Frequent Urination, Blood in Urine, and Lower Abdominal Pain: What to Know

Frequent urination, hematuria, lower abdominal pain?

I've been experiencing a persistent urge to urinate even after finishing.
Initially, there was a bit of blood in my urine.
After taking the medication from the pharmacy, my urine has noticeably turned orange, and the blood in my urine has become more pronounced, almost a reddish-orange color.
Is this normal? Should I continue taking the medication?

Niming, 20~29 year old female. Ask Date: 2016/02/14

Dr. Lü Lizheng reply Obstetrics and Gynecology

It is advised not to self-medicate; it is recommended to consult a physician for diagnosis and treatment.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2016/02/14

More Info

Frequent urination, blood in urine, and lower abdominal pain are symptoms that can indicate a variety of underlying medical conditions, particularly related to the urinary tract. It’s essential to approach these symptoms with caution, as they can be indicative of serious issues such as urinary tract infections (UTIs), bladder infections, kidney stones, or even more severe conditions like bladder cancer.

When you mention experiencing a persistent urge to urinate even after emptying your bladder, along with the presence of blood in your urine, it raises concerns about possible inflammation or irritation in the urinary tract. The fact that your urine has changed color to an orange-red hue after taking medication is also noteworthy. Certain medications, particularly those used to treat urinary tract infections, can cause urine discoloration. For instance, phenazopyridine, a common over-the-counter medication used to relieve urinary pain, can turn urine a bright orange or red. However, if you are seeing blood in your urine, this is a different concern and should not be attributed solely to medication.

Given your symptoms, it is crucial to consult a healthcare provider for a thorough evaluation. They may recommend a urinalysis to check for the presence of blood, bacteria, or other abnormalities in your urine. Imaging studies, such as an ultrasound or CT scan, may also be necessary to visualize the urinary tract and identify any stones or other obstructions.

In terms of your question about whether it is normal for your urine to be orange-red after taking medication, it depends on the specific medication you are taking. If the medication is known to cause discoloration, it may be a benign side effect. However, if the discoloration is accompanied by blood, it is imperative to seek medical attention immediately. Continuing to take the medication without consulting a doctor could potentially mask a more serious underlying condition.

In the meantime, it is advisable to stay well-hydrated. Drinking plenty of water can help flush out your urinary system and may alleviate some of the irritation. Avoiding irritants such as caffeine, alcohol, and spicy foods may also help reduce urinary urgency and discomfort.

In summary, while some medications can cause urine discoloration, the presence of blood in your urine is a significant concern that warrants immediate medical evaluation. Do not hesitate to reach out to a healthcare professional who can provide a proper diagnosis and treatment plan tailored to your specific situation. Your health and well-being should always be the priority, and timely medical intervention can prevent complications and ensure a better outcome.

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