Urologist Questions blood in urine

“Urinating heavy blood”

I am a 56 year old woman who has had very little health problems in her lifetime. I have an under active thyroid hypothyroidism that has not been medicated in years due to lack of insurance. I used to take Levoxyl every day many years ago, and stopped once the insurance stopped. And that was about 13 years ago. I have been urinating heavy red blood for about 3 or 4 days now.

I did have basal cell carcinoma at my right temple and that was removed, which is the only other problem I've had. I took my blood pressure yesterday and it was in perfect range I really don't have any other symptoms except for the heavy red blood that I am urinating. About 18 years ago I had a partial hysterectomy with no complications. Why am I having this problem?

Female | 56 years old
Complaint duration: 4 days
Medications: I take no medications except for an occasional ibuprofen or Aleve for headache
Conditions: Urinating bright red blood. Everytime I pee I am urinating alot of blood. I fill the toilet up with bllod everytime I urinate.

7 Answers

It can be lots of things. You need to see a urologist and have an evaluation. You need a CT scan and a cystoscopy. It can be a stone and infection, but you need to make sure it isn't anything more serious like a tumor or mass.
Heavy bleeding in the urine for four days requires a urology evaluation which most likely will include a urine culture CT scan and probably a Cystoscopy
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Any gross hematuria (seen to the naked eye) should be evaluated by a urologist. In absence of active infection, if you see blood in your urine, you should have imaging of your kidneys, preferably with IV contrast to outline the kidneys and drainage of your kidneys. You should also have cystoscopy performed, which is a short procedure, much like having a urinary catheter placed, during which a urologist can fill your bladder with saline and visualize the inside. This will rule out tumors, foreign bodies, tumors, or other anatomical abnormalities.
Blood in your urine requires a full urologic work up. The blood could be due to a benign problem (ie stones) or a malignancy. I strongly urge you to make an appointment with a urologist.
You need to see a urologist soon. Blood in the urine can mean several things: stones, infection, and even cancer, etc. It's best to be evaluated and make sure there is nothing wrong.
Ct abdomen and pelvis followed by cystoscope is advisable
Blood in the urine can have many causes, some of which are benign and others that are more concerning. Heavy bleeding should definitely be evaluated by a physician and preferably a urologist. More information about blood in the urine or hematuria can be found here: https://www.DrShakuriRad.com/blog/hematuria

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