What causes hematuria in men

Hematuria in men may be caused by urinary tract infection, urinary system stones, prostate disease, nephritis or urinary system tumors.

1. Urinary tract infection

Urinary tract infection is one of the common causes of hematuria in men and is usually caused by bacterial infection. Common pathogenic bacteria include Escherichia coli, Proteus, etc. Patients may experience symptoms such as frequent urination, urgency, and painful urination. In severe cases, hematuria may occur. For treatment, levofloxacin tablets, cefixime capsules, fosfomycin trometamol powder and other drugs can be used according to the doctor's advice. You should drink plenty of water every day and keep your perineum clean.

2. Urinary system stones

Urinary system stones, such as kidney stones and ureteral stones, may scratch the urinary tract mucosa during movement and cause hematuria. Patients often suffer from severe low back pain or abdominal pain. For treatment, diclofenac sodium suppositories can be used to relieve pain, tamsulosin capsules can be used to dilate the ureter, and potassium hydrogen citrate sodium granules can be used to alkalize urine as directed by the doctor. Larger stones may require extracorporeal shock wave lithotripsy or ureteroscopy.

3. Prostate disease

Prostatic hyperplasia or prostatitis may cause hematuria. Prostatic hyperplasia is more common in middle-aged and elderly men. In addition to hematuria, it may also cause symptoms such as difficulty urinating and thinning of the urine line. For treatment, you can use finasteride tablets, tamsulosin sustained-release capsules and other drugs as directed by your doctor. Patients with acute prostatitis may need to use antibiotics such as levofloxacin tablets and cefdinir dispersible tablets.

4. Nephritis

Kidney diseases such as glomerulonephritis can cause hematuria, mostly microscopic hematuria. Patients may have symptoms such as proteinuria, edema, and hypertension. Treatment requires the use of valsartan capsules to control blood pressure, prednisone acetate tablets for anti-inflammatory, and cyclophosphamide tablets for immunosuppression as directed by the doctor. You should pay attention to a low-salt and high-quality protein diet every day to avoid overexertion.

5. Urinary system tumors

Urinary system tumors such as bladder cancer and kidney cancer are serious causes of hematuria and are more common in middle-aged and elderly men. Hematuria is often painless and intermittent. Diagnosis requires cystoscopy, CT and other examinations. Treatment may require transurethral resection of bladder tumors, radical nephrectomy and other surgeries, and postoperative chemotherapy or radiotherapy may be required.

It is recommended that men should seek medical examination promptly when hematuria occurs, and then targeted treatment can be provided after the cause is determined. Daily attention should be paid to maintaining adequate fluid intake, avoiding holding in urine, and limiting alcohol and spicy food. Men over 40 years old are recommended to undergo a urinary system physical examination every year, and those with a history of smoking should be more vigilant. During hematuria, strenuous exercise should be avoided, and urine color changes should be observed and symptom characteristics recorded to provide reference for doctors' diagnosis.