Burning or pain when passing urinePeshab karte waqt jalan ya dard

Yeh alamat kya hai

Doctor ise dysuria kehte hain. Peshab karte waqt jalan, chubhan ya dard ho sakta hai: shuru mein, poore dauran, ya aakhir mein. Yeh andar, neechle pait mein, ya us jagah mehsoos ho sakta hai jahan se peshab nikalta hai. Aksar saath mein baar baar peshab aana, achanak shiddat se peshab ki hajat, neechle pait mein takleef, dhundla ya tez boo wala peshab, aur kabhi kabhi thora sa khoon bhi hota hai.

Aap kahan mehsoos karte hain aur saath mein kya hota hai, is se doctor ko ishare milte hain, lekin yeh akele wajah nahi batata. Jalan ka matlab hamesha infection nahi hota. Garmi mein bohat gaarha peshab, jild ki jalan aur kuch doosri halatein bhi is ki wajah ho sakti hain, isi liye peshab ka test maloom karne ka behtareen tareeqa hai.

Meherbani karke sharmindagi mehsoos na karein. Doctor yeh roz dekhte hain, aur jo aap batayein woh raaz mein rehta hai.

Aam wajohat

Yeh kisi bhi umar mein ho sakta hai, auraton, mardon aur bachon mein. Aam wajohat yeh hain:

• Bladder ka infection (cystitis), sab se aam wajah. Aksar saath mein baar baar peshab, jaldi peshab ki hajat aur dhundla peshab hota hai (dekhein urine infection guide).
• Kidney ya prostate ka infection. Is se bukhar aur bohat bimar mehsoos hona ho sakta hai, jalan ke saath ya us ke baghair (dekhein urine infection guide).
• Jinsi taur par muntaqil hone wala infection ya peshab ki nali ka koi aur infection, kabhi kabhi discharge ke saath. Yeh bohat der khamosh reh sakte hain, is liye waqt se yeh sabit nahi hota ke kab ya kaise laga. Meherbani karke khud ko ya apne saathi ko qasoorwar na thehrayein.
• Testicle aur us ki nali ka infection mardon mein, dard aur soojan wale scrotum ke saath (dekhein epididymo-orchitis guide).
• Pathri bladder mein ya ureter ke neechle hisse mein (dekhein kidney stones guide aur bladder stones guide).
• Prostate ka sooja mardon mein, aksar tangon ke darmiyan, kamar ke neechle hisse mein ya peshab ke baad dard ke saath.
• Peshab ki nali ka tang hona (stricture), aksar kamzor dhaar ke saath (dekhein urethral stricture guide).
• Nikasi ke ird gird ki jild ki jalan, maslan khushbu wale saabun, spray ya douche se, ya jild ki sozish ya fungal infection (thrush) se.
• Infection ke baghair bladder ka dard, jo lambay arse tak aata jata hai aur jis ki wajah dhoondne ke liye specialist chahiye.
• Bladder cancer kam aam wajah hai. Is se kabhi kabhi jalan aur peshab ki hajat ho sakti hai, khaas tor par jab khoon bhi ho ya jab infection ke tests baar baar saaf aayein (dekhein bladder cancer guide).

Har wajah ka ilaaj mukhtalif hai, is liye andaaza lagana ya khud ilaaj karna kaam nahi karta. Peshab ka test aur chand sawal aam tor par wajah dhoond lete hain.

Dhundla ya tez boo wala peshab

Peshab kai wajohat se dhundla ya tez boo wala ho sakta hai:

• Paani kam peena, khaas tor par garmi mein. Peshab gehra hota hai aur boo tez.
• Kuch khaane, vitamins aur dawaiyan, jo boo badal sakti hain.
• Infection, jab peep (pus) peshab ko dhundla kar deti hai, aksar tez boo ke saath.
• Discharge ya koi aur maada jo peshab ke saath mil jata hai.
• Khoon, jo peshab ko gulabi, laal ya bhura bana sakta hai (dekhein blood in urine guide).

Dhundla ya boo wala peshab akela, doosri alamaat ke baghair, aksar sirf paani kam peene ka nateeja hota hai. Lekin agar yeh baar baar ho, ya jalan, bukhar, dard ya khoon ke saath ho, to peshab ke test ki zaroorat hai.

Jaanch aam tor par kaise hoti hai

Aap ke doctor poochhenge ke jalan kab hoti hai, kya discharge, bukhar ya peshab mein khoon hai, kya catheter laga ya haal hi mein procedure hua, kya aap ko diabetes hai ya aap hamila hain, aur kisi jinsi taluq ke baare mein. Meherbani karke sach batayein: yeh raaz mein rehta hai, aur sahi ilaaj chunne mein madad deta hai. Phir muaina karenge. Aam tests yeh hain:

• Peshab ka dipstick test, jaldi hone wala patti ka test jo infection ki nishaniyan dekhta hai.
• Peshab ka culture, jis mein sample laboratory bheja jata hai taake germ ugaya ja sake aur pata chale kaun si antibiotics kaam karengi. Behtar hai ke sample koi antibiotic lene se pehle diya jaye. Nateeja aane mein chand din lagte hain.
• Jinsi taur par muntaqil hone wale infections ke liye swab ya peshab ka test, jahan imkaan ho.
• Khoon ke tests, agar aap bimar hon, bukhar ho ya kidney ke infection ka shak ho.
• Kidneys aur bladder ka ultrasound, agar aap mard hain, jalan baar baar aati hai, ya pathri ya rukawat ka shak ho.
• Bladder ke andar camera se dekhna (flexible cystoscopy), agar alamaat lambi chalein, baar baar aayein, ya infection ke tests saaf hon.

Ilaaj aksar usi din shuru kar diya jata hai, sab nateeje aane se pehle, aur nateeje aane par badla ja sakta hai.

Ab kya karein

• Doctor ko dikhayein aur peshab ka sample dein, behtar hai kisi antibiotic se pehle.
• Achha sample dein: apne haath aur nikasi ke ird gird ki jagah dho lein, peshab ka pehla hissa toilet mein karein, beech ka hissa saaf dibbe mein lein andar se chhoo kar nahi, aur baqi toilet mein karein.
• Itna paani peeyein ke peshab halka rahe, khaas tor par garmi mein. Zabardasti bohat zyada paani peena infection ka ilaaj nahi.
• Dard ke liye aam painkillers lein. Apne doctor ya pharmacist se poochhein ke aap ke liye kaun si mehfooz hai.
• Khushbu wale saabun, spray aur douche jinsi hisson par istemal na karein.
• Chemist ke counter se ya bachi hui antibiotics na lein. Ghalat antibiotic ya bohat chhota course masle ko chhupa sakta hai aur ilaaj mushkil kar sakta hai.
• Kisi bhi discharge ya jinsi taluq ke baare mein doctor ko batayein. Agar jinsi taur par muntaqil hone wala infection wajah ho to aap ke saathi ko bhi test aur ilaaj ki zaroorat ho sakti hai. Meherbani karke ilaaj poora hone aur doctor ke mehfooz kehne tak jinsi taluq se parhez karein.
• Antibiotics milein to poora course karein, aur agar chand din mein behtari shuru na ho to wapis jayein.
• Urologist ko dikhayein agar yeh baar baar aaye, agar aap mard hain, ya jalan ke saath peshab mein khoon ho.

Aam sawalaat

What this symptom is

Doctors call it dysuria. You may feel burning, stinging or pain when passing urine: at the start, all the way through, or at the end. It may be felt inside, low in the tummy, or at the opening, where the urine comes out. It often comes with going more often, a sudden urgent need to go, discomfort low in the tummy, cloudy or strong-smelling urine, and sometimes a little blood.

Where you feel it, and what comes with it, gives the doctor clues, but it cannot tell the cause on its own. Burning does not always mean infection. Very concentrated urine in hot weather, irritation of the skin and some other conditions can cause it too, which is why a urine test is the best way to find out.

Please do not be embarrassed. Doctors see this every day, and what you tell them stays private.

Common causes

It can happen at any age, in women, men and children. Common causes are:

• A bladder infection (cystitis), the most common cause. It often comes with going often, urgency and cloudy urine (see the urine infection guide).
• A kidney or prostate infection. These can cause fever and feeling very unwell, with or without burning (see the urine infection guide).
• A sexually transmitted infection or other infection of the urine tube, sometimes with a discharge. These can be silent for a long time, so the timing proves nothing about when or how it was caught. Please do not blame yourself or assume anything about your partner.
• Infection of the testicle and its tube in men, with a painful, swollen scrotum (see the epididymo-orchitis guide).
• Stones in the bladder or the lower part of the ureter (see the kidney stones guide and the bladder stones guide).
• Inflammation of the prostate in men, often with pain between the legs, in the lower back or after passing urine.
• A narrowing of the urine tube (a stricture), often with a weak stream (see the urethral stricture guide).
• Irritation of the skin around the opening, for example from scented soaps, sprays or douches, or from soreness or a yeast infection (thrush).
• Bladder pain without infection, which comes and goes over a long time and needs a specialist to look for the cause.
• Bladder cancer is a less common cause. It can sometimes cause burning and urgency, especially when blood is also present or when tests for infection keep coming back clear (see the bladder cancer guide).

Each cause is treated differently, so guessing, or treating it yourself, does not work. A urine test and a few questions usually find the cause.

Cloudy or strong-smelling urine

Urine can look cloudy or smell strong for several reasons:

• Too little fluid, especially in hot weather. The urine is darker and the smell is stronger.
• Some foods, vitamins and medicines, which can change the smell.
• Infection, when pus makes the urine cloudy, often with a stronger smell.
• A discharge or other fluid mixing with the urine as it passes.
• Blood, which can make urine pink, red or brown (see the blood in urine guide).

Cloudy or smelly urine on its own, with no other symptoms, is often just the result of drinking too little. But if it keeps happening, or comes with burning, fever, pain or blood, it needs a urine test.

How it is usually investigated

Your doctor will ask when the burning happens, whether you have a discharge, fever or blood in the urine, whether you have had a catheter or a recent procedure, whether you have diabetes or are pregnant, and about any sexual contact. Please be honest: it is private, and it helps choose the right treatment. Then they will examine you. Usual tests are:

• Urine dipstick test, a quick strip test that looks for signs of infection.
• Urine culture, where a sample is sent to the laboratory to grow the germ and show which antibiotics will work. It is best to give the sample before taking any antibiotics. The result takes a few days.
• A swab or urine test for sexually transmitted infections, where they are likely.
• Blood tests, if you are unwell, have a fever or a kidney infection is suspected.
• Ultrasound of the kidneys and bladder, if you are a man, if the burning keeps coming back, or if a stone or blockage is suspected.
• A camera look inside the bladder (flexible cystoscopy), if the symptoms last, come back often, or tests for infection are clear.

Treatment is often started on the same day, before all the results are back, and then adjusted when they arrive.

What to do next

• See a doctor and give a urine sample, ideally before you take any antibiotics.
• Give a good sample: wash your hands and the area around the opening, pass the first part of the urine into the toilet, catch the middle part in the clean container without touching the inside, and finish in the toilet.
• Drink enough to keep your urine pale, especially in hot weather. Forcing very large amounts does not treat an infection.
• Use simple painkillers for the pain. Ask your doctor or pharmacist which one is safe for you.
• Avoid scented soaps, sprays and douches on the genital area.
• Do not take antibiotics from a chemist counter, or leftover ones. The wrong antibiotic, or too short a course, can hide the problem and make it harder to treat.
• Tell your doctor about any discharge or sexual contact. If a sexually transmitted infection is the cause, your partner may need testing and treatment too. Please avoid sex until you have finished treatment and your doctor says it is safe.
• Finish the full course if you are given antibiotics, and go back if you are not starting to improve within a couple of days.
• See a urologist if it keeps coming back, if you are a man, or if you have burning with blood in the urine.

Common questions