Hematuria

1. Hematuria Presented By: Lorilee Hartigan, BSN, RN, NP Resident UCF Nursing Graduate Studies, Spring 2011

2. This presentation will help you: • Understand the difference between Microscopic and Gross hematuria • Understand how a Diagnosis of hematuria is made • Know what some of the Causes of hematuria are • Understand what the Treatments may be for hematuria

3. Blood in the urine… • Seeing blood in your urine can cause more than a little anxiety as it may indicate a serious problem. • However, blood in urine — known medically as hematuria —could be due to some simple causes such as: • Strenuous exercise, or use of common drugs such as aspirin. • The most important thing to remember is that any time you see blood in your urine, you need to see your health care provider to determine what the cause is.

4. Hematuria Background • There are two types of blood in urine: • Gross Hematuria: Blood that you can see • Microscopic Hematuria: Blood that is found in a urinalysis • Either way, it's important to determine the reason for the bleeding. • Its important to understand that blood in the urine is not a disease itself, but rather it is a symptom of a disease or problem elsewhere in the body.

5. How is Hematuria Diagnosed? • Your health-care provider will start with questions to try to discover the cause. • Medical history & Medications • Recent illnesses, Accidents, Surgeries, or Medical procedures or Tests • Recent travel, work history, lifestyle • Habits such as Smoking diet and exercise • Urinary habits or changes in your urinary habits.

6. Laboratory tests: • Laboratory tests-such as a urine dipstick, urinalysis, urine culture, or sending urine to a pathologist to review (cytology test) • Imaging studies such as an ultrasound, an intravenous pyelogram, or a CT scan • Cystoscopy: usually performed by a specialist. A catheter with a thin camera will be passed through the urethra into the bladder. This test can identify most problems of the lower urinary system.

7. Causes of Hematuria • Urinary tract infections • Kidney infections • Bladder or Kidney Stones • Enlarged Prostate • Kidney disease • Medications • Strenuous exercise • Cancer • Inherited disorders

8. Treatment of Hematuria • Hematuria has no specific treatment. • Instead, your Provider will treat the underlying condition causing it, such as: • Antibiotics for UTI’s • Medications or surgery may be needed for renal stones. • Stop smoking! It leads to Bladder Cancer • Treatments for Enlarged Prostate • Maintain healthy Weight, eat a healthy Diet, and stay Active to help prevent Urological cancer.

9. Anticipated Follow Up • Patients who continue to have Hematuria should be monitored every 6 to 12 months for signs and symptoms of progressive renal disease • Specifically your Provider will look for: • Protein in urine • Decrease Renal Function --Hypertension

10. Thank you for your attention!