Yes. I know, see a doctor. But I was wondering if anyone else has experienced this.
I ran a 30 mile race that climbs 1850 feet of elevation this morning. I under performed, but finished. An hour and a half later I was quite surprised when I saw that my urine looked like watery cola. No pain.
No kidney area pain. Thanks.
Could be significant with Severe dehydration? And/Or rhabdomyolysis? (http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001505/)
Take care and keep us posted.
Back in my university physiology classes we once had a lab where we took our own urine samples and tested them for various things, blood being one of them. This was on a monday and my partner, a very high level soccer player, had a soccer tournament all weekend where he played something like 5 games. His urine had traces of blood in it, only enough to make it slightly darker then normal, but our prof said that could be normal after lots of running.
I’d still go an get it checked out sooner then later!
Yes. I know, see a doctor. But I was wondering if anyone else has experienced this.
I ran a 30 mile race that climbs 1850 feet of elevation this morning. I under performed, but finished. An hour and a half later I was quite surprised when I saw that my urine looked like watery cola. No pain.
No kidney area pain. Thanks.
I wouldn’t worry too much. Happens to me on a regular basis. Here is an explanation:
http://www.mayoclinic.com/health/blood-in-urine/DS01013
You should get it checked out, but I bet there is nothing wrong, and you are going to piss blood once in a while from now on.
Happens to ultrarunners quite a bit. Dehydration is a big cause because of an empty bladder. The bladder walls smash together causing injury. (gross simplification of the entire issue but you get the idea) Personally I’d give it a day or two to see if it clears up on its own. If you are having fevers or pain definitely get in to see a doctor.
I usually have that issue with any stupid long/hard effort, usually when I go hard over about 18 miles. After the 50k I did last year (pretty hard effort for me - 6 hours), it lasted about 3 days. My doc told me to keep an eye on it, drink lots of water, and avoid NSAIDS.
Good. Do I am not dying, yet. Thanks everyone. I plan o letting it go as long as it clears up soon. I have a checkup scheduled for thurs.
Hd this. Went to get a check up. Their protocol was to have a scope ran up. Then told cells looked funny. Then biopsy and walking around three days with cathater. Afte 10 grand Doc said I was fine. Then talked to a couple marathoners…They said this is very common happens all the time. Wish I knew all this before I saw the doc…So if it clears up in a day or so you should be fine
Hd this. Went to get a check up. Their protocol was to have a scope ran up. Then told cells looked funny. Then biopsy and walking around three days with cathater. Afte 10 grand Doc said I was fine. Then talked to a couple marathoners…They said this is very common happens all the time. Wish I knew all this before I saw the doc…So if it clears up in a day or so you should be fine
I had almost exact same thing, except that I didn’t need a catheter after the surgery. And was only out like $30 in co-pays. Surgery, ct scan, all that hoopla was not fun. My kicker tho was the doctor called my wife with results (benign), but never called me direct. I even emailed him twice and asked him to call me, but never did.
Thanks everyone. I have urinated three times since the blood. First was yellow (dehydration) other two clear. Guess I am ok. Whew!
You should be fine.
Every summer (Im in FL), trainning for a marathon, this happend to me in my long runs +18 miles.
I was super worry and thinking the worst!!!
I visited a doctor, did all exams and nothing appear, i was fine.
Its only too much effort with dehytration
After run, doctor suggest to dring alot and wait 3 pees, if cleared, noo worries at all!!!
So Im positive that you are fine.
It sounds like you’re on the mend but I would not be cavalier about about reaching that degree of dehydration. Agree with the advice to avoid NSAIDs…your kidneys are stressed enough at the moment…(high dose) NSAIDs + severe dehydration (can) = renal insufficiency with long-term implications.
I’d seriously adapt my hydration plan next time around…congrats on the race, though.
could indicate stones as well in those Kidney’s. Ultra trainning, constant dehydration and some of the energy boosts we take can contribute to stone formation.
I had this last summer. It’s called Gross Hematuria. My doctors said not to empty my bladder before I run. In my case it was caused by the walls of my bladder rubbing together when I run and being dehydrated. I first saw it as blood and blood clots in the toilet. It scared the crap out of me.
I really did hydrate. I had over three liters of sports drink. That’s 100 oz! Salt tabs too!
I am a heavy/salty sweater, but it was cold. 36* at the start. 55ish at the finish.
Happens to me every now and then. I had a kidney issue for a while, so I saw my nephrologist the last time it happened. He said it was probably my bladder being empty, but sent me to a urologist. The urologist did a bladder scope and didn’t see anything (but of course that was like a week or two after the incident). He said it might be my kidneys. He also said that he had one runner come in with the issue thinking it was nothing but just wanted to get it checked out. Turns out that runner did have an abnormal growth that was causing the bleeding.
The only issue I have with them is that once I get one, I have to be careful for the next few weeks as it seems like I am more at risk of it happening again.
I’ve had this happen before, after running 8 miles and freaked out. I called everyone I know in the medical field (two people). It took about 2 hours for everything to get back to normal. It usually happens because your bladder is empty and it’s rubbing together causing it to bleed slightly. If it goes away after you drink water I wouldn’t worry about it. If it keeps happening or doesn’t go away after you drink a lot of water then I’d see a doctor.
At face value 3L sounds like a lot, but I would submit it was still insufficient…to the extent one can via a mssg board, of course…
Assessing volume status is an incredibly complex topic. There are books written on it, as the saying goes. However, those books address estimating volume status as accurately as possible. This is important in a ventilated ICU patient, but not so much under these circumstances. In fact, a fairly accurate assessment of proper hydration requires nothing more than self-assessment. For example, low urine output, orthostatic hypotension (that feeling of being lightheaded after lying down for about a minute or two then quickly standing up), severely dry mouth, persistent thirst at the end of a race, etc. These are all pretty sensitive indicators of volume depletion. Hematuria is arguably further along that scale.
What is the precise etiology of hematuria? It could be a lot of things…a kidney stone (even a small one)…maybe…bladder wall trauma…perhaps…a malignant/premalignant mass in the bladder (what the other guy’s urologist was looking for at cystoscopy with biopsy of the bladder wall)…probably not. Personally I think it is so pervasive among long-distance athletes it must be something along the lines of microtrauma, so to speak, of the bladder mucosa. Regardless, it’s a not good and a sign you need a better plan IMO.
So what would I do if I this was me? Being a heavy sweater myself I struggled to find a solution for a long time. It remains a work in progress but I began by the following logic…
In short, you primarily lose water via urination, perspiration, and through what is termed insensible loss (exhaling water vapor). Much attention is given to measuring sweat rate in the endurance community. Knowing your sweat rate can be useful but I ultimately chose not to be tested for two reasons, 1) it varies dramatically depending on the conditions (temp, humidity, body weight, effort, etc) and 2) you’re still not accounting for insensible loss. Instead I took an old-school route and generated a spreadsheet as follows:
Column 1 - date
Column 2 - temp
Column 3 - humidity
Column 4 - activity (e.g. run, bike, swim, brick)
Column 4 - distance
Column 5 - time
Column 6 - effort (easy, medium, hard)
Column 7 - weight pre-exercise
Column 8 - weight post-exercise
Column 9 - oz’s consumed (liquids easy to account for, actually measured solids pre-consumption using a kitchen scale…worth noting that I only fuel using real food, no gels, no sports drinks…drink combination of coconut water and water + salt tabs if it’s a race)
Next, I simply subtracted column 8 & 9 from column 7. The difference represented my best estimate of fluid deficit. By recording this periodically over several months, I was able to arrive at a relatively consistent target hydration requirement. Personally I found it varied primarily by effort and time. I live, train and race in the NW which has pretty uniform conditions t/o the year. If I had to account for altitude and/or heat/humidity I bet I’d need more data points to categorize by effort, time and heat…but I really don’t know…
Over time, I found my ability avoid significant swings in body weight pre- and post-hard training/racing got much better. I still don’t try to equalize the two because it’s just impractical. My goal is to prevent experiencing those signs of dehydration I outlined above.
My description is not revolutionary by any means…just an adaptation of an established method. I added a bit more data points as a compromise between effort at record keeping and perceived benefit (avoid stress of dehydration, faster recovery, more race enjoyment).
Lastly, I am a MD but felt it necessary to run this by a friend (also an MD, prior collegiate runner and a current elite age-grouper). He described doing something similar although a bit less involved. Bottom line, there are many methods for answering the same question…
The take home message is I believe you have experienced the consequences of missing the mark with respect to hydration and you’re likely going to need some real data to figure out how best to manage this in future races/training. Moreover, you probably left some time on the table in your race as a direct consequence. It’s going to take some effort but, for me, it’s been worth it.
I hope you find my description at least a starting point. Typing it gave me something to do as I watched the NYC Marathon…what a performance by Geoffrey Mutai !
Thank you!