My stomach hurts every time I urinate

Nowadays, modern living standards have been greatly improved, and the level of hygiene has also been greatly improved. Although everyone's awareness of hygiene has been greatly improved, some wrong practices still lead to the inevitable occurrence of some diseases. Some people, both men and women, sometimes experience abdominal pain after urinating. Generally speaking, this is a urinary tract infection, and in severe cases, cystitis may occur.

Urinary tract infection, also known as urinary system infection, is an inflammatory response of the urothelium to bacterial invasion, usually accompanied by bacteriuria and pyuria. Urinary tract infection can be divided into upper urinary tract infection and lower urinary tract infection according to the site of infection; according to the relationship between the two infections, it can be divided into isolated or sporadic infection and recurrent infection, the latter of which can be divided into reinfection and bacterial persistence, which is also called recurrence; according to the state of the urinary tract at the time of infection, it can be divided into simple urinary tract infection, complicated urinary tract infection and urosepsis. Urinary tract infections are common in women, especially those who are sexually active and postmenopausal women.

More than 95% of urinary tract infections are caused by a single bacteria. Among them, 90% of outpatients and about 50% of inpatients are caused by Escherichia coli, which can be classified into 140 types of serotypes. The urinary infection-causing Escherichia coli is of the same type as the Escherichia coli isolated from the patient's feces, and is often seen in asymptomatic bacteriuria or uncomplicated urinary infection; Proteus, Clostridium difficile, Klebsiella pneumoniae, Pseudomonas aeruginosa, and fecal Streptococcus are seen in patients with reinfection, indwelling catheters, and complicated urinary tract infections; Candida albicans and Cryptococcus neoformans infections are often seen in patients with diabetes and those using glucocorticoids and immunosuppressants and after kidney transplantation; Staphylococcus aureus is often seen in bacteremia and sepsis caused by skin trauma and drug addicts; although viral and mycoplasma infections are rare, they have tended to increase in recent years. Various bacterial infections are seen in indwelling catheters, neurogenic bladder, stones, congenital malformations, and vaginal, intestinal, and urethral fistulas.

The following principles should be followed when treating urinary tract infections. 1. Currently, antibiotic therapy is the preferred treatment method, and sensitive antibiotics are given first according to common pathogens. 2. Perform urine culture before treatment, and then adjust medication in time according to the drug sensitivity results. 3. Whenever possible, choose antibiotics with high concentrations in urine or target organs. 4. The course of treatment should be sufficient. The use of antibiotics should continue until 2 weeks after symptoms disappear and urine culture turns negative. 5. Avoid the abuse of antibiotics, especially avoid the use of nephrotoxic drugs. 6. The inducing factors must be eliminated at the same time. If there is urinary tract malformation or dysfunction, it should be corrected or treated accordingly. 7. Strengthen the body's immune function. 8. The treatment cycle for chronic urinary tract infection is 4 to 8 weeks, the treatment cycle for acute pyelonephritis is 2 to 4 weeks, and the cycle for acute cystitis is 3-day therapy (i.e., antibiotics are taken for three consecutive days). The medication should be taken continuously during the treatment cycle and cannot be interrupted. The medication can only be stopped after the urine analysis test is normal.