Urologic Dysfunction After Menopause Other Therapy
Electrical stimulation and biofeedback techniques offered by doctors and physical therapists may help strengthen the pelvic muscles in cases of bladder control problems and prolapsed bladder.
Electrical stimulation targets muscles in the vagina and pelvic floor with a probe attached to a device that delivers painless electrical currents that contract the muscles. This can also be performed through the pudendal nerve with a probe placed outside the body.
Biofeedback uses a sensor to monitor muscle activity in the vagina and pelvic floor. Based on information provided through biofeedback, a doctor or physical therapist can recommend exercises to strengthen these muscles.
Most Common Causes Behind Blood In The Urine
Some of the most common causes of the presence of blood in the urine are:
Urinary tract infections : A UTI occurs when bacteria enters the body by way of the urethra and grows in the urinary bladder. Apart from blood in urine, the other symptoms of a urinary tract infection are a constant urge to pass urine, urine with a very strong smell, and burning and pain while urinating.
Pyelonephritis : Kidney infection occurs when bacteria travels to the kidneys from the lower urinary tract or gets into the kidneys from the blood. Symptoms and signs of pyelonephritis are usually similar to a UTI, though they may also cause flank pain and fever.
A kidney or bladder stone: If your urine is concentrated, then the minerals present in it may form crystals in the bladder or kidneys. Gradually, these crystals may form tiny, hard stones. They are usually painless unless they get passed or result in a blockage, when they may cause very severe pain along with both microscopic and macroscopic bleeding. They may lead to the occurrence of blood clots in urine.
Urinary tract and kidney infections, as well as bladder stones, are among the most common causes of blood in the urine.
Kidney disease: Blood in the urine may also occur due to an inflammatory kidney disease called glomerulonephritis. Vasculitis , and immune system problems after strep or viral infections for instance, IgA nephropathy that affects the glomeruli may trigger glomerulonephritis.
How Is Microscopic Hematuria Diagnosed
Your doctor will usually start by asking you for a urine sample. He or she will test your urine for the presence of red blood cells. Your doctor will also check for other things that might explain whats wrong. For example, white blood cells in your urine usually means you have an infection. If you do have blood in your urine, your doctor will ask you some questions to find out what caused it.
If the cause isnt clear, you may need more tests. These may include:
- A blood test.
- A computed tomography scan.
- A magnetic resonance imaging test.
- An intravenous pyelogram. This is like an X-ray that looks at your kidneys and bladder.
- A special tool, such as a cytoscope or an endoscope, may be used to look inside your bladder. This type of test is usually done by a special doctor called a urologist.
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Natural Treatments Of Hematuria Causes
Here are some of the natural ways to approach several of the possible underlying causes of hematuria.
If your hematuria is caused by:
1. Urinary Tract Infection
A urinary tract infection is a very common cause of hematuria. Thankfully, there are a lot of natural home remedies that can help a UTI and its resulting symptoms such as blood in the urine. One of the primary ways to help a UTI is to urinate often. Studies show that holding urine for a lengthy amount of time permits bacteria to grow and multiply within the urinary tract. This can lead to a urinary tract infection. The next and somewhat related natural remedy is to stay hydrated! When you have a UTI, you want to be flushing that bacteria out. So make sure youre drinking enough water and urinating as needed.
Another beverage that can help with UTIs is cranberry juice, but make sure that it is unsweetened. Research points towards cranberry juice decreasing the number of UTIs a person develops over the course of a one year time period, especially for women who struggles with recurrent UTIs. Eating fermented foods, which are rich in probiotics, and taking a probiotic supplement are also really helpful because they put the good flora into the body to help bad that bad bacteria that causes a UTI.
For more ideas, check out: Top 12 Natural Home Remedies for UTI.
2. Enlarged Prostate Gland
3. Kidney Stones
4. Bladder Cancer
Urologic Dysfunction After Menopause Follow
Urinary tract infection
Completing the entire course of antibiotics prescribed by the doctor is extremely important, even if the woman feels better. A woman may also be asked to return to the doctor for a follow-up urinalysis. If a woman experiences a return of symptoms or new symptoms, she should call her health care professional immediately. These symptoms include fever or pain with urination continuing 2 days after antibiotic treatment inability to keep medication down or severe side effects of medication nausea or vomiting related to foods, fluid, or medication flank pain, shaking chills, or high fever related to kidney involvement or worsening of any symptoms after 2 days of antibiotic treatment.
Bladder control problems/bladder prolapse
Keep follow-up appointments with the doctor and continue seeking medical care if a first approach does not work.
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Treatment For Blood Clots In Urine
If you see a change in the color of your urine and you are thinking if it may be blood, you must initially consider what the possible causes are, which may include presence of your menstrual period or current drug intake. You may want to observe if the blood in urine persists after a few times you have urinated or after a day. Observe for other symptoms like pain, fever, or changes in urine character. It may help to rest, in the case of bleeding after strenuous exercise, and increase fluid intake, in mild cases of urinary tract infections. Over-the-counter pain relievers can also help relieve mild pain and fever.
In the presence of other symptoms, do not attempt to take home remedies on your own. It is advisable to get proper medical advice.
Pelvic Floor Changes And Prolapse
Many postmenopausal women become aware of ballooning or bulging of the walls inside the vagina, or even of a feeling of descent of the neck of the womb. Others simply experience a generalised pelvic dragging sensation. About half of post-menopausal women are found to have weakening of the front wall of the vagina about a quarter have similar problems with the back wall, and one-fifth with the highest part of the vagina.
The muscles and ligaments of the pelvic floor are all estrogen-sensitive, and changes in collagen, due to estrogen deficiency can have a profound effect on the support mechanisms of the pelvic floor.
The protective covering of the clitoris may be affected by changes in the urogenital tissue quality. The clitoris can become exposed and hypersensitive or buried underneath the fused labia minora.
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Microscopic Blood In Urine Unreliable Indicator Of Urinary Tract Cancer
- Microscopic amounts of blood in urine have been considered a risk factor for urinary tract malignant tumors. However, only a small proportion of patients referred for investigation are subsequently found to have cancer. A new study reports on the development and testing of a Hematuria Risk Index to predict cancer risk. This could potentially lead to significant reductions in the number of unnecessary evaluations.
Microscopic amounts of blood in urine have been considered a risk factor for urinary tract malignant tumors. However, only a small proportion of patients referred for investigation are subsequently found to have cancer. A new Kaiser Permanente Southern California study published in the February Mayo Clinic Proceedings reports on the development and testing of a Hematuria Risk Index to predict cancer risk. This could potentially lead to significant reductions in the number of unnecessary evaluations.
Individuals with microscopic hematuria are currently referred for follow-up radiologic and invasive examinations, even when they are asymptomatic. American Urological Association best practice policy recommendations include urine testing and abdominal computed tomography or intravenous pyelography plus renal ultrasonography. Patients may also undergo cystoscopy, a procedure that involves passing a narrow tube fitted with a miniature camera into the bladder to closely examine both the bladder and urethra.
Microscopic Hematuria: Common Causes Of Microscopic Blood In The Urine
Hematuria is the medical term for blood in the urine. Microscopic refers to blood that cannot be seen by the naked eye. It can only be seen using a microscope. Those who have microscopic hematuria have blood in their urine, but it canât be seen with the naked eye. Many medical conditions and disorders can cause microscopic hematuria. Some of these conditions and disorders are easily treated and some are more complex.
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Theres No Reason For The Blood
For the majority of folks younger than age 50, theres usually no underlying issue causing microscopic levels of blood . For this reason, the American College of Obstetricians and Gynecologists does not recommended extensive cancer screening in women ages 35 to 50 whove never smoked, never had visible blood in their urine, and have fewer than 25 red blood cells in a urine sample. Their risk is a mere 0.5%. This isnt the case for women who have more than 25 RBCs, are over 51, have a history of smoking, or have had gross hematuria.
What To Do If You Have A Blood Clot In Your Urine
For instance, passing blood clots in urine arising from UTI infections or prostatitis are treated with antibiotics to manage the symptoms. Apart from antibiotics, the doctor may prescribe pain killers to relieve discomfort. Disclaimer: The information provided in this article is solely for educating the reader.
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You Have A Kidney Infection
If left untreated, bacteria can travel from your bladder to one or both of your kidneys and cause an infection. Or something might be blocking the kidneys , causing urine to back up into them. If not caught early, the bacteria causing the infection could get into your bloodstream, which can be deadly.
Other kidney infection symptoms:
You have pain in the upper back or side.
You have a fever and/or chills.
Youre urinating more often.
Your urine is smelly or cloudy.
Kidney infection tests and treatment: Doctors will check your urine for bacteria and perhaps run a blood test to check if the bacteria have gotten into your bloodstream. They might also take an ultrasound or CT-scan of your kidneys to check for stones or other obstructions and they may order a special x-ray that checks your bladder when its full as well as when you are urinating. If a kidney infection is confirmed, youre treated with antibiotics, usually for two weeks. If the infection still hasnt gone away, you might go into the hospital to get the drugs via an IV.
Uti Is Not The Only Cause Of Urinary Bleeding In Women
It is important to note that because urinary tract infections or cystitis are common in women, hematuria is often incorrectly attributed to a urinary tract infection, especially in women who are prone to having urinary tract infections.
While that is possible that blood in urine is caused by UTI, a thorough evaluation may still need to be performed depending on individual risk factors.
Studies show that it is not infrequent that blood in urine and symptoms of UTI can coexist with other more serious causes such as bladder stones, bladder cancer, and kidney dysfunction. Women with risk factors include those who are over age 40, current and former smokers, and those with a history of underlying medical problems such as diabetes and cancer.
Read about the top 5 things to know about blood in the urine.
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You Have A Urinary Tract Infection
Bacteria, especially E. coli, are the culprits in UTIs, multiplying in the bladder or urethra and causing irritation and infection. Theyre more common in women than men , thanks to the relatively short distance the bacteria have to travel from a womans anus to the urethra and up to the bladder. Bladder infections are known as cystitis.
Other UTI symptoms:
You have to go more often and/or only pee a few drops.
It hurts or burns when you urinate.
You have pain or discomfort in your lower abdomen or back.
UTI tests and treatments: The only way to really rule out a UTI is to get a urine test or culture that looks for bacteria. Then your provider will give you antibiotics. UTIs can come back, and if you have more than three a year, talk to your doctor. You might be put on long-term antibiotics or given further tests to figure out the reason for the infections.
Good to know: Because older women are prone to UTIs and they dont develop bladder cancer at the same rate as men, some doctors will prescribe antibiotics without getting a urine sample or theyll keep prescribing meds because they think the infection has come back. Theres a danger in doing that, say bladder cancer experts: Postponing bladder-cancer screening tests is a big reason women are diagnosed at later stages and die from the disease more often than men. So always insist on a urine culture and if theres no bacteria, ask for further tests, especially if you are or were a smoker.
What Are Some Symptoms Of Uterine Cancer
Uterine cancer usually occurs after menopause, typically between the ages of 60 and 70. It also may occur around the time that menopause begins. Abnormal vaginal bleeding is the most common symptom of uterine cancer. Bleeding may start as a watery, blood-streaked flow that gradually contains more blood. Women should not assume that abnormal vaginal bleeding is part of menopause. A woman should see her doctor if she has any of the following symptoms:
- unusual vaginal bleeding or discharge not related to menstruation, most commonly postmenopausal bleeding
- thin white or clear vaginal discharge after menopause
- extremely long, heavy or frequent episodes of vaginal bleeding after age 40
- difficult or painful urination
- pain during intercourse
- pain in the pelvic area
These symptoms can be caused by cancer or other less serious conditions. Most often they are not cancer, but only a doctor can tell for sure.
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Assessment Of Microscopic Hematuria In Adults
Am Fam Physician. 2006 May 15 73:1748-1754.
Patient information: See related handout on microscopic hematuria, written by the authors of this article.
Microscopic hematuria, a common finding on routine urinalysis of adults, is clinically significant when three to five red blood cells per high-power field are visible. Etiologies of microscopic hematuria range from incidental causes to life-threatening urinary tract neoplasm. The lack of evidence-based imaging guidelines can complicate the family physician’s decision about the best way to proceed. Patients with proteinuria, red cell casts, and elevated serum creatinine levels should be referred promptly to a nephrology subspecialist. Microscopic hematuria with signs of urinary tract infection should resolve with appropriate treatment of the underlying infection. Patients with asymptomatic microscopic hematuria or with hematuria persisting after treatment of urinary tract infection also need to be evaluated. Because upper and lower urinary tract pathologies often coexist, patients should be evaluated using cytology plus intravenous urography, computed tomography, or ultrasonography. When urine cytology results are abnormal, cystoscopy should be performed to complete the investigation.
SORT: KEY RECOMMENDATIONS FOR PRACTICE
Screening asymptomatic patients for microscopic hematuria generally is not recommended.
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Algorithmic approach to microscopic hematuria in adults.
Is Blood In Your Urine A Reason To Be Concerned
If you notice blood in your urine, don’t ignore it. There are many possible causes of this condition, known as hematuria. While some are simply treated and not dangerous, others may need immediate medical attention.
Not all hematuria can be seen with the human eye. In fact, the most common type of hematuria-called microscopic hematuria-can only been seen by a health care expert under a microscope. In many cases, microscopic hematuria is spotted when a person has a urine test during a health exam.
When a person can see the blood in his or her urine, the condition is called gross hematuria. People with gross hematuria have urine that is pink, red or brown.
“There’s a common misconception that if you see blood in your urine once and then it goes away that you’re in the clear,” says Angela B. Smith, MD, Assistant Professor of Urology at the University of North Carolina School of Medicine in Chapel Hill. “But it’s important to seek care the very first time you see blood in the urine, so your doctor can confirm that it’s there and refer you to a urologist for an evaluation.”
In most cases, people with either type of hematuria do not have pain or any other signs or symptoms.
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Risk Factors For Vaginal Atrophy
Some women are more likely than others to get atrophic vaginitis. Women who have never given birth vaginally are more prone to vaginal atrophy than women who delivered their babies vaginally.
Smoking impairs blood circulation, depriving the vagina and other tissues of oxygen. Tissue thinning occurs where blood flow is decreased or restricted. Smokers are also less responsive to estrogen therapy in pill form.
What You Need To Know:
Visible blood in urine typically signifies a significant medical and urological problem. Most women with microscopic or invisible blood in urine also have an underlying problem that requires diagnosis and treatment. While often the problem is minor such as a UTI, other times the problem may be more dangerous such as kidney stones or bladder cancer. At New York Urology Specialists, we use the most advanced tests to evaluate the causes of hematuria.
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