Blood in Your Child's Urine

Hematuria is blood found in your child’s urine. Although this condition can seem alarming for parents, it is quite common in children. Hematuria is often harmless and easily treatable.

There are generally two types of hematuria:

  • Microscopic: Amount not large enough to see with the naked eye
  • Macroscopic or gross hematuria: There is enough blood to change the color of the urine from yellow to pink, red or brown.

Any of the following tests may be recommended to diagnose your child’s hematuria:

  • Blood tests
  • Renal bladder ultrasound- This is a diagnostic imaging technique that uses high-frequency sound waves and a computer to image the urinary tract.
  • VCUG- voiding cystourethrogram- A specific X-ray that examines the urinary tract. The images will show if there is any reverse flow of urine into the ureters and kidneys and how well the bladder empties. It is also used to determine if there is obstruction in the urethra.
  • Cystoscopy-(rare) an examination in which a scope is inserted through the urethra to examine the bladder and urinary tract to locate the source of the bleeding. This is rarely needed and always done with anesthesia.

The results of these tests usually will be able to determine the cause and severity of the problem in the majority of children. In rare cases, your child may need more involved tests such as CT scans, angiograms and renal biopsy. If so, your urology provider will explain these tests to you and why they are necessary.

Hematuria Treatment

Because there are so many possible causes of hematuria, our urologists will determine which treatment is appropriate for your child based upon the underlying problem.

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