Well, I'm a doctor and would definitely advice to take him to the ER today. It's not because he will bleed badly, but because most likely he will get obstructed with a clot inside his urethra (the canal where he pees), the urine won't come out, and your poor grandpa will start having severe pain from a distended bladder in 12 to 24 hours. And if you say he has Alzheimer's (not sure how severe), he won't probaly be able to tell you that he is in pain. Take him now to the ER, most likely he won't be admitted anyway unless the bleeding is severe. He will probably get a Foley catheter put in his penis to ensure he is able to void and be referred to a primary care physician or better, a urologist.
Causes are varied, but at his age the most common causes are
- straining from an enlarged prostate.
- prostate cancer
- stones (they usually don't bleed that much)
- other types of cancer in the urinary system, like bladder cancer, ureteral cancer or kidney cancer.
- use of anticoagulants (Warfarin, Coumadin).
Anyway, in this case it won't help not taking him to the doctor, he will need to go anyway sooner or later, so do it sooner before things get worse. Hope it helps. Any other question, mail me.
I'm a doctor
· 1 decade ago