How to relieve postpartum urethral pain caused by urethritis

Many people find that there are many troubles after giving birth smoothly after ten months of pregnancy. Many people have spots, and many people make vaginal farting sounds during intercourse, of course. A large number of women who give birth vaginally experience varying degrees of urethral pain after giving birth. So I am very distressed. So how to relieve postpartum urethral pain caused by urethritis?

Urethritis is a common disease, and the most common pathogens are Escherichia coli, Streptococcus and Staphylococcus. In most cases, urinary tract irritation symptoms are obvious, with or without sterile urine. The number of white blood cells in urine sediment is >5/high-power field of view.

In acute urethritis, the external urethral opening becomes red and swollen. Male patients may experience inflammation of the penis and foreskin, and mucous or purulent secretions may be seen at the urethral opening. Female patients have less urethral secretions. Patients often experience frequent urination, urgency, and pain during urination, and may have pyuria. Some patients may have hematuria. In the three-cup urine test, hematuria or pyuria may be seen in the first cup.

In chronic urethritis, the lesions are mainly located in the posterior urethra, bladder neck and bladder trigone. The external urethral opening may become scarred and contracted due to chronic inflammation, resulting in a thinner urine stream and difficulty in urination. However, the symptoms of urinary tract irritation are usually not obvious, and sometimes a small amount of serous secretions can be seen sticking to the urethral opening in the early morning.

In addition, clinically, there is a more common non-gonococcal urethritis, which is a property-transmitted disease. Its occurrence may be related to a variety of pathogenic microorganisms (such as Chlamydia trachomatis, Ureaplasma ureaplasma, Trichomonas vaginalis and human herpes virus). The main basis for diagnosis is: ① symptoms and signs of urethritis. ②Urethra secretion smear microscopy shows ≥5 polynuclear leukocytes/high-power field of view (×1000), or urine sediment microscopy shows ≥15 polynuclear leukocytes/high-power field of view (×400). ③Gonococcal culture negative. Acute urethritis is often treated with a combination of antibiotics and chemical drugs. In recent years, norfloxacin has been used in combination with sulfonamides, with satisfactory clinical results. Systemic treatment should include rest and adequate fluid intake. During the acute stage, sexual intercourse should be avoided in the short term, otherwise it will prolong the course of the disease; during the chronic stage, if the external urethral opening or the urethra is narrow, urethral dilation should be performed.

If the patient has urinary tract irritation symptoms and conventional antimicrobial treatment is ineffective, and there are no complicating factors, mycoplasma, chlamydia or viral infection should be considered, and tetracycline can be used as the first treatment. If there is resistance to tetracycline, erythromycin, methyl erythromycin or roxithromycin can be used instead. The above drugs are effective against mycoplasma and chlamydia. If the above treatments are still ineffective, it may be acute urethral syndrome.

To sum up, if it is further confirmed that postpartum urethral pain is caused by urethritis, it is necessary to use medication to relieve it. It is also recommended that patients should not wear chemical fiber underwear if they feel uncomfortable during the process of suffering from urethritis. It is best to wear pure cotton and breathable underwear.