Blood After Urination: Causes and What You Should Know - Urology

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A few drops of blood after urination?


Today, I noticed a few drops of blood after urinating for the first time, but the urine itself appeared normal.
The same thing happened during my second urination in the afternoon.
I would like to know if this could be an issue related to inflammation or kidney stones, etc.
P.S.: There is no pain.

Xue zai niao wan cai you, 20~29 year old female. Ask Date: 2015/11/25

Dr. Xu Wencang reply Urology


You can go for an outpatient examination.

Reply Date: 2015/11/25

More Info


Blood in the urine, or hematuria, can be concerning, and it's important to understand the potential causes and implications. In your case, the presence of a few drops of blood after urination, especially when accompanied by normal urine color and no pain, can have several explanations.

1. Possible Causes:
- Urinary Tract Infection (UTI): Even in the absence of pain, a UTI can cause hematuria. Infections can irritate the bladder and urethra, leading to bleeding.

- Kidney Stones: While kidney stones often cause pain, small stones or those that are passing can sometimes lead to blood in the urine without significant discomfort.

- Trauma or Injury: Any recent injury to the urinary tract, even minor, can result in bleeding.

- Benign Prostatic Hyperplasia (BPH): In older males, an enlarged prostate can lead to hematuria, though this is less likely in younger individuals.

- Other Conditions: Conditions such as glomerulonephritis, tumors, or vascular malformations can also cause blood in the urine.

2. When to Seek Medical Attention:
- If the hematuria persists or worsens, or if you develop additional symptoms such as pain, fever, or changes in urination, it is crucial to seek medical evaluation. A healthcare provider may recommend tests such as urinalysis, imaging studies (like an ultrasound or CT scan), or cystoscopy to determine the underlying cause.

3. Diagnosis and Treatment:
- A thorough evaluation is necessary to identify the cause of hematuria. This may involve urine tests to check for infection, blood tests to assess kidney function, and imaging studies to visualize the urinary tract.

- Treatment will depend on the underlying cause. For example, if a UTI is diagnosed, antibiotics will be prescribed. If kidney stones are found, management may include increased hydration, pain management, and possibly procedures to remove larger stones.

4. Prevention:
- Staying well-hydrated can help prevent urinary tract issues, including infections and stones. Additionally, practicing good hygiene and urinating after sexual activity can reduce the risk of UTIs.

5. Conclusion:
- While a few drops of blood in the urine can be benign, it is essential to monitor the situation closely. If it continues or if you experience any other symptoms, do not hesitate to consult a healthcare professional for a comprehensive evaluation. Early diagnosis and treatment can prevent potential complications and ensure better health outcomes.

In summary, while the presence of blood after urination can be alarming, understanding the possible causes and knowing when to seek help is crucial. Always prioritize your health and consult a medical professional if you have concerns about your symptoms.

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