Blood in Urine (Hematuria) Treatment in Pune: Causes, Symptoms & Treatment
Meet Dr. Sunil Mhaske
Blood in Urine (Hematuria) Treatment Specialist in Pune
Dr. Sunil Mhaske
What Is Hematuria (Blood in Urine)?
Hematuria simply means the presence of blood in the urine. It is not a disease in itself but a warning sign that something in the urinary tract — the kidneys, ureters, bladder, prostate, or urethra — needs attention. Doctors classify it into two broad types:
- Gross (visible) hematuria – urine appears pink, red, or cola-coloured, and the change is noticeable to the patient without any test.
- Microscopic hematuria – no visible colour change occurs, and blood cells are detected only when the urine is examined under a microscope or through a routine urine test.
Both forms deserve medical attention. Even a single painless episode of visible blood in urine can be an early indicator of a serious condition, so it should never be dismissed as a temporary or minor issue. For reliable hematuria treatment in Pune, an accurate diagnosis of the source of bleeding is the essential first step.
Common Causes of Blood in Urine Treated by Dr. Sunil Mhaske
Urinary Tract Infection (UTI)
Bacterial infections of the bladder or urinary tract are among the most frequent causes of blood in urine, often accompanied by burning or frequent urination.
Kidney or Bladder Stones
Sharp-edged stones can scrape the lining of the urinary tract as they move, leading to bleeding along with pain in the flank or lower abdomen.
Enlarged Prostate (BPH)
An enlarged prostate can put pressure on the bladder and urethra, occasionally causing blood vessels to rupture and blood to appear in the urine.
Kidney Disease
Inflammatory or structural kidney conditions can allow red blood cells to leak into the urine, sometimes without any accompanying pain.
Trauma or Strenuous Exercise
Injury to the abdomen or lower back, or intense physical exertion, can occasionally cause temporary bleeding into the urine.
Bladder or Kidney Growths
In a smaller proportion of cases, painless blood in the urine can be linked to a growth in the bladder or kidney, which makes early evaluation important.
What Are the Symptoms of Urologist for Blood in UrineThat Require a Specialist?
Primary symptoms:
- Pink, red, or brownish urine, even if it happens only once
- Blood detected on a routine urine test, with no visible colour change
- Burning or pain while passing urine
- Sudden urge to urinate frequently, even with an empty bladder
Additional symptoms:
- Pain in the lower back, side, or abdomen
- Passing small clots or grainy material in the urine
- Fever, chills, or generalised weakness alongside urinary changes
- Unexplained weight loss or persistent fatigue
- Difficulty starting or maintaining a urine stream
How Is the Cause of Blood in Urine Diagnosed?
Finding the exact source of bleeding requires a step-by-step evaluation, since hematuria can arise from anywhere along the urinary tract.
Detailed Medical History
The doctor discusses the duration and pattern of bleeding, associated pain, medication use, family history, and any recent injury, infection, or exercise that could explain the symptom.
Urine Test (Urinalysis)
A basic laboratory test confirms the presence of red blood cells, checks for infection, and screens for other abnormalities such as protein or crystals in the urine.
Urine Culture
If infection is suspected, a urine culture identifies the specific bacteria involved so that the right antibiotic can be prescribed.
Ultrasound of the Kidneys, Ureters, and Bladder
Imaging helps visualise the kidneys and urinary tract to detect stones, structural abnormalities, or any unusual growths.
CT Urography
A more detailed scan that may be recommended in select cases to get a clearer picture of the kidneys, ureters, and bladder, especially when the initial workup is inconclusive.
Cystoscopy
A thin, flexible scope is passed through the urethra into the bladder, allowing the doctor to directly examine the bladder lining for stones, inflammation, or growths.
Blood in Urine (Hematuria) Treatment Options in Pune
Treating the Underlying Infection
When a urinary tract infection is the cause, a course of targeted antibiotics along with adequate hydration usually resolves the bleeding.
Stone Management
Depending on the size and location of the stone, treatment may range from medication and hydration for small stones to procedures such as ESWL, URS with Holmium Laser, or PCNL for larger stones.
Medical Management of Prostate Enlargement
For men where an enlarged prostate is responsible, medications to relax the prostate and bladder neck, or minimally invasive procedures where needed, can reduce bleeding episodes and improve urine flow.
Cystoscopic Evaluation and Treatment
When a bladder-related cause is suspected, cystoscopy allows both diagnosis and, where necessary, direct treatment of any abnormal tissue found during the examination.
Specialist Referral for Kidney Causes
If the evaluation points to a kidney-related cause unrelated to stones or infection, appropriate further tests and coordinated care are arranged to manage the underlying condition.
Regular Monitoring
In cases of microscopic hematuria where no major cause is found initially, periodic urine tests and follow-up are advised to track the condition over time.
What Is the Cost of Hematuria Treatment in Pune?
The cost of hematuria treatment in Pune varies depending on the underlying cause, the diagnostic tests required, and whether a procedure is needed. Every case is different, and the exact cost is confirmed only after a proper clinical evaluation.
Consultation and Initial Evaluation: Lowest cost — includes doctor consultation and a basic urine test.
Ultrasound and Laboratory Workup: Low to moderate cost — includes imaging, urine culture, and related blood tests to identify the cause.
Cystoscopy: Moderate cost — depends on whether it is done purely for diagnosis or combined with a minor procedure.
Stone Removal Procedures (ESWL / URS / PCNL): Moderate to higher cost — depends on the size, number, and location of the stones, along with anaesthesia and recovery care.
Ongoing Management or Surgery for Underlying Conditions: Higher cost — depends on the specific condition identified and the treatment plan recommended.
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What Patients Say About Blood in Urine (Hematuria) Treatment at Dr. Mhaske's Clinic
FAQs on Blood in Urine (Hematuria) Treatment
It means red blood cells are present in the urine, which can result from infection, stones, prostate enlargement, kidney conditions, or, less commonly, a growth somewhere in the urinary tract. It should always be evaluated by a urologist.
No. Bleeding caused by infections or stones is often painful, but bleeding linked to kidney conditions or growths can be completely painless, which is why even painless episodes need prompt evaluation.
The visible colour change may disappear after a day or two, but this does not mean the underlying cause has resolved. The cause needs to be identified and treated even if the bleeding stops temporarily.
Typical tests include a urine test, urine culture, ultrasound of the kidneys and bladder, and cystoscopy. In select cases, a CT urography scan may also be recommended.
Not usually. Most cases are linked to infections, stones, or prostate enlargement. However, since painless blood in urine can occasionally be an early sign of a bladder or kidney growth, a thorough evaluation is important to rule this out.
Yes, strenuous physical activity can occasionally cause temporary blood in the urine, sometimes called exercise-induced hematuria. It is usually harmless but should still be checked if it persists.
A course of antibiotics chosen based on urine culture results, along with adequate fluid intake, typically clears the infection and resolves the bleeding.
See a urologist promptly if you notice visible blood in the urine even once, if bleeding is accompanied by pain, fever, or clots, or if a routine test shows blood in the urine without any obvious explanation.
Yes, smaller stones can sometimes cause bleeding with little or no pain, especially if they are not actively obstructing the urinary tract. Imaging tests can help confirm their presence.
A thin, flexible scope is gently passed through the urethra into the bladder under local anaesthesia, allowing the doctor to directly view the bladder lining and identify the source of bleeding, if visible.
Dr. Sunil Mhaske provides comprehensive evaluation and advanced urological care for hematuria using modern diagnostic techniques and personalized treatment plans to ensure accurate diagnosis and effective management.
You can schedule a consultation with Dr. Sunil Mhaske by calling the clinic, booking online through the website, or visiting the clinic for a comprehensive evaluation and personalized treatment plan for blood in urine (hematuria).