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Dysuria, Pediatric

Stephanie Clark, MD, MPH and Rebecca L. Ruebner, MD, MSCE Reviewed 10/2018
 


BASICS

DESCRIPTION

Symptoms of pain and/or burning on urination 

ETIOLOGY

  • Infectious

    • Cystitis

      • Bacterial

      • Viral

      • Interstitial

    • Pyelonephritis

    • Urethritis

      • Viral infection

      • Herpes simplex

      • Neisseria gonorrhoeae

      • Chlamydia t...

DIAGNOSIS

HISTORY

  • Are there associated symptoms?

    • Fever, urinary frequency, urinary urgency, and urinary incontinence can indicate a urinary tract infection (UTI).

    • The addition of flank pain, vomiting, an...

TREATMENT

GENERAL MEASURES

  • See treatment of UTI, vaginitis, urethritis.

  • Increase fluid intake if concern for hypercalciuria and/or kidney stones.

  • Warm water sitz baths may be helpful for symptomatic trea...

ADDITIONAL READING

  • Claudius H. Dysuria in adolescents. West J Med.  2000;172(3):201–205. [View Abstract on OvidInsights]

  • Hellerstein S, Linebarger JS. Voiding dysfunction in pediatric patients. Cl...

CODES

ICD9

  • 788.1 Dysuria

  • 599 Urinary tract infection, site not specified

  • 597.8 Urethritis, unspecified

  • 753.6 Atresia and stenosis of urethra and bladder neck

  • 753.8 Other specified anomalies of bladder and ...

FAQ

  • Q: How does bubble bath cause dysuria?

  • A: The bubble bath depletes lipids that protect the urethra, causing the tissue to swell and become inflamed.

  • Q: Can allergies cause dysuria?

  • A: It is difficult...

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