Is It Blood in Urine? Urinary Symptoms After a Cold - Urology

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Is it hematuria?


Yesterday, after taking medication for a cold, I noticed that my urine was dark red.
However, this morning, my first urine was yellow.
Is this a common occurrence with colds? I have a history of kidney stones, and when I had them, I experienced blood in my urine for a while until the stones passed, and then everything returned to normal.
Could this time also be a symptom of kidney stones?

Ahao, 10~19 year old female. Ask Date: 2004/10/08

Dr. Lin Hexing reply Urology


Hello Y: You noticed dark red urine after taking cold medication, which could be due to two possibilities.
The first possibility is that the pigment from the medication is causing the discoloration.
The second possibility, which you are concerned about, is related to kidney stones.
If you have a cold accompanied by fever and insufficient hydration, it can lead to concentrated urine, which may result in sediment formation, creating fine sand (crystals).
When these crystals are expelled, they can cause hematuria (blood in urine), but most often, it is accompanied by renal colic (severe pain in the lower back).
You should first get a urinalysis to confirm whether there is hematuria before proceeding with further tests or treatment.

Reply Date: 2004/10/08

More Info


The presence of blood in urine, known as hematuria, can be alarming and may indicate various underlying conditions. In your case, experiencing dark red urine after a cold, followed by a return to normal yellow urine, raises several possibilities that warrant careful consideration.

Firstly, it is important to understand that hematuria can result from a variety of causes, including urinary tract infections (UTIs), kidney stones, trauma, or even systemic conditions. Given your recent cold and the medications you took, it is possible that the dark red urine could be related to dehydration or concentrated urine due to reduced fluid intake while you were unwell. When the body is dehydrated, urine can become more concentrated, leading to darker coloration.

Your history of kidney stones is also significant. Kidney stones can cause intermittent hematuria, especially if they irritate or damage the lining of the urinary tract as they pass. If you have had stones in the past, it is plausible that you might be experiencing similar symptoms again. However, the fact that your urine returned to a normal color the following morning suggests that the hematuria may not be persistent, which is often the case with transient issues like dehydration or minor irritation.

Infections are another common cause of hematuria, particularly if accompanied by other symptoms such as burning during urination, frequent urination, or abdominal discomfort. If you had a UTI, it could explain the presence of blood in your urine. However, since you mentioned that your urine color normalized, it may indicate that any potential infection was mild or resolving.

It is also worth noting that certain medications can affect urine color. Some medications, particularly those used to treat colds or other ailments, can lead to changes in urine coloration. If you have started any new medications, it would be prudent to review these with your healthcare provider.

Given your symptoms and medical history, here are some recommendations:
1. Stay Hydrated: Ensure you are drinking plenty of fluids, as hydration can help dilute your urine and may alleviate any irritation in the urinary tract.

2. Monitor Symptoms: Keep an eye on your urine color and any accompanying symptoms. If you notice persistent hematuria, pain during urination, or any other concerning symptoms, it is essential to seek medical attention.

3. Consult a Healthcare Provider: If the dark red urine recurs or if you experience any additional symptoms such as pain, fever, or changes in urinary habits, it would be wise to consult a healthcare professional. They may recommend a urinalysis or imaging studies to rule out any underlying conditions, such as kidney stones or infections.

4. Follow-Up on Previous Conditions: Since you have a history of kidney stones, it may be beneficial to discuss this with your doctor, especially if you experience recurrent symptoms. They may suggest preventive measures or further evaluation.

In summary, while your recent cold and the associated medication could explain the transient hematuria, it is crucial to remain vigilant and consult a healthcare provider if symptoms persist or worsen. Understanding the underlying cause of hematuria is essential for appropriate management and to prevent potential complications.

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