Blood in Urine (Haematuria)

Harley Street, London

Noticing blood in your urine, medically known as haematuria, can be a distressing experience. This condition can manifest as a change in urine colour, often turning it pink, red, or brown. While it can be alarming, it is important to recognise that haematuria is frequently not indicative of a serious health issue.

Haematuria can be classified into two types: visible and microscopic. Visible haematuria is when blood can be seen in the urine, which may be accompanied by other symptoms such as pain or discomfort. In contrast, microscopic haematuria refers to small amounts of blood that are not visible to the naked eye but can be detected through laboratory tests, often during routine urinalysis. Mr. Raison emphasises that regardless of the type, any instance of blood in urine should prompt a visit to your doctor for further evaluation and testing.

The causes of haematuria can vary widely including:

  • Urinary tract infections (UTIs),
  • Kidney stones
  • Bladder cancer
  • Kidney cancer.
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UTIs are common and can lead to inflammation and bleeding in the urinary tract. Kidney stones, which are hard deposits that form in the kidneys, can cause bleeding as they pass through the urinary tract, often accompanied by severe pain. The most common early sign of bladder or kidney cancer is blood in the urine, usually without any other symptoms. About 1 in 5 adults with visible blood in their urine may be found to have bladder cancer, although the majority do not have cancer.

Treatment

When you consult Mr. Raison, he will begin by taking a detailed medical history and may perform a physical examination. He will likely order a series of tests, including a urinalysis to check for infection, blood tests, and imaging studies such as X-rays, MRI, or CT scans to assess the kidneys and bladder. A cystoscopy may also be performed, which involves using a thin telescope to look directly into the bladder. This procedure is typically done under local anaesthetic and allows for a thorough examination of the bladder lining.

The treatment for haematuria will depend on the underlying cause. For instance, urinary tract infections are usually treated with antibiotics, while kidney stones may require pain management and, in some cases, surgical intervention. If no cause can be identified, Mr. Raison advises patients to remain vigilant and report any further bleeding or changes in symptoms to their GP, as ongoing monitoring may be necessary.

In summary, while blood in urine can be a distressing symptom, it is often manageable with the right medical guidance. Mr. Raison encourages individuals to take any instance of haematuria seriously and to consult a healthcare professional for a thorough assessment. Understanding your symptoms and seeking timely medical advice is vital for maintaining your health and well-being. Remember, early diagnosis and intervention can significantly improve outcomes for various conditions associated with haematuria.

Mr Raison is available for private urology consultations, treatments, and surgical procedures at The London Clinic, Harley Street.