Blood when urinating

I am 63.  The following happened once about 8 months ago and again two days ago:  When urinating, I passed a small blood clot at the beginning of the stream followed by a small amount of blood after which the urine cleared.  The next few times I urinated there was a little more blood at the beginning of the stream.  After about a day there was no more blood visible.  What are the possible causes?  What are the possible consequences and their probabilities if I do nothing.  Is there any urgency in addressing this problem.  I am currently away from home for two more months and would prefer to wait until I get home before seeing a doctor.

[Kevin Pho, MD]

Possible causes of blood in the urine can include a stone, prostatitis, a UTI, and various cancers - including bladder and prostate.

Workup typically would include a cystoscopy (to evaluate the bladder), an evaluation of the prostate (ultrasound as well as a rectal exam), and a CT scan to evaluate for kidney stones.  

I cannot give an estimate on urgency without evaluation.

These options can be discussed with your personal physician.

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.
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