8 causes of bladder pain

Bladder pain is a symptom that should never be overlooked. It can be due to both anatomical causes and diseases and infections.

Last update: June 23, 2022

Bladder pain is a discomfort that is due to very diverse causes. It is almost always related to a urinary infection, But it’s not always like this. It can also be caused by other conditions or anatomical conditions.

Remember that the bladder is a hollow organ that serves to store urine. It is part of the urinary system and is located in the pelvis. Often the pain can be felt in the upper area of ​​the pubis; In addition, it almost always worsens when urinating. Why does it occur? When to go to the doctor? Let’s see.

8 causes of bladder pain

There are several reasons why bladder pain occurs. All of them are related to conditions that should be evaluated and treated by the doctor.

1. inflammation

Bladder pain is often caused by inflammation in this organ. This usually happens for several reasons, such as the following:

  • Endometriosis.
  • Long-term use of a bladder catheter.
  • Autoimmune disease.
  • Use of some medications.
  • Bladder cancer.

For men, a prostate infection or tumor causes inflammation in the bladder.

Bladder inflammation usually manifests with pain in the area. This can have several possible triggers.


2. Painful bladder syndrome or interstitial cystitis

Painful bladder syndrome or interstitial cystitis also causes pain in this organ. This is a condition in which there is irritation of the bladder wall. The causes are unknown. The main symptoms are the following:

  • Bladder pain.
  • Burning when urinating.
  • Pain during sexual intercourse.
  • Difficulty urinating.
  • Desire to urinate frequently, in the day and at night.

Such symptoms are unstable. Sometimes they appear with more intensity, while at other times they almost disappear. They may be exacerbated when the person consumes substances such as coffee, alcohol, black tea, or acidic foods. Also when smoking or feeling stress.

3. Neurogenic bladder

Neurogenic bladder is a condition characterized by the inability to contract and relax the bladder and urinary tract. This, in turn, causes incontinence, bladder pain, and a feeling of incomplete emptying. It is caused by neurological diseases or problems and can be of two types:

  • Underactive neurogenic bladder. The bladder fails to contract voluntarily, and this leads to urine pooling.
  • Neurogenic overactive bladder. The bladder contracts very easily and causes frequent urination.

4. Urinary tract infection

This is perhaps the most common cause of bladder pain. Urinary infection can affect the bladder, urethra and, if not treated properly, it also spreads to the kidneys. It is more common in women and some of its symptoms are the following:

  • Pelvic pain when urinating.
  • Bladder pain when urinating.
  • Urge to urinate, but with very small urination.
  • Feeling of urgency to urinate.
  • Blood in the urine.
  • Dyspareunia (pain during sexual intercourse).
  • low fever

5. Urethritis

Urethritis is inflammation of the urethra, the tube that carries urine from the bladder to the outside of the body. It is almost always caused by a sexually transmitted disease. It causes bladder pain, pain in the belly area, burning, frequent urination, and discharge from the urethra.



6. Stones in the urinary tract

Calculi in the urinary tract are solid masses that form in the kidney, ureter or bladder, although they are generally referred to as kidney stones. If they are small, they do not cause symptoms. If they are located in the bladder area and grow, they generate symptoms such as intense bladder pain and nausea.

7. Prostate tumors or adenoma

Another cause of bladder pain is the presence of a cancerous tumor. The most characteristic symptom is the presence of blood in the urine. It is more common in the elderly and, in most cases, can be identified in early stages.

On the other hand, prostate adenoma—benign prostatic hypertrophy—is a common cause of bladder pain in men. The main symptoms are acute pain and urine retention. Although a strong push is made, there is difficulty in urinating; if urinating is achieved, the pain temporarily disappears.

8. Other possible causes

This symptom can also be caused by pregnancy, especially during the last trimester of pregnancy. The enlarged uterus puts pressure on all the pelvic organs and it is possible that this causes such discomfort.

Likewise, increased progesterone makes the bladder more relaxed and store more urine than normal. Other possible causes are the following:

  • Pelvic inflammatory disease.
  • Inflammation of the pelvic muscles.
  • Intestinal diseases.
  • Menstrual cramps or due to pregnancy.

Bladder pain treatment

The treatment of bladder pain will depend on the cause that produces it. The usual thing is that the doctor performs a physical examination and, in addition, a urine and blood test. Once the diagnosis is made, one or more of the following steps may be taken:

  • Analgesics and anti-inflammatories.
  • antibiotics
  • Other drugs, such as tolterodine or oxybutynin.
  • Urinary catheter.
  • Physiotherapy.
  • Surgery.

In the meantime, it is indicated to maintain good intimate hygiene. Also it is advisable to drink at least two liters of water a dayWear comfortable clothes and get plenty of rest.

If the pain in the bladder is severe or becomes recurrent, it is best to see a doctor or gynecologist to determine its origin.

Final recommendations

Bladder pain is a reason for medical consultation. Whenever it is experienced, it should be discussed with the doctor, especially if it is very recurrent or if it presents a notable intensity. Early treatment, particularly of infections, is crucial in these cases.

Good intimate hygiene is very important, but it is not advisable to overdo this, as the result could be counterproductive. In this, as in other conditions, a healthy lifestyle is the best prevention and the ideal complement to any treatment.

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