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Red urine Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Red urine. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had the red urine?

    Why: can determine if acute or chronic.

  2. Is the discoloration of the urine truly red?

    Why: Red urine usually indicates blood in the urine. Jaundice more typically causes dark brown urine.

  3. Does the red urine occur in the first or the terminal part of the urine stream?

    Why: Redness in the first part of the urine stream suggests blood in the urine from a urethral or Prostatic lesion, while redness in the terminal part of the urine stream suggests bleeding from the bladder. Redness throughout the entire urine stream has no localizing features.

  4. Have you had an injury such as a blow to the loin, pelvis or genital area?
  5. Is the red urine transient or constant?

    Why: e.g. joggers and athletes engaged in very vigorous exercise can develop transient blood in the urine.

  6. Age of the patient?

    Why: if neonate or preschool age child must investigate for vesicoureteric reflux if urinary tract infection is diagnosed as it can lead to scarring of kidneys, high blood pressure and chronic renal failure. Urinary tract infections in infants and very young children may be associated with fever, vomiting, diarrhea and failure to thrive.

  7. Sex of patient?

    Why: if male should investigate for chronic prostatitis.

  8. Pregnant?

    Why: pregnant women have a higher chance of urinary tract infections and it is important to treat them as they can lead to pyelonephritis and higher chance of developing high blood pressure in pregnancy and higher chance of delivering a low birth weight baby.

  9. Past medical history?

    Why: e.g. some medical conditions may cause jaundice including hemolytic anemia, gallstones, cancer of the pancreas, cancer of the bile duct, strictures of the bile duct, hepatitis, cirrhosis of the liver and congestive cardiac failure.

  10. Past history of kidney disease?
  11. Past Radiation therapy?

    Why: Radiation cystitis can cause massive blood in the urine.

  12. Medications?

    Why: e.g. anticoagulants (such as warfarin) and cyclophosphamide may cause blood in the urine; many medications may cause jaundice including isoniazid, methyldopa, halothane, ketoconazole, niacin, nitrofurantoin, disulfiram, rifampin, testosterone, propylthiouracil, oral contraceptives, mercury.

  13. Sexual history?

    Why: To determine risk of sexually acquired urethritis which may cause blood in the urine. Will also determine risk of hepatitis B infection that can cause jaundice.

  14. Intravenous drug use?

    Why: increase the risk of hepatitis B and hepatitis C infection that can cause jaundice and dark urine.

  15. Dietary history?

    Why: Large amounts of beetroot, red lollies or berries in diet can cause red discoloration of urine.

  16. Travel history?

    Why: Recent overseas travel may suggest bilharzias or other parasites.

  17. Abdominal pain?

    Why: associated with blood in the urine suggests renal stones (most likely), renal embolism, kidney contusion (bruising from trauma), kidney laceration, glomerulonephritis, renal cancer or polycystic kidneys. If abdominal pain is associated with jaundice, this suggests common duct stones, sclerosing cholangitis, pancreatic cancer, bile duct cancer, pancreatitis, viral or alcoholic hepatitis.

  18. Pain or burning with urination or frequency of urination?

    Why: suggests a bladder stone, prostatic disease, urinary tract infection or renal infarction. If blood in the urine is painless, this may suggest urinary tract infection or trauma, tumors or polycystic kidneys.

  19. Fever?

    Why: associated with blood in the urine suggests pyelonephritis (most likely), lupus erythematosus, infective endocarditis with emboli to kidneys. Fever associated with jaundice may suggest cholangitis, viral hepatitis, pancreatitis or severe alcoholic hepatitis.

  20. Dark urine and Pale stools?

    Why: occurs with obstructive or cholestatic type jaundice such as gallstones, cancer of the pancreas, cancer of the bile duct, strictures of the bile duct, some medications, recurrent jaundice of pregnancy.

  21. Symptoms of urinary tract infection?

    Why: e.g. pain and burning with urination, urinary frequency, blood in urine in severe cases, offensive smell to urine.

  22. Symptoms of pyelonephritis (acute bacterial infection of the kidney)

    Why: e.g. symptoms as for urinary tract loin and also loin pain, fever, chills, nausea.

  23. Symptoms of prostatic disease?

    Why: e.g. slow weak urine stream, terminal dribbling of urine - may suggest cause of red urine is blood from the rupture of enlarged prostatic veins due to prostatic enlargement.

  24. Symptoms of urinary stones?

    Why: e.g. intense pain in loin radiating down to groin, cloudy urine due to blood in the urine.

  25. Symptoms of urethritis?

    Why: e.g. burning sensation with passing urine, penile discharge or leakage may be due to gonorrhea, chlamydia, ureaplasma and other organisms.

  26. Symptoms of bleeding disorders

    Why: e.g. extensive skin bruising, bleeding gums, bleeding nose, heavy menstrual periods, rectal bleeding and painful swollen joints.

  27. Symptoms of lupus erythematosus?

    Why: e.g. fever, malaise, tiredness, Raynaud's syndrome, butterfly shaped facial rash.

  28. Symptoms of leukemia?

    Why: Symptoms of anemia, malaise, susceptibility to infections (such as sore throat, mouth ulceration and chest infections), easy bruising, gum enlargement.

Conditions listing medical symptoms: Red urine:

The following list of conditions have 'Red urine' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Red urine or choose View All.

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