What causes painful urination

Pain or burning sensation when urinating

Your pharmacy recommends

Drink a lot.

If you have a cystitis, it helps to drink plenty of fluids. The large amounts of urine flush pathogens out of the bladder. 3–4 liters of fluid per day are ideal, preferably as soon as the first symptoms appear. In addition to water and diluted juices, hot drinks such as special bubble teas are particularly suitable. B. nettle, birch, horsetail or goldenrod contain. The herbal ingredients have a diuretic and slightly disinfectant effect. The goldenrod is also suspected to have antispasmodic and anti-inflammatory properties. As an alternative to tea, capsules or effervescent tablets with plant extracts are available in pharmacies. They are taken several times a day with plenty of water.


Soothing heaters such as hot water bottles relax and have an antispasmodic effect. After just a few minutes, they alleviate the pain of a bladder infection.

It is best for patients to place the heat source directly on the area that hurts the most, usually on their lap. If you also cover yourself with a wool blanket, the warmth lasts longer. Some people affected also find moist warmth to be pleasant. A damp towel between the stomach or back and the heat source is suitable for this. A warm full bath should be avoided in the case of a urinary tract infection, as this can lead to a transmission of germs again.

The feet should also always be kept warm. Foot baths or simply thick socks are suitable for this.

Complementary medicine.

Herbal active ingredients such as cranberries are supposed to protect against repeated bladder infections, especially when taken regularly and over a long period of time. It is believed that the cranberry's ingredients prevent bacteria from adhering to the bladder wall. We recommend cranberry juice or capsules in a sufficiently high dose. Scientific proof of the effectiveness of cranberries is pending.

Pay attention to hygiene.

Since cystitis is caused by bacteria, it is important to maintain adequate hygiene. It is sufficient to follow a few simple rules. After using the toilet, cleaning should always be carried out away from the genitals towards the anus so that no fecal bacteria are carried over.

Bacteria multiply particularly well in a damp environment, which is created, for example, by wet swimwear or sweat. Breathable cotton underwear keeps the abdomen dry. At night it is advisable to simply sleep "downstairs without".

On the other hand, we strongly advise against excessive personal hygiene: intimate sprays should be avoided completely, clean water is completely sufficient for washing.

Going to the bathroom after sex.

Many women develop cystitis immediately after intercourse. Here, too, the cause is usually that faecal bacteria are carried into the genital tract. To prevent such "honeymoon cystitis", it helps to go to the bathroom immediately after sex. Some bacteria are immediately flushed out of the urinary tract through the urine.

Stand-by antibiotics.

In the case of recurring bladder infections, in some cases it makes sense to take a single dose of antibiotic as soon as the first signs appear. Since the use of antibiotics always needs to be carefully considered, it is advisable to consult your family doctor in detail before starting therapy.


Dr. med. Arne Schäffler; Dr. med. Brigitte Strasser-Vogel; in: Gesundheit heute, edited by Dr. med. Arne Schäffler. Trias, Stuttgart, 3rd edition (2014). Editing: Sara Steer | last changed on at 17:29