{"id":1994,"date":"2023-02-10T18:07:35","date_gmt":"2023-02-10T17:07:35","guid":{"rendered":"https:\/\/feeli.io\/blog\/?p=1994"},"modified":"2024-06-25T17:18:49","modified_gmt":"2024-06-25T15:18:49","slug":"sang-dans-les-urines-causes","status":"publish","type":"post","link":"https:\/\/feeli.io\/blog\/sang-dans-les-urines-causes\/","title":{"rendered":"Est-ce dangereux d\u2019avoir du sang dans les urines ?"},"content":{"rendered":"\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">La pr\u00e9sence de <strong>sang dans les urines<\/strong> (h\u00e9maturie) peut entra\u00eener une modification de sa coloration (rose, rouge ou brune), et s&rsquo;accompagne parfois d\u2019autres troubles des voies urinaires.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La cystite est une cause fr\u00e9quente de pr\u00e9sence de sang dans les urines (lire \u00e9galement, <a href=\"https:\/\/feeli.io\/blog\/comment-soigner-une-cystite\/\">comment soigner une cystite<\/a>), m\u00eame si une urine rouge peut avoir plusieurs causes. Par exemple, une urine rouge n\u2019est pas n\u00e9cessairement caus\u00e9e par des globules rouges.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Est-ce dangereux pour autant d\u2019avoir du sang dans les urines ? Quand s&rsquo;inqui\u00e9ter et consulter ?<\/p>\n\n\n\n<div class=\"wp-block-cover aligncenter is-light padding:20px;\" style=\"min-height:310px;aspect-ratio:unset;\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" class=\"wp-block-cover__image-background wp-image-2861\" alt=\"\" src=\"https:\/\/feeli.io\/blog\/wp-content\/uploads\/2023\/06\/Design-sans-titre-1-2.png\" data-object-fit=\"cover\" srcset=\"https:\/\/feeli.io\/blog\/wp-content\/uploads\/2023\/06\/Design-sans-titre-1-2.png 500w, https:\/\/feeli.io\/blog\/wp-content\/uploads\/2023\/06\/Design-sans-titre-1-2-300x300.png 300w, https:\/\/feeli.io\/blog\/wp-content\/uploads\/2023\/06\/Design-sans-titre-1-2-150x150.png 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim wp-block-cover__gradient-background has-background-gradient\" style=\"background:linear-gradient(135deg,rgba(38,181,169,0.11) 0%,rgba(38,181,169,0.11) 100%)\"><\/span><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<p class=\"has-text-align-center wp-block-heading has-text-color wp-block-paragraph\" style=\"color:#26b4a9;font-size:28px\"><strong>Consultez un m\u00e9decin en ligne<\/strong> <\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:15px\">Besoin d\u2019un&nbsp;<strong>m\u00e9decin sans RDV&nbsp;<\/strong>? <br>Consultez rapidement en ligne. <br>Possibilit\u00e9 de recevoir un&nbsp;<strong>traitement<\/strong>&nbsp;adapt\u00e9 si n\u00e9cessaire. <br><em>Consultation&nbsp;par messagerie instantan\u00e9e<\/em>.<\/p>\n\n\n\n<div class=\"wp-block-group alignwide is-vertical is-content-justification-center is-layout-flex wp-container-core-group-is-layout-20d0575b wp-block-group-is-layout-flex\">\n<div class=\"wp-block-buttons alignwide is-content-justification-center is-nowrap is-layout-flex wp-container-core-buttons-is-layout-5d0ac371 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100 is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-medium-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/feeli.io\/symptome\/generaliste?utm_source=feeli-blog&amp;utm_channel=seo\" style=\"border-radius:100px;background:linear-gradient(135deg,rgb(42,170,224) 1%,rgb(182,227,212) 100%,rgb(41,216,193) 100%)\"><strong>Consulter d\u00e8s maintenant <\/strong>\ud83d\udcac<\/a><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ol style=\"background-color:#26b5a91c\" class=\"has-background wp-block-list\">\n<li><strong><a href=\"#1\">Sang dans les urines (h\u00e9maturie) : d\u00e9finition<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"#2\">Quelle maladie provoque du sang dans les urines ?<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"#3\">Est-ce dangereux d\u2019avoir du sang dans l&rsquo;urine ?<\/a><\/strong><\/li>\n<\/ol>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-color\" style=\"color:#26b4a9;font-size:25px\"><strong><a id=\"1\">Sang dans les urines (h\u00e9maturie) : d\u00e9finition<\/a><\/strong><\/h2>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">La pr\u00e9sence de<strong> sang dans les urines<\/strong> est une pathologie connue des m\u00e9decins, qui porte le nom d\u2019<strong>h\u00e9maturie<\/strong>. L\u2019h\u00e9maturie peut entra\u00eener une modification de la couleur de l\u2019urine en rose, rouge ou brune.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Plusieurs facteurs influencent cette <strong>coloration des urines<\/strong>, parmi lesquels :&nbsp;<\/p>\n\n\n\n<ul style=\"background-color:#26b5a91c\" class=\"has-background wp-block-list\">\n<li>La <strong>quantit\u00e9 de sang<\/strong> pr\u00e9sente dans l\u2019urine ;<\/li>\n\n\n\n<li>La<strong> dur\u00e9e <\/strong>de la pr\u00e9sence du sang dans l\u2019urine ;<\/li>\n\n\n\n<li>L\u2019<strong>acidit\u00e9 de l\u2019urine<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Parfois, un <strong>examen au microscope<\/strong> (ou des analyses chimiques) d\u00e9tecte une anomalie du volume sanguin, n\u00e9anmoins trop faible pour modifier la couleur de l\u2019urine. On parle d\u2019<strong>h\u00e9maturie microscopique<\/strong> (parfois macroscopique).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Une <strong>analyse d\u2019urine<\/strong> dans le cadre d\u2019un tout autre examen peut par exemple d\u00e9tecter une h\u00e9maturie microscopique, alors que la coloration de l\u2019urine n\u2019est pas modifi\u00e9e.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Enfin, la pr\u00e9sence de sang dans les urines peut s\u2019accompagner d\u2019autres <strong>sympt\u00f4mes de troubles des voies urinaires, <\/strong>qui dans tous les cas n\u00e9cessitent un diagnostic m\u00e9dical.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Selon la cause de la pr\u00e9sence de sang dans les urines, ces potentiels <strong>signes d\u2019alerte<\/strong> comprennent :&nbsp;<\/p>\n\n\n\n<ul style=\"background-color:#26b5a91c\" class=\"has-background wp-block-list\">\n<li>Une <strong>douleur dans le dos<\/strong> (lire aussi <a href=\"https:\/\/feeli.io\/blog\/mal-de-dos-cote-gauche-signification\/\">mal de dos c\u00f4t\u00e9 gauche : signification<\/a>) ;<\/li>\n\n\n\n<li>Une <strong>douleur sur le c\u00f4t\u00e9<\/strong> (flanc) ou dans la <strong>partie inf\u00e9rieure de l\u2019abdomen<\/strong> ;<\/li>\n\n\n\n<li>La <strong>n\u00e9cessit\u00e9 imp\u00e9rieuse d\u2019uriner <\/strong>(imp\u00e9riosit\u00e9) ;<\/li>\n\n\n\n<li>Ou encore une <strong>difficult\u00e9 \u00e0 vider compl\u00e8tement la vessie<\/strong> (miction difficile) ou une <strong>douleur lors du passage des urines<\/strong> (br\u00fblures lors de la miction).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Lire aussi : <a href=\"https:\/\/feeli.io\/blog\/douleur-bas-ventre\/\">Douleur bas-ventre<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-color has-medium-font-size\" style=\"color:#26b4a9\"><strong><em>Pourquoi des caillots de sang dans les urines ?<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Lorsque la <strong>quantit\u00e9 de sang dans les urines<\/strong> <strong>est importante<\/strong>, la formation d\u2019un caillot de sang est parfois possible. Un caillot de sang dans les urines provoque g\u00e9n\u00e9ralement une douleur intense et soudaine.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De plus, il peut obstruer compl\u00e8tement le flux urinaire et provoque une impossibilit\u00e9 d\u2019uriner. Ce sympt\u00f4me est g\u00e9n\u00e9ralement caus\u00e9 par un saignement suffisamment grave, comme une <strong>l\u00e9sion des voies urinaires<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Derni\u00e8rement, une urine rouge ne signifie pas syst\u00e9matiquement la pr\u00e9sence de globules rouges. C\u2019est-\u00e0-dire, que la coloration rouge de l\u2019urine peut avoir d\u2019autres causes que la pr\u00e9sence de sang.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Par exemple, une <strong>coloration rouge ou rouge\u00e2tre<\/strong> peut \u00eatre caus\u00e9e par :&nbsp;<\/p>\n\n\n\n<ul style=\"background-color:#26b5a91c\" class=\"has-background wp-block-list\">\n<li>La pr\u00e9sence <strong>d\u2019h\u00e9moglobine dans l\u2019urine<\/strong>, une prot\u00e9ine permettant d&rsquo;<strong>acheminer l\u2019oxyg\u00e8ne dans les globules rouges<\/strong>. L\u2019h\u00e9moglobine peut se retrouver dans l\u2019urine en raison de la d\u00e9gradation des globules rouges ;<\/li>\n\n\n\n<li>La pr\u00e9sence de <strong>myoglobine dans l\u2019urine<\/strong>, lorsque les cellules musculaires se d\u00e9gradent. Il s\u2019agit d\u2019une <strong>prot\u00e9ine musculaire<\/strong> ;&nbsp;<\/li>\n\n\n\n<li>Une <strong>porphyrie<\/strong>. Il s\u2019agit d\u2019un trouble caus\u00e9 par une <strong>carence en enzymes contenant le fer et donnant sa couleur rouge au sang <\/strong>(h\u00e8me). L\u2019h\u00e8me, une substance chimique, est produite par diff\u00e9rentes enzymes ;<\/li>\n\n\n\n<li>Certains <strong>aliments<\/strong> (par exemple, rhubarbe, betterave, plus rarement des colorants alimentaires) ;<\/li>\n\n\n\n<li>Des <strong>m\u00e9dicaments<\/strong>, g\u00e9n\u00e9ralement la ph\u00e9nazopyridine. D\u2019autres m\u00e9dicaments peuvent \u00eatre impliqu\u00e9s, comme la diph\u00e9nylhydanto\u00f6ne, la rifampicine, le cascara, la m\u00e9thyldopa, le s\u00e9n\u00e9 et les ph\u00e9nothiazines.&nbsp;<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-color\" style=\"color:#26b4a9;font-size:25px\"><strong><a id=\"2\"><strong>Quelle maladie provoque du sang dans les urines ?<\/strong><\/a><\/strong><\/h2>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">N\u2019importe quel <strong>trouble affectant les voies urinaires<\/strong> tout du long peut entra\u00eener une pr\u00e9sence de sang dans les urines. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les voies urinaires comprennent notamment l\u2019ur\u00e8tre, la vessie, et les parties situ\u00e9es entre les reins et les uret\u00e8res.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Au d\u00e9but, certaines femmes peuvent d&rsquo;ailleurs <strong>confondre pr\u00e9sence de sang dans l\u2019urine et saignements vaginaux<\/strong>.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-color has-medium-font-size\" style=\"color:#26b4a9\"><strong><em>Les causes fr\u00e9quentes du sang dans l\u2019urine&nbsp;<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Selon l\u2019\u00e2ge des personnes, les <strong>causes de l\u2019h\u00e9maturie<\/strong> varient l\u00e9g\u00e8rement, mais dans l\u2018ensemble, elles peuvent comprendre :&nbsp;<\/p>\n\n\n\n<ul style=\"background-color:#26b5a91c\" class=\"has-background wp-block-list\">\n<li>Une <strong>infection urinaire <\/strong>(<a href=\"https:\/\/feeli.io\/blog\/cystite-femme\/\">cystite chez la femme<\/a>) ou une <strong>infection de la prostate<\/strong> (<a href=\"https:\/\/feeli.io\/blog\/prostatite\/\">prostatite<\/a>) ;<\/li>\n\n\n\n<li>Chez les adultes, des <strong>calculs<\/strong> <strong>dans les voies urinaires<\/strong> ;<\/li>\n\n\n\n<li>Des <strong>anomalies anatomiques cong\u00e9nitales<\/strong> (pr\u00e9sentes depuis la naissance) ou <strong>acquises<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading has-text-color has-medium-font-size\" style=\"color:#26b4a9\"><strong><em>Autres causes du sang dans les urines<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Les causes moins fr\u00e9quentes de l&rsquo;h\u00e9maturie comprennent&nbsp;:&nbsp;<\/p>\n\n\n\n<ul style=\"background-color:#26b5a91c\" class=\"has-background wp-block-list\">\n<li>Le cancer des reins, de la prostate ou de la vessie ;<\/li>\n\n\n\n<li>Une maladie r\u00e9nale ;<\/li>\n\n\n\n<li>L\u2019hypertrophie b\u00e9nigne de la prostate ;<\/li>\n\n\n\n<li>Des troubles vasculaires, et notamment des petits vaisseaux sanguins \u00e0 l\u2019int\u00e9rieur des reins. Ces troubles sont appel\u00e9s troubles glom\u00e9rulaires ou troubles li\u00e9s \u00e0 la filtration r\u00e9nale ;<\/li>\n\n\n\n<li>Une polykystose r\u00e9nale, une maladie h\u00e9r\u00e9ditaire caract\u00e9ris\u00e9e par la formation de nombreux kystes sur les deux reins ;<\/li>\n\n\n\n<li>Des anomalies des uret\u00e8res ou des st\u00e9noses (cicatrices r\u00e9tr\u00e9cissantes).<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-color\" style=\"color:#26b4a9;font-size:25px\"><strong><a id=\"3\">Est-ce dangereux d\u2019avoir du sang dans l&rsquo;urine ?<\/a><\/strong><\/h2>\n\n\n\n<div style=\"height:21px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">L&rsquo;h\u00e9maturie n\u2019est jamais un sympt\u00f4me rassurant m\u00eame si toutes les causes ne sont pas graves.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Afin de mesurer la <strong>gravit\u00e9 de l&rsquo;infection<\/strong>, les m\u00e9decins essaient d\u2019abord de d\u00e9terminer si la teinte rouge de l\u2019urine est bel et bien due \u00e0 un <strong>saignement<\/strong>. Ensuite, la <strong>cause du saignement <\/strong>doit \u00eatre recherch\u00e9e, au niveau des <strong>voies urinaires<\/strong> (et \u00e9ventuellement d\u2019autres r\u00e9gions du corps).&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cela \u00e9tant, plusieurs <strong>signes d\u2019alerte<\/strong> (sympt\u00f4mes, caract\u00e9ristiques) peuvent \u00eatre une source d\u2019inqui\u00e9tude et n\u00e9cessitent de <strong>consulter un <\/strong><a href=\"https:\/\/feeli.io\/symptome\/generaliste\"><strong>m\u00e9decin g\u00e9n\u00e9raliste<\/strong><\/a> imm\u00e9diatement.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Parmi ces<strong> urgences m\u00e9dicales<\/strong>, nous pouvons \u00e9voquer :&nbsp;<\/p>\n\n\n\n<ul style=\"background-color:#26b5a91c\" class=\"has-background wp-block-list\">\n<li>La <strong>pr\u00e9sence d\u2019une grande quantit\u00e9 de sang dans l\u2019urine<\/strong> ;<\/li>\n\n\n\n<li>Les<strong> patients \u00e2g\u00e9es de plus de 50 ans<\/strong> ;<\/li>\n\n\n\n<li>Une <strong>hypertension art\u00e9rielle<\/strong> ;<\/li>\n\n\n\n<li>Un <strong>gonflement des jambes ou des pieds<\/strong>.<\/li>\n\n\n\n<li>Des <strong>douleurs lors de la miction <\/strong>ou une<strong> impossibilit\u00e9 d\u2019uriner<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Devant ces sympt\u00f4mes ou ces caract\u00e9ristiques, il est imp\u00e9ratif de<strong> consulter un m\u00e9decin rapidement<\/strong> pour des examens compl\u00e9mentaires. Le m\u00e9decin peut parfois avoir recours \u00e0 un <strong>examen cytobact\u00e9riologique des urines<\/strong> (ECBU) pour \u00e9clairer son diagnostic.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pour les autres personnes sans signes avant-coureurs de complications, il est possible d\u2019attendre 1 ou 2 jours pour consulter mais pas au-del\u00e0.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En pr\u00e9sence de sang dans l\u2019urine sans risque de complication, une <a href=\"https:\/\/feeli.io\/symptome\/consultation-en-ligne\">consultation en ligne<\/a> peut \u00eatre int\u00e9ressante afin d\u2019\u00e9liminer d&rsquo;\u00e9ventuelles causes inqui\u00e9tantes lors du diagnostic. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prenez soin de votre sant\u00e9 !<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La pr\u00e9sence de sang dans les urines (h\u00e9maturie) peut entra\u00eener une modification de sa coloration (rose, rouge ou brune), et s&rsquo;accompagne parfois d\u2019autres troubles des voies urinaires. La cystite est une cause fr\u00e9quente de pr\u00e9sence de sang dans les urines (lire \u00e9galement, comment soigner une cystite), m\u00eame si une urine rouge peut avoir plusieurs causes&#8230;.<a class=\"btnReadMore\" href=\"https:\/\/feeli.io\/blog\/sang-dans-les-urines-causes\/\">En savoir plus<i class=\"fa fa-long-arrow-right\"><\/i><\/a><\/p>\n","protected":false},"author":1,"featured_media":1922,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[7],"tags":[],"class_list":["post-1994","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-generale"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sang dans les urines : cause, traitement, est-ce dangereux ?<\/title>\n<meta name=\"description\" content=\"Est-ce dangereux d&#039;avoir du sang dans les urines ? 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