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Red flag symptoms that warrant urgent medical attention include: Haematuria (blood in the urine) NICE guideline NG12 recommends urgent referral (within 2 weeks) for people aged 45 and over with visible haematuria without urinary tract infection or that persists after treatment Severe pain in the lower abdomen, flanks, or during urination, suggesting possible infection or urinary retention Fever or systemic symptoms accompanying urinary changes, which may indicate pyelonephritis or urosepsis Inability to pass urine or significant reduction in urine output, which requires immediate assessment for acute urinary retention or possible acute kidney injury New-onset incontinence that significantly impacts quality of life or daily activities For less urgent but persistent symptoms such as increased frequency, nocturia, or mild urgency lasting more than a few weekspatients should arrange a routine GP appointment