Painful urination in pregnancy

If you find that you have a painful or burning sensation when you urinate, you are likely to have a urinary tract infection (UTI).

Pregnant women can be especially prone to UTI’s due to the changes that occur in the body throughout the pregnancy, this is one of the reasons why your midwife will screen the urine sample that you are asked to take to every antenatal appointment.

What are the signs of a urinary tract infection?

Other signs to look out for are:

  • pelvic discomfort
  • lower stomach/abdominal or back pain
  • loin pain
  • frequent or uncontrollable urge to urinate
  • cloudy, foul-smelling (fishy) or bloody urine
  • a raised temperature
  • nausea and vomiting.

What should I do if I have a urinary tract infection?

If you get a UTI in pregnancy, you will need treatment with antibiotics that are safe to use in pregnancy. You should contact your doctor with a fresh urine sample so that it can be screened to ensure that you are put on the correct antibiotic.

This is not an emergency, but it should be treated as soon as possible. 

Sources

  1. Patel BN et al, Urinary tract infections in women, London BMJ Best Practice, 2013. Also available at: http://bestpractice.bmj.com/best-practice/monograph/77.html (accessed 29 April 2014)
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Last reviewed on April 1st, 2014. Next review date April 1st, 2017.

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Comments

  • By Jasmine puca (not verified) on 3 Sep 2018 - 20:09

    Hi. Im weeing normal and im 24 weeks pregnant since 3 days ago i have pain on my bladder and when i am weeing i am having burning pains but no blood or anything has happened what shall i do?

  • By Midwife @Tommys on 10 Sep 2018 - 16:49

    Hi You should go to see your doctor who may consider a course of anti-biotics if you have a Urinary tract infection (UTI). Try to drink plenty of clear fluids and make sure that your pee is not too concentrated. It may also be sensible to avoid intercourse until your symptoms have resolved. You can't pass a UTI to your partner but it is likely to make sex uncomfortable or even painful.

  • By Rebecca (not verified) on 11 Aug 2018 - 09:00

    I think I may have a UTI I’m getting to the point I’m bursting for a wee but only a tiny trickle comes out and it really hurts but I still feel I need a wee then 10mins or so later I try again and I end up having a full proper wee I’m 30weeks pregnant is this normal? Would I ring my doctor or maternity unit (today is Saturday)

  • By Midwife @Tommys on 13 Aug 2018 - 16:52

    Hi Rebecca, I hope you are more comfortable now. Make sure that you are drinking plenty of water so that your wee is well diluted. If you think you may have a UTI please see your doctor who will most likely take a urine sample for analysis. However, at 30 weeks this can happen if the baby is sitting on your bladder. This may be why you were able to empty properly after you walked around. Discuss with your midwife if it doesn't improve. Take care

  • By Blessing (not verified) on 21 Jun 2018 - 17:34

    pls,is it safe to take nitrofutoin?

  • By Midwife @Tommys on 22 Jun 2018 - 15:25

    HI Blessing,
    Yes it is thought to be safe to take in pregnancy however it should be prescribed for you by a doctor.
    Best wishes
    Tommy's midwife

  • By Parameshwari (not verified) on 6 Feb 2018 - 13:09

    I am carrying 20weeks pregnancy, i am having burning urination since 2days,& constipation.
    Plz reply me soon.

  • By Midwife @Tommys on 7 Feb 2018 - 11:57

    Hi Parameshwari,
    It sounds as if you have an urinary tract infection. Please get an urgent appointment with your GP/Midwife. They will need to dipstick your urine, send it off for testing and start you on oral antibiotics to treat the infection as soon as possible.
    Constipation is very common in pregnancy. Try to drink at least 2 litres of water a day, eating 5 portions of fruit and veg in a day, ideally leafy, green vegetables as they contain ingredients that will help to keep your stools moving. You can also go to your local chemist and ask for stool softeners which are safe to take in pregnancy too. All of these will help you become less constipated.
    Please feel free to call us on 0800 0147800
    All the best
    Sophie,Tommy's Midwife

  • By Midwife @Tommys on 28 Nov 2017 - 09:20

    Thank you for your comment.
    Please see your GP if you are concerned about any pain or symptoms- vaginal infection can cause pain or there may be other causes that may need treatment

    Take care
    Tommy's Midwife

  • By Refiloe velela (not verified) on 26 Nov 2017 - 05:17

    Vaginal infection courses pain under stomach

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