Blood in Urine: Causes and What to Do Next - Urology

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Hematuria


Hello, doctor.
This morning, right after I got up, I had a sudden urge to urinate and strained while urinating.
There was a moment of sharp pain, and then I noticed blood in my urine.
I initially thought it was due to a foreskin inflammation, but upon inspection, the foreskin appears normal.
The pain is located near the glans.
I'm wondering if the excessive pressure while urinating caused bleeding in my urethra.
If that's the case, what should I do?

Niming, 20~29 year old female. Ask Date: 2020/10/09

Dr. Xu Wencang reply Urology


If symptoms persist, you may visit the outpatient clinic for examination and treatment.

Reply Date: 2020/10/09

More Info


Blood in urine, or hematuria, can be alarming and may arise from various causes, including urinary tract infections, kidney stones, trauma, or even more serious conditions like tumors. In your case, it seems that the blood appeared after a forceful urination, which could suggest a few potential issues.

Firstly, it is possible that the forceful urination caused trauma to the urethra, leading to bleeding. The urethra is a sensitive structure, and excessive pressure can result in small tears or irritation, especially if there is any underlying inflammation or infection. This could explain the sudden onset of blood in your urine, particularly if you felt pain during urination.

Another possibility is that the blood could be related to an infection, such as a urinary tract infection (UTI) or inflammation of the urethra (urethritis). UTIs can cause symptoms like urgency, frequency, and pain during urination, and they can also lead to hematuria. If there is an infection, it is essential to treat it promptly to prevent complications.

Given your symptoms, here are some steps you should consider taking:
1. Hydration: Drink plenty of fluids to help flush out your urinary system. This can help dilute the urine and may reduce irritation.

2. Avoid Irritants: Stay away from caffeine, alcohol, and spicy foods, as these can irritate the bladder and urethra.

3. Monitor Symptoms: Keep track of any additional symptoms, such as increased pain, fever, or changes in urination patterns. If the bleeding persists or worsens, seek medical attention.

4. Consult a Healthcare Provider: It is crucial to see a doctor, especially if the blood in your urine continues or if you experience significant pain. A healthcare provider can perform a urinalysis to check for signs of infection, blood, or other abnormalities. They may also recommend imaging studies, such as an ultrasound or CT scan, to rule out kidney stones or other structural issues.

5. Consider a Urologist: If the problem persists, it may be beneficial to consult a urologist, a specialist in urinary tract disorders. They can provide a more detailed evaluation and may suggest further tests, such as a cystoscopy, to examine the bladder and urethra directly.

In summary, while it is possible that the blood in your urine is due to trauma from forceful urination, it is essential to rule out other potential causes, especially infections or underlying conditions. Prompt medical evaluation is the best course of action to ensure proper diagnosis and treatment.

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