Introduction
If a burning sensation occurs when going to the toilet and urinating (alguria), this is the symptom of some diseases, which also affect the urinary tract. Apart from differences between the sexes, there are also many different pathogens and other causes that trigger the disease. In any case, the underlying disease should be investigated and in more severe cases a doctor should be consulted. Even if most diseases seem relatively harmless, they can have sometimes serious effects. In most cases, however, a therapy is simple and does not take long.
Symptoms
In addition to the burning sensation when urinating, in some cases there is also fever and exhaustion, as well as tiredness, which would then be more likely to indicate an inflammation of the renal pelvis. Here the patients have a clear feeling of illness, similar to the flu. Many patients also complain of chills, nausea and vomiting.
Pain and pressure in the flanks is also a typical sign of this disease. An inflammation of the renal pelvis can be particularly painful, much more painful than an inflammation of the bladder. Because of this, sufferers sometimes have to be treated as in-patients in hospital.
Diagnosis
A urine examination is performed for all diseases of the urinary tract. In most cases, this method can already be used to determine the pathogens, which simplifies further diagnostic procedures. It is best to use medium jet urine.
This means that one does not urinate into the urinary beaker at the beginning and at the end, but only uses the urine that is excreted in the middle. In addition, a good and detailed anamnesis is of course also important in this case. Furthermore, the patient is physically examined.
To get further certainty about the disease, a bladder examination is of great importance. The cytoscope (endoscope) is inserted into the bladder via the urethra. With this device the bladder can be examined optically.
In addition, biopsies can also be performed with the help of the cytoscope. For this purpose, some of the tissue is removed and then examined histologically in the laboratory. By carefully examining the tissue sample taken, it can be determined whether it could be a tumour.
With the help of the channel through which one guides the cytoscope to get into the inside of the bladder, one could also perform surgery. In the course of a bladder infection and its diagnosis, especially if one seeks help in hospital or from a urologist, a sonography (ultrasound) is performed in addition to the medical history and the urine sample. In this way it is also possible to see whether and how much residual urine is still in the bladder and whether there is a micturition disorder.
In addition to the above-mentioned examination methods, there is also the possibility of an X-ray. This is one of the standard urological examinations and thus the complete urinary tract can be visualised. In order to make these even more visible, a contrast medium can also be injected. In this way all vessels become visible. The path of the urine from the kidneys to the bladder can also be shown and traced.
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