Blood in Urine: When to Seek Further Medical Evaluation

Hematuria (blood in urine)

About four to five days ago, I noticed blood in my urine, primarily towards the end of urination (it is more common when I shake at the end).
I went to the hospital for an examination (X-ray and ultrasound), and the doctor said everything was fine and advised me to continue monitoring.
However, it has been almost a week, and I still experience this issue (though not every time I urinate).
Should I seek a second opinion at another hospital or continue to observe?

ling, 20~29 year old female. Ask Date: 2020/03/11

Dr. Chen Jiansheng reply Urology

First, perform a urinalysis to confirm the presence of hematuria.
If it is intermittent hematuria, a thorough investigation is required.

Reply Date: 2020/03/11

More Info

When it comes to the presence of blood in urine, also known as hematuria, it is essential to take this symptom seriously, especially if it persists over several days. In your case, you have already undergone some initial evaluations, including X-rays and ultrasounds, which did not reveal any significant issues. However, since you are still experiencing blood in your urine after almost a week, it is advisable to seek further medical evaluation.

Here are some key points to consider regarding hematuria and when to seek further medical attention:
1. Persistence of Symptoms: If blood in the urine continues for more than a few days, or if it becomes more frequent or severe, it is crucial to follow up with a healthcare provider. While some causes of hematuria may resolve on their own, persistent symptoms warrant further investigation.

2. Associated Symptoms: Pay attention to any accompanying symptoms such as pain during urination, abdominal pain, back pain, fever, or changes in urinary frequency. The presence of these symptoms could indicate a more serious underlying condition that requires immediate attention.

3. Potential Causes: Hematuria can result from various causes, including urinary tract infections (UTIs), kidney stones, trauma, or even more serious conditions such as tumors in the urinary tract. While initial tests may not have shown any abnormalities, some conditions may require more specific imaging studies or tests, such as a CT scan or cystoscopy, to diagnose.

4. Consulting a Specialist: If you feel that your concerns are not being adequately addressed by your current healthcare provider, it is entirely reasonable to seek a second opinion. A urologist, a specialist in urinary tract disorders, may provide more targeted evaluations and treatment options.

5. Monitoring and Documentation: Keep a record of your symptoms, including when you notice blood in your urine, any associated symptoms, and any changes in your urinary habits. This information can be valuable for your healthcare provider in diagnosing the issue.

6. Emotional Well-being: Experiencing blood in your urine can be distressing, and it is essential to address any anxiety or concerns you may have. Do not hesitate to communicate your worries to your healthcare provider, as they can offer reassurance and support.

In summary, while initial evaluations may not have indicated a serious problem, the persistence of blood in your urine after several days is a valid reason to seek further medical evaluation. It is always better to err on the side of caution when it comes to health concerns. If you feel that your current healthcare provider is not addressing your concerns adequately, seeking a second opinion from a specialist is a reasonable step. Your health and peace of mind are paramount, and ensuring that you receive thorough and appropriate care is essential.

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