Women feel a little sore at the end of urination

If a woman feels a little soreness at the end of urination, it is a typical urinary pain. Urinary pain may be caused by a urinary tract infection, but the pain manifests itself in different ways. Simple urinary pain cannot be diagnosed. We need to know more about urinary tract infection and make a comprehensive judgment based on other symptoms of the body. If it is a urinary tract infection, it must be treated in time to avoid further harm.

Urinary tract infection, also known as urinary system infection, is an inflammatory response of the urothelium to bacterial invasion, usually accompanied by bacteriuria and pyuria.

Clinical manifestations

1. Acute simple cystitis

The onset is sudden, and the onset in female patients is often related to sexual activity. The main manifestations are bladder irritation signs, namely frequent urination, urgency, pain when urinating, discomfort in the bladder area or perineum, and a burning sensation in the urethra; the degree of urinary frequency varies, and in severe cases, urge urinary incontinence may occur; the urine is turbid, there are white blood cells in the urine, terminal hematuria is common, and sometimes it is hematuria throughout the process, and even blood clots are discharged. Generally there are no obvious systemic infection symptoms, and the body temperature is normal or there is a low fever.

2. Acute simple pyelonephritis

(1) Urinary system symptoms include bladder irritation signs such as frequent urination, urgency, and pain during urination; hematuria; low back pain on the affected side or both sides; obvious tenderness or percussion pain at the costovertebral angle on the affected side;

(2) Symptoms of systemic infection such as chills, high fever, headache, nausea, vomiting, loss of appetite, etc. are often accompanied by increased white blood cell count and increased erythrocyte sedimentation rate.

3. Asymptomatic bacteriuria

Asymptomatic bacteriuria is a hidden urinary tract infection, which is more common in elderly women and pregnant women. Patients do not have any symptoms of urinary tract infection, and the incidence rate increases with age.

4. Complicated urinary tract infection

The clinical manifestations of complicated urinary tract infection vary greatly, and are often accompanied by other diseases that increase the risk of infection or treatment failure, with or without clinical symptoms (such as frequent urination, urgency, dysuria, dysuria, low back pain, costovertia angle tenderness, suprapubic pain and fever, etc.). Complicated urinary tract infections are often accompanied by other diseases, such as diabetes and renal failure; they also cause many sequelae, the most serious and fatal of which include urosepsis and renal failure. Renal failure can be divided into acute and chronic, reversible and irreversible.

diagnosis

1. Medical history collection

(1) Clinical manifestations: characteristics, duration, and associated symptoms of urinary tract infection;

(2) Past medical history, medication history, and related disease history to find possible causes of the disease, concomitant diseases, previous drug treatment history, and factors that may affect the development and outcome of the disease;

2. Physical examination

Includes examination of the urogenital organs; physical examination of the abdomen and kidney area. Pelvic and rectal examinations are helpful in identifying other concurrent diseases.

3. Auxiliary examination

(1) Laboratory tests include routine blood tests, routine urine tests, urine smear microscopic examination for bacteria, midstream urine bacterial culture + drug sensitivity, blood bacterial culture + drug sensitivity, and renal function tests;

(2) Imaging examinations include ultrasound, abdominal plain film, intravenous pyelography, etc. CT or MRI examinations can be selected if necessary.