Serial hemoglobin monitoring needed without active shock
Discharge criteria and follow up
Discharge criteria
Hemodynamically stable
Able to void without retention
Pain controlled on oral regimen
No sepsis physiology
Follow up timing
Urology follow up for gross hematuria or persistent microscopic hematuria
Nephrology follow up for suspected glomerular source
Primary care follow up for repeat UA timing local protocol dependent
Discharge Instructions
Copy discharge instructions
Diagnosis summary
Blood was seen in your urine today
Some causes are harmless and some need more testing
What was checked today
Urine testing
Blood testing
Imaging if performed
Medications
Take prescribed antibiotics exactly as directed if given
Avoid NSAIDs if kidney problems were discussed
Hydration and activity
Drink fluids unless you were told to restrict fluids
Avoid strenuous exercise until symptoms improve
Follow up
Follow up with urology if you had visible blood in urine or if urine tests stay abnormal
Follow up with your family doctor for repeat urine testing as instructed
Return to ED now for
Inability to urinate
Passing large clots
Fainting or severe weakness
Chest pain or shortness of breath
Fever or shaking chills
Severe flank pain
Worsening bleeding
References
Guidelines and key sources
American Urological Association and Society of Urodynamics Female Pelvic Medicine and Urogenital Reconstruction microhematuria guideline 2020 amended 2025
Risk stratified evaluation framework for microscopic hematuria
Imaging and cystoscopy recommendations by risk tier
European Association of Urology guidelines on urological infections 2024
Pyelonephritis and urosepsis principles
Obstructed infection decompression urgency
European Association of Urology urolithiasis guideline 2024
Imaging approaches and management pathways for ureteral stones
Kidney Disease Improving Global Outcomes glomerulonephritis guideline 2021
Syndrome based evaluation for suspected glomerular hematuria
Indications for nephrology referral
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.