DanielleTK Asked :
I have been experiencing a stinging pain whenever my bladder is full past week and my doctor suspected a UTI and prescribed antibiotics. I have completed the course but the sting has not settled down as yet. It gets much worse while passing urine and continues afterwards but slowly settles down. There is a slight discomfort around the middle of my waist but its not pain. The stinging increases in intensity if my bladder is full and if I hold it in.
I have not ever messed myself or anything and there is no discharge. I cannot say if I am urinating more than normal because the stinging sensation has been bothering me so I started drinking more water with baking soda as a home remedy. I have had previous UTIs but they never felt like this and quickly settled with antibiotics. So I am wondering if it is due to another cause or some other type of infection. I am a 34 year old female and have no other health problems and not using any medication.
This question was posted under the What is Dysuria? Causes of Painful Urination, Pain when Urinating article.
Any response by the Health Hype team does not constitute a medical consultation and the advice should be viewed purely as a guide. Always consult with your doctor before making any changes to your current treatment program. The information provided in this article is not an authoritative resource on the subject matter and solely intends to guide the reader based on the questions asked and information provided.
Dr.Chris Answered :
This stinging sensation which sets in once your bladder is full indicates a bladder related condition like cystitis. While an infection, particularly bacterial infection, is the most common cause, there are also other causes of cystitis. It may be due to interstitial cystitis which is not due to an infection and can persist for long periods of time with acute exacerbations that can cause quite intense symptoms.
The other possibility is that the infection is not due to bacteria which is why you did not respond to antibiotics. At this point in time, bacterial cystitis should also present with other symptoms including frequent urination, urging and so on. You should discuss this with your doctor and allow him/her to run further investigations. A urinalysis will be able to identify the presence of any microorganisms in the urine which could be causing an infection. Other compounds like blood, protein and urinary casts in the urine may also shed light on a possible cause.
Always speak to your doctor about using alkalizing agents like baking soda while on antibiotics. If you have a history of STD’s or a current sexually transmitted infection, you should also discuss this with your doctor as well. The presence of a fever, dizziness, nausea, abdominal pain or flank pain may indicate a progressing infection and needs immediate medical attention.
Article reviewed by Dr. Greg. Last updated on June 29, 2010