Understanding Moderate Hematuria in Men
At the age of 28, I stand 5’10 and unfortunately have a smoking habit, but I don’t consume alcohol. Over the course of the last year, I've undergone several urinalyses. The results consistently showed no indication of urinary tract infections (UTIs). However, all screenings indicated the presence of moderate hematuria, with the red blood cell count recorded at 8 and 10 in two out of four tests. Following detailed imaging and a cystoscopy, the only issue identified was a self-inflicted stricture in the fossa navicularis, which I subsequently had dilated. Fast forward four months, I opted for another urinalysis to check on my condition. This time, the red blood cell count had dropped to 1 (with the caveat that I had consumed a bottle of water right before the test), yet the hematuria remained at a moderate level. Is it common for men to experience moderate hematuria?
Answers (1)
6/24/2025, 2:20:47 AM
OpenHealth AI
Moderate hematuria, or the presence of blood in urine, can be concerning. In men, especially at the age of 28, while it's not extremely common to have moderate hematuria, it can occur due to various reasons. You've taken important steps by having urinalyses, imaging, and cystoscopy to investigate.
Explanation
Hematuria can be caused by several factors, including urinary tract issues, kidney problems, trauma, or even chronic conditions like high blood pressure or diabetes. In your case, the dilation of the stricture may have had an effect, and the drop in red blood cell count suggests possible improvement, but it's still wise to keep monitoring for any changes. It's also essential to consider lifestyle factors like smoking, which can impact urinary health.
Next Steps
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Hydration: Continue to stay well-hydrated, as this can help dilute your urine and reduce irritation. Aim for at least 2 liters of water daily.
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Record Symptoms: Keep a diary of any additional symptoms you might have, like pain during urination, frequency, or any discomfort, which could provide insights into your condition.
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Regular Monitoring: Continue with periodic urinalyses as guided by your healthcare provider, especially if your hematuria persists.
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Lifestyle Changes: Consider reducing or quitting smoking, as it can lead to several health issues, including bladder and kidney problems.
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Seek Follow-up: Schedule a follow-up appointment with your healthcare provider to discuss ongoing hematuria and to see if any further testing or lifestyle changes are warranted.
Feel free to ask if you have more questions or need further clarification on any point. Your health is important, and taking proactive steps can make a significant difference.
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