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Diagnosis and Testing

Diagnosing hematuria is a critical step in treating it. Since this medical condition can be caused by a variety of factors, knowing the root cause of the problem is important for you to be able to obtain the necessary treatment.

Read on to learn more about the ways to test for the root causes of hematuria.

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Diagnostic & Testing Methods for Hematuria (Blood in Urine)

The following tests and diagnostic methods are often used:

  • Assessment of medical history
  • Physical examination
  • Urine tests or urinalysis – Even if your microscopic hematuria was discovered through urinalysis, you may still be asked to have another urine test to find out if there is still blood in your urine. Through urinalysis, your doctor will also find out if you have UTI or there are minerals that may eventually form into kidney stones.
  • Imaging tests – An ultrasound, CT scan or MRI are often required to determine the cause of hematuria.
  • Cystoscopy – This procedure involves a narrow tube with a camera that is used to examine your urethra and bladder.

There are some cases where the causes of hematuria can’t be traced. When this happens, you may be required to undergo regular follow-up tests, especially if you are susceptible to bladder cancer.

man feels better with no more hematuria


When to Be Tested for Hematuria (Blood in Urine)

Hematuria (blood in urine) does not always mean that you have an underlying severe medical condition. In fact, it can be caused by intense exercise and other routine activities. However, to make sure that your hematuria is not an indication of a serious condition, it is important to seek medical attention immediately when you see it.

Regardless of the amount of blood in your urine, it is important to consult with your doctor as soon as possible to find out the root cause. If there is no visible blood in your urine but you are having frequent and painful urination, kidney pain or abdominal pain, this may be a sign of microscopic hematuria.

Finally, seek emergency medical assistance if you see blood clots in your urine coupled with one or more of these symptoms:

  • Nausea
  • Fever
  • Chills
  • Vomiting
  • Pain in the back, sides or abdomen

What to Expect When Getting Tested for Hematuria (Blood in Urine)

When being tested for hematuria, your physician will assess your medical history and the medicines or vitamins you may be taking, conduct an interview regarding the symptoms you are experiencing and perform a physical examination to check for signs of injury. For men, a digital rectal exam may also be conducted for your doctor to find out if an enlarged prostate is causing the hematuria.

You will also be asked to undergo urinalysis to check if you have a UTI or if there are minerals in your urine that make up kidney stones. Once microscopic hematuria is detected, you will be asked to repeat the urine test to make sure that the initial finding was accurate.

If the urine test also shows protein in the urine, more urine tests and blood tests may be required for your doctor to determine if the cause is kidney disease. Meanwhile, if there is no protein in blood, a blood test may still be performed to check for the kidney function, cystoscopy or imaging tests such as CT scan, ultrasound or MRI.

If the cause of the hematuria is not identified, you will be required to undergo urinalysis 1 to 2 years later. If the results turned out fine, no further testing will be necessary. On the other hand, if there is still blood in your urine, you will have to undergo the tests mentioned above once again.

At this point, you’ve probably researched your symptoms online and come to some conclusions about your condition. Maybe you’ve entered queries like “where to get hematuria treatment near me” or “urologist near me.” If this is you Advanced Urology is here for you. Call Advanced Urology today at 678-344-8900 to learn more about treatment options and make an appointment.