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Patient education: Blood in the urine (hematuria) – ED discharge instructions (The Basics)

Patient education: Blood in the urine (hematuria) – ED discharge instructions (The Basics)

What are discharge instructions? — 

Discharge instructions are information about how to take care of yourself after getting medical care in the emergency department ("ED").

What should I know? — 

You came to the ED because of blood in your urine, called "hematuria."

Many things can cause this. Some are serious things like kidney disease or kidney, bladder, or prostate cancer. Most of the time, blood in urine is caused by something less serious like a bladder or kidney infection, kidney stone, injury, or intense exercise. Some medicines or foods can also make your urine look like it has blood in it.

The doctors think the cause of the blood in your urine is likely not something serious. But they might not be able to find all serious causes the first time they see you. So it is important that you follow up with your doctor.

You might be waiting on test results. The staff will notify you if there are concerning results.

How do I care for myself at home? — 

Ask the doctor or nurse what you should do when you go home. Make sure you understand exactly what you need to do to care for yourself. Ask questions if there is anything you do not understand.

You should also:

Call your regular doctor and tell them you were in the ED. Make a follow-up appointment.

Drink plenty of fluids, unless the doctor tells you to limit fluids. Drinking enough fluids is especially important if you work outside on hot days.

Try to go to the bathroom every 2 to 3 hours. Try to go as soon as you feel the urge, and avoid holding in your urine.

When should I get emergency help?

Return to the ED if:

You have very bad pain in your back, shoulder, or belly.

When should I call the doctor? — 

Call for advice if:

You have a fever of 100.4°F (38°C) or higher, or chills.

Your urine is cloudy, smells bad, or has more blood in it.

Your symptoms are getting worse or do not improve within 24 hours of starting treatment.

Your symptoms come back after finishing treatment.

You have new or worsening symptoms.

More on this topic

Patient education: Blood in the urine (hematuria) in adults (The Basics)
Patient education: Blood in the urine (hematuria) in children (The Basics)

Patient education: Blood in the urine (hematuria) in adults (Beyond the Basics)
Patient education: Blood in the urine (hematuria) in children (Beyond the Basics)

This topic retrieved from UpToDate on: May 11, 2025.
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