Burning when you pee: causes, relief and when to get tested
Burning or pain when you pee is most often a bladder infection, a type of UTI. It can also come from a sexually transmitted infection, vaginal irritation or a yeast infection. Because these need different care, a urine test helps. Urgent Care Center of Westmont in Westmont, IL can test and treat you privately.
A bladder infection is the most common type of urinary tract infection (UTI).
Fever, chills, back or side pain and nausea can mean a UTI has reached the kidneys, which is more serious.
Chlamydia and gonorrhea can cause burning when you pee, and many people with chlamydia have no symptoms at all.
MedlinePlus advises seeing a provider if painful urination lasts more than 1 day or comes with fever, blood in the urine or discharge.
A UTI is not a sexually transmitted infection, though recent sexual activity can raise the risk.
What usually causes burning when you pee?
Doctors call painful urination dysuria. MedlinePlus explains it is most often caused by an infection or swelling somewhere in the urinary tract. Here are the usual causes, listed roughly from most to least common.
Common causes of burning when you pee
Cause
How common
Clues
Bladder infection (UTI)
Most common, especially in women
Peeing often, a strong urge with little urine, cloudy or bad-smelling urine, lower belly pressure
Chlamydia or gonorrhea
Common in sexually active teens and adults
Discharge, or sometimes no other symptoms
Vaginal irritation or infection, such as a yeast infection
Common
Itching and unusual discharge
Irritation from products
Common
Started after a new soap, bubble bath, perfume, lotion or detergent; no fever
Kidney infection
Less common, more serious
Fever, chills, lower back or side pain, nausea or vomiting
Kidney stone
Less common
Back or side pain that will not go away, blood in the urine
Other causes
Less common
Genital herpes, prostatitis in men, menopause-related tissue changes, interstitial cystitis or bladder spasms
UTI, STI or something else? How to tell
The symptoms that come with the burning are the most useful clues. These patterns come from the CDC and MedlinePlus.
Clues that point to a cause
If you also have...
It often points to
Peeing often, urgency, cloudy urine or lower belly pressure
Bladder infection
Fever, chills, back or side pain, or nausea
Kidney infection
Discharge from the penis or vagina, a new partner, or a partner with an STI
Chlamydia or gonorrhea
Vaginal itching and discharge
Yeast infection or vaginitis
Sores or blisters in the genital area
Genital herpes
Burning that began after a new soap, wipe or bubble bath
Skin irritation
Severe back or side pain with blood in the urine
Kidney stone
A UTI and an STI can cause the same burning, and some people have both. That is why your clinician may test for more than one thing.
Home care can ease discomfort, but it is not a replacement for a test when an infection is possible. The CDC and MedlinePlus suggest:
Drink plenty of water or other fluids.
Pee when you feel the urge, and pee after sex.
Stop using bubble bath, douches, sprays, powders or scented products in the genital area.
Take an over-the-counter pain reliever as the label directs.
Do not take leftover antibiotics or someone else's prescription.
If an STI is possible, avoid sex until you have been tested and treated.
How long to wait: not long. MedlinePlus advises seeing a provider when painful urination lasts more than 1 day. A bladder infection that is not treated can move up to the kidneys. If the burning started after a new product and you have no other symptoms, stop the product. If it is not better within a day, get checked. Read can a UTI go away on its own.
When should you go to urgent care for burning when you pee?
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Urgent care is a good fit for most urinary symptoms. Come in if any of these are true:
Burning or pain lasts more than 1 day
You see blood in your urine
You have a fever, or back or side pain, with urinary symptoms. Come in the same day.
You have discharge from the penis or vagina
You are pregnant and have any pain when you pee
You may have been exposed to an STI
UTIs keep coming back
Symptoms are not better, or are worse, after starting treatment
A child has pain or burning when peeing, is peeing often, has new wetting accidents or has an unexplained fever
If any warning sign listed at the bottom of this page applies, call 911 or go to the nearest emergency room instead of urgent care.
Urgent Care Center of Westmont, also known as Immediate Care Center of Westmont, handles urinary and sexual health visits privately and without judgment. Our team is led by board-certified physicians, and both Westmont, IL clinics are open 7 days.
Private questionsWhen it started, fever, back pain, discharge, past UTIs, new products, pregnancy and sexual history. Your answers help decide which tests you need.
Urine sampleYou give a clean-catch urine sample for an on-site urine test. When needed, a urine culture is sent through our lab testing to confirm which germ is causing the infection.
STI testing when it fitsThe CDC notes that chlamydia is usually tested with a urine sample or a vaginal swab. See STD testing and chlamydia testing.
Your treatment planYour clinician explains the cause and treatment, which may include a prescription medicine when appropriate. Take every dose as directed, even if you feel better. If a kidney stone or other problem is likely, we explain your next steps.
Many insurance plans are accepted, and self-pay visits start from $125. See cost and insurance for details.
Burning when peeing in children, women, men and older adults
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Children
Young children may not be able to say it burns. The American Academy of Pediatrics says babies and toddlers up to age 2 may show only a fever. Older children may have belly pain, vomiting, peeing often, blood in the urine or new wetting accidents. Getting a clean urine sample from a child in diapers takes special methods, so your clinician will explain the right approach. Bubble baths can irritate girls' skin, and girls should be taught to wipe front to back.
Women
Women get UTIs more often because the urethra is shorter and closer to the rectum, the CDC explains. Sex, spermicide, pregnancy and menopause can raise the risk. Any burning during pregnancy should be checked.
Men
UTIs are less common in men. Burning in men can also come from an STI or from prostatitis, swelling of the prostate. An enlarged prostate can raise UTI risk, so testing matters.
Older adults
Older age raises the risk of UTIs. The CDC also notes that bacteria in the urine without symptoms usually do not need antibiotics, so testing should match real symptoms.
How to prevent UTIs and irritation
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Drink enough fluids every day.
Pee soon after sex.
Take showers instead of baths if you get UTIs often.
Limit douching, sprays and powders in the genital area, and choose unscented products.
Wipe from front to back after using the toilet.
Use condoms correctly every time, and get tested for STIs as recommended for your age and risk.
If you get UTIs often, ask a clinician about other prevention steps.
The CDC recommends yearly chlamydia testing for sexually active women under 25 and for older women with risk factors such as a new partner. Browse our other symptom guides, or see our fever guide if you also have a temperature.
The most common cause is a bladder infection, a type of UTI. Burning can also come from chlamydia or gonorrhea, a yeast infection or vaginal irritation, genital herpes, or irritation from soaps and bubble baths. Less often it is a kidney stone or prostate problem. A urine test helps your clinician find the cause.
Can a UTI go away on its own?
It is not safe to count on it. MedlinePlus advises seeing a provider when painful urination lasts more than 1 day, and an untreated bladder infection can spread to the kidneys. Drinking fluids can help you feel better, but a urine test is the way to know if you need treatment.
How do I know if a UTI has spread to my kidneys?
The CDC lists fever, chills, lower back or side pain, and nausea or vomiting as kidney infection symptoms. These are more serious than burning and frequent peeing alone. If you have urinary symptoms with fever or back pain, get seen the same day. Severe pain or vomiting that stops you from keeping fluids down needs emergency care.
Is it a UTI or an STD?
They can feel the same. A UTI often causes frequent urges to pee, cloudy urine and lower belly pressure. Chlamydia and gonorrhea more often cause discharge, and many people with chlamydia have no symptoms. Some people have both, so your clinician may test your urine for a UTI and for STIs.
Can urgent care test for a UTI?
Yes. At Urgent Care Center of Westmont, you give a urine sample for an on-site urine test, and a urine culture can be sent to the lab when needed. Your clinician explains the results and treatment, which may include prescription medicine when appropriate. Visits are private, and both Westmont, IL clinics accept walk-ins.
Can men get UTIs?
Yes, but less often than women, because men have a longer urethra. An enlarged prostate can raise the risk. Burning when peeing in men can also come from an STI or prostatitis, so a urine test and sometimes STI testing help find the cause. Any blood in the urine or fever should be checked promptly.
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