Hematuria — blood in the urine — can be a sign of a serious underlying condition and should never be ignored. Our Hematuria Workup service provides a systematic and thorough evaluation to identify the cause and initiate appropriate treatment promptly.

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Types of Hematuria

• Gross hematuria: Visible blood in urine (pink, red, or brown discoloration)
• Microscopic hematuria: Blood detected only on urine testing, not visible to the naked eye

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Common Causes

• Urinary tract infections (UTIs)
• Kidney or bladder stones
• Bladder cancer or kidney tumors
• Benign prostatic hyperplasia (BPH)
• Kidney disease (glomerulonephritis)
• Trauma or vigorous exercise
• Medications (blood thinners)

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Diagnostic Workup

Our structured evaluation includes:

• Detailed history and physical examination
• Urinalysis and urine culture
• Urine cytology for cancer cell detection
• Blood tests (renal function, CBC, coagulation profile)
• Ultrasound of kidneys, ureters, and bladder
• CT urogram (gold standard for upper tract evaluation)
• Cystoscopy for direct bladder visualization

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Why Prompt Evaluation Is Critical

• Early detection of bladder or kidney cancer significantly improves outcomes
• Identifies treatable causes like infections or stones quickly
• Prevents progression of underlying kidney disease
• Provides peace of mind with a definitive diagnosis

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Treatment & Follow-Up

Treatment is directed at the identified cause and may include:

• Antibiotics for infection-related hematuria
• Stone removal procedures
• Oncological management for urological cancers
• Medical management for kidney disease
• Surveillance cystoscopy for high-risk patients