Dysuria, Infection vs. Chemical (Child)
The urethra is the channel that passes urine from the bladder. In a girl, the opening of the urethra is above the vagina. In a boy, it is at the tip of the penis. Dysuria is feeling pain or burning in the urethra when peeing.
Dysuria can be caused by anything that irritates or inflames the urethra. The cause for your child's dysuria is not certain. The most common cause of dysuria in young children is chemical irritation. Soaps, bubble baths, or skin lotions that get inside the urethra can cause this reaction. Symptoms will get better in 1 to 3 days after the last exposure.
Sometimes a bladder infection causes dysuria. A urine test can show this. A bacterial bladder infection is treated with antibiotics. Sometimes children can get a viral infection of the bladder. This will get better with time. No antibiotics are needed for a viral infection.
Dysuria may also occur in young girls with inflammation in the outer vaginal area (rash or vaginal infection). Treatment is directed at the cause of the outer vaginal irritation. You may be given a cream for this.
A vaginal infection may cause vaginal discharge and dysuria. A culture can diagnose this. Treatment with antibiotics may be needed.
Labial adhesions are a common cause of dysuria in young girls. Parts of the labia are attached together. A small tear can cause pain. The tear will get better on its own, but an estrogen cream can be used to help treat the adhesions.
Minor trauma as a result from activities or self-exploration can also lead to dysuria.
Rarely, dysuria is a result of local trauma from sexual abuse. If you have concerns about possible sexual abuse, contact your child's healthcare provider right away. Or, you can call the national child abuse hotline at 800-4-A-CHILD (800-422-4453) to get help.
These tips will help you care for your child at home:
Wash the genitals gently with a washcloth and soapy water. Make sure soap doesn't get inside the urethra. Dry the area well.
If you think bubble bath soap caused the reaction, don't use bubble baths in the future.
Over-the-counter diaper creams may be used to help with irritation in the genital area.
Follow up with your child's healthcare provider, or as advised. If a culture specimen was taken, you may call for the result as directed.
When to seek medical advice
Call your child's healthcare provider right away if any of these occur:
Symptoms don't go away after 3 days
Fever, generally 101°F (38.3°C) or higher, or as advised by your healthcare provider
Inability to pee due to pain
Increased redness or rash in the genital area
Discharge/bloody drainage from the penis or vagina