Hematuria is a condition where blood or red blood cells are present in the urine. At Carolina Nephrology, PA, we provide expert evaluation and management for patients experiencing hematuria, whether the cause is minor or a sign of a more serious underlying condition.

There are two types of hematuria:

  • Microscopic Hematuria – Red blood cells are present but can only be seen under a microscope.
  • Gross Hematuria – Blood is visible, making urine appear red, pink, or cola-colored.

Because the causes can range from harmless to life-threatening, proper evaluation by a nephrologist is essential.

Causes of Hematuria

Hematuria can develop for many reasons. At Carolina Nephrology, PA, we carefully assess each patient to determine the underlying cause. Possible causes include:

  • Serious causes – cancerous tumors, trauma, kidney or bladder stones, urinary tract blockages
  • Less serious causes – exercise-induced hematuria that resolves within 24 hours, viral infections of the urinary tract, certain medications (such as blood thinners), or benign prostate enlargement
  • Kidney-related causes – kidney inflammation (glomerulonephritis), inherited kidney conditions, or other renal disorders

Symptoms

In some cases, the only sign of hematuria is blood in the urine. However, additional symptoms may include:

  • Abdominal pain
  • Pain in the flank or side
  • Pain or burning during urination
  • Urinary urgency or frequency
  • Decreased urinary force, hesitancy, or incomplete emptying
  • Fever (if associated with infection)

If you notice blood in your urine, it is important to seek medical evaluation promptly.

Diagnosis

The physicians at Carolina Nephrology, PA use a wide range of diagnostic tools to identify the cause of hematuria. These may include:

  • Urinalysis – to detect red blood cells, protein, or infection

  • Blood tests – to assess kidney function and overall health

  • Ultrasound or CT scan – to evaluate the kidneys, ureters, and bladder

  • Intravenous pyelogram (IVP) – an imaging study of the urinary tract

  • Referral to a urologist – for procedures such as cystoscopy, where a small camera is used to examine the inside of the bladder for stones, tumors, or structural abnormalities

Treatment

Treatment for hematuria depends on its underlying cause. At Carolina Nephrology, PA, our specialists tailor a treatment plan for each patient, which may include:

  • No treatment if the cause is benign and self-resolving
  • Antibiotic therapy for infections
  • Medication management for kidney inflammation or prostate conditions
  • Referral to a urologist for procedures or surgical treatment, if needed

We work closely with trusted urologists in the region, including those affiliated with Prisma Health and Bon Secours St. Francis, to ensure patients receive seamless, comprehensive care.

Why Choose Carolina Nephrology, PA?

Our team has decades of experience diagnosing and managing complex kidney and urinary conditions, including hematuria. We take a patient-centered approach, ensuring that you and your family fully understand the cause of your symptoms and the best options for treatment.

If you are experiencing blood in your urine or related symptoms, contact Carolina Nephrology, PA for expert evaluation and compassionate care.