Most adults with microscopic hematuria do not need treatment unless they have a kidney stone. Glomerulonephritis Glomerulonephritis is a common cause of blood in the urine. There are many types of glomerulonephritis. Some of these are mild and resolve on their own while others are more serious and need medication. Blood tests can identify some kinds of glomerulonephritis. In some cases, a kidney biopsy may be needed to find the exact form of the disease.
Idiopathic Hematuria "Idiopathic" means that no specific cause can be found for blood in the urine. Idiopathic hematuria can run in families, and is called familial idiopathic hematuria. When there is not a family history of kidney failure and other medical tests are negative; usually, no treatment is needed. Adults who have microscopic hematuria with normal blood pressure and kidney function should have their urine checked over several months.
If blood in the urine continues:. Adults who have microscopic hematuria with high blood pressure, abnormal blood tests, a family history of kidney disease or high levels of protein in the urine may need to have a kidney biopsy. If your hematuria is caused by an infection, like a urinary tract infection UTI , hematuria is treated with antibiotics.
Your healthcare provider will test your urine after treating you with antibiotics to make sure that your infection has cleared. The goal of your healthcare provider is to find the cause of blood in your urine.
If no serious condition is causing hematuria, no treatment is needed. Afterward, different medicines can be put into the bladder to help prevent cancer from coming back. Sometimes if the bladder cancer is severe, the bladder may need to be removed. There are many different procedures that can help with big prostates and bleeding.
If you have difficulty with urination and hematuria, your urologist can discuss some of the many options available to help with both problems. Hematuria is a very common and very important reason to see your urologist because the causes can range from being nothing at all to dangerous. If you or someone you know has blood in their urine, they should make an appointment right away to get checked out.
Schedule an appointment with the urology experts at Georgia Urology! Participate in our patient survey. Possible Causes of Blood in Urine Blood in the urine can come from anywhere in the urinary system. The following are some of the more common reasons to have blood in your urine: Urinary Tract Infections UTI UTIs are extremely common and often easily treatable and can cause bloody urine. Kidney Stones Kidney stones or bladder stones can result in severe pain in your back or stomach and can show up as blood in the urine.
Cancer The most important reason to be evaluated for blood in the urine is to look for kidney or bladder cancer. Other Causes Having a large prostate, vigorous exercise, dehydration, sickle cell disease, recent surgeries, catheters, blood thinners, and other medical issues can lead to blood in the urine. Next Steps Your doctor has many tools in their belt to identify potential sources of blood in the urine, but, in general, there are four tests they will likely perform.
Urine Cytology This is another easy test to do. Cystoscopy Last and certainly the least fun of all the studies is the cystoscopy. Treatment Options Depending on the source of the bleeding, there are many treatment options available: Urinary tract infection UTI Antibiotics are the mainstay of treatment for UTIs and are typically given for three to seven days depending on how bad the infection is.
Stones Stones can be treated in several different ways. Cancer Depending on the type and stage of cancer there are many treatment options available. Other Causes There are many different procedures that can help with big prostates and bleeding.
What is Cystoscopy? Georgia Urology Explains. Sign Up for Our Newsletter Email. First Name. Last Name. Patient Survey Your opinion is important. Ronald Anglade, M. Ricardo Arceo-Olaiz, M. Brittani L. Barrett-Harlow, M. Daniel R. Belew, M. Emily Blum, M.
Carl Capelouto, M. Cathy M. Carmen, M. Wolfgang Cerwinka, M. Bert Chen, M. Carrie A. Robert V. Di Meglio, M. Walter Z. The bladder stores urine until releasing it through urination. When the bladder empties, urine flows out of the body through a tube called the urethra at the bottom of the bladder. People with gross hematuria have urine that is pink, red, or brown. Even a small amount of blood in the urine can cause urine to change color. In most cases, people with gross hematuria do not have other signs and symptoms.
People with gross hematuria that includes blood clots in the urine may have bladder pain or pain in the back. Taking a medical history may help a health care professional diagnose the cause of hematuria. He or she will ask the patient to provide a medical history, a review of symptoms, and a list of prescription and over-the-counter medications. The health care professional will also ask about current and past medical conditions. During a physical exam, a health care professional most often taps on the abdomen and back, checking for pain or tenderness in the bladder and kidney area.
A health care professional may perform a digital rectal exam on a man to look for any prostate problems. A health care professional may perform a pelvic exam on a woman to look for the source of possible red blood cells in the urine. Digital rectal exam. To perform the exam, the health care professional has the man bend over a table or lie on his side while holding his knees close to his chest. The digital rectal exam is used to check for prostate inflammation, an enlarged prostate, or prostate cancer.
Pelvic exam. The health care professional has the woman lie on her back on an exam table and place her feet on the corners of the table or in supports. The health care professional looks at the pelvic organs and slides a gloved, lubricated finger into the vagina to check for problems that may be causing blood in the urine.
The health care professional can test the urine in the office using a dipstick or can send it out to a lab for analysis. The health care professional may look for red blood cells by examining the urine under a microscope before ordering further tests.
Prior to obtaining a urine sample, the health care professional may ask a woman when she last menstruated. The test should be repeated after the woman stops menstruating. If the urine samples detect too many red blood cells, a health care professional may order additional tests:. Health care professionals treat hematuria by treating its underlying cause.
Researchers have not found that eating, diet, and nutrition play a role in causing or preventing hematuria. Clinical trials are part of clinical research and at the heart of all medical advances. Clinical trials look at new ways to prevent, detect, or treat disease. Researchers also use clinical trials to look at other aspects of care, such as improving the quality of life for people with chronic illnesses.
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