blood streaked urine (help for my dad)

I am writing out of concern for my father who is 60 years old.  He has a history of alcoholism (still abusing) has (and is) been taking Vicodin for 5+ years for back pain.  My concern comes from finding VERY blood streaked urine after 1 of his 5-6 trips to the bathroom while he was visiting.  His skin also appears at times to be a little jaundiced.  I am wondering if this is liver or kidney or possibly both. I know he has seen a doctor for frequent urination, and he reported back to me that everything checked fine.  That was about 1.5 years ago.  I am very concerned for his health, but before approaching him would like to know more details.  I could use some help regarding how I could bring my concern to his attention.  Any help or suggestions would be appreciated.  Should I be as worried as I am?
Thank you
Concerned 87

[Kevin Pho, MD]

Blood in the urine is never normal.  Causes can include a UTI, prostatic disease or infection, bladder cancer or diseases, as well as kidney diseases.

Because he is 60 years old, I would be evaluated for cancer.  This would include a referral to a urologist for a prostate check and probably cystoscopy (a scope that can evaluate for bladder cancer).  

Regarding the jaundice - this can certainly be caused by liver failure.  Initial tests to evaluate this would include blood tests to evaluate the liver function as well as an abdominal ultrasound.

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.

Thanks,
Kevin, M.D.