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Answer to your Health Question

Question:

I'm a 40 year old male. Today I've got blood coming out my penis

B

Answer:

Dear B,

Blood coming from the penis after masturbation is type of bleeding that usually comes from the prostate gland.

It is due to a tear in one of the fragile veins of the prostate. The prostate is the organ that produces the majority of the seminal fluid in response to sexual stimulation. When the prostate contracts at the time of ejaculation, a vein may tear and blood mixes with the semen (hematospermia).

Blood in the urine (hematuria) may be caused by a bladder infection, kidney stones, bladder cancer, urinary tract infectionor a tumor in the urinary tract. Some types of exercise, such as running or biking, may also cause bloody urine.

In rare cases, blood in the urine is caused by bleeding from a fluid-filled sac (cyst). The blood may be present every time you urinate or just from time to time.

There are lots of causes. In men over 40, they should screen for bladder cancer.

Blood in the urine should never be ignored. This could be the first sign of a serious condition.

Blood in the urine can present in one of two ways: gross hematuria (blood that you can see in the urine), and microscopic hematuria (blood that is only seen when the urine is examined under a microscope). Both types can have serious causes.

When passing blood in urine is associated with pain, especially abdominal pain, it could be associated with kidney or urethral stones. The pain could be localized to the back, to the side, to the groin, or the penis in men and the labia in women.

Blood in the urine in anyone over the age of 40, especially in people who smoke, should warrant full urologic evaluation because the most common cause of blood in the urine in this group of people is bladder cancer.

Before that age, infection may be the cause. However, if gross hematuria is present, even once, it certainly needs to be further investigated.

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