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

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Hematuria


Dr.
Du: Hello, I have noticed blood in my urine for the past two days, but I don't seem to have any other discomfort.
What should I do?

Beidofen, 50~59 year old female. Ask Date: 2004/05/02

Dr. Du Shixi reply Urology


Hello: There are many possible causes of hematuria.
Generally, painless visible hematuria requires a series of examinations for confirmation.
Regardless of whether your urine is currently very red, you need to go to the hospital for tests such as X-rays, urinalysis, ultrasound, etc.
Thank you.
Dr.
Du Shixi, Urology Department, Miaoli Hospital.

Reply Date: 2004/05/02

More Info


Blood in urine, also known as hematuria, can be a concerning symptom and may arise from a variety of causes. It is crucial to understand the potential reasons behind this condition and the appropriate steps to take.


Possible Causes of Blood in Urine
1. Urinary Tract Infections (UTIs): UTIs are one of the most common causes of hematuria, especially in women. They can cause inflammation and irritation in the urinary tract, leading to blood in the urine.

2. Kidney Stones: The presence of stones in the kidneys or urinary tract can cause bleeding as they move and irritate the lining of the urinary tract.

3. Bladder or Kidney Infections: Infections in the bladder or kidneys 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. Glomerulonephritis: This is an inflammation of the kidney's filtering units, which can lead to blood in the urine.

7. Inherited Conditions: Some genetic disorders, such as Alport syndrome, can cause hematuria.

8. Medications: Certain medications, especially blood thinners, can lead to bleeding in the urinary tract.


What to Do Next
1. Seek Medical Attention: If you notice blood in your urine, it is essential to consult a healthcare professional. Even if you do not experience pain or discomfort, hematuria can indicate an underlying condition that requires evaluation.

2. Urinalysis: A urinalysis will help determine the presence of red blood cells, white blood cells, and bacteria in your urine. This test can provide valuable information about potential infections or other issues.

3. Imaging Studies: Depending on the initial findings, your doctor may recommend imaging studies such as an ultrasound or CT scan to visualize the kidneys and urinary tract for stones, tumors, or other abnormalities.

4. Cystoscopy: In some cases, a cystoscopy may be performed. This procedure involves inserting a thin tube with a camera into the bladder to directly visualize the urinary tract and identify any potential sources of bleeding.

5. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as pain during urination, frequency of urination, or any changes in urine color or consistency. This information can be helpful for your healthcare provider.

6. Hydration: Staying well-hydrated can help flush out the urinary system and may alleviate some symptoms, especially if the cause is related to minor irritation or infection.


Conclusion
While blood in urine can be alarming, it is not always indicative of a severe condition. However, it is essential to take this symptom seriously and seek medical evaluation to determine the underlying cause. Early diagnosis and treatment can prevent potential complications and ensure appropriate management of any identified issues. If you have concerns about your health, do not hesitate to reach out to a healthcare professional for guidance and support.

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