Blood in Urine After Taking Medication: What You Need to Know

Blood in urine after taking medication?!

Hello, doctor! Last week, I experienced some pain while urinating, and I noticed some swelling and tenderness in the right groin lymph nodes.
I went to the pharmacy and bought some medication, which I took for three days, and my condition improved.
However, yesterday morning, I felt something was off again, so I went back to the pharmacy to get more medication.
I noticed that this time the pharmacist dispensed different medications; last time I received three pills (one capsule and two tablets), but this time it was two pills (one capsule and one tablet).
The capsule was the same as the last time, but the tablet was different; this time it was a deep blue coated tablet.
I didn’t ask the pharmacist what the medication was, and I didn’t take it right away after getting home.
I only remembered to take it after dinner last night.
About two hours after taking the medication, when I went to urinate, I was shocked to find that my urine started off a deep orange color and then suddenly turned into what looked like blood in my urine! (I also noticed I was a bit dry in my mouth and throat.) I couldn’t sleep at all last night and got up to urinate twice, both times the urine was noticeably orange.
I didn’t dare take that medication today, as I suspect it might be related to the medication, but I’m not sure! Today, the color of my urine has changed to a yellowish-gold, but I’m not sure if it’s just my perception.
I feel like I can’t quite gauge the capacity of my bladder to hold urine; I feel the urge to urinate, but when I go to the bathroom, I don’t urinate much, which worries me! As of this afternoon, my urine is still on the yellow side, but there’s no longer any blood in it.
I’ve been trying to drink more water, but I’m unsure if I need to see a urologist for this situation.
Additionally, I have had sexual intercourse recently, and I wonder if that could be related?

A Xia, 30~39 year old female. Ask Date: 2010/02/27

Dr. Yan Dawei reply Urology

It is recommended to visit a urology clinic for necessary examinations to confirm the cause.

Reply Date: 2010/02/27

More Info

Blood in urine, especially after taking medication, can be a concerning symptom that warrants careful consideration. In your case, it appears that you experienced a series of symptoms including pain during urination, lymph node swelling, and ultimately, blood in your urine after taking a new medication. Let's break down the potential causes and necessary steps you should take.

Understanding the Symptoms
1. Blood in Urine (Hematuria): The presence of blood in urine can arise from various causes, including urinary tract infections (UTIs), kidney stones, trauma, or even certain medications. Some medications, particularly those that affect blood clotting or have side effects that irritate the bladder, can lead to hematuria.

2. Medication Effects: You mentioned that you took a different medication this time, which could potentially be the culprit. Certain medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), antibiotics, or even some supplements, can cause changes in urine color or lead to irritation of the urinary tract. The deep orange color you observed could be due to the medication itself, as some drugs can cause discoloration of urine.

3. Dehydration and Urinary Changes: The symptoms of dry mouth and changes in urination frequency and volume may indicate dehydration, which can occur if you are not drinking enough fluids, especially when taking medications that might have diuretic effects.

Recommendations
1. Hydration: Continue to drink plenty of water. Staying hydrated can help dilute your urine and may alleviate some of the irritation in your urinary tract.

2. Monitoring Symptoms: Keep track of your symptoms. If the blood in your urine persists, or if you experience increased pain, fever, or any other concerning symptoms, it is crucial to seek medical attention promptly.

3. Consulting a Specialist: Given your symptoms, especially the blood in your urine and the changes in urination, it would be wise to consult a urologist. They can perform necessary tests, such as urinalysis, imaging studies, or cystoscopy, to determine the underlying cause of your symptoms.

4. Medication Review: When you visit the doctor, bring a list of all medications you have taken, including over-the-counter drugs and supplements. This information can help the healthcare provider assess whether your symptoms could be related to a specific medication.

5. Sexual Activity Considerations: If you have engaged in sexual activity recently, it is also important to discuss this with your doctor, as sexually transmitted infections (STIs) can also cause urinary symptoms and should be ruled out.

Conclusion
In summary, while the blood in your urine may be related to the new medication you took, it is essential to approach this situation with caution. Monitoring your symptoms, staying hydrated, and seeking medical advice from a urologist will be crucial steps in addressing your concerns. Remember that early intervention can often lead to better outcomes, so do not hesitate to seek help if your symptoms persist or worsen.

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