Urgent Advice for Managing Hematuria When You Can't See a Doctor

Q: Urgent Advice for Managing Hematuria When You Can't See a Doctor

Hello： This platform cannot provide a diagnosis, but it is highly likely that there is inflammation accompanied by hematuria. <br>If there is a fever, it is essential to seek medical attention; otherwise, the infection could become too severe, and hospitalization may be necessary

Hematuria cannot see a doctor?

Hello, I am currently abroad, and I have to wait until Monday to schedule an appointment here.
However, my hematuria is quite severe, and I am experiencing some pain.
I had only a trace of blood the day before yesterday and yesterday, but now there is a significant amount of blood when I wipe, and it appears quite red.
What should I do?

Niming, 20~29 year old female. Ask Date: 2018/11/09

Dr. Du Shixi reply Urology

Hello: This platform cannot provide a diagnosis, but it is highly likely that there is inflammation accompanied by hematuria.
If there is a fever, it is essential to seek medical attention; otherwise, the infection could become too severe, and hospitalization may be necessary.
It is better to seek medical care sooner rather than later.
Wishing you good health.
Here are some potentially helpful methods: 1.
Drink plenty of water, aiming for 2000-3000 cc daily.
2.
Increase your intake of vitamin C-rich foods.
3.
Avoid caffeine, carbonated beverages, coffee, chocolate, and alcohol.
4.
Do not hold in urine: If you feel the urge to urinate, do so promptly, and be mindful of urinating every two hours.
5.
Women should keep the genital and anal areas dry and wipe from front to back after urination or defecation to prevent bacteria from spreading from the anus to the urethra.
6.
Women should empty their bladder before and after sexual intercourse.
7.
Women who frequently suffer from urinary tract infections should avoid using tampons.
8.
If experiencing urinary discomfort, discontinue the use of all soaps and only wash the vaginal area with water.

Reply Date: 2018/11/09

More Info

I'm sorry to hear about your situation. Hematuria, or blood in the urine, can be concerning, especially when accompanied by pain. While I understand that you are currently unable to see a doctor until Monday, there are some steps you can take to manage your symptoms and ensure your safety until you can receive professional medical care.

1. Stay Hydrated: Drink plenty of fluids, particularly water. This can help dilute your urine and may reduce irritation in your urinary tract. However, avoid alcohol and caffeine, as they can irritate the bladder and worsen your symptoms.

2. Avoid Certain Foods and Drinks: Spicy foods, acidic foods (like citrus), and caffeine can irritate the bladder. Try to stick to a bland diet until you can see a doctor.

3. Pain Management: If you're experiencing pain, over-the-counter pain relievers like acetaminophen (Tylenol) can help alleviate discomfort. However, avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or aspirin, as they can increase the risk of bleeding.

4. Rest: Try to rest as much as possible. Physical activity can exacerbate bleeding, so limit strenuous activities until you can be evaluated by a healthcare professional.

5. Monitor Symptoms: Keep track of any changes in your symptoms. Note the color and amount of blood in your urine, any additional pain, or other symptoms like fever or chills. This information will be helpful for your doctor when you are able to see one.

6. Seek Immediate Care if Necessary: If you experience severe pain, fainting, dizziness, or if the bleeding worsens significantly, seek emergency medical attention. These could be signs of a more serious condition that requires immediate intervention.

7. Prepare for Your Doctor's Visit: When you do see a doctor, be prepared to discuss your symptoms in detail. This includes when the hematuria started, any associated symptoms (like pain or urgency), and any medications or supplements you are currently taking. If you have a history of urinary tract infections, kidney stones, or other relevant medical conditions, be sure to mention those as well.

8. Consider Possible Causes: While waiting for your appointment, it may be helpful to consider potential causes of hematuria. Common causes include urinary tract infections (UTIs), kidney stones, or trauma. However, only a healthcare professional can provide a proper diagnosis and treatment plan.

In summary, while waiting for your appointment, focus on hydration, rest, and monitoring your symptoms. If your condition worsens or if you experience alarming symptoms, do not hesitate to seek emergency care. Your health is the priority, and it’s important to ensure that you receive the appropriate care as soon as possible.

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