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Dysuria: When It Hurts to Go With the ‘Flow

Dysuria: When It Hurts to Go With the ‘Flow

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Dysuria, or painful urination, can occur for a number of causes. When someone urinates, it could ache because of an infection, kidney stones, a cyst, or another illness affecting the bladder or adjacent organs.

This symptom has a wide range of possible explanations, many of which are curable.

Individuals who experience dysuria should inform their doctor of any other symptoms. If these are associated with painful urination, it may be possible for doctors to diagnose the condition and suggest the best course of action.

Causes of painful urination

Urinary tract infections

A urinary tract infection frequently manifests as painful urination (UTI). A bacterial infection may lead to a UTI. Urinary tract irritation may also be to blame.

The urinary tract is made up of the urethra, bladder, ureters, and kidneys. Urine travels from the kidneys to the bladder through tubes called ureters. Any of these organs that are inflamed can induce urinating pain.

UTIs are more common in those who have vagina than in those who have a penis. This is so because people with a vagina have shorter urethras. Bacteria need to travel less distance to reach the bladder if the urethra is shorter.

Urinary tract infections are also more likely to occur in menopausal or pregnant women.

Sexually transmissible diseases (STIs)

Also, if you have a sexually transmitted infection, you might feel pain when peeing (STI). Chlamydia, gonorrhoea, and genital herpes are a few STIs that can make urinating unpleasant.

Due to the fact that STIs are sometimes asymptomatic, it is crucial to get checked for them. STI testing should be done on a large number of sexually active individuals.

Prostatitis

Painful urination might be brought on by other medical disorders. Prostatitis, which affects the prostate, can cause painful urinating in men. The prostate gland is inflamed in this syndrome. It is the main source of burning, stinging, and pain in the urinary system.

Cystitis

Urination pain can also be brought on by cystitis, an inflammation of the bladder lining. The term “painful bladder syndrome” (PBS) is another name for interstitial cystitis (IC). The most typical kind of cystitis is this one. Pain and tenderness in the bladder and pelvic area are IC symptoms.

Radiation therapy occasionally results in pain in the bladder and urethra. Radiation cystitis is the name of this condition.

Urethritis

The condition known as urethritis denotes inflammation of the urethra, typically brought on by bacterial infection. In addition to frequently causing pain while urinating, urethritis can also increase the urge to urinate.

Epididymitis

Epididymitis, or inflammation of the epididymis in people with a penis, can also result in painful urination. Sperm from the testes are stored and transported by the epididymis, which is situated behind the testicles.

Pelvic inflammatory disease (PID)

PID can have an impact on the uterus, cervix, ovaries, and fallopian tubes. Among other symptoms, it can lead to painful urination, painful intercourse, and abdominal pain.

PID is a severe infection that typically results from a bacterial infection that starts in the vagina and spreads to the reproductive organs.

Uropathy with obstruction

Urine flowing back into the kidneys is known as obstructive uropathy, which is caused by an obstruction in the ureter, bladder, or urethra. Regardless of the cause, it’s critical to get medical attention as soon as symptoms appear.

Similar problems with urination and pain can be brought on by another disorder called urethral stricture, which causes the urethra to narrow.

Renal stones

If you have kidney stones, it could be uncomfortable for you to urinate. The urinary tract contains masses of hardened material called kidney stones.

Medications

Painful urination is a side effect of various drugs, including some antibiotics and cancer treatments. Discuss any possible pharmaceutical side effects with your healthcare professional.

Hygiene items

It’s not always an infection that causes painful urinating. Moreover, it could be brought on by genital product use. Vaginal tissues can become particularly irritated by soaps, lotions, and bubble baths.

Dyes in laundry detergents and other personal care items can irritate and contribute to health problems such as dysuria.

Differences in males and females

Both sexes can experience pain during urinating, and the causes may depend on the anatomy.

For instance, female urethras are shorter than male urethras. This makes it easier for germs to enter the bladder, which can result in UTIs.

A person might discuss with their doctor the likelihood that they will experience painful urinating based on their sex and medical history.

Treatment options for painful urination

The initial step before receiving therapy will be to identify the source of the pain.

To address painful urinating, your doctor could prescribe medication. UTIs, some bacterial infections, and some STIs can all be treated with antibiotics. Also, your doctor might prescribe you medicine to soothe your agitated bladder.

If you start taking medicine, painful urination brought on by a bacterial infection typically gets better quite soon. Take the medication exactly as directed by your doctor every time.

Certain infections, like interstitial cystitis, can cause pain that is more difficult to treat than others. The effects of pharmacological therapy could take longer. Before you start to feel better, you might need to take medicine for up to 4 months.

Prevent painful urination

There are lifestyle adjustments you can undertake to help with symptom relief.

  • Avoid using scented toiletries and laundry detergents to lower your chance of irritation.
  • When engaging in sexual activity, use condoms or other barrier techniques.
  • Eliminate foods and beverages from your diet that can irritate the bladder (such as highly acidic foods, caffeine, and alcohol).
  • Drink plenty of water.

When to see a doctor

Get in touch with your doctor:

  • if the discomfort is ongoing or severe
  • if you are expecting
  • There is fever and ache together.
  • if you develop vaginal or penile discharge
  • your urine smells strange, contains blood, or is cloudy
  • if abdominal discomfort is present along with the pain
  • if you expel a kidney or bladder stone

To help identify the source of the pain, your doctor may request lab tests and inquire about any further symptoms.

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What are the side effects of prostate massage therapy?

What are the side effects of prostate massage therapy?

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A component of the male reproductive system, the prostate is situated in front of the rectum and just below the bladder. Although there are conventional medical procedures to treat prostate inflammation, or prostatitis, some alternative practitioners do a prostate massage when it becomes irritated.

In traditional medicine, a doctor does a digital rectal examination (DRE) to identify prostatitis, prostate enlargement, or inflammation.

According to some alternative healthcare professionals, “milking the prostate” in this way can improve sexual function and improve some symptoms associated with an inflamed prostate.

What is a prostate massage?

A DRE is comparable to a prostate massage. In addition to using their fingertips to feel for lumps or other anomalies, a professional performing a DRE will also massage the prostate.

There are two parts to this prostate. It encircles the area where the urethra connects to the bladder. Male fertility depends on the prostate since it is responsible for the majority of the fluid that surrounds sperm in semen.A prostate massage is frequently referred to as “drainage,” and it typically takes longer. The prostate is intended to be “wrung out.”

A DRE is typically used by a physician to assess the prostate gland’s overall size and health. A doctor will keep an eye out for any changes that might point to health problems during the treatment. A doctor touches the sides of the prostate close by with a finger while wearing a lubricated glove.

The doctor may rub the prostate to extract fluid for later analysis if symptoms point to the existence of an infection. Practitioners of prostate massage also assert that symptom reduction benefits from discharging this fluid. Expressed prostatic secretion refers to the fluid the prostate releases. It will be examined by doctors to look for inflammation or infection.

For the first month, people with chronic prostatitis frequently return for prostate massages two to three times a week, then taper off as their symptoms become better.

Types of Prostate massage.

Some people regularly massage their prostates to treat the symptoms of prostate issues. This can be done by professionals using their hands or a prostate-massaging tool. It can be slightly unpleasant to massage the prostate. Since the fluids include burning agents, some persons experience increased burning following drainage.

Pressure can be applied to the perineum, a region situated midway between the anus and the scrotum, during an external prostate massage. Prostate massage can also be given by gently massaging the area of the belly between the pubic bone and the belly button. Additionally, there are tools that can help with external prostate massage.

How to Do a Prostate Massage

It frequently assists to achieve an arousal level before doing prostate massage for sexual purposes. As the penis becomes erect, this causes the gland to migrate into a slightly upward and backward position.

That’s when:

  • Around the anus, liberally apply lubricant.
  • Start masturbating by softly inserting your index finger over the first knuckle.
  • Reapply lubricant after pulling the finger out.
  • Replace your finger in the anus once more, this time to the second knuckle, and carry on masturbating.
  • Up until the third knuckle, repeat steps 3 and 4 as necessary.
  • Once the finger is fully inserted, look into the rectum, up toward the root of the penis, for a rounded lump that is about 4 inches long. The prostate appears here.
  • Use the pad of a finger to gently rub the prostate in a circular or back-and-forth motion. You can also use the pad of your finger rather than the tip to gently push down for seven to ten seconds.

Purpose of Prostate Massage

Prostate massages aim to drain extra seminal fluid from the prostate gland’s channels, which mixes with sperm to form semen. Some people believe that this will reduce inflammation, encourage urination, and alleviate symptoms of prostate issues.

Between the bladder and the root of the penis is where the prostate gland is situated. It creates seminal fluid, which during ejaculation nourishes and transports sperm. The centre of the prostate is where the urethra, the tube through which urine and sperm leave the body, passes.

Prostate massage is thought to be beneficial for some prostate conditions, such as prostatitis and benign prostatic hyperplasia (BPH).

Benign Prostatic Hyperplasia (BPH)

Prostate enlargement with ageing is known as BPH. The prostate is typically the size of a walnut, but in those over 60, it can grow to be the size of a plum or even larger. This may result in urinary issues and urethral compression.

Prostatitis

The prostate gland becomes inflamed when someone has prostatitis. A bladder infection or a urinary tract infection (UTI) may be the culprit. However, it could also be brought on by activities like strenuous riding a horse or a bicycle or by using a urinary catheter.

For some people, especially older males, prostatitis can develop suddenly and for no apparent reason. Contrary to BPH, which worsens over time, prostatitis can resolve

Possible Side Effects

The sensitive tissues lining the prostate and rectum are prone to abrasions, rips, and wounds. An overly vigorous massage of the prostate can quickly cause soreness. For instance, 8.3% of participants in the study mentioned above felt uncomfortable following a prostate massage.

In addition to causing rectal bleeding, a too forceful prostate massage can aggravate haemorrhoids or increase the risk of bacterial infection.

Men with acute bacterial prostatitis should also avoid manual prostate massage. The massage exacerbates inflammation and might encourage the spread of bacteria to the bloodstream, other urinary tract regions, and the urethra.

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