Dismiss Modal

Causes

Hematuria: Possible Causes

Choose a preferred language

Many things can lead to blood in the urine (hematuria). The blood may be easy to see when you look at the urine. This is called gross hematuria. Urine may appear clear and blood may only be seen when looked at under a microscope. This is called microscopic hematuria. Often no cause for the blood can be found. This is called idiopathic hematuria. Here are some of the most common causes of blood in the urine:

  • Kidney or bladder stones. These are deposits of minerals and salts. Stones may be found anywhere in the urinary tract. Stones most often form in the kidneys. Much less often they form in the bladder. In addition to blood in the urine, they can cause severe pain.

  • BPH (benign prostatic hyperplasia). This is enlargement of the prostate gland. It happens with age. BPH often causes problems with urination. It sometimes causes blood in the urine.

  • Urinary tract infection. This is due to bacteria growing in the urinary tract. It can cause blood in the urine. Other symptoms include burning or pain with urination. You may need to urinate often or urgently. You may also have a fever.

  • Damage to the urinary tract. This damage may be due to an injury or trauma. It may also result from the use of a urinary catheter. Vigorous exercise may sometimes irritate the urinary tract and cause bleeding.

  • Cancer anywhere in the urinary tract. A tumor may sometimes cause no symptoms other than bleeding.

Urinary tract showing kidneys, ureters, bladder, urethra, lymph nodes, and positions of uterus and prostate.

Other possible causes of bleeding include:

  • Prostate gland infection (prostatitis)

  • Taking anticoagulants

  • Blood clotting disorders such as hemophilia

  • Blockage in the urinary tract

  • Kidney disease or inflammation

  • Cystic diseases of the kidneys

  • Sickle cell anemia

  • Endometriosis

© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Find a doctor that's right for you.

From routine check-ups to groundbreaking treatments and beyond, Crestner Health is here to help you live your healthiest life.

Search our doctors
Related Articles
Read article
Urology
Exercise to Help Your Kidneys

If you have kidney problems, or have in the past, exercise is important. It is also important if you want to prevent problems with your kidneys.

Read article
Urology
Discharge Instructions for Pyelonephritis

You were treated in the hospital for kidney infection. Once you return home, here's what you can do to aid in your recovery and prevent future infections.

Read article
Urology
Kidney Stone, Passed

The sharp, cramping pain and nausea/vomiting that you had was due to the stone moving through the ureter (the narrow tube joining the kidney to the bladder). Once the stone reaches your bladder, the pain stops. Pain may begin again as the stone passes through the bladder and out through the urethra.

Read article
Digestive Health
Abdominal X-ray

An abdominal X-ray may be done to check the area for causes of belly pain. It can also be done to find an object that has been swallowed or to look for a blockage or a hole in the intestine. Read on to learn what to expect before, during, and after this imaging test.