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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.
Hematuria is the presence of abnormal numbers of red cells in urine due to: glomerular damage, tumors which erode the urinary tract anywhere along its length, kidney trauma, urinary tract stones, renal infarcts, acute tubular necrosis, upper and lower uri urinary tract infections, nephrotoxins, and physical stress.