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What Is The Best Medicine For Hematuria?

What Is The Best Medicine For Hematuria?

What Is The Best Medicine For Hematuria?

The best medicine for hematuria depends on the underlying condition. The tests that will confirm the blood in urine and help in identification of the cause are urine and blood tests. Imaging tests done are CT scan that will help identify bladder or kidney stones, tumors, and other abnormalities of bladder, kidneys and ureters. Kidney ultrasound will show a detailed picture of kidney structure and show any abnormalities present. Intravenous pyelogram will show an X-ray of the urinary tract that requires dye. Cystoscopy involves the insertion of a small tube with a camera into the bladder through the urethra to obtain a tissue sample to look for presence of abnormal or cancerous cells. Kidney biopsy will require a tissue sample from the kidney and examined under a microscope for signs of kidney disease.[1]

Treatment will be initiated once the underlying cause has been identified. If no underlying cause is found, then it is advised to have follow-up urine tests and blood pressure monitored every three to six months, especially if you have risk factors for bladder cancer such as being older than 50 years of age, if you are a cigarette smoker and are being exposed to certain industrial chemicals.[2] Usually no treatment is required unless a serious condition is causing hematuria. Exercise related hematuria resolves on its own once the vigorous exercise routine is stopped or it is switched to less intense workout program or regime. Hematuria caused due to certain drugs will improve once the medication causing it is stopped. Antibiotics will cure infection related hematuria.[3]

For kidney stones, it is recommended to drink plenty of fluids that will flush small stones out of the body. For larger stones lithotripsy or surgery is required that breaks up the stones. Bladder and kidney tumors will be managed by surgery, chemotherapy, radiation therapy and immunotherapy where the host’s body’s defense mechanism is triggered to fight cancer.[4] Auto-immune disorders are treated with corticosteroids or cyclophosphamide to suppress the immune system. Patients with hemophilia will be infused with clotting factors or fresh frozen plasma for its treatment.


Hematuria is commonly known as blood in urine. It is not usually an alarming condition in most cases, but indicates an underlying medical disease and therefore should not be ignored. When the blood present in urine is visible to the naked eye, it is known as macroscopic or gross hematuria and when the blood cannot be seen in urine, but can be detected only by laboratory tests it is known as microscopic hematuria.[5]

The cure for hematuria depends on the treatment of underlying cause. It is important to identify what is causing blood to be passed in urine. The diagnosis will be made by your consultant based on your medical, family and personal history followed by a series of tests and physical examination. Once the cause is identified, the treatment can be started and hematuria resolves within a few days. It can take some time if the cause is serious and requires a lengthy treatment in case of bladder, kidney or prostate cancer.

The other causes of blood in urine are bladder infection in adults that will lead to burning or pain while urinating. In older children fever may be present along with burning micturition and pain while urinating. Whereas infants with bladder infection might have fever, will feed poorly or will be irritable. Kidney stones will cause pelvic and abdominal pain.[6] Infections in kidney will cause chills, fever and pain in the lower back. In kidney diseases a patient will have high blood pressure, weakness, generalized body swelling and puffiness around the eye. The other causes include bladder or kidney stones, enlarged prostate or prostate cancer, tumor in the kidney, bladder or prostate, vigorous activity or strenuous exercise programs, kidney injury due to accident or sports, certain medications (aspirin, penicillin, heparin, cyclophosphamide and phenazopyridine) and inherited diseases such as sickle cell anemia or cystic kidney disease.[7]


Also Read:

Pramod Kerkar, M.D., FFARCSI, DA
Pramod Kerkar, M.D., FFARCSI, DA
Written, Edited or Reviewed By: Pramod Kerkar, M.D., FFARCSI, DA Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:June 23, 2022

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