Understanding Haematuria – Haematuria is a medical term for mentioning the presence of blood in the urine. Haematuria is not a disease, but a sign of a particular disease.

Haematuria can be known from changes in urine or urine color to redness (gross hematuria). Or it could be urine remains clear but found red blood cells from the examination of urine in the laboratory (microscopic haematuria).

haematuria treatment

Diagnosis of Haematuria

As a preliminary examination, routine urine checks are necessary for the laboratory to ensure haematuria. This disorder is characterized by the discovery of red blood cells in routine urine examination. The next check is to determine the cause.

If haematuria is suspected to be caused by an infection, it is sometimes necessary to examine the urine to know for sure the bacteria that cause the infection.

If urine stones are suspected to be the cause, X-ray examination using contrast is BNO-IVP needs to be done to see whether there is a stone and the location of the stone. Also, CT scan can also be performed.

If the suspected cause is prostate enlargement, then the doctor can perform a rectal examination and ultrasound prostate to determine the size of the prostate. If suspected cancer is the cause of haematuria, CT scan of the urinary tract with contrast is necessary to determine the presence of tumor and its location.

Symptoms  of Haematuria

Gross haematuria causes urine to change color to redness or tanned because of the large red blood cells in the urine, but in microscopic hematuria, urine can remain clear yellow.

Haematuria caused by urinary tract infections or because of stones in the urethra is often accompanied by symptoms of back pain or pain during urination. However, haematuria caused by tumors in the urinary tract is usually not accompanied by pain.

Treatment of Haematuria

To treat haematuria depends on the cause. If caused by infection, then the main treatment is with antibiotics.

If caused by a stone in the urethra, then the treatment depends on the location of the stone and its size. In most cases, ESWL therapy (Extra Shock Wave Lithotripsy) or stone removal surgery is required.

Haematuria caused by prostate enlargement is treated with medications to shrink the size of the prostate, such as the alpha-blocker group of drugs. However, if not improved with drug administration, surgical removal of the prostate (prostatectomy) needs to be done.

Treatment of haematuria caused by cancer depends on the location and stage of cancer. But generally, the treatment is with surgery and chemotherapy.

Cause of Haematuria

Many diseases can cause haematuria, among them, are:

  • Urinary tract infections (in the kidney or in the bladder)
  • Kidney stones
  • Stone in bladder
  • Prostate enlargement
  • Bladder, kidney, or prostate cancer
  • Excessive exercise

Prevention of Haematuria

In general, haematuria can be prevented by maintaining urinary tract health. The trick is:

  • Drinking in sufficient quantities (1.5-2 liters per day)
  • Avoid exposure to cigarette acids that can make a person more susceptible to cancer
  • Avoid exposure to unsafe chemicals, such as drinking arsenic-containing water, or the consumption of unknown supplements is obvious because it can increase the risk of bladder cancer.