Women have lower abdominal pain when urinating

Women have lower abdominal pain when urinating

Gynecological diseases are very common diseases. There are many manifestations of gynecological diseases. Some women may experience vulvar itching, or feel vaginal dryness and lack of pleasure during sexual intercourse. There is another situation where women feel severe pain, abdominal distension, and even a feeling of shock after urinating and cannot concentrate on work. So, what causes abdominal pain when women urinate?

1. Causes of urinary pain in women:

First of all, the female urethra and vagina are adjacent to each other, and bacteria can easily invade the vagina, especially after sexual intercourse, which is why honeymoon cystitis occurs.

Secondly, the female vagina is close to the intestines and anus, and many large intestinal bacteria can enter the vagina, causing urinary tract infection and leading to painful urination.

Third, although the surface of the female urinary tract is covered with a layer of mucus like a protective film, under normal circumstances, the vaginal mucosa will breed a kind of lactobacillus, making the vagina acidic and inhibiting bacterial invasion. However, when these natural defense functions are congenitally deficient or acquiredly changed, they can easily cause vaginal or urinary tract infections.

2. Diseases that may cause urinary pain:

1. Urethritis Urethritis directly affects urination. Its inflammatory bacteria can spread in the urethra and is one of the main factors causing urinary pain.

2. Endocervicitis

Endocervicitis in women causes congestion and edema of the cervix, easy bleeding when touched, increased yellow mucus and purulent secretions, and lower abdominal discomfort. These parts are closely related to the urethra and are all factors that cause urinary pain.

3. Nonspecific vaginitis

The main symptoms of nonspecific vaginitis are massive shedding of the vaginal epithelium, congestion of the vaginal mucosa, obvious tenderness, and in severe cases, general fatigue and lower abdominal discomfort. The discharge is excessive and purulent or serous. The outflow of discharge irritates the urethra and causes severe urinary pain.

4. Fungal vaginitis

The prominent symptoms of this disease are increased vaginal discharge and severe itching of the vulva and vagina, severe edema of the vaginal membrane, and the adhesion of white flaky films that are easy to peel off. In addition, the eroded base of the damaged mucosa or the formation of shallow ulcers can irritate the urethra and cause urinary pain.

5. Uterine fibroids are a common benign genital tumor in women aged 30 to 50. The symptom is a lump in the lower abdomen. Bacteria on these lumps may invade the urethra through the reproductive tract and cause painful urination.

3. Treatment of female urinary pain:

First, to control acute infection, you can use Zhong Ba Zheng San with modifications for treatment, and at the same time use nitrate alum for external washing.

Secondly, the treatment plan is determined based on the local condition of the external urethral orifice. For example, if the labia minora are fused, labia minora separation surgery is performed.

Secondly, if there is a caruncle-like protrusion at the external urethral orifice, it should be removed; for fusion type, the distance between the urethral orifice and vaginal orifice should be lengthened; for distal urethral stenosis, urethral dilation should be performed regularly.

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