[38M] With sudden onset hematuria

What might be happening

Based on the information you have provided, here are some possible explanations for the blood in your urine:

• Urinary Tract Infection (UTI): Although you don't have pain or discomfort, UTIs can sometimes present with blood in the urine without other symptoms. UTIs are more common in people with diabetes.

  • Treatment: Typically involves antibiotics prescribed by a healthcare provider. A urine test can confirm the diagnosis.

• Kidney Stones: These can cause blood in the urine without pain, especially if the stone is small and not causing a blockage.

  • Treatment: May include increased fluid intake, pain management, and sometimes medical procedures to remove the stones. Imaging tests like an ultrasound or CT scan can help diagnose kidney stones.

• Medication Side Effects: Doxycycline and other medications can sometimes cause blood in the urine as a side effect.

  • Treatment: Consult your healthcare provider to discuss the possibility of switching medications.

• Diabetes-Related Kidney Issues: Diabetes can affect the kidneys and lead to conditions like diabetic nephropathy, which can cause blood in the urine.

  • Treatment: Managing blood sugar levels and possibly medications to protect kidney function. Blood and urine tests can help assess kidney function.

• Bladder or Kidney Infections: These can sometimes present without pain but still cause blood in the urine.

  • Treatment: Typically involves antibiotics. A urine culture can help identify the specific bacteria causing the infection.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment, here are some steps you can take in the meantime:

1. Stay Hydrated: Drink plenty of water to help flush out your urinary system.
2. Monitor Symptoms: Keep track of any additional symptoms that may develop, such as pain, fever, or changes in urinary habits.
3. Avoid Strenuous Activities: Until you have a clearer understanding of the cause, avoid activities that could exacerbate the issue.
4. Medication Review: Consult your healthcare provider about the possibility of doxycycline or other medications causing this symptom.
5. Use MDandMe: Journal your symptoms, track your progress, and share your medical notes with your healthcare provider for a more comprehensive evaluation.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe Pain: Especially in your back or sides, which could indicate kidney stones or a more serious condition.
• Fever or Chills: These could indicate an infection that needs prompt treatment.
• Increased Blood in Urine: If the amount of blood increases or if you see clots.
• Difficulty Urinating: Any changes in your ability to urinate, such as increased frequency, urgency, or pain.

Remember, while this information can help guide you, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.