Blood in Urine (Hematuria)

Diagnosis of Blood in Urine

Blood in the urine (hematuria) can have several causes. Healthcare professionals use a combination of exams and tests to determine the underlying reason.

Physical Exam:
- Your healthcare provider reviews your health history and asks about any symptoms.
Urine Tests:
- Detect the presence of blood in urine.
- Can be repeated weeks or months later to monitor changes.
- Check for urinary tract infections (UTIs) or minerals that may cause kidney stones.
Imaging Tests:
- CT scan, MRI, or ultrasound may be used to examine the urinary tract for abnormalities.
Cystoscopy:
- A thin tube with a tiny camera is threaded through the urethra into the bladder to look for signs of disease.
Follow-Up Testing:
- Sometimes the cause of blood in urine is not immediately found.
- Regular follow-up may be needed, especially if you have risk factors for bladder cancer such as smoking, prior pelvic radiation, or exposure to certain chemicals.

Treatment for Blood in Urine

Treatment depends on the underlying cause:

Urinary Tract Infection:
- Antibiotic medications can clear the infection.
Enlarged Prostate:
- Prescription medications may be used to shrink the prostate.
Bladder or Kidney Stones:
- Sound wave therapy (lithotripsy) can break stones into smaller pieces for easier passage.
No Treatment Needed:
- In some cases, no specific treatment is necessary.