Morning Hematuria: Causes and Concerns

Hematuria occurs only in the morning?

Hello Doctor: Recently, when I wake up in the morning and go to the bathroom, there is no blood in my urine, and everything seems normal.
However, after I started working, I noticed that when I go to the bathroom, I have blood in my urine, but there is no pain, just a feeling of incomplete emptying.
However, after I drink water, this issue of blood in my urine resolves.
Additionally, my menstrual period has been over for 3 days.
I'm a bit worried about what might be happening! Thank you for your response, Doctor.

Yami, 20~29 year old female. Ask Date: 2015/12/15

Dr. Li Yilun reply Urology

Your symptoms may indicate a urinary tract infection, which can include urethritis, cystitis, or pyelonephritis.
Any infection of the urinary system falls under this category and is typically caused by bacteria.
Generally, antibiotic treatment is required.
It is advisable to visit a nearby medical facility for a routine urinalysis to check for signs of infection, such as proteinuria, glucosuria, or other abnormalities.
If there are any unusual symptoms, it is recommended to consult a physician in person.
The doctor can conduct a detailed history-taking and physical examination, which are essential for accurate diagnosis.
It is important to note that a simple description of your symptoms is insufficient for determining your condition; a thorough consultation and medical history are necessary.
Therefore, it is recommended to seek care from a qualified physician for evaluation and testing.
Physicians often need to inquire about medical history, perform visual and physical examinations, and conduct tests to confirm the diagnosis and treatment plan.
It is advisable to seek examination and treatment from a urologist nearby.

Reply Date: 2015/12/15

More Info

Morning hematuria, or the presence of blood in the urine upon waking, can be a concerning symptom that warrants careful consideration. It is important to understand the potential causes and implications of this condition, especially since you mentioned that the blood is not accompanied by pain and resolves after drinking water.
Firstly, it is essential to differentiate between transient hematuria and persistent hematuria. Transient hematuria can occur due to various benign reasons, such as dehydration, vigorous exercise, or even minor trauma to the urinary tract. In your case, the fact that you do not notice blood in your urine upon waking but do after starting your day could suggest that it may be related to your activities or hydration status during the day. Drinking water may dilute the urine and flush out any minor irritants or blood, which is why you may not see blood after hydrating.

Another possibility is that your hematuria could be related to stress or anxiety, especially if you have been experiencing emotional distress or changes in your routine due to work. Stress can lead to increased muscle tension and changes in bodily functions, including those of the urinary system. The sensation of not feeling "clean" after urination could also be linked to anxiety, which can cause heightened awareness of bodily sensations.

However, it is crucial to consider other potential causes of hematuria that may require medical evaluation. These can include urinary tract infections (UTIs), kidney stones, or even more serious conditions such as glomerulonephritis or tumors in the urinary tract. Given that you mentioned your menstrual cycle has ended, it is less likely that the blood is related to menstruation, but it is still important to rule out any gynecological issues that could cause similar symptoms.

I recommend that you keep a detailed record of your symptoms, including when the hematuria occurs, any associated feelings or sensations, and your hydration levels. This information can be invaluable for your healthcare provider in determining the underlying cause. Additionally, it would be wise to schedule an appointment with a healthcare professional, such as a urologist or your primary care physician, to discuss your symptoms in detail. They may suggest diagnostic tests, such as a urinalysis or imaging studies, to investigate the cause of your hematuria further.

In summary, while your symptoms may not indicate a serious condition, it is essential to approach them with caution. Keeping track of your symptoms and seeking medical advice will help ensure that any potential issues are addressed promptly. Remember, early intervention can often lead to better outcomes, so do not hesitate to reach out to a healthcare professional for guidance and support.

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