Blood in Urine and Abdominal Pain: Possible Causes - Urology

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Hematuria with abdominal pain?


I sometimes suddenly feel a strong urge to urinate frequently, but I only pass a small amount.
Then, I gradually start to notice blood in my urine, and I experience significant abdominal pain.
However, it usually resolves after a day or two.
What could be the issue? Is this a urinary tract infection?

edda, 20~29 year old female. Ask Date: 2005/04/01

Dr. Zhang Chengye reply Urology


Hello: It may be cystitis, and you should go to the hospital for a urine test.
This is a response from Dr.
Chang Cheng-yeh, attending physician of the Urology Department at Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/04/01

More Info


Blood in urine, also known as hematuria, accompanied by abdominal pain and frequent urination can be concerning and may indicate several underlying medical conditions. It is essential to understand the potential causes and seek appropriate medical attention for a proper diagnosis and treatment.

One of the most common causes of blood in urine is a urinary tract infection (UTI). UTIs can lead to inflammation of the bladder (cystitis) or the urethra (urethritis), resulting in symptoms such as frequent urination, urgency, pain during urination, and hematuria. Women are particularly susceptible to UTIs due to their shorter urethra, which allows bacteria easier access to the bladder. If you are experiencing these symptoms, it is advisable to consult a healthcare provider for a urinalysis and possibly a urine culture to confirm the diagnosis and receive appropriate antibiotics.

Another potential cause of hematuria and abdominal pain is kidney stones. These are hard deposits made of minerals and salts that form in the kidneys and can cause severe pain when they move through the urinary tract. Symptoms may include sharp pain in the back or side, blood in urine, and frequent urination. If kidney stones are suspected, imaging tests such as an ultrasound or CT scan may be necessary to determine their size and location.

Additionally, conditions such as bladder or kidney infections, interstitial cystitis (a chronic condition causing bladder pressure and pain), or even more serious issues like tumors in the urinary tract can lead to similar symptoms. It is crucial to rule out these possibilities through medical evaluation.

Your description of experiencing intense urgency to urinate but only passing small amounts of urine, along with the presence of blood, raises the possibility of a urinary tract infection or bladder irritation. The abdominal pain you are experiencing could be due to the inflammation associated with these conditions. It is also worth noting that if you have a history of frequent UTIs or other urinary issues, this could be a recurring problem that needs to be addressed.

In terms of management, it is essential to stay hydrated and avoid irritants such as caffeine, alcohol, and spicy foods, which can exacerbate bladder symptoms. Over-the-counter pain relievers may help alleviate discomfort, but they do not address the underlying cause. If your symptoms persist or worsen, or if you experience fever, chills, or severe pain, it is crucial to seek medical attention promptly.

In summary, blood in urine accompanied by abdominal pain and frequent urination can be indicative of various conditions, including urinary tract infections, kidney stones, or other urinary tract disorders. It is vital to consult a healthcare professional for a thorough evaluation, diagnosis, and appropriate treatment. Early intervention can help prevent complications and improve your overall health.

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