Painful Urination

What Causes Painful Urination?

Painful urination can have various causes, ranging in severity from 'needs attention' to 'generally fatal'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose painful urination, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "painful urination" as a symptom.  Here are six possibilities:
  • Urethritis-Urethral Syndrome
  • Urinary Tract Infection
  • Kidney Disease
  • Ovarian Cancer
  • Kidney Stones
  • Bladder Cancer

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
heroin/morphine use
shortness of breath when at rest
slight abdominal fullness
insufficient water consumption
moderate unexplained weight gain
slight abnormal vaginal discharge
partial vegetarian diet
long-term hypertension
unusual vaginal bleeding
bladder cancer
ovarian cancer
Caucasian ethnicity
... and more than 50 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of painful urination:
Cause Probability Status
Ovarian Cancer 95% Confirm
Kidney Disease 59% Possible
Urethritis-Urethral Syndrome 17% Unlikely
Urinary Tract Infection 4% Ruled out
Kidney Stones 1% Ruled out
Bladder Cancer 0% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

In the Urinary Symptoms section of the questionnaire, The Analyst™ will ask the following question about painful urination:
Do you suffer pain or burning while urinating?
Possible responses:
→ No / don't know
→ Very slight, barely noticeable
→ Yes, but not too worrying
→ Yes, worrying
→ Yes, severe - excruciating
Based on your response to this question, which may indicate no pain while urinating, slightly painful urination, painful urination or very painful urination, The Analyst™ will consider possibilities such as:
Bladder Cancer

See the link between Blood In Urine and Bladder Cancer.

Kidney Stones (Urolithiasis)

Painful and/or difficult urination is a common sign of a kidney stone.

Urinary Tract Infection (UTI)

Symptoms include painful, burning or itching sensations during urination.

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