Painful urination and cloudy urine quite often indicate a urinary tract infection (UTI). Painful urination is called dysuria in medical terminology. Burning urination is the most common form of painful urination. Burning after urination is also common, this is also described as stinging urination. Having cloudy urine with burning urination may indicate a UTI.
The condition may also be a sign of bladder stones or kidney stones. Cloudy red urine with stinging urination and cloudy and nitrates in urine with burning urination are again indications of UTI and stones, since bladder stones, kidney stones and urinary tract infection may coexist, urine cultures, kidney imaging and direct bladder visualization with a flexible cystoscope will be utilized to sort out the source of pain and urine color and clarity.
Painful urination with microhematuria may indicate kidney stones or kidney infection. Microhematuria is microscopic amounts of blood in urine this is diagnosed with a urine sample. When the urologist looks in your bladder with a flexible cystoscope other causes of painful urination or hematuria (blood in urine) may be seen such as a cyst or bladder tumor, diverticuli, bladder stone, urethritis (inflammation of the urethra), distended bladder, urine sediment, large bladder muscle striations, and red irritations on the bladder wall.
The condition may be due to symptoms in the urethra such a urethritis, a stone lodged in the urethra, trauma, in men prostatitis, soaps or chemical irritants, cancer, sexually transmitted diseases, or benign tumors. Pus in urine creates cloudy urine and may come from pyelonephritis (infection of the kidney), bladder diverticuli, and gonorrhea.
Painful urination due to the inability to urinate needs to be quickly resolved. Contact the urologist immediately or go to the emergency room. Usually a urinary catheter is placed into the bladder immediately and the pain is immediately removed. The pain that is caused by the stretched bladder (distended bladder) is the body’s signal that our urinary system is not working. Having a catheter placed up the urethra and into the bladder not only removes the excruciating pain but can stop your kidneys from being damaged or destroyed.