Blood In Urine In Men
Blood in the urine In Men (referred to as hematuria) is surprisingly common. Blood in your urine your doctor might call it hematuria is not something you should ignore.
It can be a sign of a serious medical condition. Tell your doctor about it; they can order tests to look for the cause.
Hematuria is just a symptom, so treatment will focus on the condition causing it. “Hematuria” is the medical term for blood in your urine.
Several different conditions and diseases can cause hematuria. These include infections, kidney disease, cancer, and rare blood disorders. The blood may be visible or in such small quantities that it can’t be seen with the naked eye.
Any blood in the urine can be a sign of a serious health problem, even if it happens only once. Ignoring hematuria can lead to the worsening of serious conditions like cancer and kidney disease, so you should talk to your doctor as soon as possible.
Your doctor can analyze your urine and order imaging tests to determine the cause of the hematuria and create a plan for treatment.
What are the types of hematuria?
There are two main types of hematuria: gross hematuria and microscopic hematuria.
If there’s enough blood in your urine that your urine appears pink or red or has spots of visible blood, you have “gross hematuria”
When you can’t see the blood because the amount is so small, you have “microscopic hematuria” Only a lab test that detects blood or looking at a sample of urine under a microscope can confirm microscopic hematuria.
Possible causes of Blood In Urine (hematuria)
There are many possible causes for hematuria. In some cases, the blood may be from a different source.
Blood can appear to be in the urine when it’s really coming from the vagina in women, the ejaculate in men, or from a bowel movement in either men or women. If the blood is truly in your urine, there are several potential causes.
Infection is one of the most common causes of hematuria. The infection could be somewhere in your urinary tract, your bladder, or your kidneys.
Infection occurs when bacteria move up the urethra, the tube that carries urine out of the body from the bladder. The infection can move into the bladder and even into the kidneys. It often causes pain and a need to urinate frequently. There may be gross or microscopic hematuria.
Another common reason for blood in the urine is the presence of stones in the bladder or kidney. These are crystals that form from the minerals in your urine. They can develop inside your kidneys or bladder.
Large stones can cause a blockage that often results in hematuria and significant pain.
In men who are middle-aged and older, a fairly common cause of hematuria is an enlarged prostate. This gland is just beneath the bladder and near the urethra.
When the prostate gets bigger, as it often does in men at middle age, it compresses the urethra. This causes problems with urinating and may prevent the bladder from emptying completely. This can result in a urinary tract infection (UTI) with blood in the urine.
A less common reason for seeing blood in the urine is kidney disease. A diseased or inflamed kidney can cause hematuria. This disease can occur on its own or as part of another disease, such as diabetes.
In children ages 6 to 10 years, the kidney disorder post-streptococcal glomerulonephritis may cause hematuria. This disorder can develop one to two weeks after an untreated strep infection. Once common, it’s rare today because antibiotics can quickly treat strep infections.
Cancer of the bladder, kidney, or prostate can cause blood in the urine. This is a symptom that often occurs in advanced cancer cases. There may not be earlier signs of a problem.
Certain medications can cause hematuria. These include:
- blood thinners like heparin and warfarin (Coumadin)
- cyclophosphamide, which is a drug used to treat certain types of cancer
Less common causes
There are a few other causes of hematuria that aren’t very common. Rare blood disorders such as sickle cell anemia, Alport syndrome, and hemophilia can cause blood in the urine.
Strenuous exercise or a blow to the kidneys can also cause blood to show up in the urine.
How is the cause of hematuria diagnosed?
If you’re seeing your doctor for hematuria, they’ll ask you about the amount of blood and when you see it during urination. They’ll want to know how often you urinate, any pain you’re experiencing, if you see blood clots, and what medications you’re taking.
Your doctor will then give you a physical examination and collect a sample of your urine for testing. The analysis of your urine can confirm the presence of blood and detect bacteria if an infection is a cause.
Your doctor may order imaging tests such as a CT scan, which uses radiation to create an image of your body.
Another possible test your doctor may want to do is a cystoscopy. This involves using a small tube to send a camera up to your urethra and into your bladder. With the camera, your doctor can examine the interior of your bladder and urethra to determine the cause of your hematuria.
When should I See To Doctor?
Since some of the causes of blood in the urine are serious, you should seek medical attention the first time you see it. You shouldn’t ignore even a small amount of blood in your urine.
Also see your healthcare provider if you don’t see blood in your urine but experience frequent, difficult, or painful urination, abdominal pain, or kidney pain. These may all be indications of microscopic hematuria.
Seek emergency help if you can’t urinate, see blood clots when you urinate or have blood in your urine along with one or more of the following:
- pain in your side, back, or abdomen
How is hematuria treated?
Treatment Of Blood In Urine
The treatment of hematuria is directed by the underlying cause. Treatment of some of the more common causes include:
- Antibiotics for UTIs, cystitis, pyelonephritis, and bacterial STDs
- BPH medications like Flomax (tamsulosin) or Proscar (finasteride)
- Discontinuation or a dose adjustment for medications that cause hematuria
- Shockwave therapy or other treatments for bladder or kidney stones
- Surgery for the severe kidney of bladder injuries
Other treatments are involved with chronic kidney disease, autoimmune disease, genetic conditions, and cancer.
It is important to note that the amount of blood in urine has no direct association with the seriousness of the disorder.
What are the complications associated with hematuria?
Some of the causes of blood in the urine are serious, so you should contact your healthcare provider if you notice this symptom.
If the symptom is due to cancer, ignoring it can lead to an advancement of the tumors to the point that treatment is difficult. Untreated infections can ultimately lead to kidney failure.
Treatment can help reduce symptoms if the cause of hematuria is an enlarged prostate. Ignoring it may lead to discomfort from needing to urinate frequently, severe pain, and even cancer.
How Can I Prevent Blood In Urine?
Preventing hematuria means preventing the underlying causes:
- To prevent infections, drink plenty of water daily, urinate immediately after sexual intercourse, and practice good hygiene.
- To stop stones, drink plenty of water and avoid excess salt and certain foods like spinach and rhubarb.
- To avoid bladder cancer, refrain from smoking, limit your exposure to chemicals, and drink plenty of water
Read Also : Simple Lifestyles to Boost Sexual Performance
Hematuria Causes and Risk Factors
You might have blood in your urine because of:
- Urinary tract or kidney infections
- Bladder or kidney stones
- Certain kidney diseases, such as inflammation in the filtering system (glomerulonephritis)
- An enlarged prostate (benign prostatic hyperplasia) or prostate cancer
- Inherited diseases such as sickle cell anemia and cystic kidney disease
- Certain medications such as aspirin, cyclophosphamide, heparin, and penicillin
- Cancer in your bladder or kidney
- A kidney injury from an accident or sports
- Vigorous exercise
Your urine could also be discolored because of red pigments from things like food dyes, medications or eating a lot of beets. Doctors sometimes call this “beeturia.” Your urine can also appear red because of muscle (rhabdomyolysis) or red blood cell (hemolysis) breakdown.
Conclusion On Blood In Urine
Blood in the urine (hematuria) is common in people with penises. Common causes include an enlarged prostate, urinary tract infections, bladder infections, kidney infections, bladder or kidney stones, bladder or kidney trauma, and certain medications. Less likely causes include chronic kidney disease, lupus, cancer, and genetic disorders like sickle cell anemia. Its diagnosed with a physical exam, a review of your medical history, and urine- and blood-based tests. Based on the suspected cause, imaging tests like ultrasound or intravenous pyelogram may be ordered. The treatment of hematuria is directed by the underlying cause.