Brief Answer:
Blood in urine is not normal, so should be evaluated further

Detailed Answer:
Hello,
Welcome to HCM,.

You are having macroscopic or gross haematuria (visible blood in urine) with pain during urination which can be found actually in multiple conditions like,

1) Urinary tract infection (acute cystitis or urethritis),
2) Stones in kidney or bladder but chances are less in your case,
3) Kidney cyst or rarely tumor in kidney,ureter,bladder etc.

Therefore,if I were your treating doctor then I will advise you to do complete work further to find out where/what is the cause of haematuria and to rule out the above causes one by one.

Ask your doctor for following investigations if haematuria is persistent.

i) Complete hemogram,kidney function tests and Urine culture and routine Microscopic (to see if any infection is there).

ii) Sonography of both kidneys and pelvic area to rule out any tumour or stone.

iii) You might require cystoscopy (endoscopy of urinary bladder) if above investigations are inconclusive.

iv) Lastly to know about kidney functions your doctor may advise you intravenous pyelography (it's a procedure to understand how the kidneys are functioning).

Please also mentioned to your doctor whether you are,

1) taking any drugs like rifampin or pyrazinamide or pain killers like NSAIDs or
2) taking food like beets or blackberry recently or since a long time as they may also cause haematuria.

So,until we find the cause of haematuria nothing much can be said, but usually it's a benign condition and subsides when the cause will also be cured.

It's better to be concerned always, but not to worry.

Meanwhile,ensure to drink more water to keep your urine dilute which will help to control hematuria.

Urine alkaliser like liquid citralka can also be taken (2 TSF thrice daily) for your burning urination.

Hope this will help you and let me know if you have more questions.

Regards,

Dr.Sandip Kabra

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