Pain when urinating during pregnancy
If pain occurs during urination during pregnancy, a doctor should be consulted immediately, who will determine whether a bladder infection is present by means of urine diagnostics. This should then be treated with antibiotics approved for use during pregnancy, for example with cefuroxime or amoxicillin, to prevent a more serious inflammation, which could then also harm the unborn child. Pain during urination can also be caused in later pregnancy by the increase in size of the child in the uterus, which then presses on the bladder. Nevertheless, pain when urinating during pregnancy should always be taken seriously and clarified by a doctor. and cystitis during pregnancy
Diagnosis
If there is pain while urinating, this should be clarified by a doctor. The doctor will ask about pain characteristics in the medical history and whether there are any accompanying symptoms that indicate an underlying cause. The anamnesis is followed by a physical examination, in which, among other things, it is checked whether there is knocking pain over the kidneys.
This is usually followed by a urine examination. The presence of various parameters can often be used to determine the cause of the pain. Elevated leukocyte values (white blood cells) in the urine are typical for cystitis.
If no cause for the pain when urinating can be found even after these examinations, a laboratory examination of the blood can provide information. An ultrasound of the bladder and kidneys can also be used to check whether, for example, a urinary calculus is responsible for the pain.If one wants to exclude a possible tumor of the urinary bladder, one can perform a bladder examination. If a sexually transmitted disease is suspected, the doctor takes a vaginal smear and has it analysed in the laboratory.
Sometimes imaging of the urinary tract is also necessary, which can be done in the form of an X-ray, MRI (magnetic resonance imaging) or CT (computed tomography). If the pain occurs due to an undesired effect of medication, it is usually not possible to draw a direct conclusion. However, if no other obvious cause for the pain can be found and if a medication has only been taken for a short time, this possibility should not be ignored and the patient should stop taking it.
If there are no more symptoms, this indicates that the medication has caused the pain and should not be prescribed any more. Only if, despite all the diagnostic tests, no cause for the pain of the woman’s urination can be found is it called an irritable bladder. This procedure is called exclusion diagnostics.
If you feel pain while urinating which does not improve within a few days even after physical rest or if there are even accompanying symptoms such as blood in the urine, you should consult a doctor immediately. A general practitioner is a good choice here, since the pain when urinating is usually due to harmless and easily treatable causes. If the general practitioner cannot find an explanation for the symptoms or suspects a more serious underlying disease, he will usually refer the patient to a urologist (doctor for urinary tract diseases). If there is a suspicion of a venereal disease, a referral to a gynecologist (gynecologist) or a dermatologist (dermatologist) can also be made.
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