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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes blood in urine post a hysterectomy?

Hi there, can you tell me why I have blood in my urine after having intercourse last night, this would eb the second or third time it has happened? I am a 35 yr old female. I had a hysterectomy over a year ago, and also starting in around May, I have been having problems with, I believe UTI s. I tried medication a couple of times for it, it worked for a day or two then would come back. My doctor wouldn t give me more medication because she said that my body would just get used to it and for me to just start drinking lots of water and cranberry juice. Please help.
Wed, 19 Oct 2016
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General & Family Physician 's  Response
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
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