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Pain and burning when urinating
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Infectious Illnesses
Question #19175
65 days ago
153

Pain and burning when urinating - #19175

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
300 INR (~3.53 USD)
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
65 days ago
5

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

1026 answered questions
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Dr. Kunal Meena
I am someone who got to work in a government setup for 1 full year, and honestly that one year felt more like 3... in a good way. It was a rotational post, which meant I had to shift across wards, ICU, OT, and even casualty — no chance to get too comfortable in one place. Every few weeks brought new responsibilities, new types of patients, and yeah, new kinds of pressure too. In casualty I saw a lot — from road traffic injuries to sudden breathlessness, fevers that wouldn’t come down, old patients just collapsing... and you don’t get time to overthink, you just act. You learn fast where to focus. I also handled geriatric OPD and that was a different kind of challenge. Older patients need more listening, more patience. Most come with multiple issues — joint pain, sugar, BP, digestion, insomnia — and sometimes they just want to talk too. You realize pretty quick that care isn’t only treatment. ICU postings taught me to stay alert all the time. Alarms don’t wait. I had to assist in serious cases, learn to track vitals, respond to sudden dips, push meds under supervision. OT experience was equally hands-on... mostly assisting but you pick up the flow of surgical steps, sterilization rules, emergency prep and post-op care that textbooks just can’t really explain. What I liked most about that whole year was the exposure — I wasn’t limited to one age group or one type of disease. From paediatric fevers to elderly fall injuries, from asthma attacks to appendicitis — saw a bit of everything. And the system might be hectic, but it teaches you how to function under pressure and still think clearly. That year gave me the kind of foundation you can’t just study. It was about real people, real-time decisions, and not just following protocol but also figuring out what works when there’s no perfect setup. Definitely made me sharper, more grounded, and honestly more ready for whatever comes next in clinical life.
64 days ago
5

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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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
64 days ago
5

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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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
64 days ago
5

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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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
64 days ago
5

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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Dr. Bheruram Netar
I am working in general medicine opd from 3 years now and that gave me wide exposure to all kind of patients walking in with different complain, sometimes mild, sometimes really serious. Most common I handle are seasonal allergies, gestational issues during pregnancy, diabetes and hypertension, but I also see cases of infections like dengue or malaria that need quick attention. In OPD you never know what the next case will be, one moment its a child with fever and next a adult with uncontrolled blood sugar, and I learnt to switch fast and think clear. I focus on proper diagnosis first, using detailed history and examination rather than rushing, cause many conditions overlap and can confuse. For example a viral fever might look like dengue in early days, or hypertension can stay hidden till it shows as headache or dizziness. I try to explain to patients in simple words what is happening with their health, as many come with fear and half information. Making them comfortable and giving them trust matters more than only prescribing medicines. Over these years I also developed a flexible approach in management, not every patient need same treatment plan. Like gestational diabetes require a very diff care compared to a young person with type 1 diabetes. Lifestyle counselling became important part of my practice, talking about diet, exercise, sleep routine and follow-up. Even with allergies or seasonal flu, guiding them on prevention and hygiene reduce re-occurence a lot. In opd practice volume is high and decision making has to be quick but safe. Sometimes you only have a few minutes, still I try to balance efficiency with personal care. Seeing patients recover and come back with gratitude motivate me everyday. Working across such diverse case made me more confident, but also humble because medicine is never fully predictable. There are times I doubt, recheck, ask for labs before final call, and I think that caution is also strength.
64 days ago
5

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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