Bleeding after unrination

Hello, I have recently had a UTI which got pretty bad (fever, chills, pain) and the doctor prescribed antibiotics.  A few days later, I started bleeding after urination.  I went back to the doctor after finishing the antibiotics and had another test which came up clear, with little blood in the actual urine.  If I stop urinating immediately, there is no blood in the urine at all or on the toilet paper, but if I stay relaxed or have to defacate, then what looks to be pure blood begins dripping from the urethra and there have been a couple of small clots.  It is definitely not vaginal.  I'm now starting to have a twinge (it's not painful)in the abdomen, which feels internally about three inches up from the opening, but I have no pain when I urinate.  Is this common after a UTI?  I do have SLE which is controlled with Plaquenil, but I don't think that this is related as I just had full blood work and an office urine check (while I had the UTI) with my haematologist which came up clear.  Thank you.

[Kevin Pho, MD]

Blood in the urine is never normal.  The most common cause would indeed be a UTI, but you should certainly consider further evaluation to exclude more serious causes, which can include bladder cancer.

You can consider a referral to a urologist, where more comprehensive testing - like a cystoscopy or CT-pyelogram - can be considered.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
http://www.straightfromthedoc.com

[nightstalker]

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[anoni5]

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[Kureece]

A related discussion, Bleep After Urinating was started.