Epistemis

Blood in urine

Specialty: Nephrology and urology.

  • hematuria
  • I urinate with blood
  • red urine

Why it occurs

  • Urinary tract infection
  • Lithiasis
  • [object Object]
  • Glomerulonephritis
  • Prostatic hyperplasia

Initial workup

Sediment and urine culture; cytology, ultrasound and cystoscopy if macroscopic without infection; kidney function.

red flags

Painless macroscopic hematuria in >40 years or smoker → rule out urothelial tumor.

Standard management

  • Treat the cause — antibiotic if UTI; study if it is painless

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

Area
Nephrology and urology
Listed causes
5
Treatment options
1
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