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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.
Blood in urine may be a sign of a serious medical disorder so it does require medical investigation and it should not be ignored. The most common causes of hematuria are kidney and bladder stones, trauma to the kidney, bladder, or other parts of the genitourinary tract.