Lower abdominal pain after female urination

Women may feel lower abdominal pain after holding urine because holding urine keeps the bladder in a state of blood flow, which seriously increases the muscle load and causes bladder sphincter dysfunction and cystitis. In addition, accompanied by inability to hold urine, frequent urination, urgency, and pain when urinating, it can cause gynecological inflammation. This is because the blood-filled bladder compresses the uterus or bilateral adnexa, which causes lower abdominal pain and adnexitis and cystitis.

Acute cystitis

It often occurs suddenly, with burning pain in the urethra during urination, frequent urination, and urgency, usually accompanied by inability to hold urine. In severe cases, it is close to urinary incontinence. Frequent urination and incomplete urination are often very obvious, reaching more than 5 to 6 times per hour. Each time the urine is discharged is very small, or even only a small amount. There may be lower abdominal pain at the end of urination. Cloudy urine and sometimes hematuria are present, often prominent in the terminal stage.

There is slight tenderness in the bladder area above the toe bones. Some patients may experience mild low back pain. When the inflammatory changes are limited to the bladder mucosa, there is often no fever and high white blood cell count, the systemic symptoms are mild, and some patients feel tired. Acute cystitis that occurs after a woman gets married is called honeymoon cystitis. Acute cystitis has a short history of symptoms. If treated promptly, the symptoms will disappear in about a week.

Chronic cystitis

Frequent urination, urgency, inability to hold urine, and painful urination symptoms persist for a long time and recur, but are not as severe as acute symptoms. There are small or medium amounts of pus and blood cells in the urine. If cystitis is treated in time, the symptoms will subside quickly. At this time, the patient should not be complacent, but should persist in treatment. Wait until the doctor confirms that the cystitis has been cured through examination and then slow down. Do not let cystitis become chronic.

Confirmation

Acute cystitis

The symptoms are mostly typical and generally not difficult to diagnose. According to the medical history of frequent urination, urgency, inability to hold urine and painful urination, routine urine examination can show blood cells and pus balls, and urine bacterial culture 1 ml urine bacteria count exceeds 100,000 to confirm the diagnosis.

Chronic cystitis

In addition to general examination of the whole body, the most important thing for diagnosis is to find out the type of pathogen and the results of drug sensitivity test, and to find out the cause of the continuation or recurrence of infection. Chronic nonspecific cystitis must be distinguished from other types of cystitis, such as tuberculous cystitis, interstitial cystitis, acid cystitis, etc.