Shirdi Sai Hospital

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  • Burning Sensation While Urinating: When It’s Not Just a UTI

    Burning Sensation While Urinating: When It’s Not Just a UTI

    A burning sensation while passing urine is one of the most uncomfortable symptoms people experience. The first thought for most patients is a urinary tract infection (UTI), and many start antibiotics on their own. Sometimes the burning reduces. Sometimes it does not. In many cases, the symptom keeps returning.

    This leads to confusion.

    The truth is simple. Burning while urinating is not always caused by a UTI. Several other conditions can produce the same sensation, and treating everything as an infection may delay the right care.

    This blog explains the common causes of burning urination, when it is a UTI, and when it is something else that needs medical attention.

    What causes a burning sensation while urinating?

    Burning during urination happens when the lining of the urinary tract becomes irritated or inflamed. This irritation may be due to infection, inflammation, stones, or even external factors.

    Because multiple conditions affect the same urinary passage, symptoms often overlap, making self-diagnosis unreliable.

    When burning urination is caused by a UTI

    UTI is one of the most common causes, especially in women.

    Typical signs include:

    • Burning while passing urine
    • Frequent urge to urinate
    • Passing small amounts of urine
    • Cloudy or foul-smelling urine
    • Lower abdominal discomfort

    In such cases, antibiotics prescribed after urine testing usually resolve symptoms within a few days.

    When burning urination is NOT just a UTI

    Many patients are surprised to learn that burning can occur even when urine tests are normal.

    Dehydration

    Low water intake can concentrate urine, making it more acidic. This concentrated urine can cause burning even without infection.

    Urinary stones

    Small stones or crystals can irritate the urinary tract, causing burning, pain, or blood in urine.

    Prostate-related issues (in men)

    Prostate inflammation or enlargement can lead to burning, weak urine flow, or difficulty emptying the bladder.

    Vaginal or genital infections

    In women, vaginal infections or local irritation can cause burning that feels like urinary pain, even when the bladder is normal.

    Sexually transmitted infections

    Some infections affect the urethra and cause burning without typical UTI findings. These need specific testing and treatment.

    Chemical or hygiene-related irritation

    Harsh soaps, intimate washes, or spermicides can irritate sensitive areas and cause burning sensations.

    Common medicines used for burning urination

    Treatment depends entirely on the cause.

    • Antibiotics are used only when infection is confirmed
    • Urinary alkalizers may be prescribed to reduce urine acidity
    • Pain-relief medicines may ease discomfort temporarily
    • Targeted treatment is required for stones, prostate issues, or genital infections

    Using antibiotics repeatedly without confirmation may reduce symptoms briefly but does not solve the underlying issue.

    Warning signs you should not ignore

    Consult a doctor if you notice:

    • Burning that persists for more than two to three days
    • Fever or chills
    • Blood in urine
    • Severe lower abdominal or back pain
    • Burning associated with discharge or itching
    • Recurrent episodes despite medicines

    These signs usually indicate a cause beyond simple irritation.

    How doctors evaluate burning urination at Shirdi Sai Hospital

    At Shirdi Sai Hospital, consultants focus on identifying the exact reason behind the symptom. Evaluation may include:

    • Urine routine and culture tests
    • Ultrasound if stones or obstruction are suspected
    • Blood tests when needed
    • Examination for prostate or genital causes
    • Review of hygiene and lifestyle factors

    This step-by-step approach avoids unnecessary medicines and ensures accurate treatment.

    Frequently asked questions

    Is burning urination always due to infection?
    No. Dehydration, stones, irritation, or prostate issues can also cause burning.

    Can drinking more water reduce burning?
    Yes, in mild cases caused by concentrated urine, hydration helps.

    Is it safe to take antibiotics without testing?
    Repeated antibiotic use without tests is not recommended.

    Why does burning return after treatment?
    Because the underlying cause may not have been addressed.

    When should I see a doctor?
    If burning is persistent, severe, or keeps recurring.

    When to consult a doctor

    If burning while urinating keeps coming back or does not improve with basic measures, early evaluation can prevent complications and repeated discomfort.

    📞 Call Shirdi Sai Hospital, Bangalore
    OPD consultation starts from ₹500
    Consultants will guide you with the right diagnosis and treatment.

  • Hormonal Tablets for Irregular Periods: What Patients Should Know

    Hormonal Tablets for Irregular Periods: What Patients Should Know

    Irregular periods are one of the most common reasons women look for hormonal tablets. A missed cycle, delayed periods, or frequent spotting can be stressful, especially when it starts affecting daily routine or future pregnancy plans. Many women are prescribed hormonal tablets and notice that periods become regular while the medicine is taken. Once the tablets stop, the cycle becomes irregular again.

    This leads to confusion and concern.

    Hormonal tablets can be useful, but they are not a one-size-fits-all solution. Understanding why periods are irregular is more important than simply restarting tablets each time.

    This blog explains what hormonal tablets do, when they are prescribed, and when irregular periods need proper medical evaluation.

    What are irregular periods?

    A menstrual cycle is considered irregular when:

    • Periods come too early or too late
    • Cycles vary widely each month
    • Bleeding lasts too long or is very light
    • Periods are missed frequently

    Occasional variation can be normal. Repeated irregularity usually points to an underlying imbalance.

    Common reasons for irregular periods

    Irregular cycles can occur for many reasons, including:

    Because the causes vary, treatment also differs from person to person.

    Hormonal tablets commonly prescribed for irregular periods

    Doctors prescribe hormonal tablets after understanding the cycle pattern and medical history.

    Progesterone-based tablets

    These are commonly used to trigger periods when cycles are delayed. They help shed the uterine lining and bring a withdrawal bleed.

    Combined hormonal tablets

    These tablets contain both estrogen and progesterone. They help regulate cycles and reduce heavy or irregular bleeding in selected patients.

    Hormonal regulation in specific conditions

    In conditions like PCOS, hormonal tablets may be part of a broader treatment plan that also includes lifestyle changes.

    Hormonal tablets are prescribed for regulation, not as a permanent fix without evaluation.

    When hormonal tablets help

    Hormonal tablets are useful when:

    • Irregular periods are due to temporary hormonal imbalance
    • Cycles need short-term regulation
    • Heavy or unpredictable bleeding needs control
    • Tablets are used under medical supervision

    In these cases, periods become predictable while treatment continues.

    Why periods become irregular again after stopping tablets

    This is a common concern.

    Periods may become irregular again if:

    • The underlying cause was not addressed
    • Lifestyle factors like stress or weight remain unchanged
    • Conditions like PCOS or thyroid disorders are present
    • Hormones were used only to induce bleeding

    Tablets regulate the cycle temporarily. They do not correct the root cause on their own.

    Warning signs you should not ignore

    Consult a doctor if you notice:

    • Periods stopping for several months
    • Very heavy or prolonged bleeding
    • Irregular periods with acne or excess hair growth
    • Sudden changes in cycle pattern
    • Irregular periods while planning pregnancy

    These signs usually need evaluation rather than repeated hormonal tablets.

    How doctors evaluate irregular periods at Shirdi Sai Hospital

    At Shirdi Sai Hospital, consultants focus on identifying the reason behind cycle irregularity. Evaluation may include:

    • Detailed menstrual and lifestyle history
    • Hormonal blood tests if required
    • Thyroid assessment
    • Ultrasound to check ovaries and uterus
    • Guidance on safe use of medicines

    The goal is to restore natural cycle balance whenever possible, not just induce periods.

    Frequently asked questions

    Are hormonal tablets safe for long-term use?
    They may be safe in selected cases under supervision, but long-term use should always be reviewed.

    Do hormonal tablets affect future fertility?
    When used appropriately, they do not harm fertility. Underlying conditions matter more.

    Is it okay to take hormonal tablets every time periods are delayed?
    Repeated use without evaluation is not recommended.

    Can lifestyle changes improve irregular periods?
    Yes. Weight management, stress reduction, and sleep can significantly help.

    When should I see a doctor for irregular periods?
    If irregularity persists, worsens, or affects pregnancy planning.

    When to consult a doctor

    If periods remain irregular or you depend on hormonal tablets repeatedly, early evaluation can prevent long-term hormonal and reproductive issues.

    📞 Call Shirdi Sai Hospital, Bangalore
    OPD consultation starts from ₹500
    Consultants will guide you with safe and personalised care.

  • Period Pain Medicines: What’s Safe and What Needs Medical Advice

    Period Pain Medicines: What’s Safe and What Needs Medical Advice

    Period pain is common, but it is also one of the most misunderstood problems. Many women push through cramps with painkillers every month, assuming this is normal and something they must tolerate. For some, tablets work well and life continues as usual. For others, pain keeps increasing, tablets stop helping, or new symptoms appear.

    The difference lies in why the pain is happening.

    This blog explains which medicines are commonly used for period pain, when they are considered safe, and when pain during periods needs medical attention rather than repeated tablets.

    Why period pain happens

    Pain during periods, also called dysmenorrhea, happens due to strong uterine contractions. These contractions help shed the uterine lining, but in some women they become intense and painful.

    Common reasons include:

    • Hormonal changes during the menstrual cycle
    • Increased prostaglandins causing strong contractions
    • Stress and poor sleep
    • Underlying conditions like fibroids or endometriosis
    • Irregular cycles or hormonal imbalance

    Mild pain on the first day can be normal. Severe or worsening pain is not something to ignore.

    Common medicines used for period pain

    Doctors usually recommend medicines based on pain severity, cycle regularity, and overall health.

    Painkillers and anti-inflammatory medicines

    Medicines such as paracetamol, mefenamic acid, and other anti-inflammatory tablets are commonly used. They reduce pain and inflammation during periods and work well for mild to moderate cramps.

    Antispasmodic medicines

    These medicines help relax uterine muscles and reduce cramping. They are often used when pain feels tight or spasmodic.

    Hormonal medicines

    In some cases, doctors prescribe hormonal tablets to regulate cycles and reduce pain. These are used only after proper evaluation and are not meant for casual or short-term use.

    All period pain medicines should be taken under medical guidance, especially if needed every month.

    When period pain medicines usually work

    Medicines are often effective when:

    • Pain is mild to moderate
    • Cycles are regular
    • Pain improves within a day or two
    • No other symptoms are present

    In such cases, tablets help control discomfort without affecting daily routine.

    When tablets are not enough

    This is where many women delay care.

    Period pain needs medical attention if:

    • Pain is severe and affects work or daily activities
    • Tablets are needed every month without relief
    • Pain worsens over time
    • Periods are very heavy or prolonged
    • Pain occurs outside the menstrual period

    Repeated painkillers may reduce pain temporarily, but they do not treat underlying problems.

    Warning signs you should not ignore

    Consult a doctor if you notice:

    • Period pain that suddenly becomes severe
    • Pain not responding to usual medicines
    • Heavy bleeding or large clots
    • Irregular or missed periods
    • Pain during intercourse
    • Fatigue or dizziness during periods

    These signs often point to conditions that need evaluation.

    How doctors evaluate period pain at Shirdi Sai Hospital

    Consultants at Shirdi Sai Hospital focus on understanding the cause of pain. Evaluation may include:

    • Detailed menstrual history
    • Hormonal assessment if required
    • Ultrasound to check uterus and ovaries
    • Guidance on safe medication use
    • Long-term management planning

    The aim is to reduce pain safely while protecting reproductive health.

    Frequently asked questions

    Is it safe to take painkillers every month for periods?
    Occasional use may be safe, but regular monthly use should be discussed with a doctor.

    Do hormonal tablets permanently stop period pain?
    They can reduce pain in some women, but they are prescribed only after evaluation.

    Is period pain normal after marriage or childbirth?
    Pain patterns can change, but severe pain is not normal at any stage.

    Can home remedies replace medicines?
    They may provide comfort, but they cannot treat medical causes of pain.

    When should I see a doctor for period pain?
    If pain affects daily life or keeps worsening over time.

    When to consult a doctor

    If period pain is disrupting your routine or tablets no longer help, it is better to seek medical advice early.

    📞 Call Shirdi Sai Hospital, Bangalore
    OPD consultation starts from ₹500
    Consultants will guide you with safe and appropriate care.

  • Painkillers for Knee Pain: When Relief Is Temporary

    Painkillers for Knee Pain: When Relief Is Temporary

    Knee pain is one of the most common reasons people reach for painkillers. After a long day at work, climbing stairs, or starting a new walking routine, the knee starts hurting. One tablet reduces the pain, and life goes on. A few days later, the pain returns. Another tablet follows.

    This cycle is extremely common in Bangalore. Painkillers do help, but they are not designed to fix what is causing knee pain. Understanding this early can prevent long-term joint problems.

    This blog explains which painkillers are commonly used for knee pain, when they are useful, and when relief from tablets is only temporary.

    Why knee pain has become so common today

    Knee pain is no longer limited to older adults. Doctors now see it in people as young as their thirties.

    Common reasons include:

    • Long hours of sitting at desks
    • Sudden increase in walking, jogging, or gym workouts
    • Weight gain putting extra load on the knee
    • Previous sports or accident-related injuries
    • Early wear and tear of joint cartilage

    Knee pain is often blamed on age, but in many cases, lifestyle and movement patterns play a bigger role.

    Common painkillers used for knee pain

    Painkillers are usually the first line of relief. Some commonly used medicines include:

    Paracetamol

    Paracetamol is often used for mild knee pain. It helps reduce pain but has very little effect on inflammation.

    NSAIDs for knee pain

    Medicines such as diclofenac and aceclofenac belong to a group called non-steroidal anti-inflammatory drugs. They reduce both pain and inflammation and are commonly prescribed for knee problems.

    Combination painkillers

    Some tablets combine pain-relief and anti-inflammatory components. These may provide stronger short-term relief but do not address the underlying joint issue.

    Pain relief gels and sprays

    Topical gels can temporarily reduce discomfort, especially after activity. However, their effect is usually short-lived.

    These medicines reduce pain signals and inflammation, not joint damage or structural problems.

    When painkillers genuinely help

    Painkillers can be useful when:

    • Knee pain is due to a recent strain or overuse
    • There is mild inflammation
    • Pain occurs during an acute flare-up
    • They are used along with rest and physiotherapy

    In these situations, tablets provide comfort while the knee heals. Relief is expected to be temporary, not permanent.

    When painkillers stop working

    This is where many people get stuck.

    Painkillers may stop giving lasting relief when:

    • There is cartilage wear or early arthritis
    • Ligaments or meniscus are injured
    • Knee alignment is altered
    • Muscle weakness is not corrected
    • Pain is repeatedly masked without evaluation

    A common warning sign is when pain returns faster each time, even after taking tablets.

    Risks of long-term painkiller use

    Using painkillers occasionally is generally safe. Long-term or frequent use without medical supervision can lead to problems such as:

    • Stomach irritation or ulcers
    • Kidney strain
    • Increase in blood pressure
    • Reduced effectiveness of medicines over time

    This is why knee pain should not be managed with tablets alone for months.

    Warning signs you should not ignore

    Consult an orthopaedic doctor if you notice:

    • Knee pain lasting more than two to three weeks
    • Swelling or stiffness around the joint
    • Difficulty climbing stairs or getting up from a chair
    • Knee giving way while walking
    • Pain present even at rest or during the night

    These signs usually indicate that the knee needs evaluation beyond pain relief.

    How orthopaedic doctors evaluate knee pain

    At Shirdi Sai Hospital, knee pain is assessed step by step. Evaluation may include:

    • Detailed clinical examination
    • X-ray or MRI when required
    • Assessment of joint alignment
    • Muscle strength and movement analysis
    • Treatment planning beyond painkillers

    The focus is on protecting the joint and improving function, not just reducing pain for a few hours.

    Frequently asked questions

    Is it safe to take painkillers daily for knee pain?
    Daily use without medical advice is not recommended, especially for long periods.

    Why does knee pain return after taking tablets?
    Because painkillers do not correct cartilage damage, alignment issues, or muscle weakness.

    Can physiotherapy reduce the need for painkillers?
    Yes. Strengthening and movement correction often reduce pain significantly.

    Are injections better than tablets for knee pain?
    Injections are used in selected cases after proper evaluation. They are not the first step for everyone.

    When should I see an orthopaedic doctor?
    If pain keeps returning, worsens, or affects daily activities.

    When to consult a doctor

    If knee pain is limiting your movement or returning repeatedly despite painkillers, it is better to get the joint checked early.

    📞 Call Shirdi Sai Hospital, Bangalore
    OPD consultation starts from ₹500
    Consultants will guide you with the right evaluation and treatment plan.

  • Tablets for Frequent Urination at Night: Do They Really Work?

    Tablets for Frequent Urination at Night: Do They Really Work?

    Waking up two or three times every night to pass urine can slowly drain your energy. Sleep breaks, mornings feel heavy, and the day starts tired. Many people in Bangalore assume this is just age or stress and look for a tablet that will “settle the bladder.” Tablets can help in some situations, but night-time urination often has more than one cause. That is why medicines work for some people and not for others.

    This guide explains which tablets are commonly prescribed, when they help, and when it is better to get checked instead of continuing medicines on your own.

    What is frequent urination at night?

    Passing urine more than once at night is called nocturia. One visit occasionally can be normal, especially if you drink a lot of fluids late in the evening. Waking up repeatedly, night after night, is not normal and usually points to an underlying issue.

    Common reasons people pass urine frequently at night

    Night-time urination is a symptom, not a disease. Common causes include:

    • Enlarged prostate in men above 40
    • Overactive bladder, where the bladder contracts too often
    • Diabetes or poorly controlled blood sugar
    • Urinary tract infection, especially if burning is present
    • Excess evening fluids, tea, coffee, or alcohol
    • Certain blood pressure medicines that increase urine output

    Many patients have more than one reason at the same time, which is why a single tablet may not fully solve the problem.

    Common tablets prescribed for frequent urination at night

    Doctors choose medicines only after understanding the cause. Some commonly used tablets include:

    Medicines for overactive bladder

    Antimuscarinic medicines such as oxybutynin and tolterodine help relax the bladder muscle. They reduce urgency and frequent urges, including at night. These medicines work best when overactive bladder is the main issue.

    Medicines for prostate-related symptoms

    In men with prostate enlargement, alpha blockers like tamsulosin improve urine flow and reduce night-time frequency. These medicines address blockage, not bladder weakness.

    When antibiotics are used

    If frequent urination is due to a urinary infection, antibiotics are prescribed based on urine test results. Taking antibiotics without confirmation may temporarily reduce symptoms but not clear the infection.

    What medicines cannot fix

    Sleeping pills and painkillers do not treat the cause of night urination. They may improve sleep for a short time while the underlying problem continues.

    These medicines are prescribed only after evaluation and are not meant for self-use.

    When tablets actually help

    Medicines usually work well when:

    • The cause is correctly identified
    • Only one main issue is present
    • Tablets are taken regularly as advised
    • Lifestyle adjustments are followed alongside treatment

    Improvement is usually gradual over a few weeks, not overnight.

    Why tablets may not solve the problem

    This is where many people get stuck.

    Tablets may not give lasting relief if:

    • The diagnosis is incomplete
    • Diabetes or blood pressure is uncontrolled
    • Prostate enlargement is significant
    • Kidney or heart-related fluid issues are present
    • Medicines are taken irregularly or stopped early

    In such cases, medicines may reduce night trips for a while, but the problem returns.

    Warning signs you should not ignore

    Seek medical advice if you notice:

    • Sudden increase in night-time urination
    • Burning or pain while passing urine
    • Blood in urine
    • Weak or interrupted urine flow
    • Swelling of legs or breathlessness during the day

    These signs need evaluation rather than repeated tablet changes.

    How doctors evaluate frequent urination at night

    At Shirdi Sai Hospital, consultants look beyond symptoms and focus on the cause. Evaluation may include:

    • Urine routine and culture tests
    • Blood sugar assessment
    • Ultrasound of the abdomen or prostate
    • Review of current medications
    • Lifestyle and fluid-intake assessment

    This approach helps avoid long-term medicine dependence and repeated symptoms.

    Frequently asked questions

    Is frequent urination at night normal with age?
    Age increases risk, but repeated night-time urination should still be evaluated.

    Do prostate tablets need to be taken lifelong?
    Not always. Duration depends on symptoms, prostate size, and response.

    Can diabetes cause night-time urination?
    Yes. High blood sugar leads to excess urine production, especially at night.

    Are these tablets habit-forming?
    Most are not habit-forming, but they should be taken only under guidance.

    When should I see a doctor?
    If night urination affects sleep, recurs often, or is associated with pain or burning.

    When to consult a doctor

    If night-time urination is disturbing your sleep or tablets are not giving consistent relief, it is better to get clarity on the cause.

    📞 Call Shirdi Sai Hospital, Bangalore
    OPD consultation starts from ₹500
    Consultants will help identify the reason and guide safe treatment.