Blood in the urine during urination, accompanied by a burning sensation?
There is a case of kidney stones.
The situation of hematuria associated with stones is generally understood; most of the time, the urine appears dark red and has a foul odor.
Sometimes there may be a burning sensation in the penis.
However, this usually improves after the stone is expelled.
In this instance, the urine does not appear dark red like that associated with stones, but rather bright red.
There is a burning sensation without any foul odor.
The last sexual intercourse was over a week ago.
When pressing on the anterior part of the penis, there is a burning sensation, suggesting possible urethral injury.
Given these circumstances, should immediate medical attention be sought?
Yueyue, 30~39 year old female. Ask Date: 2022/01/26
Dr. Du Shixi reply Urology
Hello: Drink more water, seek medical attention, wishing you good health.
Reply Date: 2022/01/26
More Info
Bright red urine, also known as hematuria, can be alarming and may indicate a variety of underlying health issues. In your case, the presence of bright red urine accompanied by a burning sensation suggests that it is essential to seek medical attention promptly. While you have mentioned a history of kidney stones, which can cause dark red urine and a foul odor, the bright red color you are experiencing now, along with the burning sensation, could point to different causes that require evaluation.
Firstly, it is important to differentiate between the potential causes of bright red urine. Hematuria can result from several conditions, including urinary tract infections (UTIs), bladder or kidney infections, trauma to the urinary tract, or even more serious conditions like tumors or kidney disease. The burning sensation you are experiencing, especially when pressing on the penis, may indicate irritation or injury to the urethra, which could be due to various factors, including infection or trauma.
Given that you have experienced this symptom after a recent sexual encounter, it is also possible that you may have developed a sexually transmitted infection (STI) or another type of infection that could cause both hematuria and dysuria (painful urination). Infections can lead to inflammation of the urinary tract, resulting in symptoms such as burning during urination and changes in urine color.
The absence of a foul odor is somewhat reassuring, as certain infections, particularly those caused by bacteria, often produce a distinct smell. However, the bright red color of your urine is concerning and should not be ignored. It is crucial to consider that even if you have a history of kidney stones, new symptoms can arise that may indicate a different issue altogether.
In light of these considerations, it is advisable to seek medical attention as soon as possible. A healthcare provider will likely perform a thorough evaluation, which may include a urinalysis to check for the presence of blood, bacteria, or other abnormalities in your urine. They may also conduct imaging studies, such as an ultrasound or CT scan, to assess the kidneys and urinary tract for stones, tumors, or other structural issues.
In summary, the combination of bright red urine and a burning sensation is a signal that warrants immediate medical evaluation. While it may be tempting to wait and see if the symptoms resolve on their own, early intervention can help identify the underlying cause and prevent potential complications. Remember, your health is paramount, and it is always better to err on the side of caution when it comes to unusual or concerning symptoms.
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