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

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Bleeding during bowel movements?


Recently, I have been experiencing bleeding during bowel movements.
Could this be a sign of a medical condition?

Hsu, 50~59 year old female. Ask Date: 2016/02/15

Dr. Xu Weikai reply Urology


Hello, you may be experiencing urinary tract stones, prostate/urethra/bladder diseases, or urinary tract tumors.
Of course, excessive exercise can also cause hematuria.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Chief of Urology at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/15

More Info


Blood in urine, medically known as hematuria, can be a concerning symptom and may indicate various underlying conditions. It is essential to understand the potential causes and when to seek medical attention.


Possible Causes of Hematuria
1. Urinary Tract Infections (UTIs): One of the most common causes of blood in urine, especially in women. UTIs can cause inflammation and irritation of the bladder and urethra, leading to bleeding.

2. Kidney Stones: Hard deposits that form in the kidneys can cause significant pain and bleeding as they pass through the urinary tract.

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

4. Trauma: Any injury to the kidneys or bladder can result in blood in the urine.

5. Tumors: Both benign and malignant tumors in the bladder or kidneys can cause hematuria. Ewing's Sarcoma, as mentioned in your previous context, is a type of cancer that can affect the bones and soft tissues, including the urinary system.

6. Enlarged Prostate: In men, an enlarged prostate can press against the urethra, causing bleeding.

7. Inherited Disorders: Conditions like Alport syndrome or sickle cell disease can lead to hematuria.

8. Medications: Certain medications, such as blood thinners, can increase the risk of bleeding.


When to Seek Medical Help
If you notice blood in your urine, it is crucial to seek medical attention, especially if:
- The blood is persistent or recurrent.

- You experience pain or discomfort while urinating.

- You have other symptoms such as fever, chills, or abdominal pain.

- You notice blood clots in your urine.

- You have a history of kidney disease or urinary tract issues.


Diagnostic Approach
When you visit a healthcare provider, they will likely perform a thorough evaluation, which may include:
- Urinalysis: To check for the presence of blood, bacteria, or other abnormalities in the urine.

- Imaging Studies: Ultrasound, CT scans, or X-rays may be used to visualize the kidneys and urinary tract.

- Cystoscopy: A procedure where a thin tube with a camera is inserted into the bladder to directly visualize the interior.


Conclusion
Blood in urine can be a sign of various medical conditions, some of which may require prompt treatment. It is essential to take this symptom seriously and consult a healthcare professional for a proper diagnosis and management plan. Early intervention can prevent complications and address any underlying issues effectively. If you or someone you know is experiencing this symptom, do not hesitate to seek medical advice.

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