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:
regular unexplained nausea
lighter/paler skin color
bladder cancer
long-term hypertension
bowel movement changes
slight abnormal vaginal discharge
recent onset blood in urine
premenstrual bloating/weight gain
kidney stones in family members
kidney stones
chronic night sweats
significant left iliac pain
... 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 94% Confirm
Urinary Tract Infection 56% Possible
Kidney Stones 24% Unlikely
Kidney Disease 5% Ruled out
Urethritis-Urethral Syndrome 1% Ruled out
Bladder Cancer 1% 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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