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Blood in my urine what does that mean

Close-up of a urine sample showing red discoloration

Blood in your urine, called hematuria, can appear as red or brown urine and may signal infections or serious conditions like kidney disease. While often harmless, it requires medical evaluation.

How hematuria happens

Urine contains waste products filtered from your bloodstream. When blood cells leak into urine, they turn it red or brown. This can happen anywhere along the urinary tract: kidneys, ureters, bladder, or urethra.

Main types of hematuria

Type Description Common Causes
Gross hematuria Visible blood in urine UTIs, kidney stones, trauma
Microscopic hematuria Blood only visible under microscope Exercise, medications, early kidney disease

Common causes

Urinary tract infections (UTIs) cause about half of gross hematuria cases. Kidney stones account for 5%. Less common causes include:

I once noticed pink urine after an intense cycling session. A doctor confirmed it was exercise-induced hematuria-a temporary, harmless condition.

When to see a doctor

See a doctor immediately if you have blood in urine plus:

Microscopic hematuria usually requires testing only if you have risk factors for kidney disease or cancer.

Diagnosis and treatment

Doctors diagnose hematuria through urine tests, imaging, or cystoscopy. Treatment depends on the cause:

Most cases resolve with treatment. Recurrent hematuria may require long-term monitoring.


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