Dysuria

Renal—hematuria, cystitis, elevated blood urea nitrogen, polyuria, dysuria, oliguria, and acute renal failure in those with impaired renal function... 

Headache, nausea, increased heart rate, increase in systolic blood pressure, palpitations, anginal and nonspecific chest pain Nausea, vomiting, ectopic beats, tachycardia, anginal pain, palpitations, hypotension, dyspnea Anxiety, insomnia, tenseness, restlessness, headache, light-headedness, dizziness, nausea, dysuria, pallor... 

Anxiety, insomnia, tenseness, restlessness, headache, light-headedness, dizziness, nausea, dysuria, pallor... 

Urinary tract—urinary hesitancy and retention, dysuria... 

Frequently seen adverse reactions to dragp with anticholinergic activity include dry mouth, blurred vision, dizziness, mild nausea, and nervousness. These may become less pronounced as therapy progresses. Other adverse reactions may include skin rash, urticaria (hives), urinary retention, dysuria, tachycardia, muscle weakness, disorientation, and confusion. If any of these reactions are severe, the drug may be discontinued for several days and restarted at a lower dosage, or a different antiparkinsonism drag may be prescribed. 

When the nurse is administering any of the miscellaneous drugs, the nurse monitors die patient for a reduction in the symptoms obtained in die preadministration assessment such as dysuria, urinary frequency, urgency, nocturia, and relief of any pain associated widi irritation of die lower genitourinary tract. 

Tolterodine If you experience difficulty voiding, take the drug immediately after voiding. If dysuria persists, notify the primary health care provider. 

Nausea, diarrhea, stomatitis, hypotension, anorexia, bone marrow depression, pulmonary congestion, dyspnea, oliguria Dysuria, urinary frequency, cystitis, hematuria, urinary incontinence... 

From a therapeutic point of view, it is essential to confirm the presence of bacteriuria (a condition in which there are bacteria in the urine) since symptoms alone are not a reliable method of documenting infection. This applies particularly to bladder infection where the symptoms of burning micturition (dysuria) and frequency can be associated with a variety of non-bacteriuric conditions. Patients with symptomatic bacteriuria should always be treated. However, the necessity to treat asymptomatic bacteriuric patients varies with age and the presence or absence of underlying urinary tract abnormalities. In the pre-school child it is essential to treat all urinary tract infections and maintain the urine in a sterile state so that normal kidney maturation can proceed. Likewise in pregnancy there is a risk of infection ascending from the bladder to involve the kidney. This is a serious complication and may result in premature labour. Other indications for treating asymptomatic bacteriuria include the presence of underlying renal abnormalities such as stones which may be associated with repeated infections caused by Proteus spp. 

UTI dyspareunia, sexual dysfunction, pelvic pain Dysuria, CVA tenderness, frequency... 

Recurrent coughing, urinary incontinence, dyspareunia, vaginal itching, multiple UTIs (-) nocturia, enuresis, urgency, dysuria, frequency, lower abdominal fullness, decreased force of stream... 

Symptoms of lower UTIs include dysuria, urgency, frequency, nocturia, and suprapubic heaviness. 

Bacteriuria, or bacteria in the urine, does not always represent infection. For this reason a number of quantitative diagnostic criteria have been created to identify the amount of bacteria in the urine that most likely represents true infection (hence the term significant bacteriuria ). These are shown in Table 76-1. Furthermore, UTIs are classified as lower tract or upper tract disease. Patients will present differently with upper versus lower tract disease, and upper tract disease is thought of as a much more severe infection, as patients are more likely to be admitted to the hospital with upper urinary tract disease than lower tract disease. An example of lower tract infection is cystitis. Cystitis refers to the syndrome associated with a UTI involving dysuria, frequency, urgency, and occasional suprapubic tenderness. An example of upper urinary tract disease is pyelonephritis. Pyelonephritis is an inflammation of the kidney usually due to infection. Frequently, patients with uncomplicated UTI are treated as outpatients, while those patients with complicated UTIs are treated as inpatients. 

Dysuria, suprapubic heaviness, gross hematuria, urinary frequency, and nocturia... 

Urethral discharge and dysuria, usually without urinary frequency or urgency... 

Cervicitis, urethritis, increased vaginal discharge, dysuria and intermenstrual bleeding... 

Nephrolithiasis/ urolithiasis/ crystalluria IDV Onset Any time after initiation of therapy, especially if 4- fluid intake Symptoms Flank pain and/or abdominal pain, dysuria, frequency pyuria, hematuria, crystallauria rarely, Tserum creatinine and acute renal failure 1. History of nephrolithiasis 2. Fhtients unable to maintain adequate fluid intake 3. High peak IDV concentration 4. tDuration of exposure Drink at least 1.5-2 L of non-caffeinated fluid per day Tfluid intake at first sign of darkened urine monitor urinalysis and serum creatinine every 3-6 months Increased hydration pain control may consider switching to alternative agent stent placement may be required... 

Suprapubic pain and cramping, urinary urgency and frequency, dysuria and burning, hematuria Urinary retention leading to hydronephrosis and renal failure may occur if large blood clots obstruct the ureters or bladder outlet. 

Cystitis Cystitis refers to the syndrome associated with a urinary tract infection involving dysuria, frequency, urgency, and occasional suprapubic tenderness. 

A 45-year-old male on combination therapy for remission-maintenance acute lymphocytic leukemia develops suprapubic pain, dysuria, and hematuria. Evidence of hemorrhage and inflammation is apparent on cystoscopy of the urinary bladder. Which of the following agents most likely caused these findings ... 

Abnormal vaginal discharge, vulvar itching/irritation, dysuria, dyspareunia... 

Symptoms May be asymptomatic or minimally symptomatic Urethral infection—dysuria and urinary frequency Anorectal infection-asymptomatic to severe rectal pain Pharyngeal infection asymptomatic to mild pharyngitis May be asymptomatic or minimally symptomatic Endoceivical infection-usually asymptomatic or mildly symptomatic Urethral infection-dysuria, urinary frequency Anorectal and pharyngeal infection-symptoms same as for men... 

---