question-icon

What causes blood in urine with painful urination?

default
Posted on Fri, 22 Jul 2016
Question: 20 to 30 black ground pepper specs on toliet paper after urination. I am female and thought I had sistitus but antibiotics did not elemiate burning while peeing and now these small specks 3 days running. I am a 37 yo female
doctor
Answered by Dr. Ronald Schubert (23 minutes later)
Brief Answer:
interstitial cystitis

Detailed Answer:
Thank you for contacting HCM with your health care concerns

I am sorry to hear that you are experiencing pain with urination and blood in your urine. Since the antibiotics did not help you may have interstitial cystitis. This is a disease of unknown cause that creates difficulty urinating with blood. The diagnosis is made by a cystoscopy where they look inside your bladder and see inflammation. There are treatments but they need to be done by a urologist. I recommend that you see your medical provider again for a referral to a urologist. The urologist will be better qualified to make a diagnosis.

I hope I answered your question. Please contact us again if you have any additional questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ronald Schubert (5 minutes later)
Not blood in ur in but tiny black pepper "specks" in tissue paper after wiping up after urination. Also burning is faint but omni present
doctor
Answered by Dr. Ronald Schubert (1 minute later)
Brief Answer:
black spots

Detailed Answer:
The black spots could be blood or degraded blood. When blood gets in a high acid environment it will turn black. I would still recommend that you see a urologist for a more definitive testing
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ronald Schubert (25 minutes later)
Could these be kidney stones?
doctor
Answered by Dr. Ronald Schubert (7 minutes later)
Brief Answer:
Not likely

Detailed Answer:
Kidney stones would not be black they are usually yellow or white.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

premium_optimized

The User accepted the expert's answer

Share on
What causes blood in urine with painful urination?

Brief Answer: interstitial cystitis Detailed Answer: Thank you for contacting HCM with your health care concerns I am sorry to hear that you are experiencing pain with urination and blood in your urine. Since the antibiotics did not help you may have interstitial cystitis. This is a disease of unknown cause that creates difficulty urinating with blood. The diagnosis is made by a cystoscopy where they look inside your bladder and see inflammation. There are treatments but they need to be done by a urologist. I recommend that you see your medical provider again for a referral to a urologist. The urologist will be better qualified to make a diagnosis. I hope I answered your question. Please contact us again if you have any additional questions