If you have urinary incontinence and have not had a urinary tract infection in your tests.
If the burning sensation after urinating has a cause other than infection
If you want to know the causes of heartburn
Read more with us, in this article, we have collected everything you need to know about urinary incontinence, causes and factors that cause urinary incontinence in the absence of infection, and we present it here.
Why do we seek urinary incontinence even though we do not have a urinary tract infection? In this article, we will provide the answer to the above question.
Urinary incontinence or burning sensation following urination is not a disease in itself. In fact, doctors say that urinary incontinence is a sign that there are other underlying causes.
You should not always assume that it is a urinary tract infection that causes Urinary incontinence in you. There are other causes, one of the symptoms of which can be a burning sensation after urinating.
What is urinary incontinence?
Doctors use the term dysuria to describe the burning sensation. The pain and burning sensation of the urethra when urinating is called urinary irritation.
In some cases, there may be a burning sensation in the urethra without urination. In these cases, there is usually very severe inflammation of the urethra.
Urinary incontinence can occur suddenly and without a previous history ( there is acute dyuria)
Or the person may have had dysuria for a long time, in which case we say chronic dysuria.
What are the symptoms associated with dysuria?
Depending on the cause of the burning sensation, the accompanying signs and symptoms of dysmorphic can vary. In the following, we will refer to some of the accompanying symptoms and manifestations:
- Bleeding from the urethra or the presence of blood in the urine:
Usually in cases where the underlying cause of heartburn is urinary tract infections (UTIs), the urine may be dark in color and mixed with blood. If you also have some types of STDs, you may see blood coming out of the urethra.
Bloody urination is also a common complaint in people with kidney and urinary tract stones.
It is interesting to know that from the urologist’s point of view, where the blood is found in the urine (at the beginning, middle or end of urination) can help to identify a possible underlying cause.
- Fever with or without chills:
Fever and chills are commonly said to be accompanied by Urinary incontinence when there is a tissue infection or kidney parenchymal infection. According to doctors, most of these people have experienced urinary symptoms for a few days, including burning or blood in the urine or dark urine. Unfortunately, after the infection has spread to the kidney and the kidney tissue or kidney parenchyma, they develop fever and chills and fatigue. In some cases, prostate infection may be the cause of burning after urination with fever or chills.
- Side pain:
In cases where there is involvement of the renal parenchyma, for example in inflammation or infections of the renal parenchyma (eg pyelonephritis);
- loss of appetite:
Anorexia is common in cases where inflammation or infections are the cause of dysuria.
Also, in cases where a mass inside the kidney or bladder has grown enough to occupy a large space of the abdomen and pelvis, a feeling of premature satiety and anorexia will be common.
In general, it can be said that in cases of urinary incontinence due to kidney and urinary tract infections, there is blood in the urine or dark urine, accompanied by fever and chills. In these cases, patients generally have lethargy and see a doctor with general weakness, nausea, and fatigue.
Before trying to address the underlying causes of urinary incontinence in the absence of infections, we need to provide brief explanations about the structure and anatomy of the urinary tract.
Familiarity with the structure and anatomy of the urinary tract
The kidney and urinary tract systems play a very important and sensitive role in our body. Any dysfunction in the function and structure of this system can cause severe pain, for example, kidney damage may even lead to loss of life.
The kidneys are on the left and right, and the urine produced by the kidneys enters the bladder through the ureter.
The wall of the bladder is muscular and it is the contractions of these muscles that give us the feeling of urination and help to empty the bladder.
Urine stored in the bladder is emptied out of the body by the urethra. In men, there is a prostate gland near the exit of the bladder, or around the bladder, so an increase in size, inflammation, and prostate tumors can narrow and sometimes block the passage of urine out of the bladder.
At the point where the right ureter and left ureter enter the bladder on the same side, there are muscles in the form of a band around the ureteral entrance called the sphincter, and it is with the presence of these sphincters that the return of urine to the ureters is blocked.
The nerves in the bladder wall receive a message with an increase in bladder volume and carry this message to the nerve center, and in response to this stimulation, bladder wall muscle contractions will occur.
When we urinate, the brain commands the muscle in the bladder wall to contract, creating a urinary pressure that causes the urine to empty. At the same time, the brain signals the bladder outflow sphincter to relax and allow urine to leave the bladder.
All these signals must be transmitted in an orderly manner so that the urination process is not disrupted.
What causes urinary incontinence following urination?
In general, bacterial urinary tract infections that ascend from the urethra are the most common cause of bacterial infections of the entire urinary system.
The types of urinary tract infections or UTIs are as follows:
- Upper urinary tract infections:
If bladder infections, or lower urinary tract infections, are not treated, infectious agents can spread to the kidneys and cause an infection of the parenchyma or kidney tissue called pyelonephritis.
- Lower urinary tract infections:
In these cases, the bacterium that causes the infection has spread from the urethra and caused inflammation and infection in the bladder.
Cystitis or bladder infections are much more common than upper urinary tract infections, and fortunately their symptoms will be much milder than pyelonephritis or kidney tissue infections.
Urinary tract infections in adults with:
- Dark urine
- Bloody urine or the presence of blood in the urine
- Frequent urination
- Frequent urination
- Feeling of inadequate urination
- Foamy urine
- Stinky urine
- Side pain
- Abdominal pain and lower abdomen
And in infants and young infants with:
- Constant crying
- Do not take the mother’s breast
- Crying when urinating in diapers
In the elderly, there are usually no classic adult symptoms, and usually the occurrence of urinary incontinence or sudden changes in the mood and behavior of the elderly can be due to the presence of UTI.
Other possible causes
Other causes of urinary incontinence in the absence of infection.
Injuries, diseases and problems caused by urethral stricture
- Urethral stricture:
Urethral strictures occur following infections, trauma, surgery, and injuries to the urethra.
As a result of these events, the urethra may become narrow and the internal space of the urethra, where the urethra passes, may become narrow. This may cause partial or complete urinary obstruction in the affected person.
In these cases, in the presence of a narrowing of the urethra, the person may have dysuria without having a urinary tract infection.
Doctors say that urethral stricture is more common in men than women. The reason for the prevalence of urethral stricture and problems related to urethral stricture in men is that the length of the urethra in men is longer than in women.
The following are common causes that may lead to urethral stricture:
- Sexually Transmitted Infections or STIs
- Trauma to the body and urethral injury following trauma
- Inflammation and swelling of the urethra
- Having a urinary catheter
Urinary retention is more common in people with urethral stricture than in dysuria.
- Painful bladder syndrome:
Doctors call painful bladder syndrome interstitial cystitis
This syndrome is one of the important causes that can be associated with Urinary incontinence when urinating.
While the person does not have a urinary tract infection.
Symptoms of interstitial cystitis include:
- Feeling uncomfortable and sometimes painful when the bladder is full
- Loss of bladder pain and discomfort following urination
- Painful intercourse in women
- Pelvic pain
- Sensitivity in the pelvis and lower abdomen
- Frequent urination
- urinary incontinence
- Inflammation of the prostate or prostatitis:
Inflammation of the prostate in men can cause painful conditions of which dysuria is one of the clinical manifestations.
Bacterial infections are the most common cause of inflammation of the prostate, but it is important to know that the following causes can also lead to inflammation of the prostate or prostatitis:
- inflammation in the tissues around the prostate can be associated with swelling and inflammation of the prostate nerves and the prostate itself.
Antibiotics are the treatment of choice for bacterial infectious prostatitis
The use of prostate massage and the use of analgesics and anti-inflammatory drugs are also recommended.
- Kidney and urinary tract stones:
Some people with kidney stones may have dysuria
Kidney stones can block the movement of urine in the urethra and cause pain when urinating.
People with kidney and urinary tract stones may also have one or more of the following symptoms:
- Lower back pain
To reduce the risk of kidney stones, it is best to limit your salt and sugar intake, drink enough water, and avoid gaining weight.
What are the clinical signs and symptoms that may accompany dysuria?
- Need to go to the toilet frequently to urinate
- Feeling itchy or irritated around the urethra
- Decreased urine output
- Decreased urinary pressure
- Urgent need to urinate
What is the diagnosis of the underlying cause of dysuria?
Taking a history along with physical examination can create a list of differential diagnoses leading to dysuria in your doctor’s mind. Your doctor will definitely try to access the main diagnosis with the help of paraclinical modalities.
Some diagnostic methods include:
- Perform blood tests and complete blood cell count
- Urine sample analysis
- Urine culture
- X-ray radiograph
- Study of the bladder and urethra with a cystoscope
What is the treatment for dysuria?
The type of treatment chosen by your doctor will depend entirely on the cause of your Urinary incontinence. In general, the general recommendations are as follows:
- Drink plenty of healthy fluids
- Limit alcohol consumption
- Limit caffeine intake
- Choose underwear made of natural fibers and linen
- Avoid keeping your urine
When should we see a doctor immediately?
You should see a doctor if you have dysuria and one or more of the following symptoms:
- If you have bloody urine
- If your urine is dark or foamy or smelly
- Lower back pain
- Side pain
- Nausea or vomiting
- loss of appetite
- General weakness and fatigue