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Hematuria (Blood in Urine) in Adults: Common Causes Explained

Hematuria, or blood in urine, can be alarming. Many adults notice pink, red, or brown urine and wonder about the cause. While sometimes harmless, hematuria may signal a health problem. Therefore, understanding the causes of blood in urine in adults is important. Early knowledge helps you seek care when needed and protect your health.

What is Hematuria?

Hematuria means blood is present in your urine. Sometimes, you can see the blood. This is called gross hematuria. Other times, blood is only found under a microscope. That is called microscopic hematuria. Either way, blood in urine should not be ignored. Even if you feel fine, it is wise to find out why it is happening.

Common Causes of Hematuria in Adults

Many conditions can cause blood in urine. Some are mild, while others need quick treatment. Let’s look at the most common reasons adults may see blood in their urine.

Urinary Tract Infections (UTIs)

First, urinary tract infections are a leading cause of hematuria. Bacteria enter the urinary tract and cause swelling. This can make urination painful and may cause blood to appear in urine. Other symptoms include:

  • Burning feeling while urinating
  • Frequent urge to urinate
  • Cloudy or foul-smelling urine
  • According to the CDC, UTIs are very common, especially in women.

    Kidney Stones

    Next, kidney stones can lead to blood in urine. These hard mineral deposits form in the kidneys. As they move, they can scratch the urinary tract. This often causes pain and hematuria. You may also feel back or side pain. Sometimes, stones pass on their own. However, larger stones may need treatment.

    Enlarged Prostate (in men)

    For men, an enlarged prostate is a frequent cause. The prostate sits below the bladder. As men age, it can grow and press on the urethra. This can block urine flow and cause blood to appear. Other signs include trouble starting urination or a weak stream.

    Vigorous Exercise

    Surprisingly, intense exercise can also cause hematuria. Long-distance running or heavy workouts may lead to blood in urine. This is usually harmless and goes away with rest. However, if it happens often, you should see a doctor.

    Medications

    Some medicines can cause blood in urine. These include:

  • Blood thinners (like warfarin or aspirin)
  • Anti-inflammatory drugs
  • Certain antibiotics
  • If you notice blood after starting a new medicine, talk to your doctor.

    Other Possible Causes

    There are other reasons for hematuria, such as:

  • Injury to the urinary tract
  • Bladder or kidney cancer
  • Inherited disorders (like sickle cell disease)
  • Kidney diseases (such as glomerulonephritis)
  • Although rare, these causes are serious. Early detection is key for better outcomes.

    When to See a Doctor

    While some causes are mild, blood in urine should never be ignored. You should see a doctor if:

  • You see blood more than once
  • You have pain, fever, or trouble urinating
  • You notice clots or large amounts of blood
  • You have a family history of kidney or bladder problems
  • Early medical advice can help find the cause and guide treatment.

    Diagnosis Overview

    Doctors use several steps to find the cause of hematuria. First, they will ask about your symptoms and medical history. Then, they may order tests such as:

  • Urine tests (to check for infection or blood)
  • Blood tests (to check kidney function)
  • Imaging tests (like ultrasound or CT scan)
  • Cystoscopy (a small camera to look inside the bladder)
  • These tests help your doctor find the reason for blood in your urine.

    Prevention Tips and Lifestyle Guidance

    Although not all causes can be prevented, you can lower your risk. Here are some tips:

  • Drink plenty of water every day
  • Practice good bathroom hygiene
  • Urinate after sex to reduce infection risk
  • Avoid holding urine for long periods
  • Limit salt and processed foods to protect your kidneys
  • Exercise regularly, but avoid overexertion
  • Take medicines only as prescribed
  • By following these steps, you can support your urinary health and lower your risk of hematuria.

    In summary, hematuria (blood in urine) in adults can have many causes. Some are mild, but others are serious. If you notice blood in your urine, consult your doctor for personalized advice and care.