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

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?

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.

Popular Questions & Answers

As per my blood and urine report it says pseudomonas aeruginosa doctor has advised me to take norflox 400 mg twice a day and I have wound small ucler on the bottom of the penis. I'm applying cipladine. Will it recover in two weeks and my doctor told me do ct scan and is it required? Pls let me know.

MBBS, MS- General Surgery, FMAS, Fellowship In Diabetic Foot Management
General Surgeon, Jamnagar
Penile ulcer may be in many condition and it can be diagnosed by surgeon only, go to him give detail hystory and go for ultrasound of inguino scotal as well as abdominal part, for primary investigation.

When the folly catheter was changed, after ~2 hours the urine in drainage bag was somehow reddish then the catheter was removed and sylate 500 was given on a doctor's suggestion. Urine became normal. But next day again urine started getting reddish then trenaxa 500 was given, urine became normal, carried 3 days course but after 1 day again same problem.

MBBS, MS- General Surgery, FMAS, Fellowship In Diabetic Foot Management
General Surgeon, Jamnagar
According to your age you have a usg and through investigation required. If needed cystoscopy (to view inside your urinary bladder with camera) is needed. Regards.

Foul urine blood in urine frequent urine, every 20 mins burning sensation taken 3 days dose of zifi, pantop tablet but no relief.

MBBS, MS- General Surgery, MCH- Urology, Fellowship Minimal Access Surgery
Urologist, Mumbai
Get a urine routine and urine culture, sensitivity done your symptoms are suggestive of a uti do not take any antibiotic without culture/sensitivity report.

I use vigora 50 tablet after 24 hours I was found blood in my urine then I go to the Dr. but now I am relax can I use vigora in life another time.

M. Ch. (Urology), MS General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Urologist, Nashik
Dear lybrate-user, viagra 50 mg normally does not lead to per-urethral (penile) bleeding. Its usually a result of some urethral or bladder pathology. A detailed clinical history, ultrasound examination and urine routine test can help shed some lig...
7 people found this helpful

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.

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