Sudden Hematuria: When to Seek Immediate Medical Attention - Urology

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Sudden hematuria?


I experienced hematuria suddenly while urinating on the evening of the day before yesterday.
I visited the hospital outpatient department yesterday morning, but I have to wait a week for the report.
I have taken the antibiotics and hemostatic anti-inflammatory medications prescribed by the doctor, but I feel like my condition hasn't improved.
I still need to use sanitary pads, and even when I'm not urinating, there is intermittent bleeding.
Is this considered serious? Should I go back to the outpatient clinic for further examination? Thank you, doctor.

Nìmíng, 30~39 year old female. Ask Date: 2018/08/01

Dr. Du Shixi reply Urology


Hello: If there is bleeding from the urinary tract, it is unusual to have intermittent bleeding without urination.
It is recommended to also have a gynecological examination.
Wishing you good health.

Reply Date: 2018/08/01

More Info


Sudden hematuria, or the presence of blood in urine, can be alarming and may indicate a variety of underlying medical conditions. When experiencing sudden hematuria, it is crucial to understand the potential causes and when to seek immediate medical attention.

Firstly, hematuria can be categorized into two types: gross hematuria, where blood is visible in the urine, and microscopic hematuria, where blood is only detectable under a microscope. The causes of hematuria can range from benign conditions, such as urinary tract infections (UTIs) or kidney stones, to more serious issues like tumors, kidney disease, or trauma.

In your case, you mentioned that you experienced sudden hematuria and have already consulted a physician who prescribed antibiotics and anti-inflammatory medications. However, you are still experiencing bleeding and discomfort, which raises some concerns. Here are several points to consider:
1. Severity of Symptoms: If you are experiencing persistent bleeding, especially if it is heavy enough to require the use of sanitary pads, this could indicate a more serious condition. Continuous bleeding, even when not urinating, is a sign that you should seek further medical evaluation.

2. Response to Treatment: If you have been on prescribed medications for a reasonable amount of time (usually a few days) and have not noticed any improvement in your symptoms, it is essential to follow up with your healthcare provider. Sometimes, the initial treatment may not be effective if the underlying cause is not addressed adequately.

3. Associated Symptoms: Pay attention to any additional symptoms you may be experiencing, such as pain during urination, abdominal pain, fever, or changes in urinary frequency. The presence of these symptoms can help your physician determine the urgency of your situation.

4. Potential Complications: Conditions like urinary tract infections can lead to more severe complications if left untreated, including kidney infections. If you suspect that your symptoms are worsening or not improving, it is advisable to seek immediate medical attention.

5. Follow-Up Care: Given that you have already been evaluated and are awaiting test results, it is essential to maintain communication with your healthcare provider. If your symptoms worsen or if you have concerns about your condition, do not hesitate to return to the clinic or seek emergency care.

In summary, while some causes of hematuria may resolve with treatment, persistent bleeding and discomfort warrant further investigation. It is crucial to advocate for your health and seek additional medical attention if you feel that your condition is not improving or if you experience any new or worsening symptoms. Always prioritize your health and well-being, and do not hesitate to reach out to your healthcare provider for guidance.

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