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Blood in the urine, also known as hematuria, is a clinical symptom that is characterized by the presence of red blood cells (RBCs) in the urine. This condition may manifest as gross hematuria, which is visible to the naked eye, or microscopic hematuria, which requires microscopic analysis of the urine to identify RBCs. Blood in the urine is an important indicator of underlying diseases of the urinary tract and can result from a wide range of causes, such as urinary tract infections, kidney stones, bladder cancer, and other systemic disorders.

The significance of blood in the urine lies in its potential to identify a serious underlying condition that may require medical intervention. Patients who present with blood in the urine may also experience accompanying symptoms, such as pain during urination, frequent urination, and back pain. Treatment of blood in the urine depends on the underlying cause and may include medication, surgery, or lifestyle changes. Additionally, complications such as anemia, kidney damage, and sepsis can arise from untreated hematuria. Therefore, prompt diagnosis and treatment are critical to prevent serious health consequences. In summary, blood in the urine is an important symptom that requires thorough investigation to identify the underlying cause and initiate the appropriate treatment to prevent potential complications.

What are the conditions that can cause blood in urine?

  • Urinary tract infections (UTIs) – Bacterial infections of the urinary tract can cause inflammation and damage to the bladder or urethra, leading to the presence of blood in the urine. Signs of UTIs can include the urge to urinate frequently, an itchy and burning sensation while peeing, and frothy urine
  • Kidney stones – The formation of kidney stones can cause blockages in the urinary tract, leading to pain and discomfort, as well as the presence of blood in the urine. Symptoms can include sudden onset of severe pain in the side or back, nausea, vomiting, and pain during urination.
  • Bladder cancer – This is a type of cancer that can develop in the lining of the bladder, causing blood to appear in the urine. Symptoms can include pain during urination, frequent urination, and lower abdominal pain.
  • Enlarged prostate (in men) – Benign prostatic hyperplasia (BPH) is a common condition in older men that can cause the prostate gland to enlarge, leading to pressure on the urethra and difficulty urinating. BPH can also cause blood in the urine.
  • Medications – Certain medications, such as blood thinners and antibiotics, can cause blood in urine as a side effect. Patients who experience blood in urine after starting a new medication should consult their healthcare provider.

How Hematuria is usually diagnosed?

  • Urinalysis – This is a common diagnostic test that involves analyzing a sample of urine to detect the presence of red blood cells, white blood cells, and other substances that may indicate the presence of an underlying condition.
  • Imaging tests – Imaging tests such as ultrasound, CT scan, or MRI can help visualize the urinary tract and identify abnormalities such as kidney stones, tumors, or other structural problems that generally cause blood in the urine.
  • Cystoscopy – This is a procedure that involves inserting a thin, flexible tube with a camera into the bladder to visualize the urethra and bladder lining for abnormalities that may be causing hematuria.
  • Blood tests – Blood tests can help identify underlying conditions such as kidney disease, autoimmune disorders, or infections that may be causing blood in the urine.
  • Biopsy – In cases where cancer is suspected, a biopsy may be recommended to obtain a tissue sample for laboratory analysis.

What are the general treatment options for Hematuria?


  • Antibiotics: If the cause of hematuria is a bacterial infection, antibiotics can be prescribed to help clear the infection.
  • Medications to control blood pressure or kidney function: In some cases, medication may be necessary to help manage underlying conditions such as hypertension or kidney disease.


  • Transurethral resection of bladder tumor (TURBT): This surgical procedure involves removing a tumor or abnormal tissue from the bladder using a specialized instrument inserted through the urethra.
  • Nephrectomy: If a cancerous tumor is found in the kidney, surgery to remove the entire kidney may be necessary.

Lifestyle changes:

  • Hydration: Increasing water intake can help flush out the urinary tract and prevent the formation of kidney stones, which can cause hematuria.
  • Dietary changes: Limiting sodium intake and avoiding certain foods that can irritate the bladder or contribute to the formation of kidney stones, such as caffeine and alcohol, can help prevent hematuria.
  • Quitting smoking: Smoking has been linked to bladder cancer, so quitting smoking can help reduce the risk of developing hematuria due to cancer.

It’s essential to remember that the suitable treatment for hematuria depends on the underlying cause, and in some cases, no treatment may be necessary. Patients with blood-in-urine symptoms should consult with their healthcare provider to get the appropriate course of action.

What are the complications of untreated Hematuria?

  • Kidney damage – Hematuria can be a sign of kidney disease, and if left untreated, it can lead to further damage to the kidneys, which can affect their ability to filter waste from the blood.
  • Infection – Hematuria caused by a urinary tract infection (UTI) can lead to more serious complications, such as a kidney infection if left untreated.
  • Cancer – Blood in the urine can be a symptom of bladder or kidney cancer, and if not diagnosed and treated early, it can lead to more advanced stages of cancer.
  • Blood loss – In rare cases, hematuria can be severe enough to cause significant blood loss, which can be life-threatening if not treated promptly.
  • Urinary tract obstruction – Hematuria can be caused by obstructions in the urinary tract, such as kidney stones or tumors, which can lead to further complications if not treated.

How are the causes and treatment options for hematuria in children differ from those in adults?

Hematuria, or blood in urine, can occur in both children and adults, but the causes and treatment options can differ. In children, some of the most common causes of hematuria include urinary tract infections, kidney stones, and congenital abnormalities in the urinary tract. In contrast, adults are more likely to experience hematuria due to underlying medical conditions such as kidney disease, bladder cancer, or prostate problems.

The treatment options for hematuria in children depend on the underlying cause. For example, if a urinary tract infection is the cause of hematuria, antibiotics may be prescribed to help clear the infection. In cases of kidney stones, treatment may involve pain relief and hydration, while more severe cases may require surgery.

In adults, the treatment options for hematuria are more varied and can include medication, surgery, and lifestyle changes. Antibiotics may be prescribed if a urinary tract infection is the cause of hematuria, while surgery may be necessary if the cause is bladder or kidney cancer

What should you do to cope with blood in urine?

Living with blood in the urine can be a challenging experience, both emotionally and physically. Here are some tips and strategies that can help you cope with the challenges:

  • Seek support: Talk to friends, family members, or a support group about your experiences. Sharing your feelings and experiences with others who have had similar experiences can be helpful.
  • Practice self-care: Make time for activities that you enjoy and that help you relax, such as reading a book, listening to music, or taking a walk. Eating a healthy diet and getting enough sleep can also help improve your physical and emotional well-being.
  • Stay informed: Educate yourself about the causes and treatment options for blood in the urine. This can help you feel more in control and better equipped to make decisions about your care.
  • Communicate with your healthcare provider: Be honest and open with your healthcare provider about your symptoms and concerns. This can help ensure that you receive the appropriate treatment and support.
  • Manage stress: Stress can worsen blood in urine symptoms, so it’s important to find ways to manage stress.


It’s important to note that every case of blood in urine is unique and personalized treatment from a qualified healthcare provider is essential to achieve the best possible outcome. So, if you are experiencing blood in urine symptoms, don’t hesitate to seek medical attention and get the necessary evaluation and treatment from a qualified healthcare provider. Please don’t hesitate to contact us for scheduling an appointment with Dr. Dushyant Pawar if you have any concerns about blood in your urine or any other related medical issues.

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