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Why Blood in Urine of children?

What would cause blood in urine in a child and a teenager?
Bloody urine starts from simple injury due to hitting their organs until cancers and severe illness.
let’s explain the degree of severity in various cases, thus you can get a clue to know what’s going with your kid.

Be sure that your kid didn’t get one of the common causes of the bloody urine due to physical reasons:

  • Hitting urethra,
  • Hitting testis cause blood urination with pain.
  • Hits penis.
  • Accidents or fall on back.
  • Holding urine for long time
  • Tight clothes.
  • Dehydration due to low water intake or vigorous exercise.
  • Your baby on medication which cause urine color alteration, or have foods cause change in urine color.

UTI cause blood in kid’s urine

Bladder infections or acute cystitis. In adults, bladder infections usually cause burning or pain with urination. Infants with bladder infections may have fever, be irritable, and feed poorly. Older children may have fever, pain and burning while urinating, urgency, and lower belly pain.

Children girls or boys usually got infections of the bladder, urethra, prostate or inflammation of the kidney by many causes, the simple cause is lack of washing their pubic area or old untreated infection.
The medical checkup for this case is urine for bacteria, albumin, pus cells, and blood cells.

Visible blood lasts for more than a day could be due to reasons other than infection or stones:

  • Accident or injury to penis for boys or urethral trauma for girls.
  • Urine congestion in young boys due to many causes such as a narrowing of the opening which called “stricture”
  • which is rare reason of bloody urination.
  • Restricted semen can lead to painful urination and RBCs in urine for teenagers.
  • Teenager girls may get amenorrhea or unstable period.
  • Excessive Masturbating for teenagers lead to injury and even benign ulcers to external sex organs which drop
  • Some blood in the urine fluid.
  • Blockage by stones with pain and crystals in urine test.

For such cases the urine test for a kid shouldn’t contain much blood cells unless it gets worse or open wound.

Medical checkup by urine test is recommended before going to the physical examination by a doctor.

Visible blood clot in children:
Although the bloody noses are actually quite normal in children, if they are constantly happening it’s suggestive of abnormal bleeding disorder.
Visible blood usually seen in children have hemophilia which is a blood clotting disorder requires a special therapy, messing up therapeutic dose can influence blood from nose and/or blood during urination. Take a urine test, platelets count, prothrombin time and concentration to exclude if there is coagulation abnormality.

Child have blood in urine, excessive pus cells, albumin and casts in urine, the kidney inflammation or nephritis syndromes are suggested,

• Kidney inflammation after a viral or bacterial infection (post-infectious glomerulonephritis) is one of the leading causes of visible urinary blood in children, usually with pus cells, proteinuria, and renal casts.

Recommend to take a test for ASOT test, kidney function profile, lipid tests profile, and complete blood count.

colors of bloody urine in kids

Possible Lab finding for each cause:

Note that: some symptoms are belongs to other ages.
1-Inflammation of the bladder, which usually cause urination with a burning pain.
Urine finding: RBCs over 100, Pus over 100 or a bit less.
2-kidney disease: accompanied by a high temperature (38 degrees Celsius or higher), and pain in the side part of your abdomen
Urine test results: RBCs morphology and count are depending on type and severity of disease, usual urine finding is RBCs over 100 and pus over count with reddish or smoky yellowish turbid color
3-kidney stones, may be painful, but it can sometimes plug a tube coming from the kidneys and cause severe abdominal pain.
Urine report: Red blood cells few to moderate 1-10/HPF, Pus 1-5 cells/HPF
4-inflammation of the urethra, the tube that carries urine out of the body “known as urethritis”, which is often caused by an infection that is transmitted by sexual contact Chlamydia
Urine analysis report: visible blood clots can be seen or RBCs count of 20-30/HPF.
5-prostate gland enlargement: After the middle age in men the benign prostate enlargement (BPH) is usual, in which prostate gland above the urethra and below the bladder hinder the passage of urine.
Urine results: RBCs 6-10/hpf or RBCs 30-70/hpf and red cells count in urine depend on severity.
6-Inflammation of Prostate by infection called prostatitis:
In urine test: RBCs greater than 8-15/hpf or RBC over 100 in severe prostatitis plus Pus cells 50-70/hpf.
6-prostate cancer – usually only observed in men over the age of 50 and usually develops very slowly but can often be cured if detected and treated early
7-bladder cancer – again, the reason is usually only when the people who are over the age of 50
8-kidney cancer – usually affects adults aged over 50 years, and are often detected by imaging scan, and can be cured if detected early
9- hereditary nephritis or so called alport syndrome show blood in urine and protein in urine with very strong evidence through signs and symptoms.
See the full list of reasons of blood in urine.

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  1. my kid urine show high proteinuria and blood casts???

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