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The highly skilled, well-trained urologists at Cedars-Sinai Marina del Rey Hospital evaluate patients with hematuria and advise specific treatment plans. There are several approaches to treat hematuria. The treatment that suits your condition best is chosen.
Hematuria is not a disease but it is a sign of an underlying abnormality. It is a condition where blood is present in an individual’s urine. This can occur due to vigorous exercise, menstrual cycle, injuries, infection in the bladder or kidneys. Viral infections of the liver such as hepatitis can also lead to this condition.
Other conditions which may cause hematuria and are troublesome may be due to cancer of kidney or bladder, genetic disorders such as cystic kidney disease (kidney shows presence of abnormal blisters or swellings, hemophilia (the blood does not clot or takes abnormally long time to clot), sickle cell anemia (red blood cells lose their normal shape).
Surgery may be required if there is any obstruction in between the ureter and pelvis (ureteropelvic) junction, tumor or kidney stones.
A reference to the urologist will be made if there is presence of any cancerous growth, obstruction or any abnormality in the organs of the urinary or genital system. An additional consultation should be made if this condition is caused by sickle cell disease, disorders in the clotting of blood or other disorders.
If the condition is serious then treatment will be concentrated towards correcting the causative agent.
If hematuria is the only condition present (isolated hematuria), it does not require medical care, but if there is any abnormality in the laboratory reports or there is presence of any other condition along with hematuria, you need to seek medical attention.
Hematuria is subdivided into the following types based on the abnormalities present:
These may be symptomatic or asymptomatic and can be associated with the presence of proteins and other substances or organisms.
The doctor will ask about the onset, frequency and anything related to the passage of urine and its appearance. Questions regarding previous illness, injury, menstrual history and medical procedures can also be asked. The doctor may also check the prostate gland in men.
Tests such as urine test, blood test (to estimate the function of kidney, to detect presence of any autoimmune disorder), CT scan (to detect the presence of any obstruction, stones, injuries or swelling in the urinary tract) may be done. The urologist may perform a cystoscopy where a tube-like instrument known as cystoscope is used to visualize the ureter and the bladder (to detect the presence of cancerous swelling), kidney biopsy where a piece of kidney is taken for pathological studies (to find out if any kidney disease is causing hematuria), MRI (to view internal organs like bladder and kidney).
There are various conditions which can lead to the presence of blood in the urine, these include:
Infection of the bladder, prostate or other viral infections, such as hepatitis, can cause hematuria. Injuries, vigorous exercise, menstrual blood mixing and sexual activity can lead to hematuria. Other conditions such as endometriosis, cancer of the bladder or kidney, bleeding disorder, kidney cysts and sickle cell anemia may also be associated with hematuria.
Herbal remedies: there are some herbs which can be used to treat some of the causes of hematuria but it’s better to consult the doctor as these may have side effects or may interact with ongoing medications.
Hematuria can be prevented by following certain measures:
Are you suffering from hematuria? For any questions, information or guidance related to hematuria treatment, get in touch with our specialty-trained, skilled physicians at Cedars-Sinai Marina del Rey Hospital.
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