Patient : I have a bit of blood in my urine. There is a bit of sharp pains after I urinate. I probably drink a lot of water and hold on a bit too much too often. I may have torn something. It's this really serious? Not sure if it's just urinal tract infection or more. Would I need antibiotics? Would it heal itself?
It is unlikely that you would have bladder trauma even if you hold a lot of urine in the bladder. The probable diagnosis of hematuria (blood in urine) is :
i) Urinary tract infection
ii) Renal stones
iii) Prostatitis and
iv) Certain drugs like rifampin or dyes.
The next best step in the the management of blood in urine is to get a urinalysis and an ultrasound of the kidneys, ureter and bladder. These investigations will help diagnose any underlying problems that I've just mentioned. Antibiotics may be required in the presence of infection. I hope this helps. All the best.
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