Your health care professional will want a sample of your urine to confirm that you have hematuria. In women, blood can get into the urine during menstruation. Your doctor may want to repeat the urine test between periods.
Once your doctor has confirmed that you have hematuria, he or she will ask about your medical history and your family's medical history, especially any history of kidney disease, bladder problems or bleeding disorders. Your doctor also will ask about any recent trauma or strenuous exercise, recent viral or bacterial infections, the medications you take, and your symptoms, including more frequent urination, pain with urination and pain in your side.
Your doctor also will examine you. He or she will take your temperature and blood pressure, and will see if you have pain or discomfort in your side or over your bladder. The doctor may recommend that women undergo a pelvic examination, and men undergo a prostate examination.
Your doctor will ask you for a fresh urine sample for a urinalysis. Urine is analyzed in the laboratory to look for protein, white cells and red cells to identify a kidney or bladder infection, or kidney inflammation (glomerulonephritis).
Then, depending on the suspected cause of your hematuria, additional testing may include:
Additional testing for conditions causing kidney inflammation (such as lupus) may be recommended, depending on the findings of the routine blood and urine tests.
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