Blood in Urine: Causes and When to Seek Help - Urology

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Hematuria accompanying urination?


Hello: Since it is the end of my menstrual period, I am having difficulty determining whether it is hematuria or menstruation.
However, I experience pain after urination accompanied by blood (clots), frequent urination, and a feeling of abdominal discomfort.
What should I do?

lisa, 20~29 year old female. Ask Date: 2012/05/16

Dr. Zhou Xinpei reply Urology


Hello: Regarding your health concerns, it is recommended that you promptly visit a urology clinic for a detailed examination.
Thank you!

Reply Date: 2012/05/16

More Info


Blood in urine, also known as hematuria, can be a concerning symptom and may arise from various causes. In your case, since you mentioned that you are at the end of your menstrual period, it can sometimes be challenging to distinguish between menstrual bleeding and blood in urine. However, the presence of pain during urination, along with blood and other symptoms like frequent urination and abdominal discomfort, suggests that it is essential to seek medical attention.


Possible Causes of Blood in Urine
1. Urinary Tract Infections (UTIs): One of the most common causes of blood in urine, especially when accompanied by pain and frequent urination. UTIs can cause inflammation and irritation of the bladder and urethra, leading to bleeding.

2. Kidney Stones: These can cause severe pain and bleeding as they pass through the urinary tract. The pain is often described as sharp and can be accompanied by nausea and vomiting.

3. Bladder or Kidney Infections: Infections in these organs can lead to inflammation and bleeding.

4. Menstrual Cycle: As you mentioned, it can sometimes be difficult to differentiate between menstrual bleeding and blood in urine. If you are experiencing pain and other urinary symptoms, it is more likely to be related to a urinary issue.

5. Other Medical Conditions: Conditions such as glomerulonephritis, tumors in the urinary tract, or trauma can also cause hematuria.


When to Seek Help
Given your symptoms—pain during urination, blood in urine, frequent urination, and abdominal discomfort—it is crucial to seek medical help promptly. Here are some guidelines on when to see a doctor:
- Immediate Attention: If you experience severe pain, significant blood loss, or symptoms of infection (such as fever, chills, or vomiting), seek emergency medical care.

- Routine Check-Up: If the symptoms persist for more than a day or two, or if you notice a pattern of recurring blood in your urine, schedule an appointment with your healthcare provider.


What to Expect at the Doctor's Office
When you visit a healthcare provider, they will likely perform several evaluations, including:
- Urinalysis: A test to check for blood, infection, or other abnormalities in your urine.

- Imaging Studies: Depending on the findings, your doctor may recommend imaging tests, such as an ultrasound or CT scan, to look for stones or other abnormalities in the urinary tract.

- Physical Examination: A thorough examination to assess for any other signs of underlying conditions.


Management and Treatment
The treatment for blood in urine will depend on the underlying cause. If it is due to a UTI, antibiotics will be prescribed. If kidney stones are the issue, management may involve pain relief and possibly procedures to remove the stones. In cases of more serious conditions, further interventions may be necessary.


Conclusion
In summary, while blood in urine can sometimes be benign, your accompanying symptoms warrant a thorough evaluation by a healthcare professional. Early diagnosis and treatment are crucial to address any potential underlying issues effectively. Do not hesitate to seek medical attention to ensure your health and well-being.

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