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Urology  (Expert Forum)
 | 
Bleeding after unrination
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D. Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Bleeding after unrination

by tdonnell, Jul 26, 2005 12:00AM
Hello, I have recently had a UTI which got pretty bad (fever, chills, pain) and the doctor prescribed antibiotics.  A few days later, I started bleeding after urination.  I went back to the doctor after finishing the antibiotics and had another test which came up clear, with little blood in the actual urine.  If I stop urinating immediately, there is no blood in the urine at all or on the toilet paper, but if I stay relaxed or have to defacate, then what looks to be pure blood begins dripping from the urethra and there have been a couple of small clots.  It is definitely not vaginal.  I'm now starting to have a twinge (it's not painful)in the abdomen, which feels internally about three inches up from the opening, but I have no pain when I urinate.  Is this common after a UTI?  I do have SLE which is controlled with Plaquenil, but I don't think that this is related as I just had full blood work and an office urine check (while I had the UTI) with my haematologist which came up clear.  Thank you.

by Kevin Pho, MD, Jul 28, 2005 12:00AM
Blood in the urine is never normal.  The most common cause would indeed be a UTI, but you should certainly consider further evaluation to exclude more serious causes, which can include bladder cancer.



You can consider a referral to a urologist, where more comprehensive testing - like a cystoscopy or CT-pyelogram - can be considered.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

http://www.straightfromthedoc.com
Member Comments

by nightstalker, Aug 02, 2005 12:00AM
To: Urinary Tract Infections
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To: Urinary Tract Infections
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