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Pain and burning when urinating
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Infectious Illnesses
Question #19175
201 days ago
449

Pain and burning when urinating

Vlada

Hi, I am 17 years old and for several months I have had pain and a burning sensation specifically in my urethra when urinating. I do not have fever or other symptoms. I want to understand what this could be (urinary tract infection, sexually transmitted infection, or something else) and what tests I should get to find out the cause. Can you please advise me on next steps and possible treatment options?

Age: 17
Pain
Urination
Burning
Infection
Uti
Urethra
Urinary tract
Sti
Female
$7.5
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Doctors' responses

Hello,

This needs medical attention since its been for months

It can be UTI/urethritis/ Irritation from soap or any products/STI if you are sexually active

Please do: Urine routine & microscopy Urine culture STI tests (chlamydia & gonorrhea NAAT), if sexually active

Please consult a gynaecologist in person or share the report here

Avoid self medication and harsh products

I trust this helps Thank you

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It can be UTI based on history you are providing please can you let me know if you have pain when you start to void urine or mid stream or when you are about to finish it will help me know further

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Hello Vlada Thanks for sharing your symptoms clearly. Pain and burning in the urethra when urinating (dysuria) for several months, without fever or other symptoms, can have a few common causes:

Possible causes: - Urinary tract infection (UTI): Usually causes burning, but often comes with other symptoms like frequent urination or urgency. Chronic UTI is less common at your age. - Sexually transmitted infection (STI): Some STIs (like chlamydia or gonorrhea) can cause urethral discomfort, even without other symptoms. - Irritation: Sometimes soaps, hygiene products, or tight clothing can irritate the urethra. - Urethritis (inflammation): Can be caused by bacteria, viruses, or even non-infectious reasons. - Kidney stones or crystals: Rare, but can cause burning if passing through the urinary tract.

What you should do next: 1. Urine routine and microscopy: Checks for infection, blood, or crystals. 2. Urine culture: Identifies bacteria if present. 3. STI screening: If you are sexually active, tests for chlamydia, gonorrhea, and others. 4. Physical exam: A doctor may check for any local irritation or anatomical issues.

What you can do now: - Drink plenty of water. - Avoid harsh soaps or hygiene products near the genital area. - Wear loose, cotton underwear.

When to see a doctor: - Since this has lasted several months, you should see a doctor for the tests above. - If you develop fever, blood in urine, severe pain, or discharge, seek care sooner.

Treatment:
Treatment depends on the cause—antibiotics for infection, or other specific treatments if needed. Please do not start any antibiotics on your own.

Thank you

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Hello dear See burning sensation definitely arise risk for uti typically escherchia coli or pseudomonas infection Iam suggesting some tests . Please get them done Kidney USG Culture Rft CBC Esr Gfr if recommended by urologist Please share the result with urologist in person for better clarity Also Donot take any medication without consulting the concerned physician Regards

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Urine Routine Examination + Microscopy Urine Culture & Sensitivity Urine NAAT for STIs (if sexually active)

Urinary Alkalizer

Potassium citrate syrup Dose: 10–15 ml with water, twice daily after meals Duration: 5–7 days

Do NOT start antibiotics without urine tests, especially since: Symptoms are chronic Previous partial or wrong treatment can worsen resistance

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Hi vlada According to your history its from severe month it’s most likely pelvic inflammatory disease or may be sti Urine examination Urine culture and routine and microscope Ultrasound of abdomen and pelvic Treatment will be on the basis of investigation Don’t take antibiotics without investigation Drink plenty of water Syrup citrasol 2 spoon with full glass of water First go through investigation then only basis of investigation took treatment otherwise so it will be perment cure Thanks !!

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When experiencing pain and burning during urination, several potential causes should be considered. Commonly, a urinary tract infection (UTI) is a leading cause, especially in women. However, given the duration of several months without fever, a chronic issue may require further exploring. A sexually transmitted infection (STI) should be ruled out, especially if there has been recent sexual activity. Other causes could include urethritis, kidney stones, or interstitial cystitis. To pinpoint the cause, you would benefit from seeing a healthcare provider for a few specific tests. A urinalysis and urine culture can help identify any bacterial infections. If there’s potential exposure to STIs, tests for chlamydia, gonorrhea, and other STIs should be conducted as well. An ultrasound might be considered if structural issues like stones are suspected. As for treatment, it would depend on the underlying cause. UTIs are typically treated with antibiotics, which should relieve symptoms in a matter of days. STI-related infections would require specific antimicrobial therapy as well. Ensuring hydration by drinking plenty of water can sometimes help and reduce urine acidity. Avoid irritants like caffeine or alcohol that might worsen symptoms. It’s crucial to get diagnosed accurately so treatment specifically targets the root cause. Avoid self-medicating without proper guidance to prevent complications. If your symptoms were to worsen or you develop new ones like fever or blood in your urine, seek immediate medical attention as these can indicate more serious conditions.

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