Why is my pee red?

Why is my pee red?

The color of urine is generally light yellow or white. When there are some problems with the human body, the color of urine will change to dark yellow or even red. Red urine may be hematuria. This situation requires special attention. It may also be accompanied by nose bleeding, bleeding gums, etc. Let's explain in detail why urine is red.

Normal fresh urine is light yellow in color because it contains a yellow pigment called urochrome. However, the color of urine can also be dark or light depending on the amount of water you drink. If you drink more water and urinate more, the proportion of urochrome in the urine will be smaller, and the color will be lighter; if you drink less water, the proportion of urochrome in the urine will be larger, and the color will appear yellow. If urine is left for some time, its color will become darker. This is because some of the urochrome in the urine has been oxidized into urochrome. The waste produced by the human body and the urine pigments excreted every day are generally relatively constant, so the color of urine will not change much. 96%-99% of urine is water, and most of the rest is waste, such as uric acid, creatinine, etc. The normal daily urine volume of a person is 1000-2000 ml, among which men have 1500-2000 ml and women have 1000-1500 ml. The urine is light yellow in color and transparent without any precipitation or turbidity. Freshly excreted urine has a special grassy aroma, but after being left for a long time, it develops an ammonia smell due to decomposition.

●Red urine When urine turns red, it usually means there are red blood cells in the urine, which is medically called hematuria. The causes of hematuria are very complicated. There are hundreds of diseases that can cause hematuria, and it is not easy to diagnose correctly. If hematuria is accompanied by nose bleeding, bleeding gums, or skin bleeding, it may be due to a systemic bleeding disease, such as thrombocytopenia, allergic purpura, hemophilia, or even leukemia. Hematuria is just a manifestation of systemic bleeding. If hematuria is accompanied by fever, joint swelling and pain, skin lesions, and multiple organ damage, it may be a connective tissue disease (such as systemic lupus erythematosus, nodular arteritis, etc.). If hematuria is accompanied by hypertension, edema, and proteinuria, it is mostly glomerulonephritis. If hematuria is accompanied by dull pain in the waist and abdomen, urgency, frequency, and pain when urinating, it is mostly a urinary tract infection or tuberculosis. If hematuria is accompanied by distension and pain in the lower back or abdominal cramps on one side, kidney or ureteral stones are most likely the cause, especially if the patient is in so much pain that he cannot move comfortably in bed, the cause is most likely ureteral stones.

If hematuria is accompanied by difficulty, strain, and dripping of urine, in elderly men, it is mostly due to prostate hypertrophy, while in middle-aged men, urethral stenosis, urethral stones, or bladder tumors should be considered.

Visible or significant microscopic hematuria in people over 50 years of age, whether male or female, suggests the presence of a urinary tract disease. In particular, sudden onset of painless hematuria is mostly a manifestation of tumor erosion of the urine excretion duct, causing rupture and bleeding. If there is any delay, the opportunity for effective treatment will be lost forever. More than 75% of urinary tract tumors in the elderly are malignant lesions, especially renal cell carcinoma, papillary bladder carcinoma and renal pelvic transitional cell carcinoma. Their common feature is hematuria throughout the urination process. Bleeding from renal tumors often stops naturally without any treatment, causing patients to mistakenly believe that they have recovered and stop seeking medical treatment. When visible hematuria occurs again after a few months or years, the cancer has reached an advanced stage and painful cell metastasis has often occurred around the diseased organ or further away.

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