You're likely to start by seeing your family doctor or primary care provider. In some cases, though, you might be referred immediately to a doctor who specializes in urinary tract disorders (urologist).
Here's some information to help you prepare for your appointment and what to expect from your doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, ask if there's anything you need to do in advance to prepare for common diagnostic tests.
- Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
- Make a list of your key medical information, including any other conditions for which you're being treated, and the names of any medications, vitamins or supplements you're taking.
- Consider questions to ask your doctor and write them down. Bring along notepaper or an electronic device to take notes of what your doctor tells you.
For hematuria, some basic questions to ask your doctor include:
- What are the possible causes of my symptoms?
- What kinds of tests do I need? Do these tests require any special preparation?
- Is my condition temporary?
- Will I need treatment?
- What treatments are available?
- I have other health issues. How can I best manage them together?
- Do you have any brochures or other printed material that I can take home with me? What websites do you recommend visiting?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment as they occur to you.
What to expect from your doctor
Your doctor or health care provider is likely to ask you a number of questions, such as:
Aug. 29, 2014
- Do you have pain when you urinate?
- Do you see blood in your urine only sometimes or all the time?
- Do you see blood in your urine when you first start urinating, or does bloody urine become apparent toward the end of your urine stream? Or do you see blood in your urine stream the entire time you're urinating?
- Are you also passing blood clots during urination? What size and shape are they?
- What medications are you taking?
- Do you smoke?
- Are you exposed to chemicals on the job? What kinds?
- Have you ever had radiation therapy?
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed July 7, 2014.
- Feldman AS, et al. Etiology and evaluation of hematuria in adults. http://www.uptodate.com/home. Accessed July 7, 2014.
- Davis R, et al. Diagnosis, evaluation and follow-up of asymptomatic microhematuria (AMH) in adults: AUA guideline. Journal of Urology. 2012;188:2473.
- Sharp VJ, et al. Assessment of asymptomatic microscopic hematuria in adults. American Family Physician. 2013;88:747.
- Adams JG, et al. Emergency Medicine: Clinical Essentials. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2013. http://www.clinicalkey.com. Accessed July 7, 2014.
- AskMayoExpert. What are common causes of gross hematuria? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- Mercieri A. Exercise-induced hematuria. http://www.uptodate.com/home. Accessed July 7, 2014.
- Urinary tract infections: What you need to know. National Kidney and Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/KUDiseases/pubs/uti_ES/index.aspx. Accessed July 7, 2014.
- Hematuria: Blood in the urine. National Kidney and Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/KUDiseases/pubs/hematuria/. Accessed July 7, 2014.
- King K, et al. Haematuria: From identification to treatment. British Journal of Nursing. 2014;23:S28.
- Marx JA, et al. Rosen's Emergency Medicine. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2014. http://www.clinicalkey.com. Accessed July 7, 2014.
- AskMayoExpert. What tests are needed to confirm the diagnosis or expedite the evaluation of gross hematuria? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- Castle EP (expert opinion). Mayo Clinic, Scottsdale/Phoenix, Ariz. July 21, 2014.