pregnancy

Pain when urinating in women during pregnancy is a clear sign of poor health and, at a minimum, infection of the genitourinary system with pathogens. The cause of pain may be urolithiasis, cystitis and other infections. Infectious diseases during pregnancy are dangerous for both the mother and the unborn child, and untimely treatment can lead to more serious consequences, including fetal pathology and termination of pregnancy. Pain when urinating in pregnant women in the early stages is a dangerous symptom, and if it occurs, you should immediately consult a doctor.

Treatment of urinary discomfort

The method of treating discomfort during urination during pregnancy should be selected individually in each case. Basically, treatment should be comprehensive. For this purpose, the safest antibacterial drugs are selected, as well as pacemakers and vitamin complexes. In some cases, antibiotics may be prescribed. During pregnancy, preference is mainly given to drugs such as Amoxicillin, Azithromycin or Ampicillin. If the burning and itching are quite severe, then No-shpa is prescribed. Among other things, treatment involves the use of intravaginal suppositories, which are aimed at effectively combating the pathogen and accelerating the healing process.

Treatment of various types of pathological changes in which pain and burning during urination in a pregnant woman is diagnosed is carried out exclusively in a hospital setting. This is necessary so that the woman and the fetus are under constant supervision of medical workers.

Pregnant women are strictly prohibited from self-medicating and taking any medications. Treatment should be carried out strictly under the supervision of a urologist and gynecologist. Among other things, during this period it is prohibited to take sulfonamides and tetracyclines, since these drugs can have a negative effect on the formation and development of the fetus.