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What Causes Blood Clots In Urine?

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Posted on Tue, 13 Sep 2016
Question: I am a 64 year old man in excellent heaith and I have blood clots in my urine
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Answered by Dr. Panagiotis Zografakis (41 minutes later)
Brief Answer:
investigation is required

Detailed Answer:
Hello,

bloot clots in the urine means that somewhere in your urinary tract there is a bleeding structure. Painless bleeding raises suspicion for tumors. Painful bleeding raises suspicion for obstruction (due to renal stones usually). In both cases the cause has to be determined.

Sometimes infections of the urinary tract may cause bleeding but blood clots are not very likely.

The investigation should start with a urinalysis and a urinary tract ultrasound scan. If the ultrasound scan is negative then further diagnostic evaluations might be required like cystoscopy, CT scan of the urinary tract and tests for the prostate. Measuring the PSA (prostatic specific antigen) may provide additional clues.

Your primary care physician should be the first to know about your problem and start the investigation. A more specialized option would be a urologist particularly if you had pain.

I hope it helps! I'll be glad to comment on your results if you'd like and any other follow-up questions you may have.

Kind Regards!
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3817 Questions

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What Causes Blood Clots In Urine?

Brief Answer: investigation is required Detailed Answer: Hello, bloot clots in the urine means that somewhere in your urinary tract there is a bleeding structure. Painless bleeding raises suspicion for tumors. Painful bleeding raises suspicion for obstruction (due to renal stones usually). In both cases the cause has to be determined. Sometimes infections of the urinary tract may cause bleeding but blood clots are not very likely. The investigation should start with a urinalysis and a urinary tract ultrasound scan. If the ultrasound scan is negative then further diagnostic evaluations might be required like cystoscopy, CT scan of the urinary tract and tests for the prostate. Measuring the PSA (prostatic specific antigen) may provide additional clues. Your primary care physician should be the first to know about your problem and start the investigation. A more specialized option would be a urologist particularly if you had pain. I hope it helps! I'll be glad to comment on your results if you'd like and any other follow-up questions you may have. Kind Regards!