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Urine red and pain: causes

, medical expert
Last reviewed: 17.10.2021
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Hematuria is transient, physiological, as a rule, is not accompanied by painful sensations. Urine red and pain is a signal of serious pathology.

Factors that cause a combination of symptoms - hematuria and pain, can be:

  • Occlusion of the ureter, absence of passage of urine (concrements, blood clots overlap the urethra). With nephrolithiasis, pain precedes the appearance of urine of red color.
  • Blockage of the urethra as a result of tumor growth (papillary tumor of the bladder). The process begins without pain, red urine and pain - this is a sign of the germination of the tumor in the bladder tissue.
  • Tamponade of the bladder due to trauma, tumor, prostate hyperplasia, spontaneous rupture of the prostatic capsule.
  • Pyelonephritis in the stage of exacerbation.
  • Prostatitis in acute form (abscess).
  • Rupture of the bladder veins (varicose veins).
  • Fibromyoma of the uterus with complications.
  • Polycystic ovary.
  • Tumor of the uterus in the terminal stage.
  • Urolithiasis disease.
  • Glomerulonephritis.
  • Carcinoma of the kidney in the last stage.

The above reasons almost all belong to the category of serious pathologies that require urgent intervention, in 90% of cases using surgical methods.

For other reasons for the appearance of red urine, see  this article.

Urine red and abdominal pain

Discomfort in the abdominal area, combined with a urine that is colored atypical, is a symptom that should not be ignored. Most often, red urine and abdominal pain are caused by serious diseases requiring immediate medical intervention. Hematuria is a clinical indication of the presence of blood cells in urine, which in itself is an indicator of the development of the pathoprocess. Red urine is not considered an independent symptom, in conjunction with pain manifestations of hematuria may indicate such diseases:

  1. Urine red and abdominal pain localized in the upper abdominal area or in the side may indicate an inflammatory process in the upper sector of the urinary system (tract).
  2. Irradiation of pain from the abdomen down to the genitourinary organs (testicles or vagina) in combination with urine of a red shade can be a sign of obstruction of the ureter by concrements or blood clots. Urolithic obstruction often provokes an increase in body temperature, a jump in blood pressure. In addition, pain of this nature is considered one of the symptoms of sickle cell hemoglobinopathy (anemia), diabetic necrotic papillitis, kidney tuberculosis, oncology in the terminal stage.
  3. Thrombosis, embolia of the arteries of the kidneys is also manifested by hematuria and abdominal pain, more often in the ileum.
  4. Urine red and abdominal pain in the lateral zones (simultaneously or just left, right) is a possible sign of inflammation of ureter (ureter).

Pain symptom in urological practice is considered one of the leading, especially it is dangerous when manifested in the abdomen. Blood in the urine, urine atypical color in combination with pain is an indisputable reason for immediate receipt of qualified medical care.

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