I have blood in my urine after I exercise. What could be the reason behind it?

Q. What could be the reason behind blood in urine after I exercise?

Answered by
Dr. Vaibhav Vishal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 13, 2022 and last reviewed on: Aug 23, 2023

Hello doctor,

I have blood in my urine when I exercise five miles sometimes, which goes away in a day, and the trigger seems to be always the exercise. However, it does come back a couple of months later. It has been happening for about a year now. Currently, I am on the medication Amlodipine 10 mg. I have also done urine microscopy, CT scans, and blood tests that I can share with you. Kindly help.



Welcome to icliniq.com.

I have read your query and the reports that you have attached (attachment removed to protect the patient's identity). Your CT (computed tomography) scan reports are not specific for any particular cause. A small lesion in the kidney is too small to be diagnosed. There is a condition known as exercise-induced hematuria, in this condition, blood comes from urine after an intense workout session. As a medical protocol, in case of blood in urine, a physical examination by a urologist and a cystoscopy (endoscopy to see bladder and urethra) , is needed. If the above things are normal, and your condition is diagnosed as exercise-induced hematuria then no specific treatment is required for that.

Thank you.

Hello doctor,

Thank you for the update, doctor. I have noticed that the bleeding occurs only after moderate or intense exercise and not every day. Do you recommend taking a break from the run to prevent bleeding? Also, are there chances of it recurring if I start the exercise again?



Welcome back to icliniq.com.

Yes, you can tone down the intensity of the run and observe the changes. Exercise-induced hematuria does reoccur with time.

Thank you.

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