Kidney Bruise

Some injuries can bruise your kidney. These include automobile accidents, falls, assaults, and injuries from contact sports. A kidney bruise may cause blood to appear in your urine. The blood may be in small amounts that you can't see. Or, it might color your urine pink or light red. Any blood usually clears in 1 to 2 days and the kidney function returns to normal. Call your doctor if the blood does not clear from your urine after 2 days.

Signs and symptoms

These are signs and symptoms of a bruised kidney:

  • Blood in the urine

  • Abdominal pain

  • Pain in the area between your hip and ribs (flank pain)

  • Bruising, swelling, or seatbelt marks in the area of your kidney 

Home care

If you've had a bruise to your kidney, follow these tips:

  • Drink lots of fluid. This means at least 8 to 10 glasses of water a day.

  • Rest. Don't lift heavy objects or do strenuous activity for the next few days.

  • You may use over-the-counter medicine to control pain, unless your doctor prescribed something else. Talk with your doctor before using acetaminophen or nonsteroidal anti-inflammatory drugs such as naproxen, ibuprofen if you have chronic liver or kidney disease. Also talk with your doctor if you've ever had a stomach ulcer or gastrointestinal bleeding. Aspirin should never be used in anyone under 18 years of age who is ill with a fever. This may cause a life-threatening condition called Reye syndrome.

Follow-up care

Follow up with your healthcare provider if you are still having blood in your urine after 2 days (48 hours).

Call 911

Call 911 if any of the following occur:

  • Fainting, lightheadedness, dizziness, weakness, or loss of consciousness

  • Rapid heart rate

  • Heavy bleeding

  • Severe abdominal pain or swelling

  • Trouble breathing

  • Loss of feeling or weakness in your legs

  • Can't hold your urine (incontinence)

When to seek medical advice

Call your healthcare provider right away if any of these occur:

  • Back or abdominal pain that gets worse

  • Repeated vomiting

  • Increasing amount of blood color in the urine

  • Passage of blood clots in the urine

  • Unable to pass urine

  • Fever of 100.4°F (38ºC) or higher, or as directed by your healthcare provider

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