Finding blood in your urine can be very frightening and must be investigated by a doctor, but it’s not usually a sign of anything life-threatening.
Sometimes, urine may contain only a small amount of blood invisible to the naked eye and is only apparent when a urine test is carried out for something else. This still needs to be investigated by your doctor, as healthy urine should not contain any detectable amounts of blood.
The medical name for blood in the urine is haematuria. If blood in the urine is obvious with the naked eye, it is called “macroscopic”, or “visible haematuria”. If the blood can only be detected with laboratory testing, it is called “microscopic”, or “non-visible”.
The blood will have come from somewhere within the urinary tract – the kidneys, bladder or the tubes that urine passes through. It is often the result of a urinary tract infection (UTI), such as cystitis.
This page outlines the most common reasons for blood in the urine, to give you an idea of what may be causing the problem. However, this guide should not be used to self-diagnose your condition, and it’s important to see your GP for a proper diagnosis.
Before you read on, it’s worth considering whether you have recently eaten beetroot, as this can colour the urine pink and cause unnecessary alarm. Some medicines, such as the antibiotics nitrofurantoin and rifampicin, can also turn your urine red or brown.
Check that the blood is actually coming from your urine and not your vagina (if you’re a woman) or back passage.
Your GP will ask about your symptoms and carry out a physical examination to help determine the cause of the blood in your urine. For men, this may include a rectal examination and women may have a vaginal examination.
They will also arrange blood/and or urine tests to look for signs of an infection. If they think that an infection is likely, they may prescribe some antibiotics before you get your results and will refer you to a specialist if your test results later show you don’t have an infection.
In some cases, your GP may recommend keeping an eye on your symptoms to see if they get better on their own over time.
Your GP should refer you urgently to a specialist if any of the following apply:
You will be referred to a hospital urology or nephrology department, or a specialist haematuria clinic, for further tests to identify the cause of your symptoms.
These tests may include more blood and urine tests, an ultrasound scan, an X-ray and a cystoscopy. This is a procedure used to examine the inside of the bladder, using an instrument called a cystoscope.
Source: NHS UK