Hematuria (blood in the urine)

[nirvgardengod]

Today I had a pysical/drug test and almost in passing, the MD said I should take up a "little" blood in my urine with my doctor(which I don't have). He turned and just walked away so I really appreciate your video !!

[on2lopez]

Could it be caused by exercise?

[incontinencedoc]

@on2lopez Prolonged, high-impact exercise can sometimes cause hematuria...for example, running a marathon. Most often if hematuria occurs after exercise, there is underlying pathology causing the bleeding...for example bladder stones. Always worthwhile getting ANY hematuria checked out!

[FramusBar]

Thanks Dr. this was very informative.

[Msmontage1]

Thanks for your quick reply... however I can't have issues with my prostate as I am a woman :-) so is there anything else I should be concerned with or anything I should ask my Dr? Thanks for your assistance

[incontinencedoc]

@Msmontage1 Sorry...should have noticed the "Ms"! Hematuria in the beginning of the stream is often due to a process within the urethra or bladder neck...a good look inside the urethra and bladder should be able to sort out what is going on.

[Msmontage1]

I've micro hematuria consistently for the past 4 yrs, I've been tested every 6 mo. by dipstick. I had a cystoscope 1.5 yrs ago, now I periodically I see blood in my initial stream only in the a.m. and then urine appears normal for the remainder of the day for days at a time. I'm low risk, non-smoker (though I've tried a couple of times) and 41 y/o. Now my Dr. has scheduled me for another cysto next week, should I be concerned? What questions should I ask him?

[incontinencedoc]

@Msmontage1 There are many who have "chronic" microhematuria -- the dilemma is that we do not wish to over-test but at the same time, do not want to miss a serious underlying problem. Your situation is "initial", "visible" hematuria which is often due to bleeding in the prostate, but definitely merits a cystoscopy. Of course it is great that you do not smoke, since tobacco use is so highly correlated with bladder cancer. Your urologist should be able to give you a thorough explanation.

[sergpro]

Thank you.

[FramusBar]

What happens when you go for all these tests mentioned above and they find nothing?

[incontinencedoc]

That is a great question. If imaging, cytology and cystoscopy do not reveal a problem--meaning a potentially life-threatening problem such as a kidney, ureteral or bladder tumor has been ruled out--it is referred to as "benign" hematuria and the patient is reassured, with the understanding that follow-up is necessary if there is persistent visible hematuria or "significant" micro-hematuria.

[FramusBar]

So lets say the micro hematuria is there at the next visit after a 6 month return. Will the patient eventually have to take these tests again? Also, what is the significance of one test coming back as normal and then 6 months past then the test coming back as having a Micro Hematuria? I just don't understand why its there and then its gone sometimes. Is this something to be concerned with and is this normal?

[incontinencedoc]

Test results can be intermittently positive or negative...meaning you can show micro-hematuria one day and not the next. If there is "significant" microscopic hematuria, particularly in a high-risk patient...i.e., older and/or tobacco history...then a repeat evaluation is an important consideration.

[MrThatguy1312]

@FramusBar Dude same thing happend to me EVERY TEST and nothing was found.

[incontinencedoc]

@Steveseitz111 Good question! It can be every time or just once; can be the entire stream or just the beginning or end; can be visible or microscopic.

[alanckaye]

thank you Doc for this video.

[1957sputnick]

Thanks for taking the time. Very informative.

[PS2can]

very informative