Pain when urinating (Dysuria, Strangury): Medical History

Medical history (history of illness) is an important component in the diagnosis of dysuria (pain on urination).

Family history

Social history

Current anamnesis/systemic anamnesis (somatic and psychological complaints).

  • How long has this complaint been present?
  • In addition to pain during urination, do you suffer from other symptoms such as blood in the urine, cloudiness/discoloration of the urine, discharge, etc.?
  • Have you noticed a noticeable odor of the urine?
  • Do you have a frequent urge to urinate? If so, do you have a small excretion of urine at the same time?
  • Do you have the feeling of incomplete emptying of urine?
  • Can you recall a triggering situation?
  • Do you have to get up at night to urinate?
  • Do you have frequent urinary tract infections?
  • Do you suffer from urinary incontinence?
  • Do you suffer from pain in the flank area, i.e. pain originating from the lateral back area below the ribs?
  • Do you have a fever?
  • Do you suffer from vaginal discharge? [Women.]

Vegetative anamnesis including nutritional anamnesis.

  • How much fluid do you consume per day?

Self history including medication history.

  • Pre-existing conditions (urological diseases: urinary foot disorders?, injuries).
  • Pregnancy history
  • Operations (condition after operations on the urinary tract).
  • Permanent catheter
  • Allergies
  • Medication history