Blood for cystitis with urination: can it be?
Last reviewed: 23.04.2024
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Cystitis is a rather serious disease, which is accompanied by severe pain, discomfort, and limited ability to work. Sometimes there is blood in cystitis. Nevertheless, with proper treatment it can be cured quickly and without consequences.
Can there be blood for cystitis?
Severe forms of cystitis can be accompanied by the appearance of blood in the urine. This is a rather dangerous sign that indicates kidney damage and the development of kidney syndrome. When blood appears in the urine, you need to see a doctor as soon as possible, or better - call an ambulance.
Blood in combination with pain and burning can be a sign of radiation cystitis, which develops as a reaction to radiation therapy, chemotherapy procedures. Also, women need to first make sure that the blood is a sign of damage to the genito-urinary tract. Maybe it's vaginal discharge. In any case, it is better to consult a doctor to make sure and determine the etiology, and then choose the best treatment.
Epidemiology
According to statistics, blood in the urine develops as one of the complications of cystitis with insufficient compliance with the regime, improper treatment, weakened immunity. Thus, approximately every sixth patient suffering from cystitis develops bleeding. Thus, in every seventh patient hemorrhage leads to a critical condition.
Causes of the cystitis with blood
The main cause of the appearance of blood in cystitis is hematuria (a condition in which blood appears in the natural secretions of a person). This condition implies that the blood has reached the outlet. It also means that there is an affected area that bleeds profusely.
Also one of the reasons can be tumors, various neoplasms. Sometimes blood can cause an infection or a strong inflammatory process, in which the damage of blood vessels occurs, their fragility and permeability increases. Alcohol abuse, drug use can cause bleeding. Also, some injuries can lead to bleeding.
[10]
Risk factors
People who suffer from frequent colds and infectious diseases, those with sexually transmitted infections, viruses and hidden infections are at risk. People with various kidney diseases and chronic diseases are also at risk. Significantly increases the risk of developing the disease with malnutrition, reduced immunity, lack of vitamins and minerals.
Pathogenesis
The pathogenesis is based on the spread of infection and the development of a strong inflammatory process. Basically, the pathological process unfolds in the area of the bladder and urethra. Gradually, the kidneys are involved in the inflammation focus, the blood vessels are damaged. There is an increase in the fragility and permeability of the vessels, their elasticity varies. In this case, they are often damaged, burst, resulting in the blood flowing out and gets into the urine. Cells and tissues of the bladder are inflamed. In them there is a sharp violation of blood circulation, blood circulation worsens.
Symptoms of the cystitis with blood
Blood with cystitis indicates the development of complications, and that the disease is progressing and requires immediate treatment. Often with a complicated form of cystitis develops also severe pain, burning in the area of urogenital stroke, which is especially intensified during urination. Requires compulsory hospitalization and comprehensive treatment.
The main symptom is blood in the urine. It should be not just an admixture of blood, but an intense reddening of urine, the acquisition of a stable blood color. Blood should appear every time you urinate. Then it can be argued that it really is about blood in the urine. Otherwise, it can be assumed that the blood has got into the urine from another biotope. For example, a woman needs to make sure that the blood is of kidney origin, and not got into the urine from the vagina.
As the first signs, the appearance of drops of blood appears in the urine. So, urine is painted in red. In this case, the shade is stable and evenly distributed throughout the urine. Impurities are not visible, the whole liquid becomes uniform. Pain in the early stages usually does not arise, it joins in later.
This is the surest sign that cystitis is progressing, and complications occur on the kidneys. Blood can appear with increased fragility of blood vessels, a tendency to hemorrhage. Also, blood can appear with increased permeability of the walls of blood vessels. Most often hemorrhagic damage is affected by the kidney tissue.
Blood clots in cystitis
Clots appear in the event that a clotting occurred, or in case of healing of inflammatory processes, hemorrhage. Cystitis with blood is a severe form of pathology, which indicates that the treatment should be carried out immediately. In this case, a thorough examination of the kidneys is required, since in most cases an inflammatory and infectious process develops in them.
Blood with cystitis at the end of urination
It can be a sign of damage to the genito-urinary tract, the ureter. Usually, you can observe the following picture: first, there is a normal urination, then there are small admixtures of blood and at the end of urination the urine acquires a completely bloody shade. Pain in the early stages of the pathology usually does not happen, but with neglected pathology, if no timely action is taken, bleeding can occur and the pain syndrome may join.
Blood and pain in cystitis
Blood with urination in conjunction with pain almost always indicates the defeat of the kidneys. In this case, the vessels usually lose their elasticity and strength and undergo hemorrhage. Therefore, it is necessary to make sure that the blood carries precisely the kidney genesis, and does not act as one of the signs of the defeat of the reproductive system. So, a woman needs to make sure that this is not uterine bleeding and vaginal discharge. With blood in the urine, urine usually acquires a red bloody shade, impurities are not visible, it becomes uniform, uniform.
Blood in chronic cystitis
Chronic cystitis is a latent inflammation that can slowly flow in the human body for a long time without causing any discomfort while not causing complications of pain or discomfort. However, under certain unfavorable circumstances, for example, under hypothermia, stress, reduced immunity, the chronic form of cystitis can develop into an acute form. This causes blood, pain, frequent urge to urinate. However, many of them are often false.
Blood for women with cystitis
In women, cystitis develops much more often than in men due to the peculiarities of the anatomical structure of the female body and the physiological characteristics. In this case, cystitis very quickly passes into a chronic and complicated form, since the infection easily spreads along the ascending path, causing an infectious-inflammatory lesion of the kidneys. This process can be accompanied by the appearance of blood in the urine.
Cystitis with blood in pregnancy
Even the smallest admixtures of blood should not be allowed to appear in the urine of a pregnant woman. This may indicate a severe kidney damage. The risk of blood in the urine during pregnancy significantly increases compared with the usual period of life. This is due to the fact that during this period, the immunity of a woman significantly decreases, the load on the body increases. First of all, the burden falls on the kidneys, genitourinary system.
In addition, during pregnancy there are a number of additional changes that contribute to the development of inflammatory and infectious processes, damage to the kidneys. Under the influence of hormones, bleeding can increase, and the inflammatory process also progresses.
At pregnancy it is impossible to take medicines. But the blood in the urine is not the case. This pathology must be treated necessarily, since it can cause more serious complications, including kidney failure, gestosis of pregnant women, which lead to serious complications of pregnancy, pose a danger to the mother and fetus, cause serious complications during childbirth.
In order to reduce all risks to a minimum, you must strictly follow the recommendations of the doctor. In no case can you do self-medication, this can be fraught with serious consequences. The doctor will choose the safest means, and help get rid of this aggravating factor. The future mother needs to understand that it is necessary to treat cystitis during pregnancy, since if left untreated, serious consequences and complications can not be avoided. Pregnant women should not be allowed to transition to a chronic form. It is important to reduce the burden on the kidneys by any means.
Blood for cystitis needs to be eliminated as quickly as possible. When you need to call an ambulance. Before the arrival of an ambulance, it is better not to take any action. It is recommended to lie down, not to do any movements. It is important to make sure that this is not amniotic fluid, not bleeding. The doctor will do it. If there is severe pain, take homeopathic remedies that do not have severe side effects and act rather gently. But, in no case can you select these funds yourself, without consulting a doctor. It should be borne in mind that many drugs have abortive properties, can cause premature birth, or miscarriage. Also, a lot of drinking is required.
[42]
Blood for cystitis in men
The causes of the appearance of blood in men suffering from cystitis do not differ from those of women. So, the blood can appear with a strong inflammatory process, which is constantly progressing, with the development of purulent-septic and infectious processes in the body, and also if the kidneys, ureter, directly excretory organs have been infected.
In any case, it is necessary to understand that the presence of even the slightest admixtures of blood in the urine may indicate the development of a serious complication, therefore, as soon as possible to conduct treatment. To do this, it is advisable to visit a nephrologist who will conduct an examination and make an accurate diagnosis. Treatment should be selected exclusively by the doctor, because any wrong action can be fraught with serious consequences. The earlier treatment is started, the more chances for recovery, without any consequences and complications.
Blood for cystitis in a child
At the child a blood at a cystitis happens in case of the weakened or easied immunity, problems with kidneys. Weakness of blood vessels and reduced permeability of blood vessels, can lead to the fact that when urinating appears blood in the urine. Thus the urine becomes red color, uniformly colored. Without any impurities and precipitation.
Complications and consequences
One of the most dangerous complications of blood in the urine can be severe damage to the kidneys, kidney tubules, portal system of the liver and kidneys. In this case, both acute and chronic inflammatory process, intoxication reaction can develop. In the absence of adequate treatment, one of the most serious complications may be renal failure and severe forms of cirrhosis. Also, the danger is further involvement of the kidneys in the pathological process, which can be dangerous by the formation of secondary foci of infection that will spread throughout the body and cause inflammation in other organs and systems. The most dangerous is the risk of such dangerous conditions as sepsis and bacteremia, in which the infection penetrates into the blood, causing it to become infected and contributing to the formation of new foci of infection.
Diagnostics of the cystitis with blood
In the case of the appearance of blood, you can not delay. The doctor traditionally conducts a survey of the patient, collects general information about him, an anamnesis of life and illness. It is this information that can become a source of understanding of the specificity of the disease, can indicate the cause of the development of the disease. Eliminating this cause can significantly alleviate the condition, and it will be easier to treat the disease.
Then the doctor collects an anamnesis of the disease. Based on the findings, the doctor has the opportunity to judge the features of the course of the disease, draw certain conclusions and predictions about the course and outcome of the disease. The patient must provide the patient with all information about the disease, which can be very informative for the patient. It is important to report how long and under what circumstances there were impurities of blood, whether there is pain, whether the blood appears spontaneously, or only with urination, whether there are circumstances in which the pathology increases, or vice versa, decreases. No less important information can be information about whether any treatment was carried out, what its effectiveness is.
An equally important condition for successful diagnosis is the examination of the patient. During the examination, various methods and means of examination may be required, for example, clinical, laboratory, instrumental methods. From classical methods, palpation, percussion, and auscultation of the kidney area are traditionally used. It is important to carefully probe possible lesions, assess the degree of hyperemia, swelling of tissues, local temperature. Auscultation involves a procedure in which the breathing is heard, the heartbeat. Percussion makes it possible to detect multiple lesions, for example, foci of inflammation, swelling, and seals.
Analyzes
Various tests may be required, with which you can diagnose. When blood is detected in the urine, clinical tests are usually prescribed. Quite informative are the usual clinical tests: clinical and biochemical analysis of blood, urine, feces. If necessary, a coagulogram is prescribed, a detailed analysis of the immune system (immunogram). They allow us to assess the overall orientation of the processes occurring in the body.
You can roughly determine the inflammatory, infectious, or allergic process. Then, the necessary tests are made to clarify the expected diagnosis. It is also possible to guess approximately in which part of the body the basic pathological process develops, what is its degree of development and intensity. For example, the appearance of a large amount of sugar in the urine or blood can indicate an increased burden on the kidneys, the development of diabetes. If you find a large amount of protein in the urine, you can talk about kidney inflammation. The increased content of eosinophils and an elevated level of histamine may be a sign of the development of an allergic reaction.
Analyzes may indicate the presence of a bacterial or viral infection in the body. To clarify the diagnosis: determine the type of microorganisms that have become the causative agent of the disease, their quantitative and qualitative characteristics, the selection of an effective drug and its dosage, carry out a bacteriological or virological study.
Sometimes, rapid diagnosis is carried out, which allows you to quickly determine the cause of the pathology. In this case, one can use the polymerase chain reaction method, which allows to detect fragments of the DNA of the pathogen in the test sample.
The method of enzyme immunoassay (ELISA) is used, which is based on the agglutination reaction. The essence of this reaction is that if there is an infection in the body, antibodies are started to be produced by the immune system, which provide reliable protection of the organism from foreign agents. As foreign agents, viruses or bacteria act. Their genetic apparatus is alien to the human body. They contain antigens. During the agglutination reaction, antigens and antibodies are bound to a single complex of agglutinogens. By the quantitative indicator determine the number of viruses or bacteria that caused the disease.
You may need a scraping, for carrying out which take smears. Smears, as well as blood, are examined by microscopy. With a disease of unclear etiology, it is advisable to conduct a study on hidden infections, parasitic diseases.
[58], [59], [60], [61], [62], [63], [64]
Instrumental diagnostics
Before starting treatment, it is important to make the right diagnosis and determine the exact cause of the pain and blood in the urine. This is very important, since the treatment in this case is predominantly etiological, that is, aimed at eliminating the cause of complications. To do this, a comprehensive survey should be carried out, which will include a full survey, the assignment of laboratory and instrumental studies.
As an instrumental research, ultrasound of the pelvic organs, kidneys, liver and all abdominal cavities can be the most effective. It may also require computer or magnetic resonance imaging, which provides a full-scale image of internal organs, including kidneys. With the help of these research methods, early pathologies can be identified at the earliest stages of pathology development. This will allow you to quickly take action, promptly choose the best treatment, eliminate pathology at the earliest stages of its development.
Differential diagnosis
To begin with, it is necessary to differentiate the disease from other similar diseases that have similar symptoms. So, you need to exclude all major kidney diseases, then exclude accidental ingestion of blood into the urine. For example, for women, it is necessary to exclude uterine and vaginal bleeding, as well as any other discharge of blood from the genito-urinary organs. It is necessary to exclude the excessive permeability of the blood vessels of the external genital organs. It is important to confirm the presence of an infection and an inflammatory process in the kidney area, which would suggest blood of kidney genesis. This also makes it possible to apply a bacteriological study of blood. If there is a certain quantitative level of microorganisms in the blood, it is possible to confirm or deny the presence of an infection, the inflammatory process of renal genesis.
Read also about hemorrhagic cystitis in this article.
Who to contact?
Treatment of the cystitis with blood
With improper treatment, the disease progresses very quickly and affects the kidneys, leading to serious complications, kidney diseases, up to kidney failure. Most of these cases of self-treatment result in the fact that a person enters the hospital with a sharp attack, obstruction of urination, and the strongest inflammatory and infectious process, which subsequently ends with renal insufficiency, cirrhosis, or total failure of basic functions.
The danger is also that renal failure contributes to the disruption of the normal functioning of other organs, in particular, can lead to the development of stagnant phenomena, increase the load on other organs. Hepatic insufficiency, heart failure may develop.
More information of the treatment
Prevention
Preventing the appearance of blood in the urine is the timely treatment of cystitis, because often the blood becomes a complication of cystitis. It is necessary to undergo at least twice a year preventive examination and treatment, even if the disease is in remission and does not bother the person.
Preventative measures include medical and physiotherapy procedures, alternative drugs or homeopathic drugs. With timely prevention of blood, cystitis almost never occurs.
[65]