Tele-triage for Blood in Urine (Hematuria) - Triage

Audience: adult

Blood in the urine, known as hematuria, can be a sign of various health issues. Sometimes, it appears as pink, red, or brown urine. While it can be caused by minor problems like exercise or mild infections, it may also indicate more serious conditions such as kidney stones, infections, or other urinary tract issues. Telemedicine can help evaluate symptoms, guide you on next steps, and decide if you need urgent care. However, some situations require immediate in-person evaluation. This guide helps you understand when tele-triage is suitable and when to seek face-to-face medical attention.

Red flags — go in person / ER

• Heavy bleeding with blood clots in urine — seek emergency care immediately.
• Severe pain in the side, back, or lower abdomen accompanied by nausea or vomiting — get urgent medical evaluation.
• Fever with chills or signs of infection plus blood in urine — contact healthcare provider promptly.

What telemedicine can do

• Initial assessment of visible blood in urine without severe symptoms.
• Guidance on symptom monitoring and home care.
• Advice on when to get lab tests or in-person evaluation.
• Follow-up discussions about test results and ongoing symptoms.

What telemedicine cannot do

• Severe pain requiring immediate pain management.
• Heavy bleeding with clots needing urgent intervention.
• Signs of urinary blockage or inability to urinate.
• High fever with systemic symptoms indicating infection or sepsis.

What is Hematuria?

Hematuria means there is blood in your urine. It can be visible (called gross hematuria) or only found with tests (microscopic hematuria). Blood may change the color of your urine to pink, red, or brown. Sometimes, you may not feel any pain or other symptoms.

Common Causes of Blood in Urine

Blood in urine can happen due to many reasons including:

A healthcare provider can help identify the cause based on your symptoms and tests.

When to Use Telemedicine for Hematuria

Telemedicine can be helpful if you notice blood in your urine but do not have severe symptoms. A virtual visit allows a healthcare provider to:

Tele-triage is often the first step for mild or new symptoms without urgent signs.

When to Seek Immediate In-Person Care

You should seek urgent in-person evaluation if you experience:

These signs may indicate serious conditions needing prompt treatment.

Preparing for Your Telemedicine Visit

Before your tele-visit, prepare by:

After Your Telemedicine Visit

Follow the healthcare provider’s advice carefully. This may include:

Keep track of any changes and communicate with your provider as needed.

How to prepare for your tele-visit

• Note the time when blood in urine was first noticed.
• List any other symptoms like pain, fever, or urinary changes.
• Prepare a list of current medications and supplements.
• Have information about recent injuries or strenuous activities.
• Ensure a quiet, private space with reliable internet for the tele-visit.

After your tele-visit

• Follow provider’s instructions for tests or referrals.
• Monitor symptoms and report any worsening or new red flags.
• Take prescribed medications as directed.
• Schedule in-person visits if recommended.
• Keep a symptom diary to share with your healthcare team.

FAQs

What causes blood in urine?

Blood in urine can be caused by infections, kidney stones, injuries, certain medications, or other medical conditions. Sometimes, vigorous exercise or minor trauma can also cause it.

Is blood in urine always serious?

Not always. While it can be a sign of a serious problem, blood in urine sometimes happens due to minor causes. It’s important to get evaluated to find out the reason.

Can I use telemedicine to check blood in my urine?

Yes, telemedicine can help assess your symptoms, provide guidance, and decide if you need in-person care or tests. However, severe symptoms require urgent face-to-face evaluation.

What should I do if I see blood in my urine?

Note when you noticed it, any other symptoms, and contact a healthcare provider. If you have severe pain, heavy bleeding, fever, or difficulty urinating, seek urgent medical care.

Will I need tests if I have blood in my urine?

Often, yes. Tests like urine analysis, blood tests, or imaging may be needed to determine the cause and guide treatment.

Sources

1. Hematuria — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Blood in Urine (Hematuria) — Mayo Clinic.
3. Hematuria: Causes and Diagnosis — National Library of Medicine.
4. Urinary Tract Infection (UTI) — Centers for Disease Control and Prevention (CDC).

This telemedicine guidance is for educational and triage purposes only and is not a substitute for in-person medical care. If you have any concerning symptoms or red flags, please seek immediate medical attention.