What are the causes of hematuria in men?

Dec 31, 2024 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
Hematuria in males may be caused by vigorous exercise, dietary factors, medication effects, ureteral stones, prostatitis, and other reasons. In daily life, it is important to maintain healthy lifestyle habits, including a balanced diet, moderate exercise, adequate hydration, and avoiding the abuse of medications, in order to prevent urinary system problems such as hematuria.

Generally, male hematuria (blood in urine) may be caused by strenuous exercise, dietary factors, medication effects, prostatitis, or ureteral stones. If the above situations occur, timely medical treatment is recommended. A detailed analysis is as follows:

1. Strenuous Exercise

During intense physical activity, the renal blood vessels become congested and the permeability of the glomerular filtration membrane increases, which may allow red blood cells to enter the urine and cause hematuria. It is advisable to avoid excessive exercise and allow for appropriate rest in daily life.

2. Dietary Factors

Consumption of certain foods rich in red pigments, such as red-fleshed dragon fruit, may cause urine to appear red, resembling hematuria. Adjusting the diet and avoiding such foods can help prevent this occurrence.

3. Medication Effects

Medications such as rifampin, pyrazinamide, and sulfonamides may lead to the above-mentioned condition when taken long-term. This may be accompanied by gastrointestinal discomfort or allergic reactions. Treatment might involve the use of medications such as sodium bicarbonate tablets, vitamin C tablets, and Shenkangning Granules, under a physician's guidance.

4. Prostatitis

Prostatitis may be associated with dietary habits, hormonal imbalances, or urine reflux, among other factors. Inflammation can cause congestion, edema, or enlargement of the prostate, leading to rupture of surface blood vessels and subsequent hematuria. Symptoms may include perineal pain and sexual dysfunction. Patients should follow medical advice for treatment using medications such as Qianliekangshu Capsules, Qianlie'an Suppositories, and Indomethacin Suppositories.

5. Ureteral Stones

Excessive body weight, environmental factors, and insufficient water intake are all potential triggers for ureteral stones. When stones move within the urinary tract, they may scratch the ureteral wall, causing bleeding that results in hematuria when excreted with urine. Symptoms may include abdominal pain and frequent urination. Treatment may involve medications such as tamsulosin hydrochloride sustained-release capsules, diclofenac sodium sustained-release tablets, and Shenshitong Granules, under the guidance of a physician.

Maintaining healthy lifestyle habits in daily life is important for prevention, including balanced nutrition, moderate physical activity, sufficient hydration, and avoiding the misuse of medications to help prevent urinary system issues like hematuria.

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