Hematuria (blood in the urine)

Dr. Siegel consults on HEMATURIA (blood in the urine).

Category:

Education

Tags:

• Hematuria
• blood in the urine
• gross hematuria
• microscopic hematuria
• kidney cancer
• ureteral cancer
• bladder cancer
• kidney stones
• bladder stones
• cystitis
• trauma
• cystoscopy
• imaging
• cytology

[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!

[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.

[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 !!

[FramusBar]

Thanks Dr. this was very informative. 

[MrThatguy1312]

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

[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.