Hematuria with dysuria

Introduction Hematuria with poor urination, laborious and urinary drip, in elderly men are mostly prostatic hypertrophy, in middle-aged men should consider urethral stricture, urethral stones or bladder tumors.

Cause

The cause of hematuria with poor urination

It is caused by diseases such as benign prostatic hyperplasia, urethral stricture, urethral calculi, blood clots in the bladder that block the "opening" of the bladder, and diabetes.

an examination

Related inspection

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Hematuria with poor urination check

Under normal circumstances, there is urine in the bladder, which will be smoothly discharged through the bladder "opening" and urethra, but some people are very uncomfortable in urinating, not very laborious when urinating, or the flow is very fine when urinating, shot The urinary tract is also very close. Some people can't discharge it even if they are in the urinal for a long time. In severe cases, they can not develop urine. A large amount of urine "hoards" in the bladder and becomes urinary retention. The patient is very painful. Obviously, it causes urination. The main reason for the poorness is due to obstruction on the urinary tract or lack of contraction of the bladder.

Differential diagnosis

Hematuria with symptoms of dysuria and confusion

According to the shape of blood clot in hematuria

(1) Corrugated or filamentous: If there is a blood clot in the hematuria, it is in the form of a cord or a filament, suggesting that the bleeding site may be in the kidney or ureter.

(2) spherical: blood clots mixed in hematuria are spherical, suggesting that blood comes from the bladder.

4. According to the age of hematuria

(1) Pediatric hematuria: glomerulonephritis is the most common, with edema, hypertension, proteinuria, tubular urine.

(2) Adolescents and middle-aged people with hematuria: more common in infection (women with more), stones, injuries, tuberculosis, nephritis, and foreign bodies.

(3) Urine blood in the elderly: more common in tumors and benign prostatic hyperplasia.

5. Urine blood accompanied by symptoms

(1) With lumbar pain or abdominal cramps on one side, kidney and ureteral stones are the most likely. It can also be seen in urinary tract obstruction such as cheese-like substances and blood clots.

(2) with frequent urination, urgency, dysuria: urinary blood with frequent urination, urgency, dysuria, lumbar and abdominal pain and discomfort are mostly urinary tract infections or tuberculosis.

(3) with hypertension: can be seen in acute and chronic glomerulonephritis, acute hypertensive disease, congenital polycystic kidney disease, renal artery embolism, nodular polyarteritis.

(4) with skin and mucous membrane bleeding: visible in hemophilia, leukemia, thrombocytopenic purpura and other blood diseases. Urine blood is only part of systemic bleeding.

(5) with fever, joint swelling and pain, skin damage: hematuria with fever, joint swelling and pain, skin damage, multiple organ damage may be connective tissue disease (such as systemic lupus erythematosus, nodular polyarteritis, etc.).

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