blood in urine with no cause

I have no color but microscopic blood was found. I am 62 past menses and not sexually active. Recent colonoscopy was clear. I have multiple auto immune diseases and take immunosuppressants. I take opiods to manage pain and am constipated so I take a stool softener daily and relax once a week with high fiber diet including daily Miramax. My rheumy told me I have alot going on with just my AI issues. He suggested I think about seeking further investigation with a urologist. Given I am on immunosuppressant medications, I have decided to check it out further. I am wondering if anybody knows what the urologist might order in terms of tests to rule out bladder cancer as my rheumatologist mentioned that he is concerned I may have it due to the medications I take.

I ultimately had a kidney biopsy after years of bright red blood in my urine. It showed that I had Focal Hypertrophic Mesangial Glomerulonephritis caused by untreated strep throat. There was no treatment and I was told not to expect it to progress. Fast forward 25 years. My kidneys were failing and I went on dialysis for 5 months. My precious Daughter donated a kidney to me. That was 20 years and all is good! Hope this helps someone. It helps to go to a teaching hospital. I am being followed at Emory University Hospital in Atlanta.

Thank you also much for sharing your experiences, @coquifoife.

Welcome to Connect, @swfloridagal,

I'd like to introduce you to a few members who've shared their or their loved ones' experience with bladder cancer. Please meet @barneythe2nd @billskid @frankweathers @ktaubman @karper and @predictable. I'm certain they will have some valuable insights to share with you.

Here's some information from Mayo Clinic about various tests for diagnosing bladder cancer: https://www.mayoclinic.org/diseases-conditions/bladder-cancer/diagnosis-treatment/drc-20356109

@swfloridagal, may I ask if you would share more details about the autoimmune issues? We have such an incredibly informative Autoimmune Disease group, https://connect.mayoclinic.org/group/autoimmune-diseases/, and you may wish to go through some of the ongoing discussions and connect with fellow members.

My name is Jimmy J and the same thing happened to me with Monster Energy drinks yesterday evening I started noticing blood in my urine and all of a sudden hearing about 30 minutes ago it just stopped and it cleared up thank you for posting your experiences with Monster Energy drinks so from this point forward I must make it my best effort not to drink another one again thank you again for protein you experience.

There are several things which can cause this beyond bladder cancer. Kidney failure. Liver. Prostate cancer, urethra, penile cancer or sores. I have a form of amyloidosis (Gelsolin) which has toughened up the tissues of the valve, and occasional it is tough getting the catheter in. When this happens, I invariable end up with blood for a day or two. The only cure is to go gently with the catheter. I sometimes have to wear a pad in front.

I have had microscopic hematuria since I went thru menopause. It is classified as "idiopathic - no known cause." I have had the following tests: cystoscopy; MRI with contrast; CT scan with contrast; renal ultrasound; urine cytology, you name it. It has been attributed to very low estrogen. I have always been on the thin side and have refused any kind of hormone therapy. All of my diagnostic tests have come back normal. Microscopic hematuria (idiopathic) is very common in post menopausal women. I hope this helps.

@fitula You mentioned no HRT I never did either but took Black Cohosh it is a herb but naturel estrogen never had any trouble calmed down the hot flashes I still have them at times Im77 and take the herb