Symptoms and Signs of Blood in the Urine (Hematuria)

Medical Author:
Medically Reviewed on 8/6/2021

Doctor's Notes on Blood in the Urine (Hematuria)

Blood in the urine (hematuria) has many possible causes, including certain medications (such as aspirin, heparin, and penicillin), kidney stones, kidney disease, urinary tract infections (UTIs), enlarged prostate, blood diseases, injury to the urinary tract, blood disorders such as sickle cell disease, strenuous exercise, and some cancers. Any instance of blood in the urine should be evaluated by a doctor.

Blood in the urine is a symptom of many different conditions. In some cases the blood may be visible to the naked eye and in other instances it may only be detected through microscopic examination of the urine. Blood in the urine may occur on its own or accompany other symptoms. Other symptoms that may accompany blood in the urine include painful urination, a need to urinate frequently or urgently, pus in the urine, and flank or abdominal pain.

What Is the Treatment for Blood in the Urine?

Treatment for blood in the urine is dependent upon the cause. Treatments can involve:

  • Antibiotics for infections of the urinary tract
  • Surgery to repair trauma or injury, if present
  • Medications or in some cases, surgical procedures for an enlarged prostate
  • For kidney stones, medications to control pain and to relax the muscles in the ureter, along with sound waves, ureteroscopy, or sometimes surgery for larger stones
  • Treatment of the underlying condition if the blood is related to cancers ir bleeding disorders

Must Read Articles:


Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.