Thanks for posting your question, According to patient’s history presented, there many reasons that can potentially cause hematuria (blood in urine) such as UTI (urinary Tract Infections), Nephrolithiasis, Polycystic kidney disease, Trauma, Cancers ( kidney, Prostate and bladder), BPH (Benign prostatic hyperplasia in men and usually after age 50), Forceful physical activity, Glomerular disorders ( usually microscopic and non-painful), Recent instrumentation of the urinary tract,etc. Please notice that glomerular disorders (inside kidney, non-painful hematuria, usually microscopic) cause brownish urine, while non-glomerular disorders cause mostly urine pink. Regarding your information and my experience, my recommendations are: 1.     Take an immediate Urinalysis including urine culture, microscopic study on RBC casts, dysmorphic cells, proteinuria, biconcave shape erythrocytes, etc. 2.     Blood routine tests such as BUN/Cr, CBC, Platelets, PT, PTT, etc. 3.     Renal and bladder ultrasonography. However, you have mentioned that you have painless but fresh blood at the end of urination; you might demonstrate a normal urine test due to some specific medications or food, which normally make urine similar to hematuria. In this case, still I suggest you complete your immediate tests. Additionally you might demonstrate an abnormal coagulation process or immunologic tests. After first step, according to your urologist physical exams and the test results, you might be assigned to test your body using CT scan, X-ray, and biopsy. Hope you feel better soon, Regards,