Bladder pain: 5 main causes and what to do

Bladder pain usually indicates a urinary tract infection, some irritation caused by cysts or stones, but it can also be caused by inflammation in the uterus or intestines. So, to know what is causing this pain, you should check for other symptoms such as blood in the urine, pain when urinating, fever or discharge from the vagina or penis, for example.

Treatment should always be indicated by the general practitioner, but the gynecologist or urologist can also indicate the causes and the most appropriate treatment for each situation.

The main causes and treatments for bladder pain are:

1. Urinary tract infection

Urinary tract infection can affect the bladder, urethra or, when more severe, the kidneys, being the most frequent cause of bladder pain. It is usually accompanied by other symptoms such as:

  • Pain in the pelvis or bladder when urinating;
  • A lot of urge to urinate, but a small amount comes out;
  • Great urgency to urinate;
  • Presence of blood in the urine;
  • Pain in the urethra or bladder during intercourse;
  • low fever.

Although it is more common in women, it can also happen in men of all ages. In the presence of symptoms of urinary infection, a urologist or gynecologist should be consulted, but if the consultation is delayed, it is necessary to go to the emergency room for an evaluation with observation of the intimate region and urinalysis. Learn more about how to identify the symptoms of urinary tract infection.

How to treat: If the presence of an infection is confirmed, the doctor may indicate the use of antibiotics, such as Norfloxacin, Sulfa or Phosphomycin, for example. Pain relievers such as acetaminophen or anti-inflammatory drugs such as ibuprofen may be used to relieve pain and discomfort. Also, during recovery, it is important to drink about 2 liters of water a day and maintain good intimate hygiene. Cranberry tea is a great home remedy that can fight this infection naturally.

2. Painful bladder syndrome

Also known as interstitial cystitis, painful bladder syndrome is an inflammation or irritation of the bladder wall of unknown cause, which can happen in both men and women. This syndrome can also cause signs and symptoms such as:

  • Bladder pain;
  • Burning or pain during urination;
  • Difficulty urinating;
  • Pain during intimate intercourse;
  • Urge to urinate several times a day and night.

These symptoms can have periods of improvement and worsening, and it is common for them to be confused with a urinary tract infection, which means that the person may receive repeated antibiotic treatments unnecessarily, therefore, this disease should be considered whenever there are persistent symptoms. and applicants.

In addition, in some people, these symptoms may appear or exacerbate with the consumption of substances such as cigarettes, coffee, alcohol, black tea, acidic foods or psychological causes.

how to treat: painkillers or anti-inflammatory drugs can be used to relieve symptoms, and it is important to treat the causes of stress and anxiety with psychotherapy or alternative therapies, such as meditation, and avoid the use of substances that trigger crises. See more details on how to identify and treat interstitial cystitis.

3. Neurogenic bladder

Neurogenic bladder is a dysfunction in the ability to relax and contract the bladder and urinary tract, caused by neurological diseases, which causes urinary incontinence, a feeling of incomplete emptying in the urine and, in many cases, pain in the belly.

It can be underactive, in which the bladder cannot contract voluntarily, and accumulates urine, or overactive, in which the bladder contracts easily, causing an urge to urinate at inappropriate times, being more common in women.

how to treat: neurogenic bladder is treated according to the cause and symptoms reported by each person, and physical therapy, use of drugs such as oxybutynin or tolterodine, passage of a urinary catheter or, in some cases, surgical procedure may be necessary. Better understand the causes, how to identify and treat overactive bladder.

4. Bladder inflammations

Bladder pain can be caused by some type of inflammation in this organ, which can be caused by conditions such as:

  • Bladder endometriosis, caused by implants of uterine tissue in the bladder, which causes chronic and intense pain, with worsening in the premenstrual period;
  • Use of medications, such as some chemotherapy drugs, that can cause bladder tissue irritation.
  • Long-term use of a urinary catheter;
  • Immunological causes, in which the bladder cells self-harm;
  • Bladder cancer, which causes lesions in the region.

In addition, changes in the prostate, in the case of men, can be an important cause of pain in this region, due to inflammation, infections or tumor of this organ.

how to treat: Bladder inflammation should be treated according to its cause, and symptoms should be relieved with analgesics and anti-inflammatories and then discussed with the doctor about the possibility of treatment, such as a surgical procedure or medication.

5. Kidney stone

The stone can settle in any region of the urinary tract, and may be at the level of the kidneys, ureters, bladder or urethra. It can cause pain when moving or impacting in some region of the urinary tract, which is usually of strong intensity, and can be associated with the presence of bleeding in the urine and nausea.

how to treat: the urologist will indicate the appropriate treatment, according to the size and location of the stone, which can be with observation or surgery. It is important to hydrate yourself by drinking about 2 liters of water a day, to facilitate the expulsion of the stone and to prevent possible complications in the kidneys. Here are some home remedies for kidney stones.

Can bladder pain be pregnancy?

Generally, bladder pain does not indicate pregnancy, however, every pregnant woman is more likely to develop a urinary tract infection at this stage, which is why it is common to associate bladder pain with pregnancy. However, urinary tract infections in pregnancy usually do not appear before a woman discovers that she is pregnant, being a later change.

When pregnant women feel pain in the bladder, this is a symptom that is mainly due to the body changes that the woman undergoes during this period, which is more common at the end of pregnancy, mainly due to the pressure that the enlarged uterus puts on the organs of the pelvis. .

Also, due to the increased production of the hormone progesterone, the bladder becomes more relaxed and may hold more urine, which together with the weight of the uterus on the bladder can cause discomfort when urinating or bladder pain during the day. By having a urine richer in proteins, the pregnant woman is also more willing to develop a urinary infection and thus feel pain in the bladder.

How to treat: To reduce or avoid bladder pain during pregnancy, pregnant women should drink plenty of water, wear comfortable cotton clothes, maintain good hygiene in the intimate region and get enough rest during the day to avoid stress.

Other causes of bladder pain

Inflammation in the organs of the region in the pelvis, can cause abdominal pain and radiate to other places, which can give the sensation of pain in the bladder. Some of the main causes are:

  • Pelvic inflammatory disease, caused by infections in the vagina and uterus;
  • Endometriosis of other organs of the pelvis, such as the tubes, ovaries, intestine and peritoneum;
  • Bowel disorders such as inflammatory bowel disease or irritable bowel syndrome
  • Abdominal cramps, caused by menstruation or pregnancy;
  • Inflammation of muscles or joints in the pelvis.

These causes will be investigated in case of bladder pain that was not justified by other more likely causes such as infection, calculus or bladder inflammation, and the diagnosis can be made by the urologist or gynecologist.

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