Visible blood in the urine is not a typical symptom of interstitial cystitis (IC). However, in some cases, lab tests may show microscopic blood in the urine of people with IC.
Doctors refer to blood in the urine as hematuria. Visible urine in the blood is called gross hematuria, as opposed to microscopic hematuria, which refers to blood only visible under a microscope.
Doctors more commonly associate gross hematuria with other conditions, such as urinary tract infections (UTIs), kidney stones, or bladder cancer.
If a person notices blood in their urine, it is important to consult a doctor to rule out these causes. Read on to learn more about the link between IC and bleeding.

Visible blood in the urine is an uncommon symptom of interstitial cystitis (IC). However, doctors may detect microscopic amounts of blood in a person’s urine during an IC flare.
When the bladder wall becomes injured or irritated, it may release a small amount of red blood cells into the urine. Doctors will then
However, microscopic white and red blood cells in the urine
Learn moreLearn more about interstitial cystitis.
Visible blood in the urine, or gross hematuria, is not a typical symptom of IC. It can also indicate something more serious, so if a person notices it, they need to contact a doctor.
Gross hematuria
Possible serious of gross hematuria
- a bladder injury
- bladder, kidney, or prostate cancer
- blood-clotting disorders, such as hemophilia
- kidney disease
- sickle cell disease
Other causes of blood in the urine include:
- infection in or inflammation of the bladder, kidney, urethra, or prostate
- recent bladder surgery
- kidney stones
- an enlarged prostate
- vigorous exercise
- sexual activity
- menstruation
- endometriosis
Learn moreLearn more about blood in the urine.
Symptoms of IC
- persistent pelvic pain or discomfort
- painful urination
- urinary urgency and frequent urination
- pain or pressure in the bladder and urethra
- pain during sex
A person needs to discuss their symptoms with a doctor if they think they may have IC.
What kind of bladder infection causes bleeding?
Hemorrhagic cystitis is a condition that causes blood in the urine.
In hemorrhagic cystitis, the bladder lining becomes inflamed and starts to bleed. A person may notice blood in their urine and experience painful and frequent urination.
Possible causes of hemorrhagic cystitis include anticancer drugs, radiation therapy, or a bladder infection.
Is it natural to bleed with cystitis?
Noticeable bleeding is not a typical sign of cystitis, but it can occur in some cases.
A bacterial UTI can sometimes cause hemorrhagic cystitis, where blood is present in the urine.
Experiencing visible blood during a case of cystitis could also be due to severe inflammation of the bladder lining.
Other conditions that can cause visible blood in the urine include kidney stones or more serious issues such as bladder cancer.
If a person experiences bleeding along with cystitis symptoms, it is important to consult a healthcare professional to identify the cause and receive appropriate treatment.
The relationship between smoking and bladder cancer is very strong. If a person who smokes sees blood in their urine, even if there are no other symptoms, they need to speak with a healthcare professional as soon as possible.
What is end stage interstitial cystitis?
Doctors do not officially classify IC in stages.
However, end stage IC
By this stage, the condition can profoundly affect a person’s quality of life due to constant discomfort and an inability to store typical amounts of urine.
In very severe cases of IC that cause extreme discomfort, doctors may perform surgery to reroute urine away from the bladder.
Although IC may require lifelong management, it is not a life threatening condition and does not affect a person’s life expectancy.
Learn more about the outlook for IC.
Interstitial cystitis (IC) does not typically cause noticeable bleeding, but in some cases, microscopic blood may be present in the urine.
Visible bleeding is uncommon in IC and is more likely associated with other conditions such as urinary tract infections, bladder stones, or bladder cancer.
If bleeding occurs, it is important to consult a healthcare professional to rule out more serious causes.