Urine bleeding in the elderly after menopause

Urinary bleeding in the elderly after menopause may be caused by a variety of reasons, including urinary tract infection, tumors, urinary tract stones or other diseases, which need to be taken seriously and treated promptly. Common causes include infectious diseases, reproductive organ lesions and tumors. After the diagnosis is clear, intervention can be carried out through anti-infection treatment, surgery or drugs. At ordinary times, attention should be paid to hygiene and eating habits.

1. Urinary tract infection

Due to the decline in estrogen levels in postmenopausal women, the mucous membranes of the vagina and urethra become thinner and their defenses are reduced, which can easily lead to urinary tract infections, resulting in blood in the urine and symptoms such as frequent urination, urgency, and pain when urinating. Urinalysis and urine culture are usually required to confirm the specific pathogens of the infection, and then effective antibiotics such as norfloxacin, amoxicillin, or sulfonamides are used according to the results. It is also recommended to drink plenty of water to promote urination and help flush the bladder.

2. Tumors or proliferative lesions

Malignant tumors of the urinary or reproductive system may cause blood in the urine, including bladder cancer, urethral cancer, and endometrial cancer, which are usually accompanied by other symptoms such as local pain and difficulty urinating. This needs to be further confirmed by cystoscopy, B-ultrasound or CT examination. Surgical resection is the main treatment method, and radiotherapy or chemotherapy may be required. There are also benign hyperplasias, such as bladder polyps, which can be removed through minimally invasive surgery and recover faster.

3. Urinary system stones

Urinary stones rubbing against the urethral wall may cause blood in the urine, often accompanied by severe pain in the waist and abdomen, and some patients may also have renal colic. In medicine, ultrasound or CT scans are often used to determine the location and size of stones. Minor stones can be relieved by drugs such as stone removal particles and drinking more water, while larger stones require treatment such as extracorporeal shock wave lithotripsy or percutaneous nephrolithotomy.

4. Genital atrophy, trauma or other factors

Insufficient estrogen during menopause can easily lead to atrophy of the reproductive organs, and damage to the urethral opening may cause hematuria during urination. Improper trauma, excessive force, etc. may also be one of the causes. In mild cases, topical ointments or estrogen drugs can be used under the guidance of a doctor to repair the damage. In severe cases, surgical correction and auxiliary treatment are required.

Urine bleeding after menopause is an abnormal manifestation that cannot be ignored. Whether it is a mild symptom or a serious lesion, you should go to the hospital as soon as possible to have a urinary system examination or a gynecological examination to determine the cause. Pay attention to personal hygiene, keep the lower body clean and dry, eat a balanced diet and exercise moderately to enhance immunity.