Pain in the lower abdomen during urination in women: causes, diagnosis, treatment

If the girl is healthy, the procedure of urination (deurination) does not bring her discomfort and does not give rise to painful sensations. But in case of infection of the urethra, bladder, genitals, kidneys or ureters, discomfort may appear. We will talk about what to do with frequent urination and pain in the lower abdomen in women.

The difference between men and women

In the normal state of health, all urination is performed by a person without any special difficulties. However, if at one of the stages of emptying the bladder, pulling or cutting pains in the lower abdomen are felt, it means that one or a couple of inflammatory sources arose in the body. Dysuria is a violation of the course of urine separation, belongs to pathologies that have the need for differential diagnosis.

Despite the similarity of symptoms, the background of pain is different in men and women due to differences in the anatomical structure of the urinary tract. Urine originating in the renal structures through the ureters enters the bladder. Stretching its walls indicates readiness for emptying. A person is able to limit urination with the help of impulses sent to the central nervous system. The opposite result leads to tension of the sphincter - the release of the bladder is delayed.

The abdominal muscles are ready to correct the procedure, tensing or relaxing with urination. The appearance of pain in this area directly indicates a violation of the organs located behind the abdominal wall. The urethra in women is somewhat shorter and wider than the male, for this reason the woman suffers more from infectious diseases.

Pathogenic bacteria easily enter the vagina and urethra, and then into the kidneys. Rapidly multiplying, they release toxic elements during their own life, which become the basis of inflammation and pain.

frequent urination


Why can pain appear when urinating in women? We can say that the female sex has many diseases in which such a symptom appears. In most cases, pain occurs due to infection in the body. Such infections can be conditionally divided into four groups:

  1. Ascending: microorganisms move up and down through the body, usually due to non-observance of personal hygiene rules.
  2. Penetration through the circulatory system and after, together with blood, to the organs of the genitourinary system.
  3. Descending: penetrate the body from top to bottom. In the vast majority of cases, the focus is the kidneys.
  4. Penetration through lymph. In this embodiment, harmful microorganisms spread from the genitals through the lymphatic vessels.

Next, let's talk about the specific probable causes of pain in the lower abdomen during urination in women.


This disease is accompanied by inflammation and manifests itself in the human bladder. Therefore, if a woman has a stomach ache when urinating and after, this may indicate cystitis. It usually occurs due to microorganisms that have penetrated from the environment into the urethra and after reaching the bladder. Harmful bacteria enter the bladder from the anus, usually in violation of personal hygiene. However, there is the possibility of infection with too long or rough sexual intercourse.

Next, we talk about the common symptoms of cystitis:

  1. Urination becomes more frequent, but very little fluid comes out each time. Also, almost always it seems that you really want to use the toilet.
  2. It burns during a trip to the toilet or after it.
  3. The appearance of pain in the lower abdomen or in the lumbar region.
  4. The liquid released becomes unpleasant.
  5. In the urine, the presence of spotting is possible.
  6. Sometimes the temperature of the whole body can increase, sometimes even to a very high level.

Kidney problems

Perhaps the location of the focus of an infectious disease in the kidneys, in other words pyelonephritis. And since it is the kidneys that are responsible for removing fluids from the body, such a disease will affect all organs of the urinary system.

In the case of pyelonephritis, severe lumbar pain may occur, more often in the sides, which becomes more powerful with movement and an attempt to change the position of the body. It is also possible to increase the overall temperature.

Another option is kidney stones. Because of them, the process of removing fluid is difficult, which is why cutting pains may appear when going to the toilet.


Urethritis is an inflammatory process of the urethra (urethra). This pathology may appear due to infections of the genital organs, due to allergies or damage to the urethra. If the lower abdomen in women hurts and frequent urination is her faithful companion, then this indicates urethritis.

Symptoms of urethritis:

  1. Cutting pains while going to the toilet.
  2. Sometimes there are discharge from the urethra.
  3. A burning or itchy sensation.
  4. Increase in general body temperature.

The infection can go away easily and without symptoms. However, sometimes it can go throughout the body, so it is important to quickly cure it.

Vaginitis, vulvitis, vulvovaginitis

Each of these diseases is an inflammatory process in the female vagina. Pain in the lower abdomen and frequent urination in women can occur for various reasons:

  1. Changes in the hormonal background.
  2. Antibiotics.
  3. Reduced immunity.
  4. Genital infections.
  5. Damage to the vaginal mucosa.
  6. Diabetes.
  7. Impaired metabolism.
  8. Overweight.
  9. Allergic processes.
  10. Diseases of the digestive organs.

Symptoms of diseases:

  1. Vaginal inflammation, its red color.
  2. The discharge smells unpleasant.
  3. Itching or burning sensations.
  4. Rezi when going to the toilet.
  5. Frequent desire to go to the toilet.
  6. Possible increase in temperature.
pain when going to the toilet

Genital infections

Many women, unfortunately, have at least once dealt with infections of the reproductive system. If during urination the lower abdomen hurts in women or after it, this also indicates sexual infections.

Symptoms of these ailments are usually approximately the same:

  1. Unusual vaginal discharge.
  2. Itching and burning sensations.
  3. Irritation and redness.

During the trip to the toilet, vaginal discharge may get into the vagina, which may cause cutting pain.

Allergic reactions or irritations

For any woman, it is especially necessary to follow the rules of intimate hygiene. And if the lady will neglect this, then irritation may appear, as a result of which there are unpleasant sensations in the process of going to the toilet.

The reason that the stomach hurts, and the woman's urination is frequent, can also be wearing underwear of the wrong size or made of artificial material.

Itchy sensations can also occur due to the use of any personal hygiene products. Some may simply not be suitable for a specific organism due to which an allergy will appear, and aggressive chemicals are in the component of others.

kidney pathology


When worrying about lower abdominal pain during urination, a woman needs to see a specialist for further research and treatment. Diagnosis and examination may protect against complications, surgical intervention or death. With normal urination, women have no problems. But if discomfort is felt in the area of ​​the bladder, then there are symptoms of the disease.

Harmful microflora penetrates from the environment into the kidneys through the urine excretory system. With rapid reproduction, parasitic bacteria secrete toxic substances, which is accompanied by pain in girls and women during urine excretion.

At the doctor’s office, describe the symptoms and nature of the pain. This will contribute to the correct diagnosis. The doctor will determine the causes of your condition, choose the correct treatment. With various types of stress, there may also be difficulties with the excretion of urine, since the immune system weakens. Sexually transmitted sexually transmitted diseases disrupt the work of the urethra cells. Thrush (yeast) damages a thin layer of the skin.

Women with urolithiasis or kidney failure are at risk. These diseases increase the formation of large stones passing through the ureters. The resulting pain and unpleasant pain occur due to the sharp edges of sand grains and stones.

If for a period of time the pains in the lower abdomen have been disturbing, you do not need to postpone a visit to the hospital for later, as they can be a sign of a dangerous disease, fraught with serious complications. In order to make the correct diagnosis, a comprehensive examination will be required, which may include the following types of studies:

  • general blood analysis;
  • Analysis of urine;
  • Ultrasound of the pelvis, liver, kidneys;
  • swab from the vagina and cervical canal;
  • ECG, CTG.
blood analysis

Drug treatment

You need to understand that antibiotics are substances that always have contraindications and a number of possible side effects. Before you start using these drugs, it is preferable to conduct a urine test to determine the infectious agent, as well as a study of the resistance of this bacterial strain to different types of drugs, their susceptibility.

After the antibiotic treatment of pain in the lower abdomen during and after urination, the woman should give urine for bacteriological culture in order to determine the absence of pathogens.

In order to reduce pain, it is necessary first of all to reduce the consumption of acidic foods, spicy foods that are too salty and exclude alcoholic beverages. It is also recommended that you take No-Shpa or Spazmalgon. But in no case should we forget that at the first unpleasant symptoms it is necessary to go to the doctor for diagnosis. The doctor will conduct an observation, collect tests, and prescribe the right treatment, depending on the symptoms. For example, if an inflammatory process has occurred in the body, antibiotics “Norfloxacin” or “Cefixime” are prescribed.

norfloxacin antibiotic

If the burning sensation is caused by an allergy and itching is present, then in this case it is necessary to take antihistamines, such as Tavegil or Zodak.

If urolithiasis has been established, then in this case, an abundant alkaline or acidic drink is recommended.

When the nature of the disease is neurological, in this case it is recommended to use sedative herbal remedies, such as Fitosed or Sedavit.

If there is a strong burning sensation during urination or at the end, then drugs with diuretic properties, such as Cyston or Urolesan, are prescribed.

How are different pathologies treated?

Depending on the disease, the treatment method is selected. There is a list of drugs that are intended at the time of various pathological processes.

  1. With inflammation of the genitourinary system, antibacterial drugs are prescribed that are engaged in the destruction of the same pathogen. The course of treatment in this case lasts up to 7 days.
  2. When thrush appears, antifungal agents, such as suppositories, are used. The course of treatment takes 10 days.
  3. Trichomoniasis This is a very unpleasant disease, therefore, in the fight against it, it is necessary to destroy the pathogen and take Nimrazole or Metronidazole inside. The duration of the treatment course is 7 days.
  4. During the diagnosis associated with gonorrhea, antibacterial drugs in the form of tablets are prescribed (the course of treatment takes 5-10 days).
  5. Chlamydia To combat this disease, several types of antibiotics and prebiotics are used at once, the course of treatment takes up to 2 weeks.

In no case should you self-medicate, because this can lead to complications and exacerbate the situation. It is necessary at the time of the manifestation of the first signs of a deviation from the norm to immediately go to the doctor. The specialist will collect a patient’s history, find out the prerequisites, get acquainted with the medical history, conduct an examination, collect tests and only after that will be able to make a diagnosis.

sedavit tablets

A diagnosis depending on the symptoms is quite simple, but you should not think that you can do it yourself. After all, sometimes there are similar symptoms between diseases, but their treatment methods are completely different from each other. That is why it is necessary to trust a specialist who knows how to properly treat a particular disease. After the doctor has written recommendations on which to take the drug, in no case should these instructions be neglected.

Drug treatment allows you to expel the pathogen from the body, prevent the further development of the disease, and also protect yourself from serious consequences. The sooner you start treating, the faster the pain and burning sensation during urination will pass. This manifestation is extremely unpleasant, in no case can one endure and hold urine in the body, it is necessary to get rid of it so that intoxication does not occur. Timely prescribed treatment allows you to quickly say goodbye to the disease without any consequences.

Alternative treatment

Along with traditional medicine, you can also use folk remedies, but the doctor’s control is necessary here. The following methods will help you with this:

  • Cowberry leaf treatment. To prepare this tool, you need a large spoonful of raw materials, half a liter of water at room temperature and allow time to brew (about 30 minutes). Later it will be necessary to bring the product to a boil, cooking will take about a quarter of an hour. Ultimately, the entire volume of liquid should become half as much. The cooked broth needs to be cooled and proceed to filtering. You need to take several times a day for one tablespoon. Such a tool will help to cope with such an unpleasant phenomenon as cystitis.
  • Bear ears treatment. To prepare such a useful infusion, you will need a large spoon of grass. It will need to pour 250 ml of boiling water and let it brew in a steam bath for half an hour. Then you need to filter and cool the product. Later you need to add a little boiled water to get the original volume. The tool should be consumed 175 ml several times a day.
  • Dill seed treatment. To prepare an effective infusion, you need a large spoonful of seeds. You need to put them in a thermos and add one glass of water at room temperature. After 20 minutes, the solution can begin to be consumed. It is advisable to use 100 g of the drug several times a day. This miracle infusion will help reduce pain at the end of urination.
  • Treatment with cucumber seeds. Such a product will need to be brought to a powder state. Later, you need to take two medium tablespoons of raw materials and pour a whole glass of boiled water. A solution is prepared for 20 minutes over low heat. A filtered solution should be consumed in half a glass several times a day. It is advisable to use the drug 30 minutes before eating.
cucumber seeds
  • Treatment with lettuce. From this plant it is absolutely easy to create a miracle infusion: you need half the middle spoon of the leaves of this plant, then you need to pour a glass of boiled water and give a couple of hours for the remedy to infuse. You need to use one large spoon several times a day.

Experts have long recognized the effectiveness of many folk remedies, but doctors remind you that self-medication is unacceptable even when you use natural remedies. A course of treatment for pain in the lower abdomen during urination in women is necessary under the supervision of a doctor.


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