Pain in women's vagina when urinating

If a woman feels pain when urinating, has frequent urge to urinate, often wants to urinate, and cannot hold her urine, these are manifestations of urinary tract infection, which is also called urinary system infection, which is mainly caused by unclean private parts and bacterial infection due to various reasons. Urinary tract infections are often accompanied by bacteriuria or pyuria, and may cause symptoms of digestive system discomfort such as nausea, vomiting, and hematuria in severe cases.

1. Clinical manifestations: characteristics, duration and associated symptoms of urinary tract infection;

2. Physical examination: including examination of the urinary and external genitalia; physical examination of the abdomen and kidney area. Pelvic and rectal examinations are helpful in identifying other concurrent diseases.

3. Auxiliary examinations: urine routine test, urine smear microscopic examination of bacteria, midstream urine bacterial culture + drug sensitivity, blood bacterial culture + drug sensitivity, renal function test, etc.

[Treatment policy]

Anti-infection treatment can control symptoms and reduce recurrence.

[Prognosis]

The prognosis is generally good.

[Drug treatment]

Commonly used antibacterial drugs for the treatment of urinary tract infections include sulfonamides (cotrimoxazole, etc.); β-lactams (penicillins), cephalosporins, aminoglycosides [gentamicin, amikacin (amikacin), tobramycin, etc.], and quinolones [norfloxacin (fluphenazine), ofloxacin (ofloxacin), etc.].

The following principles should be followed during treatment.

1. Currently, antibiotic therapy is the preferred treatment method, and sensitive antibiotics are given first according to common pathogens.

2. Perform urine culture before treatment, and then adjust medication in time according to the drug sensitivity results.

3. Whenever possible, choose antibiotics with high concentrations in urine or target organs.

4. The course of treatment should be sufficient. The use of antibiotics should continue until 2 weeks after symptoms disappear and urine culture turns negative.

5. Avoid the abuse of antibiotics, especially avoid the use of nephrotoxic drugs.

6. The inducing factors must be eliminated at the same time. If there is urinary tract malformation or dysfunction, it should be corrected or treated accordingly.

7. Strengthen the body's immune function.

8. The treatment cycle for chronic urinary tract infection is 4 to 8 weeks, the treatment cycle for acute pyelonephritis is 2 to 4 weeks, and the cycle for acute cystitis is 3-day therapy (i.e., antibiotics are taken for three consecutive days). The medication should be taken continuously during the treatment cycle and cannot be interrupted. The medication can only be stopped after the urine analysis test is normal.

[Healing]

Easy to cure.