Hematuria (Blood in Urine)

Hematuria is the medical term used to describe the presence of blood in the urine, which can range from being visible to the naked eye (known as gross hematuria) to being detectable only under a microscope (microscopic hematuria). This condition can result from various underlying causes, including urinary tract infections, kidney stones, trauma, or more serious conditions such as kidney disease or cancer. Diagnosis typically involves urine tests to confirm the presence of blood and determine its source, followed by further investigations like imaging studies to assess the urinary tract for abnormalities. Treatment depends on identifying and addressing the underlying cause of hematuria.

  • Causes: Common causes include:

    • Urinary Tract Infections (UTIs): Infections in the bladder or kidneys can lead to blood in the urine.
    • Kidney Stones: Sharp-edged stones in the urinary tract can cause irritation and bleeding.
    • Trauma: Injury to the kidneys or urinary tract from accidents or strenuous activities.
    • Medical Conditions: Such as kidney diseases, enlarged prostate, or cancer.
  • Symptoms:

    • Visible Blood: Urine may appear pink, red, or cola-colored (gross hematuria).
    • No Visible Blood: Detected through urine tests (microscopic hematuria), often without other symptoms.
  • Diagnosis:

    • Physical Examination: Includes medical history and physical assessment.
    • Urine Tests: To confirm the presence of blood and determine its source.
    • Imaging: CT scans or ultrasound to visualize the urinary tract and detect abnormalities.
  • Treatment:

    • Underlying Cause: Treatment depends on identifying and addressing the underlying condition.
    • Medication: Antibiotics for UTIs, pain relief for kidney stones, or specific treatments for other conditions.
  • Prognosis:

    • Generally, hematuria caused by benign conditions resolves with treatment.
    • Persistent or recurrent hematuria may require further evaluation to rule out serious conditions like cancer.

Hematuria should always prompt medical evaluation to determine its cause and appropriate management.