Pain during urination during pregnancy: causes, possible deviations and diseases, treatment methods

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Nine months of waiting for the birth of a child is not only the most joyful period in a woman's life, but also a difficult test for her body. The first and third trimesters of pregnancy are considered the most difficult and dangerous. An increase in the size of the fetus, hormonal changes in the body, changes in the psycho-emotional state of the expectant mother are just some of the difficulties that most women experience.

Pain during urination in women during pregnancy is an unpleasant phenomenon, and in some cases dangerous to the he alth of the mother. After all, it is during the period of gestation that the female body is most vulnerable to various kinds of infections.

Causes of painful symptoms

Among the most likely causes of pain after urination during pregnancy, the following are noted:

1. Changes in the hormonal background, especially in the first trimester, cause many unpleasant symptoms. These include discomfort during urination.
2. Fetal pressure on a woman's bladder in the last trimester. This reason is from the category of physiological. Associated withan increase in the weight of the child, who in the last weeks before delivery takes the appropriate position in the pelvic area, putting pressure on the neighboring organs. Such a phenomenon is not a pathology, therefore, does not require special treatment or special monitoring of the condition of a pregnant woman.
3. Internal infections and inflammation, on the contrary, are considered a cause for concern and require medical intervention by a specialist.

Infectious diseases

Weakened immunity of a pregnant woman often becomes a target for all kinds of infections that affect the organs of the reproductive and excretory systems. As a result, diseases such as cystitis, urethritis, kidney disease, as well as various sexual infections (for example, chlamydia or candidiasis) develop.

When disturbing symptoms appear, including pain during urination during pregnancy, it is important to exclude the most dangerous diseases for the child and future mother. To do this, you must consult a doctor in a timely manner and undergo an appropriate examination.

Sexual infections

Meet in pregnant women is not so common. However, if there are some signs, herpes, trichomoniasis, gonorrhea, chlamydia, or banal thrush (candidiasis) can be suspected.

As a rule, diseases of the reproductive system are accompanied by symptoms such as: pain in the lower abdomen, itching and swelling in the vulva, profuse vaginal discharge that differs from normal. AtIn this case, as in diseases of the excretory system, a woman experiences pain when urinating during pregnancy.

Kidney disease

In rare cases, such sensations occur due to exacerbation of diseases of the excretory system. In particular, if a woman has kidney pathologies. In such cases, pain in the lower abdomen during urination during pregnancy is associated with the release of sand and small stones from the kidneys. Future mothers with similar pathologies are under the constant supervision of specialists and receive treatment appropriate to the disease.

Cystitis and urethritis

More often in pregnant women there is cystitis - inflammation of the mucous membrane of the bladder. However, as a complication, urethritis can also develop. The causative agents of this disease are bacteria: gonococcus and ureaplasma.

Characteristic signs of urethritis are:

• burning sensation after urination;
• increased urge to urinate;
• cutting pain;
• change in appearance of urine (red tint, presence of mucus and flakes);
• pain in the lower right abdomen.

Signs of inflammation of the bladder are in many ways similar to the signs of urethritis. Usually cystitis is accompanied by the following symptoms:

• pain when urinating during pregnancy;
• inability to hold back urine when urinating;
• Itching and burning sensation in the urethra;
• cloudy urine with a sharp unpleasant odor;
• false feeling of full bladder.

Main causes of inflammation

Since cystitis is the most common cause of pain during urination during pregnancy, treatment and prevention of this disease require special attention.

Among the most likely causes of inflammation in the bladder are the following:

• hypercooling of the body;
• damage to the mucous membrane of the organ;
• eating fatty, spicy and overly s alty foods;
• chronic gynecological and venereal diseases diagnosed in a pregnant woman;
• internal infections of the body;
• unprotected intercourse;
• poor hygiene.

Most pregnant women develop cystitis as a result of prolonged exposure to cold or sitting on cold surfaces.

Diagnosis of the inflammatory process in the bladder is carried out by the following procedures:

1. Cystoscopy is a method of examining the inside of the bladder using an endoscope.
2. PCR analysis (polymerase chain reaction) is a molecular genetic method for diagnosing infectious and hereditary diseases.
3. General and biochemical analysis of urine.
4. Ultrasound examination of the urethra andinternal organs.
5. STI smear is a laboratory examination of discharge from the urethra and vagina, which allows to detect the presence of bacterial infections in the body.

Based on the data obtained as a result of the examination, the specialist makes a decision on the appointment of certain therapeutic measures.

Therapeutic treatment

To eliminate unpleasant symptoms, complex treatment is prescribed depending on the individual characteristics of the female body, including antibacterial drugs, a set of vitamins, and, if necessary, antibiotics.

In addition, pain during urination during pregnancy is eliminated with enemas, wraps, compresses, as well as through the appointment of a strict diet that limits the use of certain types of products.

In some cases, the patient is placed with a catheter to divert urine, and a set of special physical exercises is prescribed, designed taking into account the condition of the woman and the disease diagnosed in her.

In addition, when treating cystitis, doctors recommend warm, plentiful drinking.

Non-drug treatment

Traditional medicine for the most part does not cure, but helps to eliminate the symptoms of the disease. If during urination the lower abdomen hurts during pregnancy in parallel with traditional therapeutic methods, the doctor mayprescribe additional procedures in the form of washing the external genitalia with infusions of chamomile or calendula. In the later stages, due to the large size of the abdomen, a woman has problems with intimate hygiene. In such cases, the washing process can be replaced with baths with infusions of similar herbs or using a weak solution of potassium permanganate (potassium permanganate).

In addition, for the treatment of diseases of the excretory system, if the stomach hurts when urinating during pregnancy, the following folk remedies are used:

1. Heating feet in hot milk.
2. Thermal procedures in the pelvic area, for example, warming up with a red brick red-hot over a fire. The heated brick is placed in a bucket, on which a sick woman sits down and wraps herself up to her waist from below. However, not all pregnant women are allowed to warm up. Before using this method of treatment, you should always consult with your doctor.
3. The use of a decoction of herbs, for example, this: a collection consisting of equal parts of St. John's wort, dill, knotweed, thyme and parsley is poured with two hundred milliliters of boiling water and infused. It is recommended to take such a decoction three times a day for half a glass.
4. In addition, lingonberries have well-known medicinal properties in the fight against diseases of the genitourinary system, which can be consumed in their natural form or brewed with pharmacy lingonberry leaves.

Prevention of symptoms

If cystitis wearsseasonal or chronic, urologists recommend following a number of rules to prevent pain when urinating during pregnancy. Among the standard preventive measures recommended for women in position, the following are noted:

1. Regular personal hygiene in accordance with established rules.
2. Wearing clothes and shoes for the weather. If it is damp and cold outside, wear warm clothes and waterproof shoes.
3. Exclusion from the diet of a pregnant woman products provoking cystitis.
4. Correct selection of underwear (synthetics are better to change to cotton fabrics).
5. Timely examination by a gynecologist.
6. Regular monitoring by a specialist if the disease tends to return from time to time.
7. Sparing physical activities, consisting of walking and special gymnastics for pregnant women.