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As per your description,he needs to undergo ultrasound ASAP if he has severe pain and blood in urine profusely.
Strenuous exercise, especially running can cause blood in urine results from repeated jarring of the bladder
Bulge can be associated be some obstruction in urinary tract,hernia,epididymoorchitis, an infection in the testicle and its tubing.
So he should see his doctor ASAP or visit ER.
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