From the Research
Morning hematuria is most commonly caused by urinary tract infections, kidney stones, and other conditions that affect the urinary tract, and it is essential to seek medical attention promptly to determine the underlying cause and prevent potential complications. The causes of morning hematuria can be diverse, ranging from benign conditions to more serious diseases such as kidney disease, bladder or kidney tumors, and certain medications like blood thinners 1. Some studies suggest that the concentration of urine after a night without fluid intake may make morning hematuria more noticeable 2.
The evaluation of hematuria typically involves a combination of urinalysis, imaging studies, and possibly cystoscopy to determine the exact cause 3. The color of the blood and whether it appears at the beginning, throughout, or end of urination can provide important diagnostic clues about the source of bleeding within the urinary tract 4. It is crucial to increase fluid intake to help flush the urinary system while waiting for medical evaluation, but not to delay seeking care as some causes of hematuria require immediate treatment 5.
Some key points to consider when evaluating morning hematuria include:
- The presence of other symptoms such as pain, fever, or difficulty urinating
- The patient's medical history, including any previous urinary tract infections or kidney stones
- The results of urinalysis and imaging studies, such as ultrasound or computed tomography (CT) scans
- The need for prompt medical attention to prevent potential complications, such as kidney damage or sepsis.
Given the potential severity of the underlying causes of morning hematuria, it is essential to prioritize prompt medical evaluation and treatment to prevent morbidity, mortality, and to improve quality of life 1.