Blood in the urine deserves a proper look.

A structured work-up that finds the cause and replaces worry with a clear plan.

Understanding haematuria

Haematuria means blood in the urine. It may be visible (pink, red or brown urine) or found only on a urine test. It can be painless, and it can come and go.

Common causes include infection, stones and prostate enlargement, but sometimes it points to something that needs closer attention. Because you cannot tell the cause from the colour alone, it should always be checked, even if it stops by itself.

How we work it up

A logical sequence, so nothing important is missed.

1

History and examination

Your symptoms, medicines and risk factors, with a focused examination.

2

Urine tests

To check for infection and confirm the blood, and to look at the urine itself.

3

Imaging

Ultrasound or CT as appropriate, to look at the kidneys, ureters and bladder.

4

Cystoscopy where indicated

A thin camera examination of the bladder, explained fully beforehand.

Your care pathway

Consult

Detailed history and examination.

Test

Urine tests and the right imaging for you.

Diagnose

The cause identified and explained clearly.

Treat

A plan for treatment and follow-up.

Common questions

The blood stopped. Do I still need to be seen?

Yes. Bleeding can stop and return, and the underlying cause may still be present. A check is advised even if it was a single episode.

Is painless blood in the urine less serious?

Not necessarily. Pain is not a reliable guide, so painless bleeding should be assessed just as carefully.

What is cystoscopy?

A thin camera is passed into the bladder to look at its lining. Your doctor will explain what to expect, and whether it is needed in your case.

Urgent warning signs

Heavy bleeding, clots, being unable to pass urine, or bleeding with fever or severe pain needs urgent care. Please go to the emergency department.

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Ready for the next step?

Do not wait and wonder. Book a consultation with Dr. Fazal Abbas and get answers.