I have a slight pain in my penis while peeing, and have noticed blood in my urine. What is wrong?

Blood in urine is medically referred to as hematuria and can have many different causes. Forceful or harsh coughing does not usually lead to blood in urine, so it is probable that the pain and bleeding are caused by another factor. The following are possible causes for these symptoms and are not meant as an official medical diagnoses. If the problem persists or worsens, we recommend visiting a doctor for proper evaluation and treatment.

    Urinary tract infections (UTIs), which are infections of parts of the urinary tract system, are a common cause of hematuria accompanied by painful urination. Infections of the urethra (urethritis) and infections of the bladder (cystitis) are more common and less detrimental than infections of the kidneys (pyelonephritis). The symptoms of these infections are as follows:

  • Urethritis: painful urination

  • Cystitis: pelvic pressure or pain, lower abdominal pain, urinary urgency and pain, blood or pus in urine.

  • Pyelonephritis: nausea, vomiting, fever, chills, upper back and side pain, abdominal pain, urinary urgency.

If any of these symptoms are experienced, it is important to visit a physician for treatment immediately because the infections can worsen and complications, such as kidney damage, may arise. No over-the-counter treatment or home remedy, such as drinking cranberry juice, can cure UTIs; antibiotics are vital for treatment.

Another possible cause of the hematuria are kidney stones. Kidney stones can be caused by dehydration and symptoms include fatigue, loss of appetite, dark-colored urine, light-headedness, and dry cough. Passing kidney stones through the urethra can be extremely painful and can often cause small tears in the urethra leading to hematuria. Other urological conditions such as kidney disease, enlarged prostate, or kidney injury may be possible etiologies (causes) of hematuria.