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What Causes Gross Hematuria?

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Posted on Thu, 8 Jun 2017
Question: Good evening, i have gross hematuria that started 6 days ago. I immediately started drinking 60-80 oz of water a day and started taking AZO Cranberry. The symptom subsided temporarily. Today i urinated a very small amount of blood early in the day but this evening i urinated pure red blood. Should i get my affairs in order?
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (39 minutes later)
Brief Answer:
Gross hematuria

Detailed Answer:
Hello XXXX,

You don't need to get your affairs in order but you do need to go in to be seen - the sooner the better.

Gross hematuria in a male can be from several different benign causes but can also be due to malignancy, which you are already aware of.

Anything that causes irritation in or infection of the genitourinary tract can cause gross hematuria. This includes stones anywhere from the kidneys on out. Stones are usually felt, but not always.

Infection of the prostate, bladder, or upper urinary tract can cause bleeding.

Some medications can do this.

Abnormal blood vessels (usually in the kidneys) or malformations, or autoimmune disorders can cause bleeding too.

Growths in the genital or urinary tract can of course cause bleeding, some are benign, some malignant.

The thing to do is go in to the urgent care clinic (or ER - depending on what's open in your area) tonight and they will have you give a urine sample. While you are there they can do a "dip urine" test to see if there are signs of infection. The urine should be sent to the lab for a full urinalysis and if an infection is present, also a culture and antibiotic sensitivity test.

They may also do a regular X-ray ("KUB" for kidneys, ureters, bladder) which can show stones if calcium based, and sometimes other abnormalities.

Depending on what all of these things show (an exam, including a digital rectal exam of your prostate should be include), the next step may be an antibiotic, an ultrasound or CT/MRI or a consult with a nephrologist.

So - get on this and get is sorted out as soon as possible.

I hope this information helps. Please let me know if I can provide further information.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (13 hours later)
Thank you, i will try to get to Emergency medical services as soon as possible, very difficult without any Health insurance.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (3 hours later)
Brief Answer:
Information

Detailed Answer:
Oh, I am sorry about the insurance situation.

Often I try to patch together things people without medical insurance can do from home, but in this situation it really is imperative to get checked out as soon as possible.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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What Causes Gross Hematuria?

Brief Answer: Gross hematuria Detailed Answer: Hello XXXX, You don't need to get your affairs in order but you do need to go in to be seen - the sooner the better. Gross hematuria in a male can be from several different benign causes but can also be due to malignancy, which you are already aware of. Anything that causes irritation in or infection of the genitourinary tract can cause gross hematuria. This includes stones anywhere from the kidneys on out. Stones are usually felt, but not always. Infection of the prostate, bladder, or upper urinary tract can cause bleeding. Some medications can do this. Abnormal blood vessels (usually in the kidneys) or malformations, or autoimmune disorders can cause bleeding too. Growths in the genital or urinary tract can of course cause bleeding, some are benign, some malignant. The thing to do is go in to the urgent care clinic (or ER - depending on what's open in your area) tonight and they will have you give a urine sample. While you are there they can do a "dip urine" test to see if there are signs of infection. The urine should be sent to the lab for a full urinalysis and if an infection is present, also a culture and antibiotic sensitivity test. They may also do a regular X-ray ("KUB" for kidneys, ureters, bladder) which can show stones if calcium based, and sometimes other abnormalities. Depending on what all of these things show (an exam, including a digital rectal exam of your prostate should be include), the next step may be an antibiotic, an ultrasound or CT/MRI or a consult with a nephrologist. So - get on this and get is sorted out as soon as possible. I hope this information helps. Please let me know if I can provide further information.