Blood-Streaked Particles in Urine: Normal or Concerning?

The urine contains floating secretions with traces of blood?

Hello Dr.
Huang, I am the person who asked question #134167.
I apologize for the change in circumstances and am asking again.
Please don't take it the wrong way.
The gynecologist mentioned that my menstruation would naturally arrive in about a week.
After the visit, I noticed a decrease in my discharge, but there are small white/light yellow particles floating in my urine, and it appears slightly cloudy.
However, there is no unusual odor, no pain during urination, no bubbles, and no frequent urination.
Dr.
Huang mentioned that this situation is generally normal, but when I went to the bathroom earlier, I observed that one of the floating particles had blood streaks.
Could you please advise if this indicates any inflammation or if it is a normal occurrence before menstruation? Thank you.

Nìngmíng, 20~29 year old female. Ask Date: 2018/03/23

Dr. Huang Jianzhong reply Obstetrics and Gynecology

When observing a small piece of floating material with blood streaks during urination, is this indicative of an inflammation or a normal situation before menstruation? Answer: If there is no pain during urination, it is likely a normal situation before menstruation.

Reply Date: 2018/03/23

More Info

When it comes to the presence of blood-streaked particles in urine, it is essential to understand that this symptom can arise from various underlying conditions, some of which may be benign while others could indicate a more serious issue. Given your description of observing a small amount of white or light yellow particles floating in your urine, along with the presence of blood streaks, it is crucial to consider several factors.

Firstly, the presence of blood in urine, known as hematuria, can be caused by a range of conditions affecting the urinary tract, including infections, kidney stones, trauma, or even tumors. In your case, since you mentioned that you are expecting your menstrual period soon, it is possible that the blood you observed could be related to your menstrual cycle. Hormonal changes leading up to menstruation can sometimes cause slight bleeding that may mix with urine, especially if there is any irritation in the urinary tract.

However, it is also important to note that the presence of particles in urine, especially if they are accompanied by blood, could indicate an infection or inflammation. Conditions such as cystitis (bladder inflammation) or urethritis (inflammation of the urethra) can lead to symptoms like cloudy urine, the presence of blood, and discomfort during urination. Even if you are not experiencing pain or a strong odor, these conditions can still be present.

Given that you have already consulted with a gynecologist who indicated that your menstrual cycle is expected soon, it is advisable to monitor your symptoms closely. If the blood-streaked particles persist, or if you begin to experience additional symptoms such as pain during urination, increased frequency of urination, or fever, it would be prudent to seek further evaluation from a urologist. They may recommend a urinalysis to check for signs of infection, blood, or other abnormalities, and possibly imaging studies if necessary.

In summary, while the presence of blood-streaked particles in urine can sometimes be related to normal physiological changes associated with menstruation, it is essential to remain vigilant. If symptoms persist or worsen, further medical evaluation is warranted to rule out any serious underlying conditions. Always prioritize your health and do not hesitate to seek medical advice if you have concerns about your symptoms.

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