HEMATURIA

Hematuria means there's blood in your urine. Sometimes it’s obvious — your urine looks pink, red, or even cola-colored. Other times, it’s invisible to the naked eye and only shows up during a routine urine test. While it’s not always serious, hematuria should never be ignored. It’s a signal from your body that something might need attention, whether minor or more complex.

ABOUT HEMATURIA

Hematuria can come from anywhere in your urinary tract — the kidneys, ureters, bladder, or urethra. There are two main types:

  • Gross hematuria, where blood is visible in the urine.

  • Microscopic hematuria, where blood is present but only seen under a microscope.

Many things can cause hematuria. Common culprits include urinary tract infections, kidney stones, and physical trauma. Even something as simple as intense exercise or certain medications can cause temporary blood in the urine. But it can also point to more serious issues like kidney disease or urinary tract cancers — especially in older adults or people with risk factors like smoking.

In children, it's often caused by infections or minor trauma. In women, menstruation and gynecological issues can sometimes mimic hematuria, which makes accurate testing and diagnosis important.

Hematuria isn't a disease on its own — it’s a symptom. Figuring out what’s causing it is the key step in treatment and peace of mind.

DIAGNOSIS

To evaluate you for hematuria, your doctor will first take a detailed history and ask about symptoms, medications, recent activity, and any family or personal history of kidney or bladder problems. A physical examination is often performed to check for signs of infection, tenderness, or underlying issues.

Typical diagnostic steps include:

Urinalysis to confirm blood in the urine and detect signs of infection or kidney issues.

Urine culture if infection is suspected.

Blood tests to check kidney function and rule out systemic conditions.

Imaging like an ultrasound or CT scan to visualize the kidneys, bladder, and ureters.

Cystoscopy a thin tube with a camera is used to examine the bladder lining, especially if no clear cause is found.

TREATMENTS

Treatment for hematuria depends entirely on its underlying cause. If it's due to a urinary tract infection, antibiotics are usually effective. Kidney stones may require hydration, pain management, or procedures to remove them. If no cause is found and the condition is harmless, monitoring may be all that’s needed. In more serious cases like tumors or structural abnormalities, surgery or specialist care may be required. The key is treating the root issue rather than the symptom itself, which is why a proper diagnosis is so important.

EMSELLA (FDA-Cleared)

Non-Invasive Pelvic Floor Treatment
Emsella is an FDA-cleared treatment that uses high-intensity focused electromagnetic energy to stimulate deep pelvic floor muscle contractions. Each session is equivalent to doing thousands of Kegel exercises in just 30 minutes. It’s an effective, non-invasive solution for stress urinary incontinence (SUI), helping to restore muscle strength and improve bladder control. Many women experience improvement after a series of treatments, with no downtime and comfortable, fully clothed sessions.

EMFEMME 360 (FDA-Cleared)

Non-Surgical Radiofrequency Treatment
EMFEMME 360 is an FDA-cleared, non-invasive treatment that uses radiofrequency to deliver gentle heat to the vaginal and pelvic tissues. This process promotes collagen remodelling, enhances circulation, and supports tissue tone, improving both pelvic floor strength and overall vaginal health. EMFEMME 360 is ideal for women looking to address pelvic discomfort and urinary control without surgery or downtime.

Sumana Koduri, MD Urogynecology

THREE TAKEAWAYS

  1. Hematuria is a symptom, not a diagnosis don’t ignore it, even if you feel fine.
  2. Most cases aren’t dangerous, but testing helps rule out serious causes early.
  3. Prompt evaluation gives peace of mind and protects your long-term health

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