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Experiencing Blood in Urine?

8/20/2025, 1:11:49 PMMale25-34

Thank you for taking a moment to read my message. I'm a 23-year-old white male, standing at 6 feet (185 cm) and weighing 271 pounds (123 kg). My current medication regimen includes Finasteride, Minoxidil, Magnesium, and Creatine Monohydrate, along with a Symbicort 200/6 Turbohaler for my breathing issues. Recently, I've encountered a troubling symptom: for the past three weeks, I have consistently passed blood in my urine for one to two days each week. This experience is quite unsettling, as it brings a sense of urgency and pressure in my bladder, and I might also be feeling some discomfort in the perineal area—though I'm unsure if that sensation is purely psychological. Over the last week, I observed that several blood clots appeared during urination. While I haven't noted blood in my ejaculate this week, there was some present during the first week of this issue. This situation has led to a noticeably weakened bladder, requiring me to urinate more frequently when it occurs. Thankfully, the episodes seem to resolve fairly quickly. I reside in the UK and am aware that any contact with a general practitioner might coincide with the subsiding of the symptoms by the time my appointment comes around. I would appreciate any insights or advice on this matter, including straightforward comments suggesting that I should seek medical attention promptly. If you require additional information regarding my medications or anything else, I would be more than willing to provide it.

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

8/20/2025, 1:12:25 PM

OpenHealth AI

It's understandable to feel concerned about experiencing blood in your urine, especially with the additional symptoms you’ve described. Blood in urine, known as hematuria, should be evaluated by a healthcare professional to determine the underlying cause, as it can range from benign to serious conditions.

Explanation: Hematuria can be caused by various factors, including urinary tract infections (UTIs), kidney stones, prostate issues, or even more serious conditions like tumors. The presence of blood clots, urgency, and perineal discomfort adds to the importance of seeking medical advice. Although your symptoms have episodes of subsiding, the recurrence over three weeks, particularly with clots, should not be ignored.

Next Steps:

  1. Seek Medical Attention Promptly: It's crucial to see a healthcare professional (GP or urologist) as soon as possible, even if your symptoms seem to resolve. Mention all your symptoms clearly, including the blood color, the presence of clots, urgency, and any other changes.

  2. Monitor Your Symptoms: Keep a detailed record of when the blood appears, its color, the presence of clots, any associated symptoms like pain or frequency of urination, and how long episodes last. This information will be valuable for your doctor.

  3. Stay Hydrated: Drink plenty of fluids, especially water. Staying well-hydrated can help with your urinary tract and might assist in flushing out any irritants.

  4. Avoid Irritants: Limit caffeine, alcohol, and spicy foods that could irritate your bladder. Those can exacerbate urinary issues and urgency.

  5. Note Any Changes: Be vigilant for worsening symptoms, such as increased pain, fever, or changes in frequency that differ from what you've already experienced. If any arise, seek medical help immediately.

Please take this situation seriously, as it requires professional evaluation to ensure your health and address any potential underlying issues. Your well-being is important, and early intervention can make a significant difference.

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