Hello, Thank you for asking at HCM. I carefully read your question and understand your concern. If you have red urine than it might be blood or not. It is best to confirm it with a urinalysis. Sometimes some food or sweeteners or candies might have ingredients that might come out with urine and seem like blood. Urinary infection might be a cause of red urine and it might be associated with burning and frequency of urine. Another cause of red urine might be kidney stones which might be going down in the urinary tract to come out and might be causing bleeding. Sometimes we think blood comes from urine but it might be coming from rectum or vagina also so what I would recommend is: 1. You will need to do a urinalysis to confirm that you do have blood. 2. You will need an ultrasound of the kidneys and urinary bladder to check for stones 3. If you have infection you will need to have a urine culture which tells us what bacteria is growing and have the proper antibiotic according to the urine culture. after the antibiotics you will need to repeat urine culture to confirm infection is cleared. 4. Make sure you wipe yourself from front to back and not vice versa- this will prevent some urinary infection from happening 5. Make sure you urinate before having intercourse so to reduce risk for urinary infection. 6. Drinking plenty is a good advise to help with urinary infection. 7. A gynae visit might be good to make sure you have no bleeding from the vagina. 8. if urine is normal and no infection there, you have normal vaginal examination than you will need to have a rectal examination to make sure of the origin of the blood. Hope this is helpful and answers to your question. Best regards, Dr Antoneta Zotaj