The Kidney Clinic

Why is there Blood in Urine (Hematuria)?

Why is there Blood in Urine (Hematuria)?

Why Does Blood in Urine (Hematuria) Occur and How Is It Diagnosed?

What Are the Symptoms of Blood in Urine (Hematuria)?

In the realm of urology, hematuria is recognised as a situation where abnormal quantities of red blood cells pervade the urine. Two primary variants of hematuria exist – gross hematuria, visible to the naked eye and often lends a reddish or brownish hue to the urine, and microscopic hematuria, which camouflages itself and only reveals its presence through specific urine tests. Highlighting these symptoms, it’s not uncommon for discomfort or pain to accompany this process in particular instances, such as kidney stones or urinary tract infections.

What Causes Hematuria?

In their routine checkup procedures and physical examinations, urologists might unveil an array of underlying reasons causing hematuria. For instance, men could find traces of blood in urine due to an enlarged prostate. Concurrently, though, other medical conditions such as glomerulonephritis (an inflammation disrupting the kidney’s filtering mechanism) or sickle cell diseases might also be key contributors here. 

Urinary tract infections (UTIs) represent another potential cause wherein bacteria infiltrate the urethra and ascend towards either the bladder or the kidney, inciting irritation, which eventually results in bloody urine. However, on a positive note, UTIs are relatively simple issues that are usually resolved through regular antibiotic treatments.

Ureteral stones present another case point – these rough formations originate from kidneys before moving downwards into the ureter, where they bruise its inner walls, causing both visible and microscopic amounts of blood to seep into your urine stream.

In addition to the above, there are several other potential causes of hematuria. These include:

Trauma: Any physical injury or trauma can lead to blood in urine. This could be a result of accidents, falls or even intense exercise.

Medications: Certain medications, such as anticoagulants or blood thinners, and aspirin, can also cause this condition.

Kidney disease: Chronic kidney diseases often manifest through symptoms like hematuria.

Cancer: In some cases, visible blood in urine may indicate bladder or kidney cancer.

It is important to note that sometimes the exact cause of hematuria remains unknown despite thorough investigations, which is a situation referred to as ‘idiopathic hematuria’. However, this does not diminish its significance, and healthcare professionals should still monitor it closely.

The risk factors associated with hematuria encompass various elements, ranging from age and sex to lifestyle choices and medical history. Here’s an overview:

Age & Sex: Men over 50 years old who have an enlarged prostate gland are more susceptible to developing hematuria.

Family History: If you have a family history of kidney disease or kidney stones, you’re at higher risk.

Recent Infection: A recent infection increases your chance of having urinary bleeding.

Certain Medications: As mentioned earlier, certain drugs, including non-prescriptive pain relievers, might increase your likelihood of bloody urine.

To sum up, while hematuria isn’t always indicative of a severe health problem, it certainly warrants immediate attention due to its potential implications for overall health status. Therefore, one must never hesitate to seek professional help from a care provider upon noticing any abnormality in their urination process. Check out another of our articles on what causes blood in the urine.

Diagnosis and Tests for Hematuria

The gravity of precise diagnostics in managing hematuria among adults is an emphasis that cannot be underscored enough. One should not delay seeking medical advice if they or a close friend notice blood present in their urine or even perceive a shift in the flow of their urination. Admittedly, discerning visible blood in your urine can incite alarm but doesn’t always denote the presence of a severe ailment. Nonetheless, it demands immediate attention due to its potential implications for serious health complications such as sickle cell anaemia. A straightforward urine test can confirm any suspicion of bloody urine; this remains pertinent even when there are instances where the blood isn’t perceptible to the unaided eye. Read more about the common condition associated with blood in urine

Diagnosing hematuria generally necessitates comprehending the patient’s past medical history and performing an exhaustive physical examination. Identifying the underlying cause is paramount since treating and managing hematuria largely hinges on determining what condition prompted it initially.

The puzzle is figuring out if something more dangerous than just blocked flow is stopping blood cells from working right during urination. In any case, an early diagnosis facilitated by a care provider facilitates the implementation of suitable treatment approaches, thereby reducing the likelihood of additional complications.

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