Geriatrics·Geriatrics
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Blood in urine, also called hematuria, means there is blood in your urine that you can see or that can only be found with a lab test. In older adults, this can be a sign of a health issue, but in many cases it is not a serious problem. It is important to have it checked by a doctor to find out the cause.
Key facts
Yes, blood in urine is fairly common in older adults. As we age, our urinary system changes and becomes more prone to infections, stones, and other conditions that can cause bleeding.
This mostly affects people over the age of 60. Men are more likely to have causes like an enlarged prostate, while women may have more urinary tract infections. However, anyone can experience blood in their urine.
Your doctor will start by asking about your symptoms and any medicines you take. They will also perform a physical exam and order tests to see where the blood is coming from and why.
Treatment depends entirely on what is causing the blood in your urine. Many causes can be managed with simple treatments, while others may require more care. Your doctor will work with you to choose the best plan.
If an infection is found, antibiotics are commonly used. For an enlarged prostate, medicines that relax the prostate or shrink it may be prescribed. Stones can sometimes be treated with medicine to help them pass, or with sound waves to break them up (lithotripsy). If a tumor is the cause, treatment may involve surgery, radiation, or other therapies. Always follow your doctor’s advice about any medicines or treatments.
If you have had blood in your urine, you may need to see your doctor for follow-up tests until the cause is clear. Keep a record of any symptoms you notice and any changes in your urine color. Stay in touch with your healthcare team.
Eat a balanced diet with plenty of fruits, vegetables, and whole grains. Limit salt and processed foods to help keep your kidneys healthy. Moderate exercise, such as walking or swimming, is generally safe and good for overall health. Ask your doctor before starting new exercise if you have kidney problems.
Not all cases of blood in urine can be prevented, but you can lower your risk. Staying hydrated, not smoking, and managing chronic conditions like high blood pressure or diabetes can help. Avoid overusing painkillers that can harm the kidneys.
If you have risk factors such as a family history of kidney or bladder cancer, your doctor may recommend regular check-ups or urine tests. There is no routine screening for everyone, so follow your doctor’s advice.
The outlook for blood in urine in older adults is generally very good, especially when the cause is found early. Most conditions that cause blood in urine can be treated successfully. Even when the cause is more serious, like cancer, early detection leads to better outcomes. With proper medical care, you can continue to live a full and active life.
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Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 16, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.
These tests are usually painless, though a cystoscopy may cause some discomfort. Your doctor will explain each step and why it is needed. You may be referred to a specialist, such as a urologist, for further care.
Surgery may be needed if you have a large stone that cannot pass, a tumor in the bladder or kidney, or an enlarged prostate that does not get better with medicine. Your doctor will explain the options and what to expect.
It is normal to worry when you see blood in your urine, especially if you are concerned about cancer. Remember that many causes are not serious. If you feel anxious or stressed, talk to your doctor or a counselor. Joining a support group can also help.