Should You Be Concerned About Your Teen's Blood in Urine?

Urinary issues

Hello, doctor.
I would like to ask about my child.
She recently had blood in her urine once, but it hasn't happened again since.
Her menstrual period is expected this week.
She experienced a similar incident about six months to a year ago, and although her period was delayed afterward, there were no other issues, and it hasn't occurred in a long time.
Should we see a doctor? My child is currently a high school freshman.

Yue, 30~39 year old female. Ask Date: 2022/11/05

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, I recommend that you consult a physician to arrange for urine tests and ultrasound examinations to identify the source and cause of the bleeding.
Thank you! Wishing you safety and good health.
Dr.
Zhang

Reply Date: 2022/11/05

More Info

When it comes to a teenager experiencing blood in their urine, it is important to take the situation seriously, even if it appears to be an isolated incident. Hematuria, or blood in urine, can have various causes, some of which may be benign while others could indicate a more serious underlying condition. Given that your child has experienced this symptom more than once, it would be prudent to consult a healthcare professional for a thorough evaluation.

Firstly, it is essential to consider the potential causes of hematuria in adolescents. Common causes include urinary tract infections (UTIs), kidney stones, trauma, or even more serious conditions such as glomerulonephritis or tumors. In females, menstrual bleeding can sometimes be mistaken for blood in urine, especially if the timing coincides with their menstrual cycle. However, since your child has experienced this symptom previously and it has recurred, it is advisable not to dismiss it as merely related to menstruation.

The fact that your child has had episodes of blood in urine in the past, along with a history of delayed menstruation, raises the need for further investigation. While it is possible that the blood could be related to hormonal changes or stress, particularly during high school years, it is still important to rule out any urinary tract issues or other medical conditions.
A healthcare provider will likely recommend a urinalysis to check for signs of infection, blood, or protein in the urine. They may also suggest imaging studies, such as an ultrasound or CT scan, to visualize the urinary tract and kidneys. If necessary, further tests such as a cystoscopy (a procedure to look inside the bladder) may be performed to investigate the source of bleeding.

In terms of timing, if your child experiences any additional symptoms such as pain during urination, frequent urination, fever, or if the blood reappears, it is crucial to seek medical attention promptly. Even if these symptoms do not occur, a visit to the doctor is warranted to ensure that any potential issues are addressed before they become more serious.

Additionally, it is important to maintain open communication with your child about their health. Encourage them to report any changes in their body, including pain, changes in urination, or any other unusual symptoms. This can help in early detection and treatment of any potential health issues.

In summary, while one isolated incident of blood in urine may not be cause for alarm, the recurrence of this symptom, especially in a teenager, warrants a medical evaluation. It is better to err on the side of caution and ensure that your child receives the appropriate care and attention. Early diagnosis and treatment can prevent complications and ensure your child's overall health and well-being.

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