Blood in urine (Hematuria) It is a symptom when urinating and red blood cells in the urine. Sometimes it can be seen clearly with the naked eye or sometimes it cannot be seen. But will know from accidental detection Most are not very violent. But bloody urine could indicate a serious disease or disorder. Which when they found themselves urine came out of blood or urine was an abnormal color Should be diagnosed and treated by a doctor.
Blood urine can be divided into two types: blood urine that can be seen with the naked eye. Where the patient will see urine turning pink Red or dark brown, the other is blood urine that requires a microscope to see.caseIn this case, the patient will see normal colored urine.
Blood in the urine
Blood in the urine Patients will have symptoms of discolored urine. It can be pink, red or dark brown. With only a small amount of red blood cells, the urine may change its color.
Bloody urine often causes pain or no other symptoms. But if a blood clot is mixed with your urine, it can cause pain in your lower abdomen or back. Other symptoms may also occur, the severity or nature of which will vary depending on the cause.
Causes of blood in urine
Bloody urine It can be caused by blood cells leaking through the kidneys or different parts of the urinary tract into the urine. There are several factors that can cause this leak.
Examples of diseases, disorders, and causes of blood in urine are:
- Urinary Tract Infections It is usually caused by bacteria that enter the body through the urethra and begin to divide in the bladder. There may be signs of symptoms such as bloody urine, either clearly visible or hard.ShineThe microscopic box will therefore see the blood cells (Microscopic Hematuria).
- Some types of kidney disease, such as glomerulonephritis, which are used to filter waste and water out into urine.
- Kidney stones or bladder stones
- Kidney disease
- Bleeding Disorders, such as hemophilia and Von Willebrand’s Disease.
- Enlarged Prostate (Enlarged Prostate)
- cancerProstate (Prostate Cancer)
- Tumors or cancer of the kidneys or bladder
- Use of certain medications such as cyclophosphamide (Cyclophosphamide) and penicillin (Penicillin) can cause urine to blood. Or the use of anti-drugPlatelet Such as aspirin (aspirin) and heparin.
- Injury in the urinary tract, such as an accident or sports injury.
- Do intense exercise May cause bloody urine after exercise But it is a non-dangerous condition
Blood urine diagnosis Initially, the doctor will ask the patient’s medical history, especially the history of kidney disease. Bladder Or bleeding disorders In addition, the doctor will ask about the history of injury or exercise thatuseIs very serious, including symptoms such as frequent urination or side pain, etc.
The doctor will then perform a physical examination of the suspected area, such as the stomach or back, to look for pain or tenderness of the bladder and kidneys. Or rectal examination (Digital Rectal Exam) is an examination of the prostate by using a finger through the anus. And internal examination (Pelvic Exam) is an examination of the vagina for women to look for possible causes of urination.blood
In addition, your doctor may perform additional tests to determine the underlying cause, such as
- Urine test A patient’s urine sample is taken for diagnosis by microscopy to look at red blood cells or examining urinary tract infections. But for female patients who are having menstruation Which may lead to blood in urine The doctor may have the patient repeat the examination during the absence of menstruation.
- Blood test Creatinine levels in the blood can be examined, which is an indicator of kidney function. If you have high creatinine levels in your blood, that could mean kidney disease. Blood tests may also help detect immune diseases like lupus, as well as other diseases such as markers. Point to prostate cancer Which causes bloody urine
- Kidney Biopsy It is the use of kidney tissue for laboratory examination. To help diagnose bloody urine caused by kidney disease.
- Diagnosis by looking at images of internal organs Such as ultrasound, computed tomography (CT scan), X-rays, and magnetic resonance imaging (MRI).
- Using a cystoscopy This helps the doctor to more clearly determine the disease that occurs with the urethra or bladder.
For patients who have not yet been able to determine the cause of the bloody urine in the initial examination. The doctor may make regular appointments. Especially with patients with risk factors for bladder cancer, such as those who smoke. Being in an environment exposed to toxic substances Or have a history of receiving radiation therapy
Bloody urine retention
Because there is no specific treatment for bloody urine. Doctors therefore focus on symptomatic treatment, for example antibiotics to treat urinary tract infections. Using drugs to treat an enlarged prostate Or the destruction of kidney stones or bladder stones with shock waves (Shock Wave Therapy), but if it is not a severe cause, treatment is not required.
Examples of treatments that cause bloody urine
- Injury to the kidneys or urinary tract Treatment will depend on the type and severity of the injury received. If the injury is very severeMay haveThe need for surgery
- Tumors in the bladder or kidneys Treatment must be based on the stage of symptoms and other factors such as age, overall health and the patient’s needs. The types of treatment are surgery, chemotherapy, radiation therapy, or immunotherapy. (Immunotherapy)
- Kidney inflammation (Glomerulonephritis) Your doctor may treat it with diuretics, blood pressure medications. And adjust the diet to keep the kidneys from working hard The children with nephritis due to streptococcal infection. (Streptococcal) may use antibiotics only. Or if it is caused by an immune disorder such as lupus (Lupus), the doctor will give you an immune suppression
- Bleeding disorders Doctors will treat this type of condition. For example, hemophilia patients can be treated with injections that help in blood clotting.
For patients with bloody urine from exercise No treatment is required, butBe careful or avoid excessive exercise. And for bloody urine caused by drug use The doctor will stop using the drug and use another drug. This is up to the discretion of the doctor.
Bloody urine complications Bloody urine complications Will depend on the disease or condition that causes such as
- Urinary Tract Infections can have complications such as a return of infection. Or constricted urethra
- Enlarged prostate (Enlarged Prostate) can have complications such as urinary incontinence. Causing urinary tract infections Urinary bladder stones Or damage to the bladder
- Bladder stones can have complications such as urinary tract infection. Or a chronic abnormality of the bladder
Prevention of blood in urine
Usually it is not possible to directly prevent bloody urine. But there are ways to help reduce your risk of developing the underlying disease. With methods of prevention including
- Urinary tract infection This can be done by drinking a lot of water. Urinating immediately when pain is felt or after sex And wipe clean the urethra from front to back (For women), or avoiding female products that could cause irritation to neighboring genitals and urethra.
- Kidney stones Should drink lots of water Limit your intake of salt, protein, or oxalate-rich foods, such as spinach.
- Kidney cancer Should maintain body weight Eating healthy food Exercise regularly, quitSmoking And avoid contact with chemicals that are toxic to the body
- Bladder cancer Should quit smoking Drink plenty of water And avoid contact with chemicals that are toxic to the body