Can a Urinary Tract Infection Cause Bleeding?

A urinary tract infection (UTI) is a common bacterial infection affecting any part of the urinary system, including the kidneys, ureters, bladder, and urethra. Many people wonder about the range of symptoms UTIs can cause, particularly whether bleeding might be among them. Understanding typical UTI signs helps recognize when a more concerning symptom, such as blood in the urine, might occur.

Understanding Common UTI Symptoms

Urinary tract infections frequently present with recognizable symptoms primarily affecting urination. Individuals often experience painful urination, commonly referred to as dysuria. There is often a noticeable increase in urination frequency, accompanied by a strong, persistent urge, even if only small amounts are passed. Urine might also appear cloudy or have an unusually strong odor. Discomfort or pressure in the pelvic area or lower abdomen is also common, with all these symptoms arising from inflammation of the urinary tract lining caused by bacterial infection.

Bleeding as a Symptom of UTIs

While less common, bleeding (hematuria) can occur with a urinary tract infection. This happens because the bacterial infection causes inflammation and irritation to the delicate urinary tract lining. This irritation can damage small blood vessels, leading to red blood cells leaking into the urine.

Bleeding from a UTI can manifest in two ways. Gross hematuria is visible to the naked eye, making urine appear pink, red, or even cola-colored. Microscopic hematuria involves blood not visible without a microscope, typically detected during laboratory tests. Visible blood often signals a more significant infection or greater irritation. If the infection spreads to the kidneys (pyelonephritis), bleeding can occur with fever, chills, and back pain.

When to Seek Medical Attention

It is important to seek medical advice for any suspected urinary tract infection, especially if bleeding is present. While bleeding can be a UTI symptom, it may also indicate other underlying conditions requiring diagnosis and treatment. A healthcare provider can perform urine tests, such as urinalysis and urine culture, to detect bacteria and determine the specific type of infection. This helps guide appropriate treatment, typically involving antibiotics.

Delaying UTI treatment, particularly when accompanied by bleeding, can lead to serious complications. An untreated infection can spread from the bladder to the kidneys, potentially causing permanent kidney damage or a life-threatening condition like sepsis. Prompt medical evaluation ensures accurate diagnosis and effective management, reducing the risk of severe outcomes.