Differential Diagnosis for Acute Blood in Urine
Single Most Likely Diagnosis
- Urinary Tract Infection (UTI): This is often the most common cause of acute hematuria, especially in women. Bacteria can cause inflammation and irritation in the urinary tract, leading to bleeding.
Other Likely Diagnoses
- Kidney Stones: Stones can cause bleeding by irritating the urinary tract or by causing a blockage that leads to increased pressure and subsequent bleeding.
- Bladder or Kidney Trauma: Any form of injury to the urinary tract can result in blood in the urine.
- Prostate Issues (in men): Conditions like prostatitis or benign prostatic hyperplasia (BPH) can cause hematuria due to the proximity of the prostate to the urinary tract.
Do Not Miss Diagnoses
- Cancer (Bladder, Kidney, or Prostate): Although less common, cancer is a critical diagnosis that must not be missed. Hematuria can be an early sign of these cancers.
- Vasculitis or Glomerulonephritis: These are inflammatory conditions that affect the blood vessels in the kidneys or the kidneys themselves, which can lead to hematuria and are potentially serious if not treated promptly.
- Bleeding Disorders: Conditions like hemophilia or the use of anticoagulant medications can increase the risk of bleeding, including into the urinary tract.
Rare Diagnoses
- Sickle Cell Disease or Trait: These conditions can cause sickling of red blood cells in the low-oxygen environment of the kidney, leading to damage and potential bleeding.
- Arteriovenous Malformation (AVM): A rare condition where there's an abnormal connection between arteries and veins, which can occur in the kidney or bladder and cause bleeding.
- Tuberculosis: Although rare in many parts of the world, TB can infect the urinary tract and cause hematuria among other symptoms.
- Goodpasture Syndrome: A rare autoimmune disease that can cause bleeding in the lungs and kidneys, leading to hematuria.