Blood in Urine (Hematuria)

Understanding Causes, Symptoms, and Treatment Options

Family Medicine

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Last updated: Mar 24, 2025

Overview

Blood in the urine, medically known as hematuria, can appear either visible to the naked eye (gross hematuria) or only detectable under a microscope (microscopic hematuria). While it can be alarming, it's not always a sign of a serious condition.

Types

  • Gross hematuria: Visible red or cola-colored urine
  • Microscopic hematuria: Blood cells only visible under microscopic examination

Common Causes

Non-Serious Causes

  • Vigorous exercise
  • Certain medications (blood thinners)
  • Menstruation
  • Sexual activity

Medical Conditions

  • Urinary tract infections (UTIs)
  • Kidney or bladder stones
  • Enlarged prostate
  • Kidney disease
  • Bladder or kidney cancer
  • Blood disorders

When to Seek Medical Care

Seek immediate medical attention if you experience:

  • Visible blood in urine
  • Blood clots in urine
  • Pain during urination
  • Lower back pain
  • Unexplained fever

Diagnosis

Your healthcare provider may recommend:

  1. Urinalysis
  2. Blood tests
  3. Imaging studies (CT scan, ultrasound)
  4. Cystoscopy

Treatment

Treatment depends on the underlying cause and may include:

  • Antibiotics for infections
  • Medication adjustments
  • Stone removal procedures
  • Surgery for structural problems

Prevention

  • Stay well-hydrated
  • Practice good hygiene
  • Complete full courses of prescribed antibiotics
  • Attend regular check-ups

Complications

Untreated causes of hematuria may lead to:

  • Kidney damage
  • Chronic urinary problems
  • Progression of underlying conditions

Follow-up Care

Maintain regular communication with your healthcare provider and follow their recommended treatment plan.

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