Reddish Urine During Pregnancy

Any red discolouration of urine at any time in pregnancy can be a cause of concern and anxiety for any expectant woman. The fact that it can be due to something as harmless as food or supplement intake, or to an early warning signal for a condition requiring medical attention, makes the situation all the more critical.

Fortunately, most causes of it can be treated, provided they are identified early. Reddish urine in pregnancy requires early medical assessment for your safety and the well-being of your baby.

Is it Common to Experience Reddish Urine During Pregnancy?

Urine colour is typically between pale yellow and dark amber, depending on how hydrated you are. However, reddish urine during pregnancy is something that is not normal. This is indicative that something has changed the colour of your urine. The reason could be benign, like food or supplements, or it could consist of blood or an infection. 

Though minor pinkish or reddish discolouration doesn't necessarily mean anything serious, you should never ignore recurring redness or blood in the urine.

Also Read: Understanding Changes in Urine Colour During Pregnancy

Common Contributors to Reddish Urine During Pregnancy

A. Benign Contributors

  • Dietary Factors: 

Beetroot, blackberries, or rhubarb can result in reddish or pinkish urine that can be harmless and will be listed as beeturia. Other artificial colouring agents in processed foods can also give similar results.

  • Medications and Supplements:

Certain antibiotics, iron supplements, and multivitamins commonly given during pregnancy may also affect urine colour. Iron tablets tend to darken the urine and sometimes give it a reddish hue.

  • Dehydration:

If your body is not getting enough fluids, your urine becomes more concentrated and may turn darker, possibly even reddish-orange. This can be corrected by staying hydrated.

B. Medical Causes (Require Doctor’s Attention)

  • Urinary Tract Infection (UTI):

A common cause of red-coloured urine during pregnancy, UTIs occur due to hormonal changes that relax the muscles of the urinary tract, making infections more likely. Symptoms include burning while urinating, frequent urge to urinate, cloudy urine, and mild lower abdominal pain.

  • Hematuria: Presence of blood in the urine.

This is when there are red blood cells found in the urine, which could be due to an infection, inflammation, or injury of the urinary tract. Sometimes it may form visible clots. Hematuria should always be investigated.

  • Kidney or Bladder Stones:

Stones may form when minerals in urine crystallise. They can cause intense pain in the lower back or abdomen and also give the blood a visible appearance in the urine. Pregnant women are at higher risk because of hormonal changes that affect the flow of urine.

  • Glomerulonephritis (Kidney Inflammation):

This is a disease of the filtering units of the kidney; it can give rise to reddish urine in pregnancy, swelling of the feet, and proteinuria. Medical management is necessary to avoid renal complications.

  • Rare but serious placental or internal bleeding

In rare cases, the presence of red or brown urine later in pregnancy could indicate a problem with the placenta or internal bleeding. It is usually accompanied by cramps, abdominal pain, or spotting from the vagina and needs urgent evaluation.

Symptoms That May Accompany Reddish Urine

If you find the presence of reddish urine during pregnancy, note any associated manifestations, including:

  • Pain or burning while urinating
  • Lower abdominal or back pain
  • Fever or chills
  • Swelling of hands or feet

These symptoms may help your doctor determine whether the cause is urinary or kidney-related.

What to Do If You Have Reddish Urine When Pregnant

If you're wondering what to do if you see reddish urine during pregnancy, here's a simple step-by-step guide:

Do Not Panic:

These are usually harmless changes and are due to either food or supplements. There is usually no need to be alarmed, but rather to simply observe the symptom.

Check Your Diet:

Think about what you have had to eat over the last 24 hours. Beets, berries, and some vitamins are potential causes.

Hydrate Well:

Drink 8–10 glasses of water daily to flush out toxins and check if the colour of the urine goes back to normal.

Observe Symptoms:

Note if there's pain, fever, or an unusual odour. These could indicate infection or kidney-related problems.

Consult Your Doctor:

Consult your gynaecologist promptly if the discolouration remains for more than 24 hours or is accompanied by other symptoms.

Seek immediate medical assistance if:

  • You see visible blood or clots in urine
  • You have pain, fever, or chills
  • You have had kidney stones or UTIs in the past
  • You're in your third trimester, and placental issues can masquerade as urinary symptoms.

Also Read: Cloudy Urine in Women: Causes and Pregnancy Concerns

Diagnostic Tests Your Doctor May Recommend

Your doctor may recommend the following to determine the exact cause of red-colored urine in pregnancy:

  • Urine Routine and Microscopy: It will detect the presence of red or white blood cells, pus cells, or infection.
  • Ultrasound Abdomen/Pelvis: To visualise the kidneys, bladder, and uterus for stones and structural damage.
  • Blood Tests: These are tests for kidney function, which include the measurement of creatinine and urea levels.
  • Obstetric Ultrasound: Ensures that the placenta and fetus are undamaged.

Treatment Options

Treatment would depend upon the cause of reddish-colored urine in pregnancy:

  • For UTI: Safe antibiotics prescribed by your gynaecologist.
  • For kidney or bladder stones: Increase hydration, make dietary changes, and, at times, use medications to help manage pain.
  • For dehydration: Replacement of fluids can be oral or intravenous.
  • For Dietary Causes: Just avoid the trigger foods; no medical treatment is necessary.
  • Kidney Inflammation: The patient must be under specialist care regarding kidney function.

Never self-medicate if you are pregnant; always consult your healthcare provider.

Book an online appointment with Dr. Vanita Vaishnav for Pregnancy & Gynecology related issues.

Prevention Tips

The prevention of reddish urine in pregnancy involves simple but consistent habits.

  • Drink 8–10 glasses of water daily to help with hydration.
  • Practice intimate hygiene in order to reduce the risk of UTI.
  • Avoid holding urine for a long time.
  • Limit foods that can change urine colour, like beetroot and artificial dyes.
  • Attend regular antenatal check-ups for urine and blood tests.

When to See Your Doctor

Seek medical advice if: 

  • The patient has reddish urine that persists even with hydration. 
  • You have fever, pain, or burning. 
  • You have had problems with your kidneys before. 
  • There's any abnormal change in the colour of the urine during the third trimester

Early consultation prevents complications and allows for a healthy pregnancy outcome.

What Sets Cloudnine Apart?

At Cloudnine, your health and your baby’s well-being are always our top priorities. Our team of expert obstetricians, gynaecologists, and nephrologists provide advanced diagnostics and compassionate care for urinary and kidney-related issues during pregnancy. With state-of-the-art labs, round-the-clock paediatric and obstetric support, and a holistic care approach, Cloudnine ensures accurate diagnosis and timely treatment in a safe and comfortable environment. From routine urine tests to specialised management, you can trust our experts to guide you every step of the way. 

Conclusion

If you notice red urine in pregnancy, take time to observe, hydrate, and consult with your doctor in a timely manner. If you do this, early detection and proper care will keep your health stable and ensure your pregnancy goes smoothly. Book your appointment for an antenatal consultation today at Cloudnine and let our specialists help you stay healthy, informed, and confident throughout your pregnancy.

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Frequently Asked Questions

1. Why do pregnant women have reddish-colored urine?

This may be due to certain foods such as beetroot, medication, dehydration, or even other medical conditions like UTIs and kidney stones.

2. Does blood in urine affect the baby?

Usually not, if treated early. However, if left untreated, infection and kidney issues can affect the health of pregnancy, so medical evaluation is important

3. Can miscarriage have blood in urine?

Not directly; sometimes vaginal bleeding may mix with the urine, giving it a red appearance. Your doctor can make that differentiation through tests.

4. Does stress cause blood in the urine?

Stress alone does not cause blood in the urine, but it can exacerbate existing health problems or lead to dehydration, eventually darkening the colour of the urine.

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