Hematuria (Blood in urine)

Hematuria (Blood in Urine) Specialist in Jalandhar – Dr. Rajesh Aggarwal | Sarvodya Hospital
Hematuria (Blood in Urine)

Hematuria, or blood in the urine, is a symptom that should never be ignored. Whether it’s visible to the eye (gross hematuria) or only detected on a urine test (microscopic hematuria), it can be a sign of an underlying issue in the kidneys, bladder, prostate, or urinary tract.

At Sarvodya Hospital, under Dr. Rajesh Aggarwal, we specialize in the evaluation, diagnosis, and management of hematuria, using state-of-the-art diagnostics to identify the cause and provide appropriate treatment.

What Is Hematuria (Blood in Urine) ?

Hematuria refers to the presence of red blood cells in the urine. There are two main types:

  • Gross Hematuria – Blood is visible in the urine, turning it pink, red, or tea-colored.
  • Microscopic Hematuria – Blood is not visible but is detected through a urinalysis or urine microscopy.

Even if you don’t have pain or other symptoms, blood in the urine should always be evaluated by a urologist.

 Symptoms That May Accompany Hematuria

Depending on the underlying cause, hematuria may occur with:

  • Pain or burning with urination
  • Frequent or urgent need to urinate
  • Flank or back pain
  • Difficulty urinating
  • Fever or chills (if an infection is present)
  • No symptoms at all (common in microscopic hematuria)
Common Causes of Hematuria:

Hematuria can result from a range of urologic conditions, including:

 Urinary Tract Infections (UTIs): Bacteria can inflame the bladder or urethra, leading to bleeding.

  •  Kidney Stones: Sharp stones can irritate or injure the lining of the urinary tract.
  • Enlarged Prostate (BPH): In men, an enlarged prostate can press on the urethra and cause blood in the urine.
  •  Bladder or Kidney Infections: Can lead to inflammation and bleeding.
  •  Bladder or Kidney Cancer: One of the most serious causes of painless hematuria — especially in older adults or smokers.
  •  Trauma or Injury: Injury to the kidneys, bladder, or urethra may cause visible blood in urine.
  •  Strenuous Exercise: Vigorous exercise (especially running) can sometimes cause temporary hematuria.
  •  Certain Medications: Blood thinners, aspirin, or chemotherapy drugs may contribute to urinary bleeding.
 How Is Hematuria Diagnosed?

At Sarvodya Hospital, we perform a thorough evaluation to identify the source of bleeding and rule out serious conditions.

Diagnostic Tests May Include:

  • Urinalysis and urine culture – To detect infection or red blood cells
  • Urine cytology – To check for abnormal cells (possible cancer)
  • Imaging studies:
    • CT urogram – Detailed imaging of the kidneys, ureters, and bladder
    • Ultrasound – Especially for kidney evaluation
  • Cystoscopy – A minimally invasive procedure to look inside the bladder and urethra
Treatment:

Treatment for Hematuria

Treatment depends entirely on the underlying cause:

Cause

Treatment Options

UTI

Antibiotics

Kidney stones

Observation, medications, or minimally invasive stone removal

BPH

Medications or surgical procedures to reduce prostate size

Bladder/kidney tumors

Further testing, surgery, or oncology referral

Trauma

Supportive care or surgical repair

Medication-related

Adjust or stop contributing medications under medical guidance

In many cases, hematuria is not serious, but it is essential to rule out cancer or structural abnormalities.

 When to See a Urologist for Hematuria

You should schedule a urologic evaluation if:

  • You see visible blood in your urine
  • You have repeated microscopic hematuria
  • You have risk factors such as smoking, family history of urinary cancer, or age over 50
  • You’re experiencing urinary pain, frequency, or urgency with hematuria
Why Choose Dr Rajesh Aggarwal?

Dr. Rajesh Aggarwal, board-certified urologist, provides expert evaluation and treatment of hematuria and complex urinary tract conditions. We offer:

  • Same-week appointments
  • On-site diagnostics and cystoscopy
  • Personalized treatment plans
  • Compassionate, confidential care

Whether your symptoms are new, recurring, or previously unexplained, we’re here to help you find answers and peace of mind.

Concerned About Blood in Your Urine?

Don’t delay evaluation. Hematuria is not something to ignore — early diagnosis can prevent complications and detect serious issues early.

Frequently Asked Questions (FAQs)

 Not always, but it can be. Even painless hematuria can be a sign of bladder or kidney cancer, especially in older adults or smokers.

Schedule an appointment with a urologist as soon as possible for proper evaluation.

Dehydration can concentrate urine and make it appear darker, but true hematuria involves red blood cells in the urine and should be assessed.

The causes can differ slightly — for example, prostate issues are unique to men — but both men and women should be evaluated if they experience hematuria.