What to do if there is urethral pain, painful urination, and bleeding

Urethral pain, painful urination, and bleeding can be relieved by drinking plenty of water, applying hot compress to the perineum, taking oral antibiotics, regulating traditional Chinese medicine, and surgical treatment. It is usually caused by urinary tract infections, urinary system stones, urethral injuries, prostatitis, bladder tumors, and other reasons.

1. Drink plenty of water

Maintaining a daily water intake of at least 2000 milliliters can help dilute urine and reduce the burning sensation during urination. Drink moderate amounts of diuretic beverages such as light bamboo leaf tea or corn silk water, and avoid consuming stimulating drinks such as coffee and alcohol. After urination, it is recommended to clean the perineum with warm water and keep it dry.

2. Apply a hot towel at around 40 ℃ to the lower abdomen or perineum, 15-20 minutes each time, 2-3 times a day. Hot compress can alleviate smooth muscle spasms in the urethra, improve local blood circulation, and have a significant relieving effect on pain caused by bacterial urethritis or prostate congestion. After applying hot compress, it is necessary to dry the skin promptly to avoid catching a cold.

3. Oral antibiotics

Levofloxacin tablets, Cefoxime dispersible tablets, Fosfomycin tromethamine powder and other antibiotics are suitable for symptoms caused by bacterial infections. Levofloxacin tablets have a significant effect on gram-negative bacteria, cefixime dispersible tablets are suitable for simple urinary tract infections caused by sensitive bacteria, and phosphomycin tromethamine powder has inhibitory effects on common urinary tract pathogens such as Escherichia coli. Before use, it is necessary to clarify the allergy history.

4. Traditional Chinese Medicine conditioning

Bazheng Granules can clear heat and promote diuresis, and are effective in treating urinary discomfort and pain accompanied by hematuria; Sanjin tablets can alleviate symptoms of urinary tract irritation caused by damp heat in the lower burner; Longqing tablets are suitable for urinary discomfort caused by chronic prostatitis. Traditional Chinese medicine should be used based on syndrome differentiation. For those with damp heat constitution, it can be combined with substitute tea drinks such as Plantago asiatica and Plantago asiatica. For those with spleen and stomach deficiency and cold, bitter cold drugs should be used with caution.

5. Surgical treatment

Cystoscopy lithotripsy is suitable for ureteral stones with a diameter exceeding 6 millimeters, and transurethral resection of the prostate can relieve urinary obstruction caused by prostate hyperplasia. For hematuria caused by bladder tumors, tumor resection surgery and pathological examination are required. After surgery, a urinary catheter should be left in place for 1-3 days to monitor changes in urine color. After experiencing symptoms, one should avoid vigorous exercise and holding urine for a long time, wear breathable cotton underwear, and change it daily. The diet should be light, eat more diuretic vegetables such as winter melon and cucumber, and limit the intake of spicy foods. If hematuria persists for more than 24 hours or is accompanied by symptoms such as fever and lower back pain, immediate medical attention should be sought for urine routine and urinary ultrasound examinations. Elderly patients with recurrent hematuria should rule out the possibility of urinary system tumors, and women of childbearing age should be differentiated from menstrual bleeding. Sexual activity is prohibited during the treatment period, and regular urine routine checks should be conducted until the symptoms completely disappear.