Hematuria can be associated with other symptoms depending on the cause. Urologists often distinguish between painful and painless causes of hematuria. Microscopic hematuria, which is detected on a urine analysis test, is often asymptomatic. Because hematuria is a possible indicator of a health issue and not a disease itself, treatment will depend on an accurate diagnosis.
By performing diagnostic tests, doctors can determine the source of bleeding. If due to an infection, a simple course of antibiotics may be the cure. If the problem is with the kidneys themselves, patients may be referred to a nephrologist for further management. If a malignancy or anatomic defect is the cause, surgery may be recommended. If it is determined that hematuria is from a benign cause, treatment may not be necessary. At Yale Medicine Department of Urology, we examine each patient with hematuria for related problems, including tumors, kidney disease, infections or injury.
Skip to Main Content. Gross hematuria means the urine appears red or the color of tea or cola to the naked eye. Structural Causes of Hematuria Kidneys that contain cysts fluid-filled sacs or are blocked may lead to any type of hematuria. An ultrasound of the kidney can determine if an abnormal structure is causing blood in the urine. Inherited Causes of Hematuria Several different diseases that run in families can cause hematuria.
These include p olycystic kidney disease , a lport syndrome , inherited nephritis, certain types of hemophilia, and, sickle cell disease. Mineral Imbalances in the Urine High levels of calcium in the urine can cause hematuria. Those with high levels of calcium in the urine are more likely to have a family member with a history of kidney stones.
Individuals that have this condition have a higher risk for having a kidney stone , but less than percent develops a stone. 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.
Asymptomatic proteinuria and hematuria syndrome is the result of diseases of glomeruli clusters of microscopic blood vessels in the kidneys that have small pores through which blood is filtered.
It is characterized by steady or intermittent loss of small amounts of protein and blood in the urine. The glomeruli are made up of many microscopic clusters of tiny blood vessels capillaries with small pores.
These blood vessels Small amounts of protein excreted in the urine proteinuria or blood excreted in the urine hematuria Blood in Urine Blood in the urine hematuria can make urine appear pink, red, or brown, depending on the amount of blood, how long it has been in the urine, and how acidic the urine is. An amount of blood The presence of clumps of red blood cells red blood cell casts or abnormally shaped red blood cells is a clue for doctors that the blood in the urine came from glomeruli.
Casts and proteinuria may be present because the person is recovering from a recent undiagnosed episode of kidney inflammation nephritis Glomerulonephritis Glomerulonephritis is a disorder of glomeruli clusters of microscopic blood vessels in the kidneys with small pores through which blood is filtered. It is characterized by body tissue swelling If this situation seems likely, a doctor needs only to recheck the person over the next weeks or months to make sure that the abnormalities resolve.
Urinary blood that's visible only under a microscope microscopic hematuria is found when your doctor tests your urine. Either way, it's important to determine the reason for the bleeding.
Gross hematuria produces pink, red or cola-colored urine due to the presence of red blood cells. It takes little blood to produce red urine, and the bleeding usually isn't painful. Passing blood clots in your urine, however, can be painful. Some medications, such as the laxative Ex-lax, and certain foods, including beets, rhubarb and berries, can cause your urine to turn red. A change in urine color caused by drugs, food or exercise might go away within a few days.
Bloody urine looks different, but you might not be able to tell the difference. It's best to see your doctor anytime you see red-colored urine. Your urinary system — which includes your kidneys, ureters, bladder and urethra — removes waste from your body through urine. Your kidneys, located in the rear portion of your upper abdomen, produce urine by filtering waste and fluid from your blood.
In hematuria, your kidneys — or other parts of your urinary tract — allow blood cells to leak into urine. Various problems can cause this leakage, including:. Urinary tract infections. These occur when bacteria enter your body through the urethra and multiply in your bladder.
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