Definition:
Blood in your urine, or hematuria, can be classified as microscopic or gross. Microscopic hematuria is when there is very little blood in the urine and it can only be seen with a microscope. Gross hematuria is when there is enough blood in the urine that you can see it with the naked eye. Uusually it turns toilet water pale pink or bright red, or you may just see spots of blood in the water after urinating.
Alternative Names:
Hematuria; Blood in the urine
Considerations:
In women, blood may appear to be in the urine when it is actually coming from the vagina. In men, what may be mistaken for urinary bleeding is sometimes a bloody ejaculation, usually due to a prostate problem. Discoloration from certain drugs, beets, or other foods can mimic blood in the urine. You may not see blood in your urine. In some cases, it is found microscopically when your doctor checks your urine during a routine exam. Your doctor will follow up on this problem to see if it persists and identify the cause. When blood is visible to the naked eye, prompt and thorough evaluation is always needed. In children, hospitalization is often necessary to complete the work up.
Common Causes:
There are many potential causes of blood in the urine. Often, bloody urine is from a problem in your kidneys or other parts of the urinary tract. If your kidneys, urinary tract, prostate, and genitals turn out to be fine, your doctor may check to see if you have a bleeding disorder. Kidney and urinary tract causes include: Causes from blood disorders include:
References:
Choyke PL, Bluth EI, Bush WH Jr, et al. Expert Panel on Urologic Imaging. Hematuria. [online publication]. Reston, Va: American College of Radiology (ACR); 2005. Campbell MF, Walsh PC, Retik AB, eds. Campbell’s Urology. 8th ed. WB Saunders; Philadelphia, Pa; 2002. Yun EJ. Evaluation of the patient with hematuria. Med Clin North Am. 2004; 88(2): 329-343.
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