Gonorrhea infection can present with symptoms of blood in the urine. Common symptoms of gonorrhea include urethral discharge, a large amount of purulent secretion on the underwear, as well as frequent urination, urgency, and pain during urination. Blood in the urine can also occur, although it is less common. Besides gonorrhea, stones must also be ruled out if blood in the urine is observed. If there is only blood in the urine, the likelihood of it being gonorrhea is relatively small, as gonorrhea usually presents with other accompanying symptoms such as frequent urination, urgency, pain during urination, and itching in the urethra.