Blood in Urine: Is It a Sign of Gonorrhea? - Urology

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May I ask the doctor?


Hello doctor, two nights ago I suddenly noticed blood in my urine, and my bladder felt a bit painful.
I went to the emergency room that night, and the doctor prescribed me some medication.
I want to ask if I have gonorrhea since I haven't experienced any redness or swelling, my urination doesn't hurt, and I haven't had any discharge of white or yellow fluid.
I'm very worried and would appreciate your clarification.
Thank you!

Haipa, 20~29 year old female. Ask Date: 2017/04/10

Dr. Du Shixi reply Urology


Hello: It is most likely a urinary tract infection, but it could also be caused by sexual activity.
It is not necessarily gonorrhea.
It is recommended to return for a follow-up examination after completing the medication to check if the urine has returned to normal.
Additionally, it is important to drink plenty of water.

Reply Date: 2017/04/10

More Info


When it comes to the presence of blood in urine, also known as hematuria, it can be concerning and may indicate various underlying conditions. In your case, you mentioned experiencing blood in your urine along with some bladder discomfort, but you did not report symptoms typically associated with gonorrhea, such as swelling, painful urination, or discharge of yellow or white fluid.
Gonorrhea is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. While it can lead to urinary symptoms, including dysuria (painful urination) and discharge, the absence of these symptoms does not completely rule out the possibility of an infection. However, the presence of blood in urine is not a classic symptom of gonorrhea. Instead, hematuria can arise from a variety of causes, including urinary tract infections (UTIs), kidney stones, trauma, or even more serious conditions like tumors or glomerulonephritis.

Given your symptoms, it is essential to consider the following:
1. Urinary Tract Infection (UTI): UTIs are a common cause of blood in the urine and can occur without significant pain or discharge. Symptoms may include a burning sensation during urination, frequent urination, and lower abdominal pain. If you have a UTI, it can usually be treated effectively with antibiotics.

2. Kidney Stones: These can cause hematuria and may lead to pain in the lower abdomen or back. The pain can be intermittent and may not always be severe.

3. Trauma or Injury: Any recent injury to the kidneys or bladder can result in blood in the urine.

4. Other Infections: Besides gonorrhea, other infections can cause hematuria, including those caused by bacteria or viruses affecting the urinary tract.

5. Other Medical Conditions: Conditions such as glomerulonephritis, which is inflammation of the kidney's filtering units, can also lead to blood in the urine.

In your case, since you have already sought medical attention and received medication, it is crucial to follow up with your healthcare provider for further evaluation. They may recommend additional tests, such as a urinalysis, urine culture, or imaging studies, to determine the cause of your symptoms.

If you are particularly concerned about sexually transmitted infections (STIs), it would be prudent to discuss this with your doctor. They can perform specific tests to check for gonorrhea and other STIs, even if you are not exhibiting typical symptoms.
In summary, while blood in urine can be alarming, it does not necessarily indicate gonorrhea, especially in the absence of other symptoms. It is essential to continue monitoring your symptoms and to follow up with your healthcare provider for a comprehensive evaluation and appropriate treatment. Remember, early diagnosis and treatment are key to managing any underlying conditions effectively.

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