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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Passing Blood In Urine, Hurts And Pain While Urination. No UTI, Fever Or Vomiting. Is Urinating Blood Dangerous In Child?

My 4 yr old son has been occassionaly passing blood in his urine , on and off for the past week. He also says that it hurts, everytime, he pees and he cringes with pain . Eating/drinking fine and still active with no complaints of pain, except for when he urinates. We ve been to the ER and to see his pediatrican. Both times, they tested his urine and both times it came back negative for an infection . No fever or vomiting/ nausea ....what could this possibly be? Anyone and everyone knows that peeing blood is not a good thing!!!
Mon, 30 Jul 2012
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Pediatrician,  's  Response
Painful passage of blood in a child of this age group needs a work up for a condition known as urethral stricture. It can result due to excessive scratching of the urethral opening which causes inflammation and subsequent scarring. This in turn can lead to retention of urine thereby aggravating pain during urination. A consultation with a Urologist to confirm this condition is needed followed by dilatation of the tip of narrowed penis. It is equally important to know whether blood appears right in the beginning of urination or in the end when he is about to finish voiding urine. This helps in localizing the site of injury.
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Passing Blood In Urine, Hurts And Pain While Urination. No UTI, Fever Or Vomiting. Is Urinating Blood Dangerous In Child?

Painful passage of blood in a child of this age group needs a work up for a condition known as urethral stricture. It can result due to excessive scratching of the urethral opening which causes inflammation and subsequent scarring. This in turn can lead to retention of urine thereby aggravating pain during urination. A consultation with a Urologist to confirm this condition is needed followed by dilatation of the tip of narrowed penis. It is equally important to know whether blood appears right in the beginning of urination or in the end when he is about to finish voiding urine. This helps in localizing the site of injury.