Hot Urine: What Is Normal, Causes, And Treatment

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Medical News TodaySubscribeWhat causes urine to feel hot or warmer than usual?

Medically reviewed by Helen Chen MCMSc, PA-C — Written by Beth Sissons — Updated on May 2, 2025

UTIs
Injuries near the urethra
STIs
Interstitial cystitis
Pain after childbirth
Vaginal infection
Postmenopausal vaginal changes
Prostatitis
Epididymitis
Contacting a doctor
Summary

Pee can feel hot because of an infection, such as a urinary tract infection (UTI). Injuries after childbirth and inflammation of the prostate can also cause urine to feel warmer than usual.

It is important to seek medical care if urine is frequently or consistently hot, as medical treatment may be necessary.

Read on to learn more about what can cause urine to feel hot, when to contact a doctor, and more.

Urinary tract infection (UTIs)

UITs occur when bacteria enter the urinary tract. Types of UTIs include:

cystitis, a bladder infection
urethritis, an infection of the urethra
kidney infection

People with UTIs may experience the following symptoms:

dysuria, or 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 can cure a UTI. Without treatment, the infection can spread to other areas of the body.

»Learn more:What does a UTI look like? Signs, risk factors, and complications

Injuries near the urethra

Urine is acidic. This means that, when it comes into contact with an injury, a person may experience a hot, burning sensation. An injury in or around the urethra can cause the urine to feel hot.

If the urethra hurts or there is a large wound, a person should contact their doctor.

Sexually transmitted infections (STIs)

Sexually transmitted infections (STIs) can cause urinary tract problems. They may also injure the genitals or the area surrounding the urethra, causing pain during urination.

Some STIs are symptom-free for a long time, so a hot or burning sensation when urinating may not develop right away.

Chlamydia is an STI that commonly causes burning pain when urinating. It can also cause discharge from the vagina or penis, and it can also cause the testicles to swell or hurt.

Interstitial cystitis

Interstitial cystitis, or bladder pain syndrome, is a chronic condition that causes symptoms of a UTI, even though a UTI is not present.

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 sensations such as a feeling that the urine is too hot.

Pain after childbirth

After childbirth, many people 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.

Speak with a doctor for advice on treatments for perineal lacerations following childbirth.

Vaginal infection

A vaginal infection can irritate the tissue of the vagina and vulva. When this irritated tissue comes into contact with urine, it may burn and feel hot.

The symptom could be caused by infections such as a vaginal yeast infection and bacterial vaginosis.

Postmenopausal vaginal changes

After menopause, the body produces less estrogen. This can change the vaginal tissue, causing it to shrink and weaken.

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 painful or burning.

Prostatitis

Prostatitis is swelling, pain, and inflammation in the prostate, often due to an infection.

People with prostatitis may experience pain or burning when urinating, as well as changes in the flow of urination.

It is important to diagnose the cause of prostatitis, so anybody who suspects they have a prostate issue should contact a doctor.

Epididymitis

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.

People with epididymitis may also experience swelling around the testicles, pain in the penis or testicles, and a fever.

An infection or surgery usually causes this painful condition. It usually responds well to antibiotics.

When to contact a doctor

Contact a doctor if you experience hot urine and:

a very high fever
pain in the back, as this could indicate a kidney infection
vomiting

It is also best to contact a doctor if you experience:

painful urination
foul-smelling urine
increased urination

Summary

Causes of hot urine include urinary tract infections (UTIs), urethral injury, sexually transmitted infections (STIs), prostatitis, epididymitis, and more.

Treatment can depend on the underlying cause. For example, the doctor may recommend antibiotics to treat an infection.

It is important to contact a doctor if hot urine persists or keeps coming back. The doctor can confirm the diagnosis and advise on suitable treatments.

Urinary Tract Infection
GastroIntestinal / Gastroenterology
Sexual Health / STDs
Urology / Nephrology

How we reviewed this article:

SourcesMedical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Abraham C. (2023). Think you have a vaginal infection? Here’s what you need to know.https://www.acog.org/womens-health/experts-and-stories/the-latest/think-you-have-a-vaginal-infection-heres-what-you-need-to-know
Chlamydia. (2024).https://www.who.int/news-room/fact-sheets/detail/chlamydia
Epididymitis. (2024).https://www.nhs.uk/conditions/epididymitis/
Genitourinary syndrome of menopause. (n.d.).https://www.brighamandwomens.org/obgyn/urogynecology/genitourinary-syndrome-menopause
Leslie SW, et al. (2023). Urethral injury.https://www.ncbi.nlm.nih.gov/books/NBK554575/
Lim Y, et al. (2024). Interstitial cystitis/bladder pain syndrome.https://www.ncbi.nlm.nih.gov/books/NBK570588/
Urinary tract infections (UTIs). (2022).https://www.nhs.uk/conditions/urinary-tract-infections-utis/
Prostatitis. (2024).https://www.nhs.uk/conditions/prostatitis/
Ramar CN, et al. (2024). Perineal lacerations.https://www.ncbi.nlm.nih.gov/books/NBK559068/

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Medically reviewed by Helen Chen MCMSc, PA-C — Written by Beth Sissons — Updated on May 2, 2025

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