Blood in the urine and back pain

Blood in the urine and back pain


Have you recently noticed blood in your urine with back pain?

Are you worried about bleeding in the urine as well as backache and back pain?

Do you know the cause of blood in the urine along with back pain?

If you want to know what causes blood in the urine plus back pain and what are the treatments for them and what are the accompanying symptoms and manifestations, read on.



What you will read next:



What causes blood in the urine?

Diagnosing the cause of hematuria






A person may see his or her doctor for a general checkup only, and the doctor may order a blood and urine test for him or her and be diagnosed with a blood test in the urine (microchumuria).

Or the patient may notice that when he urinates the color of his urine has changed and there is clear blood in the urine (clear hematuria) or the urine is dark or pink.

Sometimes a person has a burning sensation. If there is enough blood in the urine, a clot may form in the urine. The clot may close the urethra completely, causing severe pain and the person may lose the ability to urinate.

In these cases, we must say that if the bleeding is so much and causes a clot, it is usually due to damage to the urinary tract.


What causes blood in the urine?

There are many causes that can cause blood in your urine. Here are some of them:


  • Factor 1) Urinary tract infections:

Any inflammation in the urethra, kidney tissue infections and bladder infections can cause you to feel a pink discoloration in your urine or see blood clearly. The presence of blood in the urine is called hematuria.


  • Factor 2) kidney stones

Kidney stones, when excreted, cause damage to the walls of the ureter and bladder. This tissue damage can cause blood to form in the urine.


  • Factor 3) tumors

Bladder and kidney tumors may also cause blood to urinate.


  • Factor 4)

Tissue injuries and wounds in different parts of the urethra can also cause blood in the urine.


  • The next cause) drugs

When there is blood in the urine, it is best to have a history of medication taken by the affected person. Medications such as penicillin, aspirin, heparin and warfarin can cause blood in the urine.

Blood disorders such as hemophilia and von Willebrand disease can cause blood in the urine.

Note that when the bladder is full of blood, it causes the blood to clot, resulting in clogging and urinary obstruction. At this time, there is a possibility of pain in the obstructed area.

Other symptoms will be caused by hematuria and will depend on the condition of the person.

Other causes of blood in the urine:

The following factors can cause hematuria in both sexes. These factors are:


  • Kidney and bladder infection (accompanying symptoms depend on the location of the infection)


  • next cause) Glomerulonephritis

Blood in the urine is not very severe in this disorder. Symptoms include decreased urine volume and high blood pressure.

In men, there is another factor and it is accompanied by pain in the lower back and there is blood in the semen and chills are often present. Prostate infection should be considered in these cases.

  • Kidney and bladder tumors: Kidney and bladder tumors are often painless. Some people may experience pain when urinating in the early stages of the tumor.

Kidney stones in men and women are accompanied by blood in the urine and pain in the back area.

And if these problems are related to coagulation disorders, abnormal bleeding should be seen in different parts of the body besides the urinary tract and should not only include blood in the urine.


Diagnosing the cause of hematuria

In order for the doctor to find out the cause of blood in the urine, the doctor requests a urine sample for testing. In women, menstruation may be accompanied by blood during menstruation, so urine sampling should be repeated at another time.

When doctors confirm that the disease is hematuria, he asks about the person's medical history, family history of various diseases and the person's own history of various kidney diseases, bladder disorders, bleeding disorders, as well as infection, pain when urinating, pain during sexual intercourse, as well as intense activities.

Based on the possible differential diagnoses that have caused hematuria, the following tests may also be used to help the medical team make a correct diagnosis:

  • blood test
  • Cystoscopy
  • Imaging by ultrasound
  • CT scan of the kidneys and bladder



Treatment should be based on the underlying cause of the hematuria. If the hematuria is due to medication, consult your doctor to change the medication if possible and replace it with another immunosuppressive drug. If the presence of blood in the urine indicates an infection, antibiotic therapy is effective. In the following cases, treatment requires more specialized cases:

kidney stone

Small kidney stones are excreted spontaneously after drinking a lot of fluids. Large stones are crushed according to their size and location and the underlying diseases of the person with Lithotripsy, surgery, laser treatment, etc.


Treatment is determined by the type of cancer and the extent of its spread, as well as the patient's condition, general health, and the presence or absence of other underlying diseases.

The main surgical methods are chemotherapy and radiation therapy.

treatment of bleeding disorders:

If there is a bleeding disorder, the doctor will prescribe appropriate treatment according to the type of disorder.

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