Blood in the urine or better known as “hematuria” is a fairly common diagnosis in people, if it is not treated in time it can be complicated. Urine is our body’s way of eliminating certain wastes from the body, whether they are toxins, fat among others. This process begins with the kidneys, which are the organs responsible for removing excess fluid and waste that the blood brings and then converts them into urine. After that, urine passes through the urethra until it reaches the bladder, where it is stored until it becomes urine and is removed from the body naturally.
What is Blood in the Urine or Hematuria?
Hematuria, or blood in the urine can be visible to the naked eye or visible only with the microscopic. There are two types of Hematuria:
This type of hematuria called “microscopic hematuria” is when the blood cannot be seen with the naked eye, and must be visualized with a microscope. This disappears without even having complications or need for suffering, that is, many times with microscopic hematuria, the patient will often not find out that he suffers from this condition, unless a urine test or a urine culture is performed.
It is when the amount of blood flowing in the urine increases as much in quantity as in density, this means that the red blood cells increase to a considerable amount to give a red hue to the urine and influence it. Patients with macroscopic hematuria go to the doctor with this as the main complaint. Patients with microscopic hematuria find hematuria incidentally in a general examination. In the same way as microscopic hematuria, it is eliminated without complications, but if it is not treated or increased it can mean health problems.
Causes of Blood in the Urine:
The causes of microscopic and macroscopic hematuria are similar can result from bleeding from any part of the urinary tract. It cannot be distinguished with the naked eye between the blood originating in the kidneys, ureters, bladder or urethra.
“Any type of blood in the urine should be investigated by your doctor, even if it resolves spontaneously”.
List of Possible Causes:
- Any trauma to the urinary tract Blood problems (hematologic)
- Hereditary diseases.
- Kidney diseases
- Kidney stones or stones.
- Excess minerals such as calcium in the blood.
- Various infections, whether renal or bladder.
- Take aspirin, clopidogrel or warfarin
These are the most common reasons why a common person could have hematuria, clearly there are more, for example, in adolescents and women menstruation, which is neither an infection nor a hereditary problem, however there is blood in the urine and this it is already considered hematuria. On the other hand, sometimes performing high-performance or high-demand physical activity can cause hematuria, especially athletes who are runners, using medications that are sold without a prescription to several pain relievers. It is unlikely but not impossible for hematuria to bring complications in case of not being treated, since it has to be very intense the blood in the urine to be able to detect it without thinking that it is a problem, it is necessary to perform urine and general tests to check that everything is always in place and functioning properly, on the other hand, if not, it can become a hematological problem, that is, the blood may even be a clot lodged somewhere. In any case, hematuria may be just one more symptom of something that can lead to seeing a doctor in the same way. When you should see a doctor If you have blood in your urine, you should see your doctor immediately. If you can’t get an appointment with your doctor, go to the emergency room. If you have fiber, hematuria and pain in the renal region you should go to the emergency department immediately.
How Blood in the Urine is Diagnosed?
It is important that if you see blood in your urine at any time, go to the doctor immediately to avoid complications later, since it may be something not so important, but it is always better to be sure and if you need treatment you can do it on time and not wait for it to aggravate. When you go to the doctor either because you were diagnosed with hematuria or simply because you saw it in your urine, the doctor will ask you a couple of questions and then do a physical exam to explore a little and rule out some inflammation or something like that. At the time you are asking the questions, it will be nothing out of the ordinary or very embarrassing, but it will be routine questions, for example, if you have been doing physical activities, what type of activities you have been doing, for how long and how, but most importantly, the medical history of your paternal and maternal family, then urine test to finish. The urine test is simple and quick, they will give you a bottle and ask you to urinate there, and then you will deliver it and you are ready. If this test were to show a negative result, that is to say that you no longer suffer from hematuria (blood in the urine), it is likely that you should perform one or two more tests with approximately two weeks of difference between each one, simply to ensure that the blood cells Reds no longer exist in your urine. If you only have hematuria once, you probably don’t need any treatment and just wait. But, if the diagnosis were the opposite and the results were positive, then it will be relative. If you do not have any malignant symptoms, that is to say fever or pain until inflammations and you do not show signs of protein in the urine test, the doctor will decide to repeat the test several times over time (it can be up to months), to go doing a Track the blood and see if it still appears on the exams. In the event that the exams present a strange diagnosis and are inclined towards something more serious or you have been injured, then you should have more urine tests, this time a “urine culture” or urine culture until an MRI or a CT scan.
If necessary, your doctor may ask for a sample of the tissues of the kidneys, performing a biopsy to send for analysis or you could also choose to inspect the inside of the body, that is, the organs with clinical instruments to rule out any disease. The tests that your doctor can ask you to find the rate are tomography, cytoscopy and urinary cytology.
The Treatment of Blood in the Urine Depends on the Cause:
The management of a patient with blood in the urine depends on the cause. First you doctor must find the problem that causes blood in the urine to start treatment. There are several cases in which treatment is required to combat hematuria, however they are less likely to be necessary, since most of the time it is less complicated and dangerous than is believed. But you should never trust yourself, when hematuria or blood in the urine comes from a urinary infection or has bacteria in the blood or urine, doctors will want to treat you with antibiotics so that infection is eliminated and with this also bacteria. In the event that hematuria may be a sign of something that seems more serious such as anemia, then doctors will want to treat the same way with greater caution. In the case of receiving a treatment (if necessary), it is very likely that doctors want to follow up or a series of reviews to conclude it, but do not panic, it is only to be sure that the urine has returned to normal and has left red blood cells behind. In the event that the blood in the urine is constant or occurs repeatedly and you do not have symptoms that are associated with any disease or pathology such as those mentioned above, then it will be necessary to perform several urine tests constantly without neglecting Physical examinations and exams every month proposed by the doctor according to the severity of the hematuria, for at least one year and then only once every year as a precautionary point and thus avoid long-term complications. If you continue with hematuria or have other symptoms, then go to the doctor again, it is better to be safe than sorry, as the saying goes, in this case, then your GP will decide to perform urine tests again to find the answer to bleeding. It is important that you know that although bleeding in the urine (hematuria) is quite common in people, you should not trust or stop going to the doctor, since although it is “normal” on certain occasions, you never know when you can present any other complication and your body is manifesting in this way as an alert mode. In any case, doctors will always know what to do and find the answer, it is true, it can be a bit tedious sometimes and even annoying to have to go to the doctor every so often, but it is the only way you can be sure that you are completely healthy and you have nothing that you could regret later, that is why in the end there is medicine, to find the answers that our body sometimes asks for and we do not know how to listen to it.
In the case of being so and in need of medical assistance, you can always go to a general doctor who can answer your questions and will refer the case to a specialist if necessary, without neglecting that he will also ask for exams. On the other hand, you can also go to a gynecologist if you are a woman, since many times you may be presenting your first menstruation and it is time for you to go to start a routine check or you can simply go to the nephrologist (doctor who sees the diseases of high-potency kidneys and urinary infections such as pyelonephritis) and he can also help you.