In order to help your doctor with the correct diagnosis, you may try to provide details such as:. When passing blood in urine is associated with pain, especially abdominal pain, it could be associated with kidney or ureteral stones. The pain could be localized to the back, to the side, to the groin, or the penis in men, and the labia in women. If you are passing different-shaped clots in your stream, they could represent bleeding from the urethra or prostate in men.
Clots can be wormlike, and if associated with pain it could represent clots coming from your ureters tubes from your kidneys to your bladder. The color of the urine can be also affected by certain foods or medications. However, you should always consult your doctor if this develops. When the blood in the urine is at the beginning of urination, it most likely comes from the urethra, the tube from the bladder to the outside.
Blood throughout urination is most likely from the bladder or kidneys or ureters the tubes connecting the kidneys and the bladder. Women may have a pelvic exam to look for the source of red blood cells in the urine. This is a procedure a urologist performs to see inside the bladder and urethra the tube that allows urine to pass out of the body. The doctor uses a thin tube with a camera and light on the end--called a cystoscope--to look for cancer cells or other problems.
Kidney imaging tests. The doctor may order an imaging test such as ultrasound, CT scan or MRI to look for a tumor, a kidney or bladder stone, an enlarged prostate or other problem. Your doctor may order one more urine test to look for signs of infection, kidney disease and cancer. You may have a blood test to check for high levels of the protein creatinine, a sign of kidney disease. In many cases, the doctor is not able to find out why there is blood in the urine, Dr.
Smith notes. He or she may decide to retest your urine in a year. If blood is found, you may undergo more tests. Or you may be retested several years later. Stones may tear or scratch the lining of the urinary tract and its associated organs.
Blood from these tears can mix with the urine, resulting in either gross or microscopic hematuria. Endometriosis occurs when tissue similar to the endometrium — the lining of the uterus — grows in areas of the body outside of the uterus. Although it does so less commonly than infections and stones, cancer of the kidney or bladder can also cause hematuria.
The urine may contain blood one day and appear clear the next. A person should not wait for the blood to reappear before contacting a doctor. Bladder cancer can cause a person to urinate more or less frequently. Treating blood in the urine requires an accurate diagnosis of the underlying cause. They are likely to ask females when their last menstrual period occurred. The presence of menstrual blood in the urine can result in a false positive hematuria diagnosis. During a pelvic exam, a doctor will assess the condition of the female reproductive organs, including the:.
Depending on the reason for the evaluation, the doctor may examine the bladder and rectum as well. A urinalysis tests for protein, blood cells, and waste products in the urine. It can identify a range of medical conditions that affect the urinary tract, such as kidney disease and UTIs. Imaging tests can detect stones, endometriosis growths, and cysts in the urinary tract and pelvis. People should not wait to see a doctor if they notice blood in their urine.
They should speak with a doctor even if the blood clears on its own. Females should speak with their doctor if they see blood in their urine outside of their regular menstrual period, especially if it occurs alongside the following symptoms:. Ignoring hematuria can lead to the worsening of serious conditions like cancer and kidney disease, so you should talk to your doctor as soon as possible.
Your doctor can analyze your urine and order imaging tests to determine the cause of the hematuria and create a plan for treatment. There are many possible causes for hematuria. In some cases, the blood may be from a different source. If the blood is truly in your urine, there are several potential causes. Infection is one of the most common causes of hematuria. The infection could be somewhere in your urinary tract , your bladder , or in your kidneys.
Infection occurs when bacteria move up the urethra, the tube that carries urine out of the body from the bladder. The infection can move into the bladder and even into the kidneys. It often causes pain and a need to urinate frequently.
There may be gross or microscopic hematuria. Another common reason for blood in the urine is the presence of stones in the bladder or kidney.
These are crystals that form from the minerals in your urine. They can develop inside your kidneys or bladder. In men who are middle-aged and older, a fairly common cause of hematuria is an enlarged prostate. This gland is just beneath the bladder and near the urethra. When the prostate gets bigger, as it often does in men at middle age, it compresses the urethra.
This causes problems with urinating and may prevent the bladder from emptying completely. This can result in a urinary tract infection UTI with blood in the urine. A less common reason for seeing blood in the urine is kidney disease. A diseased or inflamed kidney can cause hematuria. This disease can occur on its own or as part of another disease, such as diabetes.
In children ages 6 to 10 years, the kidney disorder post-streptococcal glomerulonephritis may cause hematuria.
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