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Blood in urine. No pain. What is causing this?

My husband is urinating pure blood , and has been been now for about 3 weeks. I cannot get him to go to the hospital. From the time he starts to urinate until he is finished, it s blood. Really red blood. He has no other syptoms and he has no pain. He does work out daily but he has been working out for several years. Please help
Sat, 23 Feb 2013
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Emergency Medicine Specialist 's  Response
Hi Patricia,
Thanks for writing your query.

Your husband is suffering from hematuria and needs urgent medical attention.
He should be clinically examined and investigaed.

Common cause of hematuria are :-
1. Urinary Tract Infection.
2. Stones in the urinary tract.
3. Benign Prostratic Hypertrophy.
4. Trauma to kidneys.
5. Tumor.
6. Prostatitis.
7. Athletic Nephritis common after strenuous exercise.

You should get him examined by a Urologist and get following investigations done :-
1. Complete Blood Count(CBC)
2. Kidney Function Test
3. Ultrasound KUB region
4. X-Ray KUB region
5. Urine examination
6. PSA

He should keep him adequately hydrated and should avoid spicy foods.
He should avoid workout for some time.

I hope this is helpful to you.
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General & Family Physician Dr. Polash Sannigrahi's  Response
Jun 2015
Hello dear...
Presence of blood in urine without pain may be due to:

1. Diseases of the kidney like glomerulonephritis
2. Medications like aspirin, heparin, certain antibiotics, etc.
3. Vigorous exercise can also cause urine to have blood in it due to trauma to the bladder, breakdown of red blood cells, or dehydration.
4. However urinary bleeding without pain may also indicate some serious disorder like cancer of the Urinary bladder. will be better to consult an Urologist to find out the exact cause.
Investigations like Urine examination & Ultrasound scan of Abdomen & Pelvis will be helpful in clinching the diagnosis.

Wishing your husband a Good Health. Let me know if I need to clarify further.
Thanks & take care.
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