What Causes Hematuria?

Hematuria, or the presence of blood in urine, can be a distressing symptom. While it’s not always a sign of something serious, it should never be ignored. Whether the blood is visible to the naked eye (gross hematuria) or only detectable under a microscope (microscopic hematuria), it signals that something in your urinary system isn’t functioning properly.

At Lokmanya Hospital, one of the best hospitals in Pune for urology and nephrology care, we focus on early diagnosis and personalized treatment plans. Our experienced team of urologists and nephrologists works with state-of-the-art diagnostic tools to uncover the root cause of hematuria and provide targeted care.

In this blog, we’ll explain the most common causes of hematuria, answer frequently searched questions like "Why do I have blood in my urine?", "When should I worry about hematuria?", and "Can hematuria be cured?", and discuss how Lokmanya can help you take control of your urinary health.

What is Hematuria?

Hematuria is the medical term for blood in the urine. It can be classified into two types:

• Gross Hematuria: When blood is clearly visible in the urine.
• Microscopic Hematuria: When blood is present but only seen under a microscope during a urine test.

In both cases, the underlying causes can vary widely—from mild infections to serious medical conditions.

What Causes Hematuria?  

1. Urinary Tract Infections (UTIs)

One of the most common causes of hematuria, especially in women, UTIs occur when bacteria infect the urinary tract, including the bladder and urethra.
Symptoms include:

• Burning sensation while urinating
• Frequent urge to urinate
• Lower abdominal pain

The infection can irritate the lining of the urinary tract, causing blood to appear in the urine.

2. Kidney Stones

Hard mineral deposits can form in the kidneys and cause severe pain as they pass through the urinary tract. As these stones move, they may scratch the lining, leading to visible blood in the urine.
Common signs:

• Intense lower back or side pain
• Nausea or vomiting
• Painful urination

3. Bladder or Kidney Infections

Infections that reach deeper into the kidneys (pyelonephritis) or bladder can cause inflammation and bleeding. If untreated, they can lead to more severe complications.
Look for:

• Fever and chills
• Cloudy or foul-smelling urine
• Pain in the kidney area

4. Enlarged Prostate (in Men)

In older men, an enlarged prostate can press against the urethra, blocking the flow of urine and leading to hematuria. It’s often associated with conditions like Benign Prostatic Hyperplasia (BPH).

5. Vigorous Exercise

Sometimes known as “runner’s hematuria,” intense exercise—especially running—can lead to temporary blood in the urine. While generally harmless, it should be checked if it persists.

6. Trauma or Injury

A fall, accident, or sports injury that affects the kidneys, bladder, or urethra may cause bleeding into the urine. This often follows a known impact or trauma.

7. Medications

Certain medications like blood thinners (e.g., aspirin, warfarin), antibiotics (e.g., penicillin), and chemotherapy drugs can lead to hematuria as a side effect.

8. Glomerulonephritis

A type of kidney inflammation that affects the glomeruli—tiny filters in the kidney. This condition can be due to infections, autoimmune diseases, or other underlying disorders.

9. Cancer of the Urinary Tract

Hematuria can sometimes be a first sign of bladder, kidney, or prostate cancer. It is especially important to investigate if the blood is persistent and not accompanied by infection symptoms.

Diagnosis of Hematuria at Lokmanya Hospital

At Lokmanya Hospital, we offer advanced diagnostic procedures to identify the root cause of hematuria:

• Urine analysis and culture
• Ultrasound of kidneys and bladder
• CT scan or MRI for detailed imaging
• Cystoscopy (to examine the bladder)
• Blood tests for kidney function and infections

Our multidisciplinary approach ensures no underlying condition is missed.

Treatment Options for Hematuria

The treatment depends on the cause:

• UTIs: Treated with antibiotics
• Kidney Stones: May need hydration, medication, or surgical removal
• Enlarged Prostate: Medications or surgical intervention
• Cancer: Requires specialized care including surgery, chemo, or radiation

At Lokmanya, you’ll receive a customized treatment plan from some of the best nephrologists and urologists in Pune, supported by 24/7 emergency care.

Why Choose Lokmanya Hospital for Hematuria Evaluation?

Lokmanya Hospital stands as a beacon of excellence in diagnostic and urology care. We’re recognized among the best hospitals in Pune for early detection and treatment of urinary and kidney disorders. With advanced imaging technology, minimally invasive surgery options, and a highly experienced team, we ensure accurate diagnosis and effective outcomes for every patient.

From common infections to complex kidney conditions, Lokmanya Hospital is your trusted partner in urological health. We combine compassionate care with clinical precision, making us one of the best hospitals for kidney and bladder treatment in Pune.

Final Thoughts: Don’t Ignore Blood in Urine

While hematuria might seem like a minor concern, it can be the first sign of a more serious issue. Prompt diagnosis and the right treatment plan are crucial to prevent complications. If you or a loved one notice blood in your urine, don’t delay—schedule a consultation at Lokmanya Hospital today. With expert care and a reputation for excellence, we are here to ensure your health is in the best hands.

FAQs

1.Why is there blood in my urine but no pain?
This could be a sign of microscopic hematuria or even early-stage kidney disease or bladder cancer. A detailed evaluation is essential.
2. When should I worry about hematuria?
You should see a doctor if:

• Blood is visible in urine
• It persists for more than a day
• It's accompanied by fever, pain, or changes in urination

3. Can hematuria go away on its own?
If caused by strenuous exercise or a mild UTI, it may resolve on its own. But in most cases, especially if recurring, a diagnosis is needed to rule out serious issues.
4. Is hematuria always a sign of kidney disease?
No, but it can be. Kidney stones, infections, or even certain medications can cause hematuria. Kidney disease is only one of the possible causes.
5. Can stress cause blood in urine?
Not directly, but chronic stress can weaken your immune system and make you more susceptible to infections, which can lead to hematuria.