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Blood in urine

Microscopic blood in urine found on a test: what now?

By Advanced Urology · November 10, 2026

Blood in your urine showed up on a test, but you can't see it.

Short version

What now? It's called microscopic hematuria.

A closer look

Often it's from something harmless, like exercise or infection. But it can also be a sign of stones, an enlarged prostate, or, less often, bladder or kidney cancer. Your risk depends on age, smoking history, and how much blood was found. The workup may include a repeat urine test, a CT scan of the urinary tract, and a look inside the bladder with a camera, done under anesthesia in our surgery centers. Did a urine test show blood?

Getting it checked

Schedule a visit to find the cause.

Close to home in Pickens

Our Jasper Clinic on Gordon Rd offers Pickens County patients visits, lab work and testing. For the occasional procedure, we book you into our surgical suites in Marietta.

Request an appointment at Advanced Urology.

Call (678) 344-8900 Book a visit online

More from the Advanced Urology learning center

Advanced Urology guide: Blood in urine

Your visit in Jasper

Pickens County residents with blood on a urine test can be seen at our Jasper Clinic. We'll repeat the urine test, ask about smoking, workplace exposures and blood thinners, and review any past imaging.

How our urologists decide on testing

Microscopic blood is often harmless, but it can come from stones, infection, an enlarged prostate or, less often, cancer. Imaging and cystoscopy are recommended based on age, smoking history and other risk factors. Cystoscopy is an office test after numbing gel, and you can drive home afterward.

Call promptly if

  • Blood becomes visible
  • Fever or flank pain develops
  • Burning or urgency appears

Common questions

Common questions

Could it be from my period or exercise?

Yes. Menstrual blood, recent hard exercise, sex or a urinary infection can all put red cells in a urine sample. We repeat the test once those are out of the way before deciding on a CT scan and cystoscopy.

What if everything is normal?

If the urine test, CT scan and cystoscopy are normal, a serious cause is unlikely. We may repeat a urine test later, and new visible blood means coming back sooner.

Our line for Jasper, Talking Rock and Ellijay families is (678) 344-8900.

Bring copies of the lab report that showed the blood, plus any older urine results, so we can compare. Smokers and people with workplace chemical exposures may be advised to have a more complete workup.

We'll explain each result clearly.

Questions are welcome.

Bring a list of medicines.

Related reading

Videos from Advanced Urology

#001 - Hidden Clues: Understanding Blood in the Urine What the video covers: Podcast #001 covers microscopic hematuria, red cells in urine that a lab finds even though it looks normal, along with likely causes, warning signs, cystoscopy and other tests, and monitoring. Watch on YouTube

Videos play here from Advanced Urology’s YouTube channel, using YouTube’s privacy-enhanced mode.

Where can I go from here?

Start with the condition page, then call or book online whenever you are ready.

Questions after reading this? Our offices in Marietta, Canton, Dallas and Jasper share one phone line and one caring team.

Call (678) 344-8900 Book online