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Doctor insights on: Recurrent Gross Hematuria With Clots

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Dr. Michael Michaels
640 doctors shared insights

Blood In Urine (Definition)

Hematuria is the presence of blood in the urine. When you can see the blood, it's called gross hematuria. When the blood can only be seen under a microscope it is known as microscopic hematuria. Hematuria can be caused by kidney stones, kidney infections, urinary tract infections, an enlarged prostate, cancer, certain medications, and ...Read more


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Had 2 ep. of gross hematuria since april. Had 2 cysto., 4 US, 1 plain ct, 2 cytology. All normal. Today, had blood clot. Should i worry? ( 18 yr old)

Had 2 ep. of gross hematuria since april. Had 2 cysto., 4 US, 1 plain ct, 2 cytology. All normal. Today, had blood clot. Should i worry? ( 18 yr old)

See remark: You have been through all the testing young man.I suggest you seek a second opinion.preferably if there is a large medical center such as University Hospital near by.Do you or anyone in your family has a bleeding tendency ? are you on any medications ? even aspirin
At your tender age you deserve to have an answer.
Best in health ...Read more

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26yrs, smoker, gross hematuria for 1 mo, clots,frequency & full bladder sensation. Abd & back pain episodes 2-3 times only. No fever. Stones? Cancer?

26yrs, smoker, gross hematuria for 1 mo, clots,frequency & full bladder sensation. Abd & back pain episodes 2-3 times only. No fever. Stones? Cancer?

See urologist: Cancer of the bladder while unlikely at 26 is increased in smokers and gross hematuria is one of the symptoms. You need to be seen by a urologist ASAP and remember there is no better time to stop smoking than now. Best wishes. ...Read more

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22 year old male. I've have gross hematuria for months now with some clots in the urine. I've had neg cultures, ct and cystoscope. UA had protein?

22 year old male. I've have gross hematuria for months now with some clots in the urine. I've had neg cultures, ct and cystoscope. UA had protein?

More testing: You are "spilling"'out protein and blood in your urine. A CT scan is helpful in ruling out major structural caused and large stone, the urine analysis ruled out infection, the cystoscope would evaluate for abnormalities of the bladder. Other considerations would be systemic problems such as a coagulopathy or inflammatory condition, lupus being an example. If all those tests neg, consider biopsy ...Read more

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Gross hematuria at end of urination, occasional clots at beginning of urination, no related pain during. "Tense" bladder, scrotum pain. Blood/urine samples clean. Age 28, male. Suspecting (ex medical student) prostate or bladder, tumor or lesion. Atypical

Gross hematuria at end of urination, occasional clots at beginning of urination, no related pain during. "Tense" bladder, scrotum pain. Blood/urine samples clean. Age 28, male. Suspecting (ex medical student) prostate or bladder, tumor or lesion. Atypical

Get a medical check: Bleeding in the urine in a young person is less likely related to a tumor. You should seek a visit with a good internist and let him/her run tests to rule our intrinsic renal disease(like Glomerulonephritis) or a bleeding disorder. Let us check your CBC and Platelets,PT, PTT and renal function along with Urinalysis. If you need further help contact us after you have first seen a PCP and done labs. ...Read more

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What's a possible diagnosis on recurrent, painless, gross hematuria? I've had it last month, it lasted for about 4 days. Exactly a month later it happened again. What's the outcome? I was put on antibiotics & was told to drink lots of water. I seldom dran

What's a possible diagnosis on recurrent, painless, gross hematuria? I've had it last month, it lasted for about 4 days. Exactly a month later it happened again. What's the outcome? I was put on antibiotics & was told to drink lots of water. I seldom dran

Hematuria: Painful causes: stones, infection
painless causes: renal cell carcinoma (very unlikely at 18), arteriovenous malformation of the kidney or urinary tract.
You need to see a urologist and likely have a benign cause. ...Read more

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I'm having infrequent but recurrent gross hematuria. Tests show proteinuria/mucus but no blood. All other tests normal findings. Cysto scheduled. ?

I'm having infrequent but recurrent gross hematuria. Tests show proteinuria/mucus but no blood. All other tests normal findings. Cysto scheduled. ?

Hematuria: Large intermittent blood loss as you describe can often be ascribed by open bleeding tiny blood vessels. This diagnosis would require a kidney angiogram to localize any blood leak, because they can "plug it up" in radiology. Sometimes you never catch it when it starts bleeding. This is called angiodyspasia, not uncommon. Cystoscopy will look for bladder source of bleeding. ...Read more

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Does prostatitis cause gross hematuria ?

Does prostatitis cause gross hematuria ?

Yes, but not common: Seeing gross bloody urine (gross heamturia) or few or some red bladder cell under microscope (microhematuria) is possible, but still not common for prostatitis while prostatitis has been commonly assigned to many men with some urinary symptoms such as some suprapubic discomfort, vague ache / pain in the perineum (between sac and anus), slow start of urine flow, slow urine flow, etc. ...Read more

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Could gross hematuria occur 36 hr after trauma? If is only one episode merits further evaluation?

Could gross hematuria occur 36 hr after trauma? If is only one episode merits further evaluation?

Yes, ....: Yes, you should be properly evaluated timely although at the time of 36 hours after trauma, finding something urgently important is less than that in urgent condition. So, seek attention timely. Best wish ... ...Read more

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One episode gross hematuria 2 months ago no subsequent micro or macro hematuria, with 7 micros. Cytologies negative . 69 years .Complete workup?

One episode gross hematuria 2 months ago
no subsequent micro or macro hematuria, with 7 micros. Cytologies negative . 69 years .Complete workup?

Yes: Yes need to to find the source f bleeding in gu system , ask your pcp to refer you to a urologist for tests, source and treatment. ...Read more

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Last month I had one occasion of gross hematuria, definitely not menstruating at the time. I've had nothing visible since! Im 23, what can this mean?

Last month I had one occasion of gross hematuria, definitely not menstruating at the time. I've had nothing visible since! Im 23, what can this mean?

See Doc timely ...: Gross heamturia once deserves a timely urological attention and adequate evaluation with comprehensive Hx, physicals, tests - UA, IVP or CT.IVP, etc. +/- cystoscopy. So, pack up the info on the onset, duration, progress, & the possible related symptoms over time, and bring those to Doc so to deduce possible Dx for reasonable care for you. Best wish ... ...Read more

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What can cause gross hematuria with no other symptoms?

What can cause gross hematuria with no other symptoms?

Many causes: There are many potential causes. Likely a urologist is needed to help evaluate. Cancers of the genitourinary (gu) tract need to be ruled out including kidney cancer, bladder cancer, prostate cancer (in men). Other non-cancerous causes may cause blood in the urine including kidney stones. ...Read more

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What is happening to the prostate when the patient have gross hematuria? Hpb patient.

What is happening to the prostate when the patient have gross hematuria? Hpb patient.

Here are some ...: Gross hematuria at 89, no matter what, should be thoroughly evaluated at least once with adequate imaging studies followed with cystoscopy. For imaging, US is not enough and CT.IVP is preferred if renal function is suitable. If not, US or CT without contrast can be supplemented with retrograde pyelogram - a special x-ray under fluoroscopy to see image of ureters and the hollow parts of kidneys. ...Read more

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Just urinated and had a significant color issue. it was almost purple in color. I have no idea why but definitely showing symptoms of gross hematuria?

Just urinated and had a significant color issue.  it was almost purple in color. I have no idea why but definitely showing symptoms of gross hematuria?

Cystitis: Assuming you are not using pyridium (over the counter AZO), such coloration does likely indicate hematuria.

At age 35, it is most likely due to a bladder infection (cystitis). Other causes are possible. A urinalysis at a local clinic would be a good start. ...Read more

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WBC 8.54, neutro 40%, lympho 51%, mcv 80fL. Sudden gross hematuria for 12 hrs, Urine C/S neg. are the labs ok for my 5yr kid?

WBC 8.54, neutro 40%, lympho 51%, mcv 80fL. Sudden gross hematuria for 12 hrs, Urine C/S neg. are the labs ok for my 5yr kid?

Mgt: A workup for the underlying cause can include imaging. A mass should be excluded as a cause. The anemia may be related to the event, and compared to prior values. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
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What can cause gross hematuria (blood in urine)?

Dr. James Lin Dr. Lin
1 doctor agreed:
What can cause gross hematuria (blood in urine)?

Here are: Many. Examples are tumors of urinary tract - kidneys, ureters, bladder, prostate, urethra with bladder most commonly involved, UTI-hemorrhagic cystitis, stone passage through ureter or bladder stone itself, cystitis after radiation, some nephropathy, even after vigorous running, after catheter, after various surgery in kidneys, ureters, bladder, prostate, and urethra, etc. ...Read more

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Can anyone explain to me how a renal contusion, gross hematuria, and pain happens after a physical attack?

Can anyone explain to me how a renal contusion, gross hematuria, and pain happens after a physical attack?

Here are some: The one with the described scenario can be safely monitored and followed with rest and healthy lifestyle depending on the timing after the accident. It is caused by speedy shaking-up and impact to disarrange the kidney tissues, and diagnosed with Hx, physicals, imaging studies - usually CT.IVP. So, ask Doc timely. ...Read more

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Is regular RBC 1 p/micro L in several urinalyses sign of microhematuria in a hdn patient who once had gross hematuria some days ago?

No: A few red cells are normal. Keep looking for the explanation for the previous episode. Sometimes "gross hematuria" isn't hematuria at all -- it can be anything from myoglobinuria to someone who doesn't metabolize the red pigment in beets in the diet. ...Read more

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1 occasion of gross hematuria, no symptoms, urinalysis came back negative. Age 23. Should I push for further investigation? What could be cause?

1 occasion of gross hematuria, no symptoms, urinalysis came back negative. Age 23. Should I push for further investigation? What could be cause?

Might not be urine: Ive seen many cases of women in the emergency department mistake blood in the urine with vaginal bleeding. It can be subtle. Medications like Macrobid and pyridum also commonly change the color of urine and can be confused for blood. Renal and bladder stones can also cause bleeding but usually cause pain. You might need further tests if it reccurs. ...Read more

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Gross hematuria for 6hrs. H/O bilat mild HDN & dysentery 1month ago. C/S neg. Usg ok. creatinine 0.5. no pain or fever. Why doc doesn't do cystoscopy?

Gross hematuria for 6hrs. H/O bilat mild HDN & dysentery 1month ago. C/S neg. Usg ok. creatinine 0.5. no pain or fever. Why doc doesn't do cystoscopy?

Not Routine: At age 5 yrs, cystoscopy not routinely done to evaluate hematuria. Would usually be evaluated with Ultrasound scan of kidneys and bladder. ...Read more

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1.Can exercise ck elevation over several months cause isolated dysmorphic gross hematuria? 2.Will eating more protein counter the high ck?

Confirmation: Ck elevation due to muscle damage causes urine dipstick for blood to be positive but there will not be any red cells in the urine. If one see dysmorphic red cells, that is true hematuria. This needs to be confirmed and investigated by your physician. ...Read more

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Urine test said 'few RBCs' .Also had bloody semen 2 days before this. I had gross hematuria last year & got complete check-up. What tests to get now?

Urine test said 'few RBCs' .Also had bloody semen 2 days before this. I had gross hematuria last year & got complete check-up. What tests to get now?

Here are some...: Hi! KSkinner, Please review the article on Hematuria in http://formefirst.com/hematuria.html. Thereby you should get ideas on what you can and should do now and in the future. I do believe I have answered a number of various questions related with hemospermia as well. If so, go over those first. In your current concern on few RBCs with hemospermia, they may be related depending on when & how... ...Read more

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Bone scan 3 weeks ago showed increased radiotracer upper pole right kidney. Now have gross hematuria for 3-4hrs upon waking. What could be the cause?

Bone scan 3 weeks ago showed increased radiotracer upper pole right kidney. Now have gross hematuria for 3-4hrs upon waking. What could be the cause?

Here are some ...: The finding in right kidney on bone scan is considered as an incidental finding. Now, gross hematuria occurs and you should have a thorough evaluation with CT.IVP ASAP, and followed with cystoscopy timely. Don't put it off. Best wish ... ...Read more