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Hematuria is the medical term for blood in the urine. Gross refers to a lot. Gross hematuria refers to blood in the urine that is plentiful and visible to the naked eye. Gross hematuria is a symptoms and not an actual disease and it indicates that there is something going on and it needs to be evaluated by a doctor.
Sometimes the cause of hematuria can be elucidated solely on the basis of the medical history and urine testing, or urinalysis. This is especially true for young people, in whom the risk of malignancy is very low.