Blood in Urine

Blood in your urine could be a sign of a serious medical condition, which is why early detection and treatment can save your life. At Aloha Urology, board-certified urologists Garry Peers, MD, Tim Roytman, MD, and Jason Smotherman, MD,  diagnose the cause of blood in your urine and offer treatments uniquely created for you. Aloha Urology has locations in Honolulu, Hawaii and the neighboring islands. Call our office at the first sign of blood in your urine.

What is blood in urine?

Blood in urine, or hematuria, occurs when blood is present in your urine. It might be a small amount that’s only detected with urine tests, or lots of blood visible in the toilet after you urinate. 

If you experience certain symptoms, your urologist checks for blood in the urine, even if you don’t notice a red or pink color.

What causes blood in urine?

Numerous factors contribute to blood in urine. Examples include:

  • Bladder, kidney, prostate, or urethra infection
  • Kidney or bladder cancer
  • Kidney disease, failure, or stones
  • Bleeding disorders
  • Enlarged prostate
  • Urinary tract procedures
  • Kidney blood clots
  • Sickle cell disease
  • Low blood platelets
  • Blood-thinning medications

Sometimes, pink- or red-colored urine stems from eating red foods, such as beets, or taking certain medications.

How is blood in urine diagnosed?

If you experience visible blood in urine or have pelvic pain or urinary problems, your urologist might recommend the following to detect possible urologic diseases:

A physical exam

Your doctor completes a physical exam to rule out certain medical conditions. He might check your prostate gland using a digital rectal exam. 

Urine tests

Your provider uses urine tests to diagnose or rule out urinary tract infections and other health problems responsible for blood in urine.


Cystoscopy is a procedure your doctor uses to view the inside of your bladder and urethra with a narrow tube and tiny lighted camera. Doing so helps detect certain urologic health problems.

Imaging tests

In some cases, your urologist recommends an MRI, a CT scan, or ultrasound to establish the cause of blood in urine.

What is the treatment for blood in urine?

The treatment for blood in urine depends on the cause. Your urologists customize a unique treatment plan just for you. The team of doctors at Aloha Urology specializes in minimally invasive robotic surgery and offers the most up-to-date, comprehensive care imaginable.

You might require medications to shrink an enlarged prostate gland, antibiotics for urinary tract infections, or shock wave therapy to break up kidney or bladder stones. In some cases, watchful waiting is the right option for blood in your urine.

If you’re at risk of or show signs of blood in urine, schedule an appointment by phone with Aloha Urology as soon as possible.

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