Blood in Urine: Causes and When to Seek Help - Urology

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Blood in the urine after urination, along with dark red discharge resembling secretions?


Hello Doctor, yesterday after urinating, I noticed dark red discharge, and by the evening, there were some blood streaks in my urine.
I'm unsure what the cause might be.
I've been taking medication for irregular menstrual bleeding these past few days; could this be a factor? Or could it be related to stress, irregular menstrual cycles, and poor emotional health? Should I see a urologist for these symptoms, or will it resolve on its own? During this time, should I drink more water or consume cranberry products? I'm quite anxious as this is the first time I've experienced this.
Thank you for your response.

Niming, 10~19 year old female. Ask Date: 2017/09/09

Dr. Du Shixi reply Urology


Hello: Your issue requires a urinalysis first, as it is likely a chronic inflammation that needs treatment.
Wishing you good health.
The preventive effect of cranberry juice is not sufficient for treatment.
Wishing you good health.

Reply Date: 2017/09/09

More Info


Blood in urine, or hematuria, can be alarming and may arise from various causes. It is essential to understand the potential reasons behind this symptom and when to seek medical attention.


Possible Causes of Blood in Urine
1. Urinary Tract Infections (UTIs): UTIs are one of the most common causes of hematuria, especially in women. They can lead to inflammation and irritation of the bladder and urethra, resulting in blood in the urine.

2. Kidney Stones: These can cause bleeding as they move through the urinary tract, leading to pain and hematuria.

3. Bladder or Kidney Infections: Infections in these organs can also cause blood to appear in the urine.

4. Trauma: Any injury to the kidneys or bladder can result in bleeding.

5. Tumors: Both benign and malignant tumors in the urinary tract can lead to hematuria.

6. Medications: Certain medications, such as blood thinners, can increase the risk of bleeding.

7. Menstrual Cycle: In women, blood in urine can sometimes be confused with menstrual blood, especially if the timing coincides with their cycle.

8. Stress and Hormonal Changes: While stress and hormonal imbalances can lead to various symptoms, they are less likely to be direct causes of hematuria.


When to Seek Help
Given the potential seriousness of some causes of hematuria, it is advisable to consult a healthcare provider, particularly a urologist, if you notice blood in your urine. Here are some specific situations where you should seek medical attention:
- If the blood in your urine persists or worsens.

- If you experience additional symptoms such as pain during urination, frequent urination, fever, or back pain.

- If you have a history of kidney stones or urinary tract infections.

- If you are taking medications that could affect blood clotting.


Self-Care and Management
In the meantime, here are some self-care tips that may help:
- Hydration: Drink plenty of water to help flush out your urinary system. Staying well-hydrated can dilute your urine and may help reduce irritation.


- Cranberry Products: Some studies suggest that cranberry juice or supplements may help prevent urinary tract infections, although they are not a cure for existing infections.

- Avoid Irritants: Stay away from caffeine, alcohol, and spicy foods, which can irritate the bladder.


Conclusion
While some cases of hematuria may resolve on their own, it is crucial not to ignore this symptom, especially if it is your first experience with it. Given your recent use of medication for menstrual irregularities, it is possible that this could be related, but it is essential to rule out other potential causes. Consulting a urologist will provide you with a thorough evaluation and appropriate management based on your specific situation. Remember, early intervention can lead to better outcomes, so don’t hesitate to seek help.

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