[20M] Experiencing hematuria and dysuria post-coital

Patient Description

A 20-year-old male reports visible blood in the urine and pain during urination, particularly after engaging in sexual activity. The patient notes that the hematuria is more noticeable in the evening and has been occurring since December. There is no prior history of hematuria. The presence of blood in the urine, known as hematuria, and painful urination, known as dysuria, are concerning symptoms that warrant further medical evaluation to determine the underlying cause.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most infections involve the lower urinary tract — the bladder and the urethra. Pain or burning during urination and blood in the urine are common symptoms.

    • Treatment for UTIs usually involves antibiotics to clear the infection.
  • Sexually Transmitted Infections (STIs): Certain STIs, like chlamydia and gonorrhea, can cause painful urination and blood in the urine.

    • Treatment for STIs usually involves antibiotics or antiviral medications.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause blood in the urine and pain during urination.

    • Treatment for kidney stones varies depending on the size of the stone. Small stones usually pass on their own, while larger stones might require medication or even surgery.
  • Trauma or Injury: Any injury to the kidneys or urinary tract can cause blood in the urine.

    • Treatment depends on the severity of the injury and could range from medication to surgery.

Please note that these are potential explanations and not definitive diagnoses. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Seek medical attention: Given your symptoms, it's important to seek medical attention as soon as possible. A healthcare provider can perform tests to determine the cause of your symptoms and recommend appropriate treatment.

  2. Drink plenty of fluids: Staying hydrated can help flush bacteria out of your urinary system, which can be helpful if you have a UTI.

  3. Avoid sexual activity: If your symptoms are due to an STI, it's important to avoid sexual activity until you've been treated to prevent spreading the infection to others.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe pain in your side or back, below your ribs
  • Pain that spreads to your lower abdomen and groin
  • Pain that comes in waves and fluctuates in intensity
  • Pain or burning during urination
  • Persistent urge to urinate
  • Urinating more often than usual
  • Fever and chills if an infection is present
  • Urinating small amounts of urine

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common causes of blood in the urine?

Common causes of blood in the urine, or hematuria, include urinary tract infections, kidney stones, sexually transmitted infections, and trauma or injury to the urinary tract.


How can a urinary tract infection be treated?

A urinary tract infection is typically treated with antibiotics prescribed by a healthcare provider. It's also important to drink plenty of fluids to help flush out the bacteria.


What symptoms indicate that I should seek immediate medical attention?

You should seek immediate medical attention if you experience severe pain in your side or back, pain that spreads to your lower abdomen and groin, pain that comes in waves, persistent urge to urinate, fever, chills, or urinating small amounts of urine.


Can sexually transmitted infections cause blood in the urine?

Yes, certain sexually transmitted infections, such as chlamydia and gonorrhea, can cause blood in the urine along with painful urination. These infections are usually treated with antibiotics or antiviral medications.

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