Bladder pain causes diagnosis therapy

Bladder pain: Where does it come from and what helps??When it comes to bladder pain, sufferers often first think of a urinary tract infection, such as cystitis. But there are many other possible causes that should be treated. Anyone who suffers from severe or recurrent bladder pain should definitely seek medical attention.

Bladder pain: Causes

Among the most common causes of bladder pain are urinary tract infections – for example, inflammation of the bladder (cystitis) or urethritis. A typical sign of a urinary tract infection is frequent, burning urination, while the emptying of the bladder is difficult and very painful. Young women and women during pregnancy and menopause are especially susceptible to urinary tract infections. But also people with certain diseases such as diabetes mellitus. Bladder stones are more susceptible to cystitis.

In addition, these triggers for bladder pain are possible:

Irritable bladder: Irritable bladder sufferers experience a constant, difficult-to-control urge to urinate, which can be associated with pain in the urinary bladder. Typically, patients* need to visit the toilet very frequently.

Interstitial cystitis: Interstitial cystitis, also known as chronic bladder pain syndrome, is an inflammatory disease of the bladder that can be accompanied by bladder pain. Other symptoms typical of cystitis are also possible – but the exact causes have not been conclusively determined. However, it is certain that no viruses or bacteria can be identified as the trigger.

Kidney or bladder stonesKidney and bladder stones are common causes of bladder pain. More specifically, urinary calculi (deposits of calcium oxalate formed in the kidney), which are referred to as kidney stones (renal stones) or ureter stones (bladder stones), depending on their location in the kidney. In all cases, patients suffer from colicky, severe pain, often associated with vomiting and nausea. Pain is especially possible when urinary stones suddenly pass through the urethra.

Urinary retentionPeople who suffer from urinary retention, i.e. who are unable to empty their bladder completely, often complain of pain in the bladder. Urinary retention may be caused by bladder or kidney stones, but also by other foreign bodies, for example in the ureters. Certain medications can also cause urinary retention.

Psychological causesPeople who suffer more from stress or psychological strain or who have had traumatic experiences may also complain of bladder pain.

CancersBladder cancer (bladder carcinoma) can be associated with bladder pain if the tumor has reached an advanced stage.

Bladder pain: causes in women

Women may experience a painful bladder additionally due to these diseases and circumstances:

Causes: Bladder pain in men

Men also have other anatomical reasons for bladder pain such as:

– vasovaginitis – inflammation of the vesicular gland

Bladder pain during pregnancy

When pregnant women suffer from bladder pain, it may be due to the increasing prere caused by the weight of the baby on the urinary bladder. In particular, if the bladder is filled, this can be painful. The prere also leads to a more frequent need to urinate. The bladder can also be displaced from its usual place by the uterus. The unaccustomed position can then lead to bladder pain.

After childbirth, when the organs in the abdominal cavity are able to return to their original place, bladder pain caused in this way usually subsides again – usually at the latest during postnatal exercises. If women suffer from symptoms of cystitis during pregnancy, and therefore bladder pain, they should always have it checked out by a doctor.

How does bladder pain feel?

Bladder pain is felt above the pubic bone or throughout the abdomen. Bladder pain is often not the only symptom. They often occur together with other complaints. These include, in particular:

– Burning during urination – Difficulty urinating (such as weak urine stream or dribbling) – Incomplete emptying of the bladder – Frequent/persistent urge to urinate

Bladder pain: When is medical advice necessary??

Anyone who suffers from severe, recurring or even chronic bladder pain should always visit a urologist's office as a matter of principle. Women during pregnancy should also always seek medical advice. If fever and pain in the flanks also occur, this may be a sign of kidney pelvic inflammation (pyelonephritis) or kidney inflammation (glomerulonephritis). In this case, rapid medical treatment is necessary.

Bladder pain: diagnosis

In order to find out the cause of the bladder pain, the first thing to do is to talk to your urology specialist about your medical history. For example, the following questions are interesting:

– Where exactly is the pain located? – How does the pain feel? – How long have you had the pain??

She*he*will also want to know if the patient has any other complaints. Symptoms commonly associated with bladder pain include such as:

– Constant urge to urinate combined with frequent trips to the toilet – Burning when urinating – Difficulty urinating – Pain in the flanks and abdomen – Fever

During the physical examination the physician taps among other things the so-called kidney camp in the flank area. In addition, the bladder area is usually palpated to precisely locate the pain. If necessary, she*he will also perform a rectal examination: This involves palpating the rectum with a finger. In men, the prostate can be assessed in this way. For women, an additional examination of the reproductive organs by the gynecologist may be necessary.

Depending on what cause the doctor suspects, he/she will order further tests – for example, a blood and/or urine test. After the blood sample is taken, the blood is examined in the laboratory, especially for inflammation levels. A urine test strip can be used, for example, to detect nitrite or white blood cells (leukocytes) in the urine. White blood cells indicate inflammation in the body. Nitrite in urine is a sign that there are bacteria in the urine.

If a persistent chronic urinary tract infection is suspected as the cause of the bladder pain, a urine culture is also taken. In this way, the pathogens causing the infection can be specifically identified. Choosing the right antibiotic.

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