What is hematuria?


Know the basics

What is hematuria?

Hematuria is when you see there is blood in your liquid waste. Normal people don’t have blood in urine, so if you do, it means that an appointment to a doctor should be scheduled. Blood in urine, while harmless in some cases, can be an indication of some other major problems. However, it isn’t commonly a sign of life-threatening issues.

Hematuria may be a sign of severe disorders in your body. There are 2 types of hematuria: urinary blood can be seen with normal eyes (gross hematuria) or visible only under a microscope (microscopic hematuria).

How common is hematuria?

This health condition is extremely common. It can affect patients at any age. It can be managed by reducing your risk factors. Please discuss with your doctor for further information.

Know the symptoms

What are the symptoms of hematuria?

Usually, there are two types of signs, one you can obviously see and one you can’t.

The first one is called gross or visible hematuria. The tangible sign goes with redness in your urine, sometimes the colors are pink, brownish-red, or tea-colored.

With the opposite one, microscopic hematuria, there is presence of red blood cells that the naked eyes can’t distinguish, but this still needs to be tested elaborately by your doctor. If there is the blood clot in your urine, some pain may be experienced.

Besides, there are some other symptoms that you may feel, including:

  • Fever;
  • Abdominal pain;
  • Chills;
  • Lower belly pain;
  • High blood pressure.

When should I see my doctor?

If you see unusual colors in your blood or have any questions, please consult with your doctor. Everyone’s body acts differently. It is always best to discuss with your doctor what is best for your situation.

Know the causes

What causes hematuria?

There are many factors that lead to blood in urine:

  • Urinary tract infections: bacteria can enter your body through the urethra and live in your bladder, causing urinary tract infections. Symptoms can include a persistent urge to urinate, pain and burning with urination, strong–smelling urine.
  • Kidney infections: when bacteria enter your kidneys from your bloodstream or move up from your ureters to your kidney, kidney infections can occur. Signs and symptoms are often similar to bladder infections, but can cause fever and flank pain.
  • A bladder or kidney stone: crystals can be formed on the walls of your kidneys or bladder as a result of precipitation of minerals in urine. Eventually, these crystals transform into small, hard stones which are generally painless, and you probably will not know you have them unless they cause a blockage or are being passed. Bladder or kidney stones can cause bleeding with urination.
  • Enlarged prostate:the enlargement of prostate will compress the urethra, which will result in partially blockage of urine flow.
  • Kidney disease: glomerulonephritis causes inflammation of the kidneys’ filtering system which can result in microscopic urinary bleeding.
  • Cancer: visible urinary bleeding may be a late sign of metastatic kidney, bladder or prostate cancer.
  • Kidney injury: any impact to your kidneys from an accident or contact sports can cause gross hematuria.
  • Medications: the anti–cancer drug cyclophosphamide (Cytoxan) and penicillin can cause urinary bleeding.

Know the risk factors

What increases my risk for hematuria?

There are many factors that increase your risk of hematuria, especially:

  • You are older than 50 and have an enlarged prostate gland.
  • You have kidney inflammation due to a viral or bacterial infection.
  • You have family history of kidney diseases.
  • You used Aspirin, nonsteroidal anti–inflammatory pain relievers and antibiotics for a long time.
  • You take part in strenuous ac.
  • You do over-exercise with the loss of water intake.

Understand the diagnosis & treatment

The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.

How is hematuria diagnosed?

Your doctor often asks about your medical and family history, as well as your symptoms at first. To determine the reason that you have blood in urine, these following tests can be recommended:

  • Urine test: urinalysis can also check for urinary tract infection or the presence of minerals that cause kidney stones.
  • Phase–contrast microscopy to help locate the source of the bleeding.
  • Imaging tests: your doctor will do some tests such as X-rays, computerized tomography (CT) scan, magnetic resonance imaging (MRI) to have further diagnosis.
  • Cystoscopy: your doctor will thread a narrow tube fitted with a tiny camera into your bladder to closely examine both the bladder and urethra for signs of disease.

How is hematuria treated?

The treatment depends on the result of diagnosis since hematuria is just a sign, not a disease itself. Besides, the doctor can help you reduce the symptoms by prescribing you with antibiotics to clear a urinary tract infection.

If you have bladder of kidney stones, the doctor will recommend you shock wave therapy. This is the most common and effective way to remove stones in kidney.

Lifestyle changes & home remedies

What are some lifestyle changes or home remedies that can help me manage hematuria?

The following lifestyles and home remedies might help you reduce the risk of hematuria:

  • Drinking more plenty of fluids, instead of alcoholic and other colored beverages;
  • Limit salt, protein and oxalate–containing foods;
  • Urinating immediately when you feel the urge and after intercourse;
  • Avoiding feminine hygiene products that may irritate your genitals;
  • Stopping smoking;
  • Eating healthy diet;
  • Avoiding chemicals and toxic exposure.

If you have any questions, please consult with your doctor to better understand the best solution for you.

Hello Health Group does not provide medical advice, diagnosis or treatment.

msBahasa Malaysia

Review Date: May 30, 2016 | Last Modified: January 4, 2017

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