What is the cause of blood in urine in the elderly?

We all know that once people enter the elderly, their immune system and other aspects of their health are relatively poor. What is the reason for the elderly to have blood in their urine? Blood in the urine means that blood is discharged from the urine, and the urine color is therefore light red or bright red. It is one of the common symptoms of the elderly. There is blood in the urine, and sometimes blood clots can be seen. It may be accompanied by urinary pain. Patients with blood in the urine without urinary pain should be vigilant and go to the hospital for outpatient treatment in time. The following editor will give you a detailed scientific reason for the elderly to have blood in their urine.

The reason why the elderly have blood in their urine

1. Urogenital system stones

When the elderly have hematuria, urinary stones should be the first thing to think of. Due to less sports activities, longer bed time, osteoporosis, and the dispersion of high-quality protein in the bones, urinary stones are very likely to occur.

Older men often have prostate hyperplasia, poor urination, and urine retention in the bladder, which is also very easy to form stones. Stones irritate and damage the urinary tract mucosa and cause bleeding. If the bleeding is more, it will be macroscopic hematuria, and if it is less, it will be submicroscopic hematuria.

It is worth mentioning that hematuria caused by kidney and ureteral stones is often accompanied by renal colic, which is mainly manifested by intermittent severe pain in the waist or abdomen on the affected side, often radiating to the lower abdomen and thigh roots, and may be accompanied by nausea and vomiting. It can be visible hematuria or microscopic hematuria.

2. Urogenital tuberculosis

In the early stage of renal tuberculosis, there may be painless hematuria. Urinalysis may show pus and blood cells. When tuberculosis invades the bladder, frequent urination, urgency, inability to hold urine, and pain during urination may occur. The frequent urination and urgency are often very obvious, with urination reaching dozens of times a day. It may also be accompanied by systemic symptoms such as fever, sweating, and weight loss.

3. Urinary and reproductive system infection

Renal hematuria refers to hematuria coming from the renal tubules. In clinical medicine, it is mainly manifested as simple hematuria or hematuria with proteinuria, which is common in patients with urinary tract infections. If the kidney disease is not treated completely, the disease recurs repeatedly or is mistreated, the kidney disease cannot be effectively controlled and eventually leads to uremia.

The elderly have low immunity, poor self-washing ability of the vulva, and often have diabetes, so they are very likely to get urinary tract infections and hematuria, but they are often accompanied by frequent urination, urgency, and difficulty holding urine, and sometimes painful urination. Fever and high white blood cell count may also occur.

4. Urogenital system tumors

Painless hematuria in the elderly should take into account kidney function and bladder tumors, because hematuria is often intermittent, and sometimes hematuria can disappear after one time, which is easy to be ignored, thus delaying treatment. Therefore, painless hematuria in the elderly, even if it is only once, should be promptly taken to the hospital for further examination.