The urination disorder characterized by its difficulty, pain, increased frequency is called dysuria. It occurs in the development of inflammation in the bladder, diseases of the prostate, at least - cancer of the uterus, inflammatory processes in the genital organs of women, the stones in the ureter tuberculosis of the kidneys. Can also contribute to the development of dysuria common factors (psychogenic reactions, negative emotions).
Cystitis acute. When this pathology is characterized by equally frequent acute painful urination at any time of the day. There are powerful urges that the patient is unable to suppress, to keep urine it is also not possible. Since the absorption from the bladder is negligible, the body temperature for cystitis, usually low-grade. When gangrenous necrotic form of the disease are severe intoxication, and the temperature rises to 39 °C. When combined with dysuria hematuria should be suspected tumours in the bladder.
Acute prostatitis. One of the hallmarks of this disease is rescia dysuria. In addition to her development is observed common effects (tachycardia, sweating, chills, fever), which is increasing with the development of inflammation. Prostate palpation is painful.
BPH and stones in the bladder. Most often dysuria, when these diseases seen in older men. Dysuria caused by adenoma, more pronounced at rest and at night and during the day decreases. In the presence of bladder stones, dysuria, on the contrary, most pronounced under load, driving on poor roads, walking alone as it decreases.
Cancer of the prostate. Usually, the first signs of this disease include frequent urge to emptying of the bladder, especially at night. Urination in patients is difficult, urine is thin jets, intermittently, sometimes visible drops. Often, when this occurs the feeling that the bladder has not completely emptied. Patients throughout or at the beginning of the act of urination painful.
With the development of bladder tubercle phenomena dysuria begins to increase gradually. First, there is frequent urination, with pain there. With the development of the disease urination becomes painful, significantly quickens, the urine occurs in small portions, you may receive mixed in the blood.
Dysuria may be accompanied and urolithiasis. If the stone is localized in the intramural division of the ureter (the lower third), you may experience the imperative frequent urination, urine, if this does not occur, and the area of the bladder pain.
Should be aimed primarily at the reduction of pain. If dysuria is a consequence of kidney stones, prostatitis or cystitis, then apply heat and subcutaneously injected atropine solution, and the solution of papaverine. As painkillers shows the use of a microenema with amidopirina, candles with the anaesthetic injected, belladonna. At a moderate dysuria prescribe analgesics (aspirin, amidopyrine) inside. If necessary it is possible parenteral administration of these funds. If the cause of dysuria is not clear, prescribe antispasmodics and analgesics, applying heat in this case, you should refrain (heat is contraindicated in tuberculous processes in the bladder and several other pathologies). All patients with acute severe dysuria should be urgently hospitalized. At a moderate dysuria patients referred for diagnosis to the urologist.