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Urology/Red colored Urine

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Question
Dear Sir,

I am man aging 36. I have been facing this problem since last 8 days, when I first noticed few drops of red urine after urination, with a feel that my penis was pulling the last few drops back, followed by 2-3 red colored urination. After that, I had a lot of water around 7-8 glasses with in next 1 hour, during this time I urinate alot say after every 15-20 minutes, but the red colored urine has cleared to normal now.

Next day, I visited our General Physician, he asked me for a urine test, which was absolutely normal with no RBC, 2-3 hpf of pus cells, no bacteria. He suggested me to have Di Sodium Hydrogen Citrate syrup 2 spoons in a glass of water once a day.

For the next 2-3 days, I had around 5-6 Ltr. water a day and Urinate alot, during this time everything was normal. After 2-3 days I reduced the intake of water to normal. In next 24 hours, there was again a feeling of my penis was pulling the last few drops back and then I again saw few slight red colored drops at the end of urination. After that I start drinking alot of water again, and symptom again disappear.

I am totally confused. Pls. help.

Mano

Answer
Mano:

You need to consult with a urology specialist.  The red color is probably blood and it's important to make sure that the blood is not from anything potentially dangerous.  Most of the time, its some inflammation or enlargement of the prostate but it could also be from something potentially more serious like a tumor or a stone.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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