Blood in Urine: Causes and When to Seek Help

Urinary issues

Hello Doctor, two days ago on 10/9, after urinating, I noticed some blood streaks resembling the discharge after menstruation.
At first, I thought it was just a disruption in my menstrual cycle since my period just ended on 10/2.
However, even after using a sanitary pad, there was no significant bleeding.
I haven't experienced any noticeable pain while urinating, but there are blood streaks when I wipe after urination, and I feel a slight heaviness in my lower abdomen.
I usually drink a lot of water, about 2000cc a day, I don't hold my urine, I avoid spicy foods, and I haven't had any sexual activity, which makes me quite anxious.
I couldn't find an open hospital during the holiday, so I’m reaching out for advice.
Additionally, since June, I have been experiencing gastroesophageal reflux symptoms and have been taking Western medication continuously.
Could it be possible that taking too much medication is causing kidney issues?

Ms. Li, 20~29 year old female. Ask Date: 2021/10/11

Dr. Xu Wencang reply Urology

Go to the hospital for an examination to check for hematuria caused by urethral or bladder inflammation or other issues, and receive appropriate treatment.

Reply Date: 2021/10/11

More Info

Blood in urine, or hematuria, can be a concerning symptom and may arise from various causes. In your case, the presence of blood after urination, especially if it appears as streaks or spots, warrants careful consideration. Here are some potential causes and when to seek medical help:

Possible Causes of Blood in Urine
1. Urinary Tract Infections (UTIs): UTIs are a common cause of hematuria, especially in women. Symptoms may include a burning sensation during urination, frequent urination, and lower abdominal discomfort.

2. Kidney Stones: These can cause bleeding as they pass through the urinary tract. Symptoms may include severe pain in the back or side, nausea, and sometimes blood in the urine.

3. Bladder or Kidney Infections: Infections in these organs can lead to inflammation and bleeding.

4. Trauma: Any injury to the kidneys or bladder can result in blood in the urine.

5. Tumors: Both benign and malignant tumors in the urinary tract can cause hematuria.

6. Medications: Certain medications, including blood thinners, can increase the risk of bleeding.

7. Underlying Conditions: Conditions such as glomerulonephritis or other kidney diseases can also lead to blood in the urine.

When to Seek Help
You should seek medical attention if you experience any of the following:
- Persistent blood in the urine over multiple urinations.

- Accompanied symptoms such as severe pain, fever, or chills.

- Changes in urination patterns, such as increased frequency or urgency.

- Any other unusual symptoms that concern you.

Connection to Gastroesophageal Reflux Disease (GERD)
Regarding your concern about the medications for gastroesophageal reflux disease (GERD) potentially causing kidney issues, it is essential to note that while some medications can have side effects, they typically do not lead to hematuria directly. However, long-term use of certain medications can affect kidney function, so it is crucial to discuss any side effects or concerns with your healthcare provider.

Recommendations
1. Hydration: Continue to drink plenty of fluids, as this can help flush out the urinary system.

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

3. Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency and amount of blood in your urine.

4. Consult a Doctor: Given your symptoms and the presence of blood in your urine, it is advisable to consult a healthcare professional as soon as possible. They may recommend tests such as a urinalysis, ultrasound, or cystoscopy to determine the underlying cause.

5. Follow-Up on GERD Treatment: If you suspect your GERD medications are causing issues, discuss this with your doctor. They may adjust your treatment plan or monitor your kidney function.

In conclusion, while blood in urine can be alarming, understanding the potential causes and knowing when to seek help is crucial. It is always better to err on the side of caution and consult a healthcare professional for a thorough evaluation.

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