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Cause of painful urination with weak stream at end.

Resolved Question:

What is the cause of painful urination at the end of the stream. No burning. I also have issues with slow or weak stream at times.

Category: Urologist

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Category: Sexually Transmitted Diseases(STD)Specialist
 22 Doctors Online

Thank you for your query at
I shall be interested to know your gender. Nevertheless the slow stream suggests that you have obstructive voiding and this by itself is the cause of your pain at the end of urination.
You should get investigated with ultrasound KUB and urine routine.

Rajiv goel

Patient replied :

I am female. The slow, etc, stream has been occuring for years but the pain at the end of urination is just the past 3 months. Does that make sense?

Dear madam,

You should certainly get further investigated with urinalysis and ultrasound.
Slow stream is unlikely to cause the terminal pain.
You can start yourself on cranberry juice till you get the investigations done. It shall change the pH of your urine.

I shall also be interested to know whether you have been smoker at any point of time.

Rajiv goel

Patient replied :

No,never smoked. I have mild/moderate asthma so never even tried to smoke.I do take cranberry when the pain is more severe these past 3 months along with the Phenazopyridine. It provides temporary relief.
I recently had my gall bladder removed and the ultrasound I had before the surgery showed an approximate 1 cm simple cyst on each kidney. However my Dr said these are common and are not to be concerned about. Since I have had the difficulty for years I thought they probably were not the cause. But the pain is what concerns me.
I have no health insurance and am trying to keep costs down. However, that didn't work so well with my gall bladder as I had problems for 2 years but still had to have it removed.anyway.

I have reviewed your history and ultrasound findings and there is no reason to be alarmed.
It shall be great if you could start yourself on c. Tamsulosin 0.4 mg once daily. It shall improve pain as well as stream.

Take care
Rajiv Goel

Patient replied :

Thank you for your information and time.

Dr. Rajiv Goel
Category: Sexually Transmitted Diseases(STD)Specialist
MCh(urology) Medical Council of India
Fellow, Laparoscopic urology, Germany
Fellow, Urooncology and Robotic urology, Australia
Felloship - MCH, Urology/Genito-Urinary Surgery, AIIMS, 2004
Residency - MS, Master of Surgery, AIIMS, 2001
Medical School - MBBS, Bachelor of Medicine and Bachelor of Surgery, AIIMS, 1998
Dr. Rajiv Goel and 4 other Medical Specialists are ready to help you

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