Last Updated on December 3, 2025 by Ugurkan Demir

Passing blood clots while urinating is a worrying sign. It’s a symptom that needs quick medical check-up to find out why. At Liv Hospital, we know how scary this can be. We offer caring help and the latest tech to figure out what’s going on.

Clots in urine can mean different health problems. These include infections, stones in the kidneys or bladder, or an enlarged prostate. Sometimes, it could be a sign of something serious. Our team works hard to create a treatment plan just for you. We aim to give you the care and support you need.

Key Takeaways

• Passing blood clots while urinating is a symptom that requires immediate medical attention.
• Various health issues can cause blood clots in the urine, including infections and kidney stones.
• Liv Hospital offers advanced diagnostic technology and compassionate care.
• A personalized treatment plan is developed for each patient based on their specific needs.
• Prompt evaluation is key to figuring out the cause of the symptom.

Understanding Blood Clots in Urine (Hematuria)

Blood in urine, or hematuria, can show up in different ways. It often points to health issues. Hematuria itself is not a disease but a sign of many conditions, from infections to serious diseases.

What Causes Blood to Clot in Urine?

Blood clots in urine happen when there’s bleeding in the urinary tract. This can be due to urinary tract infections, kidney stones, or trauma to the urinary tract. Blood clots suggest the bleeding might be serious or there’s an underlying issue.

When we see blood in our urine, finding the cause is key. The reasons can range from mild to severe.

Gross vs. Microscopic Hematuria

Hematuria is divided into two types: gross hematuria and microscopic hematuria. Gross hematuria makes the urine look pink, red, or brown. Microscopic hematuria is only seen under a microscope.

Knowing the difference is important. It helps find the cause and guide treatment.

Prevalence and Risk Factors

Hematuria affects many people at some point. Up to 30% of adults will experience it. Risk factors include age, gender, and medical history. For example, older people and those with UTI or kidney stone history are at higher risk.

Knowing these risk factors helps in early detection and management of hematuria. If you have symptoms like abdominal pain and blood in urine, get medical help.

Common Causes of Blood Clots in Urine

It’s important to know why blood clots show up in urine. These clots, or hematuria, can point to several issues in the urinary tract. We’ll look at the main reasons, like infections, stones, an enlarged prostate, and injuries.

Urinary Tract Infections

Urinary tract infections (UTIs) are a big reason for blood clots in urine. When bacteria get into the urinary tract, it can cause inflammation and bleeding. UTIs can hit any part of the urinary system, like the kidneys, bladder, and urethra. Symptoms include painful urination, needing to urinate a lot, and stomach pain, along with blood in the urine.

Kidney and Bladder Stones

Kidney and bladder stones are another big cause of blood clots in urine. These stones are hard deposits made of minerals and salts. They can irritate, injure, and bleed as they move through the urinary tract. The pain from stones can be very bad and may also cause nausea and vomiting.

Enlarged Prostate (BPH)

An enlarged prostate, or BPH, is common in older men. It can cause urinary symptoms, including blood in the urine. The increased pressure on the urethra and bladder can lead to bleeding, mostly at the end of urination.

Urinary Tract Injuries

Urinary tract injuries can also cause blood clots in urine. These injuries can happen from trauma, medical procedures, or other reasons. They can damage the urinary tract, leading to bleeding. Symptoms may include pain and trouble urinating, depending on the injury’s nature and severity.

As I Urinate Blood Clots Are Exiting Me in Male: Specific Concerns

Men who see blood clots when they pee need to know why. Blood clots in urine, or hematuria, can signal many issues. These problems affect men in ways that differ from women.

Male-Specific Anatomical Considerations

The male body has parts that can lead to blood clots in urine. The urethra, prostate, and bladder are key areas. For example, an enlarged prostate can cause symptoms like blood in the urine.

Prostate-Related Issues

The prostate gland is a key male organ that can cause urinary problems. Issues like prostatitis, an enlarged prostate (BPH), and prostate cancer can lead to blood in the urine. These problems are more common in older men and can greatly affect their quality of life.

Urethral Strictures and Injuries

Urethral strictures and injuries can also cause blood clots in urine. These can come from trauma, infections, or medical procedures. Urethral strictures can cause problems with urination and increase infection risk.

It’s important to understand these male-specific concerns to diagnose and treat hematuria. We will look at these issues further, covering diagnosis and treatment options.

Blood in Urine at the End of Stream: What It Means

Blood at the end of urination is called terminal hematuria. It’s a sign that needs to be checked out. It often points to urological problems that need fixing.

Terminal Hematuria Explained

Terminal hematuria is when blood shows up at the end of urination. It’s different from blood in urine all the way through. It usually comes from the lower urinary tract, like the prostate and urethra.

Key factors contributing to terminal hematuria include:

• Prostate issues, such as enlargement or inflammation
• Urethral irritation or injury
• Infections in the lower urinary tract

Prostate and Urethral Bleeding

Bleeding at the end of urination often means prostate problems. An enlarged prostate or inflammation can cause irritation and bleeding. Urethral strictures or injuries also lead to terminal hematuria.

It’s important to know that:

• Prostate conditions are more common in older men
• Urethral injuries can happen from catheterization or other medical procedures

Diagnostic Significance

Blood at the end of urination is a big deal for doctors. It means they need to check the prostate and urethra more closely.

Figuring out why you have terminal hematuria is key to treating it right. We suggest talking to a doctor for a full check-up.

Types and Appearance of Blood Clots in Urine

Blood clots in urine can look like tiny specks or long, worm-like structures. Each type suggests different possible causes. Knowing these differences is key for both patients and doctors to find the root of the problem.

Worm-like Clots from Ureters

Worm-like clots stand out because they usually come from the ureters. They form when blood moves through the narrow ureteral tubes, looking like long strings. Seeing these clots can mean there’s a lot of bleeding, possibly due to kidney stones or tumors.

Small vs. Large Clots: What They Indicate

The size of blood clots in urine can tell us a lot. Small clots might mean minor bleeding or irritation in the lower urinary tract. On the other hand, large clots often point to more serious bleeding, possibly from the kidneys or ureters. The size and number of clots help doctors understand how serious the issue is.

Color Variations and Their Meaning

Blood clots in urine can also vary in color, from bright red to dark brown or black. Bright red clots usually mean fresh bleeding. Darker clots suggest older blood that has been in the urinary system for a while. The color can give clues about when and where the bleeding started.

Understanding blood clots in urine is vital for diagnosing and treating hematuria. By looking closely at these clots, doctors can get important information. This helps them plan the right tests and treatments.

Abdominal Pain and Blood in Urine: Connected Symptoms

Abdominal pain and blood in urine can mean different health problems. These include infections or kidney stones. It’s important to know the possible causes and the pain’s location and type.

Kidney Stone Pain Patterns

Kidney stones can cause sharp pain that moves from the back to the lower abdomen or groin. This pain, called renal colic, can come and go. It often comes with nausea and vomiting. Blood in urine (hematuria) is common because the stone irritates the urinary tract lining.

Characteristics of kidney stone pain:

• Severe, sharp pain
• Pain radiating to the lower abdomen or groin
• Intermittent pain
• Associated nausea and vomiting

Infection-Related Discomfort

Urinary tract infections (UTIs) can also cause abdominal pain and hematuria. The pain is usually spread out and may come with other symptoms like painful urination, frequent need to urinate, and fever. Infections can cause inflammation and irritation, leading to blood in the urine.

Infection-related symptoms to watch for:

• Dysuria
• Frequent urination
• Fever
• Cloudy or foul-smelling urine

When Stomach Cramps Accompany Bloody Urine

Stomach cramps or abdominal cramps with bloody urine can point to several conditions. These include severe infections or inflammatory processes. It’s key to find the cause for the right treatment.

“The presence of abdominal pain with hematuria necessitates a thorough medical evaluation to determine the underlying cause and to guide appropriate management.”

— Medical Expert

Differentiating Causes Based on Pain Location

The pain’s location can help figure out the cause. For example, pain in the flank and groin is often from kidney stones. Suprapubic pain might be from bladder issues.

It’s important to understand the link between abdominal pain and blood in urine. This helps in diagnosing and treating the cause. If you have these symptoms, seeing a doctor is key to finding out what’s wrong and how to treat it.

Diagnosing the Cause of Blood Clots in Urine

To find out why blood clots show up in urine, we need to look at many things. A detailed check-up is key to figure out what’s causing it. This helps us choose the right treatment.

Initial Medical Evaluation

First, we take a close look at the patient’s history and do a physical check. We look at their symptoms, past health, and lifestyle. This helps us pick the best tests to use.

Urinalysis and Blood Tests

Urinalysis is a big help in checking for blood in the urine. We check for blood, infection, or other issues. Blood tests help us see how the kidneys are doing and if there’s an infection.

Key components of urinalysis include:

• Microscopic examination for red and white blood cells
• Culture to identify infections
• Cytology to check for abnormal cells

Imaging Studies

Imaging tests are very important in finding out why there’s blood in the urine. We use different tests to see the urinary tract. Common ones are:

• Computed Tomography (CT) scans
• Ultrasound
• Intravenous Pyelography (IVP)

Cystoscopy and Other Specialized Tests

In some cases, we might suggest cystoscopy. This lets us see inside the bladder and urethra. Other tests might be needed based on what we find first.

Cystoscopy helps us:

• Find bladder stones or tumors
• See if the bladder lining looks normal
• Take biopsies if needed

By looking at all the test results, we can find out why there are blood clots in urine. Then, we can make a good plan to treat it.

Treatment Options for Hematuria with Blood Clots

Blood clots in urine need a careful check to find the best treatment. Hematuria, or blood in the urine, can mean different things. Each problem needs a special way to treat it.

Addressing Underlying Infections

UTIs often cause hematuria. Antibiotic treatment is usually the first step. The right antibiotic depends on the bacteria. It’s important to finish all antibiotics to clear the infection and prevent it from coming back.

Some UTIs keep coming back or are more serious. They might need more treatment, like prophylactic antibiotics to prevent future infections.

Managing Kidney and Bladder Stones

Treating kidney and bladder stones aims to ease symptoms and help stones pass. Hydration is key to flushing out small stones. For bigger stones, doctors might need to intervene.

• Extracorporeal Shock Wave Lithotripsy (ESWL): A non-invasive method that breaks stones into smaller pieces for easy passage.
• Ureteroscopy: A small scope is used to see and remove stones directly.
• Surgical removal: Sometimes, bigger stones need to be surgically removed.

Changing your diet and taking certain medications can help prevent new stones from forming.

Treatments for Prostate Conditions

Men with hematuria due to prostate issues, like an enlarged prostate (BPH), need treatments to ease obstruction and bleeding.

Medications like alpha-blockers can relax prostate muscles, making urination easier. For severe cases, minimally invasive procedures or surgery might be needed.

Surgical Interventions When Necessary

For serious conditions like tumors or trauma, surgical intervention is often needed. Surgery aims to fix the problem, whether it’s removing a tumor or repairing damage.

Choosing surgery depends on a detailed evaluation and looking at other options first. Advanced surgical techniques, like robotic-assisted surgery, can help reduce recovery time and risks.

When to Seek Immediate Medical Attention

We will outline the critical situations that necessitate urgent medical care for individuals experiencing hematuria with blood clots. Certain conditions require immediate attention to prevent serious complications or to address potentially life-threatening situations.

Emergency Warning Signs

If you’re experiencing any of the following symptoms, you should seek medical help right away. These warning signs indicate potentially serious conditions that require prompt evaluation and treatment.

• Severe pain in the abdomen, back, or pelvic area
• Heavy bleeding that doesn’t stop or slows down urination
• Fever and chills, which could indicate an infection
• Difficulty starting or stopping the flow of urine
• Pain or burning sensation while urinating

Severe Pain or Bleeding

Experiencing severe pain or heavy bleeding while urinating are critical symptoms that necessitate immediate medical attention. Severe pain can be a sign of a kidney stone, infection, or other serious conditions. Heavy bleeding can lead to significant blood loss and requires prompt evaluation.

Inability to Urinate

The inability to urinate, also known as urinary retention, is a medical emergency that requires immediate attention. This condition can be caused by a blockage, such as a kidney stone or blood clot, or by other factors like an enlarged prostate.

Signs of Infection or Sepsis

Signs of infection, such as fever, chills, or foul-smelling urine, accompanying hematuria are serious and demand immediate medical care. If left untreated, these infections can lead to sepsis, a life-threatening condition.

In conclusion, if you’re experiencing any of these severe symptoms, it’s vital to seek medical help immediately. Delaying care can lead to serious complications, including infection, organ damage, or even life-threatening conditions.

Preventing Recurrent Blood Clots in Urine

To stop blood clots in urine from coming back, you can make some lifestyle changes. Understanding why they happen and taking steps to prevent them can help a lot. This way, you can lower your chances of getting them again.

Hydration and Dietary Considerations

Drinking enough water is key to avoiding blood in your urine. Water helps get rid of bad bacteria and minerals that can cause stones. Try to drink 8-10 glasses of water every day. Also, what you eat can help prevent blood clots in your urine.

• Less salt and animal protein can help avoid stones.
• Eat foods high in antioxidants like berries and leafy greens to protect cells.
• Don’t drink too much caffeine and alcohol, as they can bother your bladder.

Prostate Health Maintenance

For men, keeping the prostate healthy is important to avoid blood in urine. Regular check-ups and tests can catch problems early. PSA tests are often used to check prostate health.

Some changes in your life can also help your prostate. For example:

1. Eat a diet full of fruits, vegetables, and whole grains.
2. Stay active to keep your body healthy.
3. Use stress-reducing activities like meditation or yoga.

Infection Prevention Strategies

Stopping urinary tract infections (UTIs) is also important to avoid blood in urine. Here’s how:

• Keep clean by wiping from front to back.
• Urinate after sex to get rid of bacteria.
• Stay away from products that can irritate your urinary tract.

Lifestyle Modifications

Changing your lifestyle can also help prevent blood clots in urine. Quitting smoking is a big help, as smoking can lead to bladder cancer and other problems.

Also, keeping a healthy weight and managing conditions like diabetes can help avoid urinary tract issues.

Conclusion

Hematuria, or blood in urine, is a serious sign that needs medical help. We’ve looked at why it happens, like infections, stones, and prostate issues.

Knowing why you have hematuria is key to fixing it. It shows a problem that needs quick doctor’s care.

Getting medical help is very important. It can find the cause of hematuria and stop bigger problems. If you see blood in your urine, see a doctor right away.

Going to the doctor can lead to better health. We aim to give top-notch care to everyone, including international patients.

FAQ

References

Government Health Resource. (2025). Why Am I Passing Blood Clots When Urinating. Retrieved from https://www.niddk.nih.gov/health-information/urologic-diseases/hematuria-blood-urine