Blood in Urine: When to Seek Medical Help for Women

Blood in urine?

Hello, doctor: I need to work in the mountains, so I am afraid to use the restroom.
As a result, I have been holding my urine for too long, which has caused blood in my urine and a fever.
Which department should I see? Thank you.

huanzhe, 40~49 year old female. Ask Date: 2014/06/19

Dr. Lin Wenbin reply Obstetrics and Gynecology

You can see both obstetrics and gynecology as well as urology.

Reply Date: 2014/06/19

More Info

When a woman experiences blood in her urine (hematuria), it can be a concerning symptom that warrants medical attention. The presence of blood in urine can be caused by various factors, ranging from benign conditions to more serious underlying issues. Given your situation of holding urine for an extended period and experiencing fever, it is crucial to seek medical help promptly.

When to Seek Medical Help
1. Presence of Blood in Urine: If you notice blood in your urine, even if it is just a small amount, it is essential to consult a healthcare provider. Blood can appear as pink, red, or brown urine, and its presence should never be ignored.

2. Accompanying Symptoms: The presence of fever alongside hematuria is particularly concerning. Fever may indicate an infection, such as a urinary tract infection (UTI) or pyelonephritis (a kidney infection). Other symptoms to watch for include:
- Pain or burning sensation during urination
- Frequent urination or an urgent need to urinate
- Lower abdominal or back pain
- Nausea or vomiting
3. Duration of Symptoms: If the blood in your urine persists or if you develop new symptoms, it is crucial to seek medical attention. Even if the bleeding stops, the underlying cause needs to be evaluated.

Which Specialist to See
In your case, since you are experiencing blood in your urine and fever, you should consider visiting a urologist or an emergency department. Urologists specialize in urinary tract issues and can perform necessary tests to determine the cause of hematuria. If you are unable to see a urologist immediately, an emergency room can provide initial evaluation and treatment.

Possible Causes of Blood in Urine
Blood in urine can result from various conditions, including:
- Urinary Tract Infections (UTIs): Commonly caused by bacteria, UTIs can lead to inflammation and bleeding in the urinary tract.

- Kidney Stones: Stones can irritate the lining of the urinary tract, causing bleeding.

- Bladder or Kidney Infections: Infections in these organs can lead to hematuria and are often accompanied by fever.

- Trauma: Any injury to the kidneys or urinary tract can cause bleeding.

- Tumors: Though less common, tumors in the bladder or kidneys can cause blood in the urine.

Importance of Hydration
While it is understandable that you may have held your urine due to work conditions, it is essential to stay hydrated and urinate regularly. Holding urine for extended periods can lead to urinary retention and increase the risk of infections. Drinking plenty of fluids can help flush out the urinary tract and may alleviate some symptoms.

Conclusion
In summary, if you are experiencing blood in your urine along with fever, it is vital to seek medical help as soon as possible. Do not delay in getting evaluated by a healthcare professional, as timely diagnosis and treatment are crucial for addressing any potential underlying issues. Remember to stay hydrated and avoid holding your urine for long periods in the future to minimize the risk of urinary tract problems.

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