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Blood In Urine (Hematuria) Treatment in Atlanta

What Is Hematuria?

Hematuria is the medical term for the presence of blood cells in urine. It can appear in different forms and is categorized as gross, microscopic, or dipstick hematuria:

  • Gross Hematuria: Visible blood in the urine that can turn it a pink, red, or brownish color.
  • Microscopic Hematuria: Blood present in urine but only detectable under a microscope.
  • Dipstick Hematuria: Detected by a urine test strip that changes color due to oxidation. This doesn't always mean that blood is present, as dipstick tests can sometimes give false positives.

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Treatment for Blood In Urine

Treatment for hematuria depends on the underlying cause. Your healthcare provider will develop a treatment plan based on your medical history, exam, and test results. Common treatments include:
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Antibiotics

Used to treat infections such as UTIs or kidney infections.
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Medications for Enlarged Prostate

Alpha-blockers or 5-alpha-reductase inhibitors can help treat benign prostatic hyperplasia (BPH).
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Cancer Treatments

Depending on the stage and type of cancer, treatment may involve surgery, radiation, chemotherapy, or immunotherapy.
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Kidney Disease Treatments

Medications like diuretics, blood pressure medications, or dialysis may be used depending on the severity of the condition.

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Surgical Intervention

Surgery may be necessary for conditions like large kidney stones, severe prostate enlargement, or cancer.

Symptoms of Hematuria

While the presence of blood in urine doesn't always indicate a serious condition, it can be a sign of an underlying health issue that requires medical attention.In many cases, hematuria is asymptomatic, meaning there are no noticeable symptoms apart from blood in the urine. However, if symptoms are present, they may include:
Frequent need to urinate
Pain during urination
Nausea or vomiting
Fever or chills
Pain in the lower abdomen or back
Urgent need to urinate
Burning during urination

Causes of Hematuria

Blood in urine can be caused by a variety of conditions, ranging from infections to more serious health concerns. Common causes include:

  • Pyelonephritis: A kidney infection that can cause blood in urine.
  • Cystitis: Inflammation of the bladder, which may have infectious or non-infectious causes.
  • Urinary Stones: Kidney, bladder, or ureter stones can cause bleeding as they move through the urinary tract.
  • Enlarged Prostate (BPH): A non-cancerous condition where the prostate enlarges, potentially leading to blood in the urine.
  • Urinary Tract Infection (UTI): Infection anywhere in your urinary system.
  • Trauma: Injury to the urinary tract from accidents or physical trauma.
  • Menstruation: In women, menstrual blood can sometimes be mistaken for blood in urine.
  • Endometriosis: A condition where tissue similar to the uterine lining grows outside the uterus.
  • Kidney Disease: Chronic kidney conditions can impair function and lead to hematuria.
  • Sickle Cell Disease: This genetic condition can affect red blood cells, causing them to break down and appear in urine.

More serious causes of hematuria include cancers such as:

  • Bladder cancer
  • Kidney cancer
  • Ureteral cancer
  • Urethral cancer
  • Prostate cancer

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How Common is Blood in Urine?

Blood in the urine is a relatively common finding, affecting an estimated 2% to 30% of adults in the U.S. Although it may not always indicate a serious problem, hematuria should never be ignored, as it can be a sign of an underlying health issue.
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Risk Factors for Blood in Urine

Certain factors can increase your risk of developing hematuria, including:

  • Existing urinary system diseases or anatomical abnormalities
  • Family history of urological conditions
  • Taking medications like blood thinners or pain relievers
  • Smoking or exposure to harmful chemicals
  • Long-distance running or strenuous physical activity
  • Staying properly hydrated and maintaining a healthy lifestyle can help reduce your risk.

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Complications of Untreated Hematuria

Ignoring blood in your urine could lead to complications, especially if the cause is serious, such as kidney disease or cancer. Early detection and treatment are key to preventing further complications and ensuring better health outcomes.
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How Is Hematuria Diagnosed?

To diagnose the cause of hematuria, your healthcare provider will perform a thorough evaluation that includes your medical history, a physical exam, and various diagnostic tests, such as:

  • Urinalysis: A test to detect blood, protein, and other abnormalities in your urine.
  • Urine Culture: Used to check for infections.
  • Urine Cytology: Checks for abnormal cells in the urine.
  • Cystoscopy: A procedure where a small camera is inserted into the urethra and bladder to inspect the urinary tract.
  • Ultrasound: Imaging that uses sound waves to view the kidneys, bladder, and ureters.
  • CT Scan or MRI: Detailed imaging tests to detect abnormalities or tumors in the urinary system.

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