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Hematuria in a young recreational runner
D L Elliot1, L Goldberg, E R Eichner
1Division of General Medicine, Oregon Health Sciences University, Portland 97201.
Medicine and Science in Sports and Exercise
|August 1, 1991
Summary
Recreational jogging can cause hematuria (blood in urine), but it’s crucial to rule out serious conditions like bladder cancer first. This case highlights the importance of thorough medical evaluation for exercise-induced blood in urine.
Area of Science:
- Urology
- Oncology
- Sports Medicine
Background:
- Exertional hematuria, or blood in urine after exercise, is a known phenomenon.
- Pigmenturia can result from various causes, including strenuous physical activity.
Observation:
- A 27-year-old jogger presented with gross hematuria after a 2-mile run.
- Initial evaluation was prompted by the presence of blood in the urine post-exercise.
Findings:
- Transitional cell carcinoma of the bladder was diagnosed in the jogger.
- The case underscores the need to exclude malignancy as a cause of hematuria.
Implications:
- Medical professionals must consider serious pathologies, such as bladder cancer, when evaluating exertional hematuria.
- Thorough diagnostic workups are essential to differentiate exercise-induced changes from significant underlying diseases.