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Hematuria

Dr. Ram Prasad

What is Hematuria?

Hematuria refers to the presence of blood in the urine. It can be categorized as either gross hematuria, where blood is visible to the naked eye, or microscopic hematuria, where blood is only detectable under a microscope.

Symptoms of Hematuria

Common symptoms associated with hematuria include:

  • Visible blood in urine (red, pink, or tea-colored urine for gross hematuria)
  • Frequent urination
  • Pain or burning sensation during urination
  • Flank pain or abdominal discomfort

It’s important to seek medical attention if you notice blood in your urine, regardless of the symptoms present.

Causes of Hematuria

Hematuria can be caused by various conditions, including:

  • Urinary Tract Infections (UTIs): Infections can cause inflammation and bleeding.
  • Kidney Stones: Stones can irritate the bladder and lead to bleeding.
  • Trauma: Injury to the kidneys or bladder may result in blood in the urine.
  • Kidney Disease: Conditions like glomerulonephritis can cause hematuria.
  • Prostate Disorders: In men, conditions affecting the prostate can lead to hematuria.

Diagnosis of Hematuria

Diagnosing hematuria generally involves:

  • A thorough medical history and physical examination
  • Urinalysis to check for red blood cells, as well as other substances
  • Imaging tests (such as ultrasound, CT scan, or MRI) to identify abnormalities
  • Cystoscopy to examine the bladder and urethra directly

Treatment Options for Hematuria

Treatment will depend on the underlying cause of hematuria:

  • Infections: Antibiotics may be prescribed for UTIs.
  • Stones: Treatment may involve medication to manage pain or procedures to remove large stones.
  • Underlying Conditions: Managing conditions like kidney disease or prostate issues will be necessary.

When to Seek Medical Attention

Seek medical help if you notice:

  • Persistent or worsening hematuria
  • Accompanied symptoms like severe pain or fever

Conclusion: Importance of Medical Evaluation

Hematuria can be a sign of various underlying health issues. If you experience blood in your urine, it’s important to consult a healthcare provider for a proper diagnosis and appropriate treatment.