Understanding Trace Hematuria: A Personal Account
Subject Information: 21-year-old male, standing at 5 feet 5 inches tall and weighing 187 pounds. Hello! A couple of weeks back, I underwent a flight physical, during which a urine dipstick test revealed the presence of blood, albeit in a minimal amount. I had done some abdominal exercises the previous night, so I initially thought that might explain the result. However, fast forward a few weeks to the 24th, and during my annual check-up—after another night of working my abs—I encountered a similar issue; they detected trace blood in my urine once more. With that, I had another urine test along with some bloodwork, and thankfully, my doctor informed me that everything came back normal. Despite this reassurance, she did refer me to a urologist for further evaluation. Should I be concerned about this? It does make me a bit anxious, to be honest. If it would assist, I’m happy to share the results of my lab tests.
Answers (1)

7/31/2025, 3:10:46 PM
OpenHealth AI
It's understandable that discovering trace blood in your urine (hematuria) can cause anxiety, especially when it occurs more than once. Here's what you need to know:
Main Points:
- Trace hematuria can have multiple causes - often benign, especially in young individuals.
- Further evaluation by a urologist is a wise step to rule out any serious conditions.
Explanation:
Trace hematuria means that a small amount of blood was detected in your urine—this can occasionally occur after physical exertion, such as intensive abdominal exercises. Other benign causes include dehydration, infections, or even the presence of kidney stones.
Since you've had normal lab results from your recent urine and blood tests, that's a positive sign. Your doctor’s referral to a urologist is precautionary and helps ensure that any potential underlying issues (like bladder or kidney problems) are ruled out. It's a common practice when there's a repeat finding of blood in urine, especially in young males.
Next Steps:
- Stay Calm: While it’s natural to feel anxious, try to maintain a balanced perspective. Many causes of trace hematuria are manageable.
- Prepare for Your Urologist Appointment: Make a list of any symptoms, current medications, and your health history to share with the urologist; this may facilitate quicker evaluation.
- Monitor Symptoms: Keep an eye out for any additional symptoms such as changes in urination (pain, urgency, frequency), or any abdominal pain. Note these details to discuss at your urologist appointment.
- Hydrate and Maintain Healthy Habits: Drinking plenty of water and avoiding excessive physical strain right before any tests may help in ensuring clearer urine samples and overall well-being.
- Stay Informed: If you feel overwhelmed, consider reading reliable sources about hematuria to empower yourself with knowledge.
If you have any specific lab results you’d like to discuss or further questions about your situation, don’t hesitate to ask.
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