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What Causes Bladder Pain Without Infection 2023 Updated

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What Causes Bladder Pain Without Infection 2023 Updated

Bladder pain is a type of discomfort that arises from the urine bladder and presents as pain in the lower abdomen, lower back, or groin. The bladder is a hollow, elastic, and muscular organ that collects and stores urine from the kidneys before urinating it out. A variety of bladder issues can cause pain. Infection in the urinary tract is one of the most common issues but not the only one. Other conditions like Interstitial cystitis, bladder cancer, etc., can cause bladder pain without infection. This article will help you discover what causes bladder pain without infection in detail and ways to treat it. If your bladder issues are severe, you can consult a nephrologist. 

What are various causes of Bladder pain?

Bladder discomfort can indicate anything from a small infection to a life-threatening illness such as cancer. Symptoms might range from lower-abdominal pain to burning when urinating. There are numerous listed below causes that cause bladder pain.

  • Interstitial cystitis, often known as painful bladder syndrome, is a persistent illness that causes painful urination or bladder discomfort with no obvious cause.
  • Bladder cancer is defined as the abnormal development of cells in the muscles, bladder lining, or bladder tissue’s deepest layer. Changes in the reproductive system, such as thinning the vaginal skin, may occur due to menopause.
  • Prostatitis is a condition in which the prostate gland enlarges and presses on the urethra, producing discomfort and urine issues.
  • Dehydration may also cause bladder pain. You may not need to pee as much if you don’t drink enough water, so urine remains in your bladder for longer, and germs develop there. 
  • Bladder stones occur when the body’s surplus minerals concentrate and solidify, forming stones in the urine. 
  • Diabetes is also linked with bladder discomfort. If your urine contains more sugar than normal, germs in your bladder and urethra may multiply.
  • Stricture of the urethra (urethra’s narrowing)
  • Trauma or injury
  • Endometriosis is a kind of endometriosis that affect (abnormal growth of tissue on the uterus)
  • Defects that are present at birth
  • Disorders of the bowels

What are common symptoms related to bladder pain?

There are many ways via which bladder pain occurs/is felt.

  • Frequent urination: Urination is more often than normal, particularly in the middle of the night.
  • Pelvic pain or pressure: Pelvic discomfort or pressure can be abrupt or develop over time and can range from a mild ache to a strong stabbing pain. When you have interstitial cystitis, the discomfort increases as the bladder fills up, then goes away once you urinate.
  • Urgent desire to urinate – even when the bladder is not full, there is a need to urinate, which is difficult to control.
  • Pain with sexual intercourse (dyspareunia)

What are various diagnostic options to detect the cause of bladder pain?

A physical examination is conducted once your doctor has reviewed your medical history and symptoms. Your doctor may recommend the following diagnostic tests to detect the actual cause of bladder pain:

  • Urine analysis: Urine samples will be obtained and analyzed for the presence of RBCs, infection, or other abnormalities.
  • Cystoscopy: Cystoscopy is a procedure in which a long, flexible camera is inserted via the urethra into the bladder to visually look for symptoms of irritation, tumors, stones, or other abnormalities that cause discomfort.
  • Ultrasound: This procedure employs high-frequency sound waves to create pictures of the bladder tissues and contents.
  • Magnetic Resonance Imaging (MRI) scan: A magnetic resonance imaging (MRI) scan produces pictures of the soft tissues and ligaments using radio waves and a high magnetic field.
  • CT Scan: This scan produces comprehensive cross-sectional pictures of the bladder by combining several x-rays.
  • Retrograde urethrography: Retrograde urethrography is a treatment that involves injecting an X-ray dye into the urethra to examine for scar tissue or signs of damage.

What are the various treatment options available for treating bladder pain?

There is no straightforward therapy for bladder pain that relieves pain, and no treatment works for everyone. Before your doctor can discover an approach that relieves your pain, he or she may need to attempt a variety of therapies or combinations of treatments. Treatment options for bladder discomfort vary depending on the underlying reason and may include:

  • Medications: To treat the bacterial infection and reduce bladder discomfort, your doctor may prescribe a combination of antibiotics such as nitrofurantoin, amoxicillin, and ciprofloxacin, which will be given orally or intravenously.
  • Urethral dilatation or scar tissue incision: If you have scar tissue constricting your urethra, gently widening it or cutting the scar tissue will help relieve your symptoms.
  • Bladder instillation: Irrigation of the bladder with various drugs has been demonstrated to be useful in treating some types of bladder discomfort. Various reasons, including your lifestyle, can cause bladder discomfort. Changes in what you put in and on your body can assist with bladder pain symptoms.
  • Surgery: Surgery may be necessary if chronic bladder discomfort is affecting your quality of life or if you can no longer control your urine flow. Also, a doctor recommends surgery if other treatments fail and symptoms affect the quality of life.

What are the ways to prevent bladder pain?

  • Retrain your bladder so that it can store more pee. For example, if you need to pee every 30 minutes, consider extending it to 45 minutes.
  • Reduce your tension as It has the potential to be a trigger. Taking 5 minutes each day to do something for yourself might be a good place to start. 
  • Dress comfortably as Tight clothing might put a strain on your bladder.
  • Engage in low-impact exercise. For example, go for a stroll or stretch.
  • To prevent triggers, change what you eat and drink. Examples of likely trigger meals and beverages are provided below.
  • Quit smoking if you smoke.

Many people report that particular meals or beverages upset their bladders. You don’t have to get rid of them all at once. When your symptoms are severe, consider what you ate or drank at the time. Keeping a diet and symptom journal may be beneficial. Keep a daily record of what you eat and how you feel. You can consult a nephrologist in Jaipur if you have bladder pain due to a urinary tract infection.

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Bhanu Garg

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