Hematuria

Hematuria refers to the presence of blood in the urine. It is a symptom that can be associated with various medical conditions, ranging from mild and temporary to severe and life-threatening.

Types of Hematuria

  • Gross Hematuria: This type of hematuria is characterized by visible blood in the urine, which can cause the urine to appear pink, red, or brown.
  • Microscopic Hematuria: In this type, the blood in the urine is only visible under a microscope. It is often detected during a routine urinalysis.

Causes of Hematuria

Hematuria can be caused by a variety of factors, including:

  • Urinary tract infections (UTIs)
  • Kidney stones
  • Bladder or kidney cancer
  • Injury to the kidneys or urinary tract
  • Medications, such as blood thinners or certain antibiotics
  • Medical conditions, such as glomerulonephritis or nephrotic syndrome
  • Vigorous exercise, which can cause temporary hematuria in some individuals

Symptoms Associated with Hematuria

In addition to the presence of blood in the urine, other symptoms may include:

  • Pain or discomfort while urinating
  • Frequent or urgent need to urinate
  • Abdominal pain or flank pain
  • Fever or chills
  • Nausea or vomiting

Diagnosis and Treatment of Hematuria

To diagnose the underlying cause of hematuria, a healthcare provider may perform:

  • Urinalysis to detect blood, protein, or other abnormalities in the urine
  • Imaging tests, such as ultrasound, CT scan, or MRI, to visualize the kidneys and urinary tract
  • Cystoscopy to examine the inside of the bladder and urethra
  • Blood tests to evaluate kidney function and detect any underlying medical conditions

Treatment for hematuria depends on the underlying cause. It may include:

  • Antibiotics to treat UTIs or other infections
  • Pain medication to manage discomfort or pain
  • Surgery to remove kidney stones or tumors
  • Medications to manage underlying medical conditions, such as high blood pressure or diabetes

When to Seek Medical Attention

If you experience any of the following, seek medical attention immediately:

  • Gross hematuria that persists or worsens over time
  • Severe pain or discomfort while urinating
  • Fever or chills accompanied by hematuria
  • Vomiting or nausea associated with hematuria
  • Difficulty starting or stopping urination

Article last updated on: 6th June 2025.
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