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Blood in Urine – Causes, Diagnosis and Expert Urological Care

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Blood in Urine Treatment in Guwahati

What Is Hematuria?

Blood in the urine, medically known as hematuria, is a symptom that should never be ignored. It may appear as pink, red or brown urine, or blood may only be detected through a urine test. Although hematuria can sometimes result from a minor condition, it may also indicate kidney stones, urinary infection, prostate problems or other urinary tract disorders.

Patients searching for Blood in Urine Treatment in Guwahati should consult a qualified urologist for proper evaluation. Identifying the underlying cause early can help prevent complications and ensure timely treatment.

Hematuria refers to the presence of red blood cells in the urine. It is generally classified into two types:

  • Gross hematuria: Blood is visible in the urine.
  • Microscopic hematuria: Blood is detected only through laboratory testing.

Visible blood in the urine may occur with or without pain. Painful hematuria is often associated with urinary infections or stones, while painless blood in the urine may require detailed investigation to rule out more serious urinary tract conditions.

Expert Care by Experienced Urologists at Hayat Hospital

Dr. Dipankar Sarma
Dr. Dipankar Sarma

MBBS, DNB (General Surgery), DrNB Urology
Dept Of Urology

Dr. Hiralal Adhikari
Dr. Hiralal Adhikari

MBBS, MS (Surgery), M.Ch (Urology & Genito Urinary Surgery)
Dept Of Urology

Dr. Dipankar Sarma, MBBS, DNB (General Surgery), DrNB (Urology), Department of Urology, specializes in the diagnosis and treatment of bladder stones, kidney stones, prostate disorders, urinary tract infections, urinary obstruction, and advanced endourological procedures. His expertise in minimally invasive urology helps patients achieve faster recovery and excellent outcomes.

Dr. Hiralal Adhikari, MBBS, MS (Surgery), M.Ch (Urology & Genito Urinary Surgery), Department of Urology, has extensive experience in managing complex urinary stone disease, bladder disorders, prostate enlargement, reconstructive urology, and advanced urological surgeries. He focuses on personalized treatment plans and long-term prevention strategies.

Common Causes of Blood in Urine

Several conditions can cause blood to appear in the urine. Common causes include:

  • Urinary tract infection
  • Kidney or bladder stones
  • Kidney inflammation or disease
  • Enlarged prostate
  • Prostate or urinary tract infection
  • Injury to the kidneys or urinary system
  • Certain medicines, including blood thinners
  • Intense physical activity in some cases
  • Tumours or cancers of the kidney, bladder or urinary tract

The exact cause cannot be confirmed by appearance alone. A urologist may recommend urine tests, blood tests and imaging to identify the source of bleeding.

Symptoms That May Occur Along With Hematuria

Blood in the urine may be accompanied by other symptoms depending on the underlying condition. These may include:

  • Burning sensation during urination
  • Frequent or urgent need to urinate
  • Pain in the lower abdomen or pelvis
  • Pain in the side, back or groin
  • Fever or chills
  • Difficulty starting urination
  • Weak urine flow
  • Blood clots in the urine
  • Nausea or vomiting

Fever with urinary symptoms, severe flank pain or difficulty passing urine requires prompt medical attention. Blood clots that block urine flow may require emergency treatment.

How Is Blood in the Urine Diagnosed?

A urologist begins with a detailed medical history and physical examination. The doctor may ask about the duration of bleeding, pain, urinary symptoms, previous stones, infections, smoking history, medicines and family history.

Depending on the findings, investigations may include:

  • Urine routine and microscopy
  • Urine culture
  • Kidney function tests
  • Complete blood count
  • Ultrasound of the kidneys and urinary bladder
  • CT scan or CT urography when required
  • Cystoscopy to examine the inside of the bladder
  • Additional tests based on the patient’s age and risk factors

A proper diagnosis is essential because treatment depends on the source and severity of the bleeding.

Blood in Urine Treatment in Guwahati

Treatment for hematuria is based on the underlying cause rather than the symptom alone. If the bleeding is due to a urinary infection, antibiotics may be prescribed after appropriate evaluation. Kidney or bladder stones may require medicines, observation, minimally invasive procedures or surgery depending on their size and location.

Patients with prostate-related bleeding may require medicines or further urological treatment. If the cause is kidney inflammation, nephrology care may also be necessary. Any suspected tumour or cancer requires timely specialist evaluation and a suitable treatment plan.

Why Early Treatment of Hematuria Matters

Even if the bleeding stops on its own, medical evaluation may still be necessary. Some urinary conditions cause intermittent bleeding, and the absence of pain does not always mean the condition is harmless.

Early consultation can help detect infections, stones, kidney disorders or other serious causes at a stage when treatment may be more manageable. Patients should avoid self-medication and should not delay evaluation if blood appears repeatedly in the urine.

When Should You Seek Emergency Care?

Seek immediate medical attention if blood in the urine is accompanied by:

  • Inability to pass urine
  • Large blood clots
  • Severe abdominal, back or flank pain
  • Fever with chills
  • Dizziness, fainting or significant weakness
  • Heavy or persistent bleeding
  • Recent major injury to the abdomen or back

These symptoms may indicate urinary obstruction, infection, significant bleeding or another condition requiring urgent treatment.

FAQ (Frequently Asked Questions)

No. Hematuria can occur due to infections, stones, prostate problems, kidney disease and several other conditions. However, unexplained or painless blood in the urine should be evaluated to rule out serious causes.

Yes. A urinary tract infection may cause blood in the urine along with burning, frequent urination, urgency, lower abdominal discomfort or fever.

Yes. A urologist can assess the urinary system and identify the cause of bleeding. Some patients may also require nephrology consultation if kidney disease is suspected.

Patients seeking Blood in Urine Hematuria Treatment in Guwahati can consult the urology specialists at Hayat Hospital, including Dr. Dipankar Sarma and Dr. Hiralal Adhikari, for diagnosis and personalised treatment.

The bleeding may stop temporarily, but the underlying condition may still be present. Medical evaluation is recommended even when the urine returns to its normal colour.