Suggest Treatment For Pain After Urination

Posted on Tue, 8 Sep 2015

Question: Hi Doctor,

I am a 33 year old woman and I am feeling pain while the end of urination since yesterday. I am hypothyroid. I am on my thryoid medication dose and I am sure my thyroid is under control, however I have experienced shivers, chills and lot of stress during last week. i am currently going through my mensuration cycle and today is the first day. Please advice what should I do? Do I need to investigate?

Answered by Dr. Srilatha Myaka (26 minutes later)

Brief Answer:
need more information

Detailed Answer:
Hello dear,welcome to healthcare magic.I understand your concern.
In my opinion your symptoms suggest urinary tract infection.
But i need to know following things for better suggestions:-
1)Do you have any fever with chills presently?
2)Any burning urination?
3)Any increased frequency of urination?
4)What is the amount of water intake daily?
5)Any altered vaginal discharge?
6)Any pain lower abdomen?
7)Are you sexually active?
Kindly provide me the information.
Looking forward to hear from you.
Best regards...Dr.Srilatha

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Srilatha Myaka (3 hours later)

Thanks Doctor

I am not having fever or chills presently however I feel weak.

No burning urination, only pain at the end of urination

Yes, there is an increase in urination and my water intake less than 2 liters.

I observed foul smell in urination and some discharge few days ago.

I am not that active sexually, yes a week ago I was sexually active.

I am not sure about pain in lower abdomen. I did not have any pain though.

Please advise.

Regards,

XXXX

Answered by Dr. Srilatha Myaka (1 hour later)

Brief Answer:
Dehydration predisposes to UTI

Detailed Answer:
Hi dear,goodday.Thanks for the information provided.
Among your complaints there are 4 strong points to suspect urinary tract infection(UTI) which are:-
1)Increased urination.
2)Less water intake.
3)Pain at the end the urination.
4)Foul smelling with discharge in urine.
So you need a work up for evaluation of UTI.
In my opinion you need to go for:-
1)Ultrasound abdomen for evaluation of kidney, bladder and urinary tracts to rule out any renal stones.
2)Complete urine examination.
3)Culture and sensitivity of the sample.
4)Complete blood picture.
The above investigations help to evaluate UTI and its causes.
As a general rule 3-4 litres per day,cranberry juice help to prevent UTI.
Kindly let me know the reports for furthur discussion.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...Dr.Srilatha

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T