Hematuria: Definition, Symptoms, and Examples in Health

Last Updated Apr 14, 2025

Hematuria is a medical condition characterized by the presence of blood in the urine, often signaling underlying health issues. This symptom can indicate infections, kidney stones, or more serious conditions such as bladder or kidney cancer. Identifying hematuria early through urinalysis helps healthcare providers diagnose and treat the root cause effectively. Microscopic hematuria, detected only under a microscope, differs from gross hematuria, where blood is visible to the naked eye. Common entities associated with hematuria include urinary tract infections, glomerulonephritis, and trauma to the urinary tract. Data from clinical studies reveal that prompt investigation of hematuria improves patient outcomes by enabling timely intervention and management of associated diseases.

Table of Comparison

Example of Hematuria Description Possible Causes Associated Symptoms
Gross Hematuria Visible blood in urine, causing pink, red, or cola-colored urine Urinary tract infection, kidney stones, trauma, bladder cancer Painful urination, frequent urination, abdominal pain
Microscopic Hematuria Blood in urine not visible to naked eye, detected only by microscopy Glomerulonephritis, exercise-induced hematuria, early urinary tract disease Usually asymptomatic, sometimes mild pain or discomfort
Transient Hematuria Temporary presence of blood in urine that resolves spontaneously Strenuous exercise, minor urinary tract trauma, fever No other symptoms or mild discomfort
Persistent Hematuria Continuous presence of blood in urine over time Chronic urinary tract infections, malignancies, renal diseases Fatigue, weight loss, persistent pain

Common Presentations of Hematuria

Hematuria commonly presents with visible red or brown discoloration of urine, often accompanied by urinary frequency and dysuria. Patients may report flank pain or a burning sensation during urination, indicating possible underlying infections or stones. In some cases, microscopic hematuria is detected incidentally during routine urinalysis without overt symptoms.

Visible vs. Microscopic Hematuria: Key Differences

Visible hematuria presents as blood in the urine noticeable to the naked eye, often causing a reddish or cola-colored appearance, while microscopic hematuria requires urine analysis to detect red blood cells. Visible hematuria typically indicates underlying conditions such as urinary tract infections, kidney stones, or trauma, whereas microscopic hematuria may be linked to early-stage kidney disease or benign causes. Understanding these key differences aids in timely diagnosis and appropriate treatment plans for patients.

Hematuria Associated with Urinary Tract Infections

Hematuria associated with urinary tract infections often presents as red or cola-colored urine due to the presence of red blood cells. This symptom typically accompanies dysuria, frequency, and urgency, indicating inflammation of the urinary tract. Early detection and treatment of UTIs are crucial to prevent complications such as pyelonephritis and kidney damage.

Hematuria in Kidney Stones: Symptoms to Watch

Hematuria in kidney stones often presents as visible blood in the urine, indicating urinary tract irritation or obstruction. Accompanying symptoms include sharp flank pain, frequent urination, and discomfort during urination. Early detection of hematuria is crucial for diagnosing kidney stones and preventing complications such as infection or kidney damage.

Hematuria as a Symptom of Bladder Cancer

Hematuria, the presence of blood in urine, is a common symptom of bladder cancer and often appears as painless gross hematuria. Microscopic hematuria may also be detected during routine urine tests, prompting further diagnostic evaluation such as cystoscopy and imaging studies. Early identification of hematuria is critical for timely bladder cancer diagnosis and improved patient outcomes.

Exercise-Induced Hematuria: Causes and Concerns

Exercise-induced hematuria is characterized by the presence of blood in the urine following vigorous physical activity, often resulting from repetitive impact or trauma to the urinary tract. Common causes include intense running, contact sports, or strenuous exercise that can cause temporary bladder or kidney irritation without underlying pathology. Although generally benign and self-limiting, persistent hematuria after exercise warrants medical evaluation to rule out infections, kidney stones, or more serious renal conditions.

Hematuria Linked to Glomerulonephritis

Hematuria, characterized by the presence of blood in urine, is a key symptom of glomerulonephritis, an inflammatory condition affecting the kidney's glomeruli. This disorder often leads to microscopic or gross hematuria alongside proteinuria and impaired renal function, indicating glomerular damage. Early detection of hematuria in glomerulonephritis patients is crucial for timely intervention and preventing chronic kidney disease progression.

Trauma-Related Hematuria Symptoms

Trauma-related hematuria often presents with visible blood in the urine following blunt or penetrating injuries to the kidneys, bladder, or urethra. Common symptoms include flank pain, abdominal tenderness, and signs of shock if bleeding is severe, necessitating prompt diagnostic imaging such as CT scans to assess internal damage. Early identification of trauma-induced hematuria is critical for preventing complications like hemorrhagic shock or renal impairment.

Hematuria and Prostate Disorders in Men

Hematuria, the presence of blood in urine, is a common symptom often linked to prostate disorders in men, including benign prostatic hyperplasia (BPH) and prostate cancer. Prostate enlargement or malignancy can cause irritation and damage to the urinary tract, resulting in visible or microscopic hematuria. Timely diagnosis through urine analysis and prostate-specific antigen (PSA) testing is essential for managing underlying prostate conditions and preventing complications.

Pediatric Causes of Hematuria: What to Consider

Pediatric hematuria often arises from urinary tract infections, glomerulonephritis, or trauma, requiring prompt evaluation to determine underlying causes. Structural abnormalities such as congenital anomalies or kidney stones also contribute significantly to hematuria in children. Thorough history, physical examination, and urinalysis are essential for accurate diagnosis and management of pediatric hematuria.

Hematuria: Definition, Symptoms, and Examples in Health

example of hematuria in symptom Infographic



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