Frequent urination with urgency and dysuria
Introduction
Introduction Frequent urination, urgency, and dysuria are symptoms of stimulating the bladder and urethra, which are called bladder irritation, or urinary tract irritation. The average daily urination frequency of normal people is 4-6 times, and the number of urination at night is 0~2 times. More than the above number is called frequent urination. Urinary urgency means that the urine is coming, and it immediately urinates. Urinary pain refers to the pain or burning sensation of the urethra and perineum area at the time of urination. The urethra is a channel that communicates with the outside world. It is in a bactericidal state within 3~4cm of the male urethra and 1cm of the female urethra. Because the urethra and urethral vestibule have a defense mechanism to keep the human body healthy. When the defense mechanism is impeded or the body's resistance is low, it is easy to cause the bacteria to cause infection to reach the bladder irritation symptoms is the most common cause.
Cause
Cause
Urinary tract infections: The most common causes are bacteria such as Mycobacterium tuberculosis fungi, gonorrhea, etc., cystitis caused by protozoa, pyelonephritis, urinary tuberculosis or stenosis of stones, and complex infections. Nephritis or complicated urinary tract infection. Also seen in men with prostatic hypertrophy or prostatitis.
Examine
an examination
Related inspection
Trypsin anti-glomerular basement membrane antibody assay (AGBM) urine immunoglobulin (Ig) tissue polypeptide antigen total triiodothyronine (TT3)
1. History: Focus on the course of bladder irritation, marital status, pregnancy history, childbirth history, urinary difficulty and gross hematuria, fever, low back pain, gynecology, pelvic disease history.
2. Physical examination: It should pay attention to kidney tenderness, sputum pain, upper ureter, lumbar rib point tenderness. The bladder is removed from the urine and the lower abdomen is tender. Children pay attention to intestinal flatulence and diarrhea.
3. Laboratory examination: blood, urine routine examination, urine routine examination of pyuria, bacteriuria is its characteristics, urine bacterial culture is a must-check item, suspected L strain infection should be high-permeability culture. In the case of suspected immune dysfunction, an immune function test should be performed, and a renal function test focuses on renal tubular function tests.
4. Cystoscopy: It is helpful to determine interstitial cystitis, bladder stones, tumors, urethral stricture, and hydronephrosis. Prostate anal examination should be performed when suspected of enlarged prostate or cancer.
5. X-ray examination: It is helpful for diagnosing kidney size, urinary system tumors, stones and urinary tract malformations, and CT and MRI examinations are necessary if necessary.
6. Ultrasound examination: For hydronephrosis, measure the size of the kidney, find urinary calculi, prostatic hypertrophy, and tumor help.
7. Urodynamic examination: help with urine reflux, urinary tract stenosis, obstruction.
Diagnosis
Differential diagnosis
Low back pain with frequent urination, urgency, and dysuria is one of the clinical symptoms of acute bacterial cystitis. Acute bacterial cystitis is mainly caused by Escherichia coli (usually Escherichia), but is rarely caused by Gram-positive aerobic bacteria (S. parasitica and Enterococcus). The infection is often caused by the urethra going up to the bladder. The pathogenesis and predisposing factors of cystitis have been discussed in detail in this chapter. Girls and women are more susceptible to cystitis than boys and adult men. In children, adenovirus infection can cause hemorrhagic cystitis, but it is rare in adults with viral cystitis.
Fever with frequent urination, urgency, dysuria, back pain is due to urinary infection, frequent urination, urgency, dysuria, back pain symptoms are common in urinary tract infections, pay attention to whether there is diabetes, renal trauma, urological surgery and equipment examination history, there are No colitis or constipation. Women pay attention to pregnancy and birth history, incidence and pregnancy, menstruation, and gynecological diseases such as pelvic inflammatory disease.
