A burning or painful sensation when urinating is called dysuria. Your urine to feel hot either because the temperature of the urine is warmer than usual, or because urinating causes a burning sensation. These symptoms may be a sign of an infection. It’s important to seek medical attention as soon as possible to avoid other complications.
Normally, your urine is at the same temperature as your body. When the urine comes out of the urinary tract, called the urethra, it can feel warm on the genitals, hands, or legs that it touches. Steam may rise from a person’s urine in cold temperatures.
Noticing that urine feels warm or hot is perfectly normal. Urine may feel particularly warm if a person’s body or hands are cold.
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However, if a person notices that their urine feels warmer than usual, or hot as it comes out of the urethra, this may mean that there is an infection or injury.
A hot sensation when urinating can cause a person to hold back their urine because of the pain. Parents of young children who do not want to urinate should consider the possibility of burning during urination.
Some symptoms associated with burning sensation include:
- Dark urine
- Cloudy urine
- Nausea and vomiting
- Swelling in the genitals or urethra
- Foul-smelling urine
- Pain in the back or abdomen
- Discharge from the vagina or penis
- increased need to urinate
- difficulty urinating
READ ALSO: Causes of Discolored Urine
Causes of Hot Urine in Men and Women
A person’s urine may be warmer than usual if:
- Their internal body temperature increases
- They have a fever caused by an infection
- They have just done intense exercise — then their urine may also be warmer than usual.
Other causes of hot urine or burning urination include:
Urinary tract infection (UTIs)
Your urine may feel hot because of urinary tract infection, (UTI). A UTI occurs when harmful bacteria, often E. coli, get into the urinary tract. UTIs commonly affect the bladder. People with UTIs may experience:
- Burning pain when they urinate
- A frequent urge to urinate
- Foul-smelling urine
- An intense urge to urinate right after urinating
- Blood in the urine
Antibiotic treatment quickly cures a UTI in most cases. If left untreated, the infection can spread to the kidneys or other parts of the body. UTIs can affect both sexes, but are more common in women than in men.
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Your body can heat up to combat an infection, causing you to develop fever when ill. When the urine is a higher temperature than usual, this could mean that a person has a fever.
A fever could be as a result of an infection anywhere in the body, so it’s vital to track symptoms and see a doctor if their health do not improve.
Injuries near the urethra
Due to the acidic nature of urine is acidic, a person may feel a hot, burning sensation when their urine comes into contact with an open injury, even a small one. An injury in or around the urethra can cause the urine to feel hot coming out.
READ ALSO: Urinary Tract Infections, UTIs in Men
People who shave their genitals may have tiny cuts near the urethra. Friction-related injuries from sexual intercourse may cause tiny cuts, scrapes, and pimples, cuts, and scrapes can all make the urine feels hot.
Small injuries usually go away on their own. But if the urethra hurts, a fever occurs, or there is a large wound, a person should see their doctor.
Sexually transmitted infections (STIs)
Sexually transmitted infections can cause urinary tract problems. They may also injure the genitals or the area surrounding the urethra, causing pain when passing out urine.
Anyone who is or has been sexually active can get an STI, even if they have previously tested negative. Some STIs are symptom-free for a long time, so a long period without symptoms does not necessarily mean person does not have an STI.
Chlamydia is an STI that commonly causes burning pain when urinating. It can also cause discharge from the vagina or penis, and in men may cause the testicles to swell or hurt.
Interstitial cystitis is a poorly understood chronic illness that causes symptoms of a UTI, even when a UTI is not present.
This condition is more common in women than in men.
Researchers do not fully understand what causes it, but one potential cause is damage to the tissue of the bladder. People with interstitial cystitis may experience burning when urinating, or other unusual sensations, such as a feeling that the urine is too hot.
Causes in women
Causes specific to women include:
After childbirth, many women experience tears in the area between the vagina and the anus, which are known as perineal lacerations. Tears can occur near the urethra, or inside the vagina.
If urine comes into contact with these injuries it can cause burning pain in the weeks following birth.
Spraying the area with a warm perineal irrigation bottle during urination can reduce pain.
A vaginal infection can cause irritation to the tissue of the vagina and vulva. When this irritated tissue comes into contact with urine, it may burn. Vaginal infection may not be diagnosed solely on burning alone, so it is important to see a doctor when urination burns. The symptom could be caused by infections such as:
Post-menopausal vaginal changes
The vaginal tissue may shrink and weaken after menopause. This is because the body produces less estrogen. The vagina may also feel dry, which can make the skin and other tissues feel tender and sore. When urine comes into contact with the vagina or urethra, it may feel hotter.
READ ALSO: Tips On Caring For Your Skin After Menopause
Causes in Men
Prostatitis is pain, swelling, and inflammation in the prostate, due to a bacterial infection. Men with prostatitis may experience pain or burning when urinating, as well as changes in the flow of urination. They may also have nausea and vomiting, or pain during ejaculation.
The epididymis is a tube that contains the sperm on top of the testes. An infection or inflammation in this tube can cause painful burning when urinating. Epididymitis may cause swelling around the testicles, pain in the penis or testicles, and a fever.
This painful condition is usually caused by a bacterial infection or surgery and responds well to antibiotics and rest.
Many causes of painful or hot urination can easily be treated with antibiotics. Because the urine can feel hot for so many reasons, and because many diagnoses have similar symptoms, it’s important to see a doctor before trying home treatment. Drinking lots of water can also help flush bacteria from the urinary system and make the urine slightly less acidic.
When to see a doctor
When the only symptom is hot urine and urination does not hurt, it is often safe to wait to see a doctor. See a doctor immediately for:
- a very high fever
- pain in the back, as this could indicate a kidney infection
- uncontrolled vomiting