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Blood in Urine: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Hematuria, or blood in the urine, can be either gross (visible) or microscopic (blood cells only visible through a microscope). Gross hematuria can vary widely in appearance, from light pink to deep red with clots. Although the amount of blood in the urine may be different, the types of conditions that can cause the problem are the same, and require the same kind of workup or evaluation. People with gross hematuria will visit their doctor with this as a primary complaint. People who have microscopic hematuria, on the other hand, will be unaware of a problem and their condition will most commonly be detected as part of a periodic checkup by a primary-care physician.

Treatment depends on the cause. Depending on the condition causing your hematuria, treatment might involve taking antibiotics to clear a urinary tract infection, trying a prescription medication to shrink an enlarged prostate or having shock wave therapy to break up bladder or kidney stones. In some cases, no treatment is necessary.

Evaluating blood in urine requires consideration of the entire urinary tract. Tests used for the diagnosis of blood in urine may include a CT scan, cystoscopy, ultrasound, IVP, MRI, urine culture, and urine cytology. Management of blood in the urine depends upon the underlying cause. Be sure to follow up with your doctor after treatment to ensure there's no more blood in your urine.

How is the treatment done?

First and foremost, the doctor will take a detailed history and do a thorough physical examination. The doctor will order for urine testing to look for presence of infection, or presence of minerals in urine that can cause kidney stones. Certain blood tests may be done to look for underlying disease conditions that can cause blood in the urine.

Further tests such as intravenous pyelogram/ x-ray of the urinary tract after injection of a dye or an ultrasonography (use of high-frequency sound waves and computer processing to view your kidneys and bladder) may be done. Imaging tests such as computerized tomography (CT scan) which uses radiation and a powerful computer to create cross sectional images of the inside of the body and magnetic resonance imaging (MRI), which uses a magnetic field and radio waves instead of X-rays to produce images may be done to provide detailed images of the urinary tract.

Procedures such as endoscopy or cystoscopy (insertion of a narrow tube fitted with a miniature camera) may be done to visualize the inside the bladder. At times the workup may be negative and the cause of blood in urine is unknown. In such individuals, observation with repeated urine analysis, blood tests, blood pressure monitoring, and assessment of prostate specific antigen (in men over the age of 50) may be done.

The treatment for hematuria varies and is dependent upon the cause. Hematuria does not have a cure; rather, your doctor will treat the condition or disease causing the blood in your urine. If your doctor determines a tumor is present somewhere in the urinary tract, prostate or lower gastrointestinal (GI) tract, possible treatments may include chemotherapy, surgery or radiation therapy.

Who is not eligible for the treatment?

Blood in urine is a very common symptom with females which is known as menstruation. In that case it is natural phenomenon which needs no treatment unless any irregularity or problem is seen in the menstrual cycle.

Are there any side effects?

Information not available

What are the post-treatment guidelines?

No cause will be found for microscopic hematuria in many cases. If initial ultrasound and other investigations reveal no disease, cystoscopy for persistent asymptomatic microscopic hematuria is not warranted in patients under 40 without risk factors for bladder cancer unless gross hematuria, a significant increase in the number of red blood cells, or urinary tract symptoms develop. When no specific cause for persistent microscopic hematuria is found, perform urinalysis and measure blood pressure.1,3,4 If the hematuria persists beyond three months, consider referral to a specialist.

How long does it take to recover?

How long hematuria lasts depends on its underlying cause. For example, hematuria related to strenuous exercise typically goes away on its own within 24 to 48 hours. In general, people with exercise-related hematuria do not need any treatment other than to modify their exercise programs. Hematuria resulting from a urinary tract infection will end when the infection is cured. Hematuria related to a kidney stone will clear after the stone is passed or removed. People with drug-related hematuria will improve if they stop taking the medication that caused the problem.

What is the price of the treatment in India?

Information not available

Are the results of the treatment permanent?

If hematuria is caused as a symptom of any minor urinary tract infection, hematuria will end when the infection is cured. Hematuria related to strenuous exercise typically goes away on its own within 24 to 48 hours. Hematuria related to a kidney stone will clear after the stone is passed or removed. People with drug-related hematuria will improve if they stop taking the medication that caused the problem. But if the hematuria is the cause of any malignant tumor or prostate cancer, prolonged treatment needs to be done. So the result of hematuria will be permanent or not depends on the cause underlying it.

What are the alternatives to the treatment?

There are several home remedies for hematuria which are simple and are quite safe to use with no risk of side effects and are cost-effective. Some of the popular home remedies for hematuria which are being used since a very long time and have proved to be quite effective in many cases are:

One of the most effective home remedies for hematuria is to drink cranberry juice or take some spinach juice and mix it with coconut water. Now drink this mixture. This mixture will treat the infections in bladder by working as a diuretic.

Bitter gourd is considered to be one of the most efficient home remedies for hematuria. All you need to do is consume bitter gourd on daily basis. Or you can even try drinking its juice which is equally beneficial.

Baking soda is also very helpful in treating hematuria. All you have to do is take eight ounce of water and then add half tablespoon of baking soda in it. Mix well and drink this mixture. This home remedy will fight fungal infections and urinary tract infection. Remember to drink it on regular basis.

Boil a cup of water and then add one teaspoon of lemon juice in it. Allow this mixture to cool down a little bit and then drink it throughout the day at fixed intervals of two hours.

Consuming moderate amount of meat soup on daily basis can also be very effective in treating hematuria. Do not add any spices or oil in it.

Pomegranate juice is also very beneficial in curing hematuria. Make it a daily habit to drink this pomegranate juice to get good results.

Consume food rich in vitamin C as it will boost the immune system of the body and will increase the acidity of the urine. This will prevent the bacteria to cause further infection.

Take one glass of fresh coconut water and then add two teaspoons of fresh drumstick flower juice in it. Mix them well and drink this mixture two times in a day. This natural home remedy will help in getting rid of infections.

Take a pumpkin and mash it into a paste. Now mix it with sugar cane juice and drink immediately. This will quickly heal hematuria.

Safety: Symptom Effectiveness: Medium Timeliness: Very High Relative Risk: High Side Effects: Low Time For Recovery: Medium Price Range: Information not available

Popular Health Tips

Haematuria - Causes & Treatment Of It!

MBBS, MS - General Surgery, Mch - Urology
Urologist, Jaipur
Haematuria - Causes & Treatment Of It!

Haematuria refers to a medical condition where blood is passed out with urine. Blood can ooze out in tiny droplets or in large volume, often causing discomfort and pain.

Urine mostly has a reddish hue when you have this condition, and can be colored anything ranging from pink to a darkish brown. While in many cases this disease may be caused by trivial underlying issues, there may be major complications at work too. Hence, you should consult a doctor right away if you locate any symptoms such as abdominal pain, frequent urination, etc.

Causes of haematuria

Haematuria may be caused by factors both minor and severe. These include-

Urinary tract infection (UTI) - UTI is caused when foreign bodies like viruses or bacteria get accumulated in the urinary tract. This causes haematuria, as the kidneys may be affected leading to leakage of red blood cells into the urine.

Cancer - There are various types of cancer that may cause blood to come through the urine. These include prostate, renal and bladder cancer. This is a symptom visible during advanced stages of the cancers when treatment becomes difficult.

Kidney or gallbladder stones - This is another type of serious ailment that may cause haematuria as a symptom. The key difference from the other causal factors of haematuria is that in this case bleeding is very painful.

Traumatic injury to kidneys - A sharp hit or blunt attack to the kidneys you may sustain while falling down or a vehicle crash may cause internal injuries in the kidney and make blood show up in your urine.

Treating haematuria: What are the different approaches?

To treat haematuria, most doctors generally treat the underlying disease that is causing it as a symptom. The treatment entails-

Several types of anti-bacterial or antifungal agents are used to treat urinary tract infections. These medicines can both be prescribed by a doctor or bought over the counter.

Kidney and bladder stones may heal if you drink a lot of water. However, in very severe cases, you may need a surgical procedure called lithotripsy. Lithotripsy involves using ultrasound shock waves that break kidney stones into tiny particles and passes them out of your body.

For cancers, the extent of spread determines the treatment course recommendable. In general, chemotherapy, radiation therapy and surgery are the treatment modes used.

When the traumatic injury is the underlying factor, drugs or bandages may help, but you should also not ignore large injuries. In such cases, surgery may be required to set things right.

Haematuria is the medical name for the condition in which either small or large amounts of blood become visible in your urine. While this condition may be developing in you due to a number of reasons that may be minor, you should get yourself checked anyway.

Blood In Urine - What Does It Mean?

MBBS, MS - General Surgery, MCh - Urology
Urologist, Lucknow
Blood In Urine - What Does It Mean?

If you notice blood while urinating, you must visit a urologist to get a clear picture of the health issue. Blood in urine is known as hematuria in medical terms. Such a condition can occur in both men and women. It is a common condition and does not require the patient to panic. Rather immediate tests should be conducted to find out the cause of the blood and treated accordingly. Such conditions are very much treatable with a little care and vigilance following of the doctor’s advice. Here are some of the common causes of hematuria in individuals: 

  1. Urine Infections: Urine infections are the common cause of blood in your urine. Most commonly these affect urinary bladder and rarely kidneys also. Prompt identification and treatment can easily revert this problem. 
  2. Urinary Stones: Another major cause of hematuria, usually accompanied by pain in the abdomen. 
  3. Enlarged Prostate: With an enlarged prostate, there can be blood flow with the urine. Rarely this may be a sign of cancer in the prostate. 
  4. Exercise: This might come as a surprise for many of the fitness freaks. While exercises are needed for the body and rightly so; but exercises should be done in a certain limit. Heavy exercises, limitless and vigorous exercises can sometimes cause other health problems in the body. One such problem is the passing of blood in the urine. 
  5. Medications: Quite interesting is the fact that long-term consumption of certain medicines might cause hematuria in individuals. Certain medicines like penicillin and aspirin are absorbed by the body to a certain extent. But overdose or the regular dosage might lead to further problems in the human body. 
  6. Kidney Injury: A kidney injury is a form of internal injury which can be felt and manifested through signs and symptoms. Such injuries occur mostly to those who are in the field of sports. At times, a heavy punch, a hard training session, or an exhaustive fall might lead to kidney injuries. This, in turn, would cause hematuria. 
  7. Tumors of Urinary Tract: Bleeding can occur from tumors arising from kidney, ureter, urinary bladder as well as urethra. These require timely detection and management. Early treatment leads to an excellent long-term outcome. 

Thus, these are some of the common reasons for the development of blood in urine. However, it is a condition which can be best analyzed by the medical practitioner. Therefore, on the occasion of blood, you must get it tested and treated immediately.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2053 people found this helpful

Common Kidney Function Tests - Why They Are Done?

MBBS, MD - Internal Medicine
Nephrologist, Noida
Common Kidney Function Tests - Why They Are Done?

Are you experiencing symptoms such as blood in your urine, high blood pressure, an increased urge for urination, difficulty in urination or painful urination? These clearly indicate some problems or disorders with your kidneys. A kidney function test is a diagnostic test, which is carried out for detection of kidney problems. After proper diagnosis, treatment methods are considered.

Types of kidney function test
There are several types of kidney function test, which can be suggested by a doctor as these help in the estimation of the glomerular filtration rate or GFR. The GFR determines how fast the kidneys are eliminating waste materials.

  1. Urinalysis: This test is carried out for detection of the amount of protein and blood in urine. Protein may be found in the urine for several reasons, but all of them are not related to kidney diseases. This test is repeated after some weeks to notice the differences in result.
  2. Serum creatinine test: This blood test is used for examining whether creatinine is developing in the blood. The kidneys filter creatinine from the blood completely, and high creatinine levels indicate some kidney problem.
  3. Blood urea nitrogen or BUN test: This test checks the amount of waste products along with the amount of nitrogen in the blood. Nitrogen is obtained after the breakdown of proteins. Several common medicines, including some antibiotics, may increase the blood urea nitrogen levels.
  4. Estimated glomerular filtration rate: This test is carried out for estimating how well the kidney is functioning in the filtration of waste. The rate is determined by examining factors such as test results, age, gender, height and weight.

How are the tests obtained?

  • A kidney function test requires a fresh urine sample and a blood test.
  • A 24-hour urine sample helps in the determination of the amount of creatinine expelled by the body in a single day. Except morning, you should urinate in a special container given by your health provider. You must keep the container capped and refrigerated during the process of collection. You should label the containers properly.
  • Blood samples are also required for undergoing BUN and serum creatinine tests. An elastic band will be tied to your upper arm, and a hollow needle gets inserted into your skin into the vein. The collected blood is sent to the laboratory for testing and analysis.

Kidney Ultrasound :  Is a noninvasive diagnostic exam that produces images, which are used to assess the size, shape, and location of the kidneys. Ultrasound may also be used to assess blood flow to the kidneys. This ultrasound should be done every year to check the health status of the kidney during the full body check up. Ultrasound can detect cysts, tumors, abscesses, obstructions, fluid collection, and infection within or around the kidneys. Stones of the kidney and ureters may be detected by ultrasound.

In case you see any symptom, which indicates some kind of a kidney problem, you must consult a doctor immediately, who will prescribe you the necessary kidney function test required to be carried out. In case you have a concern or query you can always consult an expert & get answers to your questions!

1901 people found this helpful

Blood In Urine - Is It Actually Serious?

Urologist, Gurgaon
Blood In Urine - Is It Actually Serious?

Most people would panic on seeing slightly red urine being passed. A common urologic condition, this happens because blood cells are leaking into the urine. There are multiple reasons which can cause it, and not all of them are major causes for concern.

Read on to know more about some common causes, and how to manage this.

  1. Urinary tract infections: There could be an infection of the entire urinary tract including the kidneys, the ureters, the bladder, and the urethra. In addition to blood in the urine, there could also be an urge to urinate, pain with urination, fever, and flank pain.
  2. Enlarged or infected prostate: The prostate naturally enlarges with age and can obstruct the urethra, causing pain and blood in the urine. There is a constant urge to urinate and difficulty initiating the stream. Infection of the prostate also produces similar symptoms along with fever and pain.
  3. Kidney diseases: In addition to infections, other kidney diseases including glomerulonephritis, which can also lead to hematuria. Kidney stones, which are quite common, are also another reason, and this will be characterised by the sudden sharp pain around the flank which is very diagnostic of kidney stones. Injury to the kidneys from trauma or sports is another reason for hematuria.
  4. Cancers/tumours: Cancers in the kidney, bladder, or prostate can cause blood to appear in the urine, but this would happen once cancer has reached some advanced stage, not very early in the process.

Listed below are some risk factors for hematuria.

  1. Age: Men older than 50 are more prone to hematuria
  2. Sex: While men are more likely to have stones or prostate infections, UTIs are quite common in women below 50s.
  3. Family history: though not hereditary, if kidney stones or cancers or infections are in the family, chances of developing hematuria also goes up.
  4. Medications: Aspirin, blood thinners, NSAIDs, and some antibiotics increase the chances of hematuria.
  5. Exercise: Long distance runners are shown to be more prone to developing hematuria.

Diagnosis: In addition to a physical exam, blood tests, imaging (CT scans and/or MRI) and cystoscopy might be required to confirm the diagnosis. Identifying the cause is extremely important as treatment would depend completely on the causative agent. Though hematuria is just one of the symptom, the underlying cause could have severe adverse effects on the whole body system.

Treatment: Whether it is an infection or enlarged prostate or kidney stone or tumour, once the cause is identified treatment is customised accordingly. Antibiotics for the infections, laser treatment for the stones, etc. are recommended.

If you see your urine turning slightly pink in colour, talk to your doctor immediately. Identifying the underlying cause and treating it will help solve the problem of hematuria.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3388 people found this helpful

Frequent Urination & Burning Sensation In Women - Why Does It Happen?

Gynaecologist, Pune
Frequent Urination & Burning Sensation In Women - Why Does It Happen?

Burning urination or painful urination is also called dysuria, and it is one of the most common complaints amongst women. Another common problem is frequent urination. What are the causes of these two conditions? Are they in fact related? 

Frequent urination, in simple terms, is also sometimes called overactive bladder and it is the need to urinate more than you normally would. This can cause loss of bladder control too. You may feel extremely full even after using the toilet and the feeling is extremely uncomfortable. Medical practitioners bracket urinating every two hours or more as frequent urination.

Some of the underlying causes are

  1. A urinary tract infection or UTI is the most common cause of frequent urination. UTIs happen when bacteria enters your urinary bladder through the urethra. Men also get UTIs, but it is less common than women as the ladies have shorter urethras. This means that bacteria have less distance to travel before they can infect the urinary tract causing UTIs. UTIs in women can be prevented by proper wiping after using the toilet, which will protect the urethra from E.coli bacteria. Proper hygiene also is a deterrent, especially after intercourse.
  2. Medical conditions affecting muscles, nerves, and tissues. Weakening of nerves due to hernias in the lower back etc. can also cause an overactive bladder.
  3. Oestrogen deficiency caused due to menopause can cause an overactive bladder and a woman finds it difficult to hold the urine for long.
  4. Obesity can also place extra pressure on the bladder.

Burning sensation while urinating 

Common reasons behind it

  1. Frequent urination does not point to any gynaecological issues but burning urination is a common symptom of sexually transmitted diseases or STDs like Chlamydia and Gonorrhea which cause symptoms like pain when urinating and vaginal discharge. Burning urination usually occurs after intercourse when sexually transmitted infections are present.
  2. Burning while urination can also be caused due to UTIs and it is often accompanied by other symptoms of UTIs like painful urination or dysuria or blood in the urine.
  3. Kidney stones are solid masses of crystalized calcium or other materials that start in the kidneys but can pass through the urinary tract causing pain and discomfort.
  4. Urethral stricture is a condition when the urethra narrows and this causes burning and pain during urination in women.
  5. Urethritis is the inflammation of the urethra in women can cause burning on urination.
  6. Pelvic inflammatory disease is an infection of the reproductive organs in women and causes abdominal pain especially during urination or sex.
  7. Bladder cancer
  8. Vulvovaginitis is a common infection of the vulva and vagina, both, and it causes burning and itching while urinating and increased vaginal discharge.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4485 people found this helpful

Popular Questions & Answers

Hi, I am suffering from stomach pain and discharge of blood with urine after first sex. Is it normal or I could be pregnant? Please suggest.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
First intercourse can lead to mild bleeding. Whether pregnancy results or not one comes to know later if period is missed.

Hi, I have protected sex with my bf at 5th jan 2019. After two days means 7th jan 2019 in the morning. I looked some light bleeding with my urine. It is quite reddish. But no clod. And amount is so little. What is it? I am so tensed about it. I got my last period on 28th dec. 2018 that's means I had sex within 7 days.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Wait for next period by chance if missed do pregnancy test. If urine is blood stained (not separate bleeding) meet doctor now. If bleeding is more even if not in urine to meet doctor.

I am a CHD & DM2 patient. For last 4 days fresh blood comes out after final urine. There is no pain during urine. USG report shows there is no kidney problem but prostrate is slightly enlarged. How the blood can be stopped immediately?

MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Meerut
Urnie r/m snd urine c/s, psa should be done, drink lot of fluids and consult a surgeon or urologist for proper medicines.

I am a 18 year old girl, 5 days ago after masturbation, the next day I started experiencing pain while peeing and also sometimes drops of blood after urination. What do I do?

MBBS, MS - General Surgery, Diplomate of National board in Surgical Oncology
General Surgeon, Kolkata
Hi donot worry Drink plenty of fluids 4 to 5 litre a day Drink coconut water. A good home remedy If burning sensation persists. It suggests. Urine infection. You then need to do a urine test and take antibiotics.

I have right renal calculus about 5-6 mm in my right kidney. I took Ciprofloxacin for 7 days and nitrofurantoin twice for 5 days already. What medicine I should take? All other blood and urine test are ok. Creatine is 0.8.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
These are small stones keep drinking plenty of fluid daily around 4-5litres and take syp k-cit 15 ml thrice daily in a glass of water for, 2-3 months.

Table of Content

What is the treatment?
How is the treatment done?
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Hematuria is the presence of red blood cells in the urine. The causes of hematuria are broad, ranging from urinary tract infection to kidney stones to bladder cancer. Sometimes the cause of hematuria can be determined based on the medical history and urine testing.
Having issues? Consult a doctor for medical advice