If a person’s internal body temperature increases — for instance, if they have a fever caused by an infection or if they have just done intense exercise — then their urine may also be warmer than usual.
Below, we provide a list of causes for hot urine or burning urination.
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Urinary tract infection (UTIs)
Urinary tract infections are among the most common reasons why urination feels hot or burns when coming out. A UTI occurs when harmful bacteria, often E. coli, get into the urinary tract.
UTIs most commonly affect the bladder. People with UTIs may experience the following symptoms:
- burning pain when they urinate
- a frequent need to urinate
- an intense urge to urinate even immediately after going
- foul-smelling urine
- blood in the urine
In most cases, antibiotic treatment quickly cures a UTI. Left untreated, the infection can spread to the kidneys or other areas of the body. UTIs can affect both sexes, but are more common in women than in men.
Other infection
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One of the ways that the body fights infection is by heating up. This is why people often develop fevers when they are sick. When the urine is a higher temperature than usual, this could mean that a person has a fever.
A fever could be due to an infection anywhere in the body, so it is important to track symptoms and see a doctor if they do not get better.
When the urine feels physically warm and it burns to urinate, this may mean someone has a UTI or an infection in the kidneys.
Injuries near the urethra
Urine is acidic. This means that when it comes into contact with an injury, even a small one, a person may experience a hot, burning sensation. An injury in or around the urethra can cause the urine to feel hot coming out.
People who shave their genitals may have tiny cuts near the urethra. Friction-related injuries from sexual intercourse, tiny pimples, cuts, and scrapes can all make the urine feel hot.
Small injuries usually go away on their own. If the urethra hurts, a fever occurs, or there is a large wound, a person should see their doctor.
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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 during urination.
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
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.
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