Skip to main content

Hematuria in Sports, Sports Medicine

Charles W. Webb, DO, FAAFP, CAQSM and Cody Franzen, MD, CAQSM Reviewed 04/2019


Exercise-induced hematuria (EIH): 
  • Occurs with or without trauma in males and females; resolves with rest in 2 to 3 days 1,2

  • Although a benign condition, it is a diagnosis of exclusion.

  • Directly c...


  • Hematuria is rarely a medical emergency but may be a sign of underlying pathology.

  • History and exam will help to guide which patients need further workup.

  • Benign asymptomatic microscopic hemat...


  • General:

    • Treatment targeted to the underlying condition

    • Antibiotics for infection

    • Pain control, if applicable; avoid NSAIDs until renal injury and nephritis are ruled out.

    • Pyridium can be given ...


Referral to urology or nephrology useful when other etiologies cannot be found and the hematuria persists. 


  • Based on underlying diagnosis, if known

  • Unexplained hematuria is relativ...


Rao PK, Jones JS. How to evaluate ‘dipstick hematuria’: what to do before you refer. Cleve Clin J Med.  2008;75(3):227–233.
Varma PP, Sengupta P, Nair RK. Post exertional hematuria. R...


  • Return to play is acceptable if hematuria resolves after 48 to 72 hr of rest; otherwise, counsel patients on an individual basis depending on the diagnosis.

  • Transient hematuria is usual...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.