Why Choose Cedars-Sinai Marina del Rey Hospital for Hematuria Treatment?
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).
Surgical Treatment Performed at Cedars-Sinai Marina del Rey Hospital for Hematuria
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.
Drugs and Other Treatment Needed for Hematuria
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:
Gross Hematuria »
Microscopic Hematuria »
These may be symptomatic or asymptomatic and can be associated with the presence of proteins and other substances or organisms.
Symptoms of Hematuria
- There will be red, pink or brownish discoloration of the urine. (This does not indicate the quantity of blood present as even small amount of blood in urine can cause its discoloration.)
- There may be presence of blood clots in the urine.
- Pain while passing urine, increased frequency.
Diagnosis of Hematuria
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).
Risk Factors for Hematuria
There are various conditions which can lead to the presence of blood in the urine, these include:
- Family history: if any related family member is known to be suffering from kidney disease, the chances of one developing that disease is high.
- Prostate enlargement: with increased age, the prostate may enlarge and press against the urethra leading to many complications.
- Drugs: intake of drugs such as aspirin, pain killers, blood thinners can sometimes cause hematuria.
- Infections: infections such as hepatitis, streptococcal infection, even sore throat can cause kidney infections leading to hematuria.
- Stones in the urinary tract: kidney stones, stones in the ureter etc. can lead to obstruction and damage to the lining cells of the organs leading to hematuria.
- Strenuous exercise: especially in long distance runners.
Causes of Hematuria
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.
- Shepherd’s purse: this is an anti-hemorrhagic herb containing antioxidants. It prevents bleeding in the genital, urinary or gastric system
- Corn silk: when taken in the form of tea, it may prevent inflammation of the kidneys. It is also a diuretic and reduces edema.
- Marshmallow root: it reduces inflammation of the kidneys and urinary tract.
- Cranberries: it protects the urinary tract walls from organisms like E. coli.
Hematuria can be prevented by following certain measures:
- Drinking plenty of water: drinking at least 6-8 glasses of water a day prevents urinary tract infections.
- Avoiding sudden increased amount of exercise
- Diet modification: prevent excessive consumption of salt to maintain the kidneys in good condition.
- Healthy habits - avoid consumption of alcohol and exposure to tobacco. Smoking poses a great risk of developing bladder cancer.
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.