How do you treat hematuria?

Hematuria is a condition when blood enters the urine. It should be remembered that urine may become pink due to other reasons (taking certain medications, eating beets). Hematuria is diagnosed when erythrocytes or hemoglobin dissolved in plasma are detected in the urine.

This may be a result of damage of vessels or other conditions and diseases, some of which pose a serious threat. In any case of the specifically red urine it is necessary immediately seek for medical advice. Erythrocyturia can be latent. When there is small amount of erythrocytes discharged it cannot be seen with unaided eye. In this case erythrocytes can be found only by laboratory research.

Erythrocyturia is divided into the initial, terminal and total (when the color appears respectively at the beginning, at the end or throughout the entire urination). The most common is the total form, and it is most easily detected. When all urine is colored in red, it means that there is a major vascular disorder of the kidneys, urethra or bladder. Scarlet or pink color proves that bleeding takes place at the current moment. If it is brown or black, then, most likely, the bleeding has already stopped. Often, the blood is accompanied by a frequent urination, hepatic colic, and bladder discomfort. In case of any of such symptoms you have to pass urological examination urgently.

  • Blood in the urine can be accompanied by pain, the nature of which is informative in terms of diagnostic.
  • Intensive hematuria can cause weakness, dizziness and paleness – signs of significant hemoglobin loss.
  • Erythrocyturia can be a consequence of the discharge of stones and sand.

A dangerous complication of erythrocyturia is the urethra duct clottage, which leads to urination difficulty or its total inability. This condition can also be caused by the passage of a large calculus.

Hematuria is often detected only by laboratory tests, because in case of low blood amount discharge the urine does not change color so significantly to become visible. However, the erythrocyte content in urine often causes a number of concomitant symptoms (pain, trouble with urination, general weakness or fever). Since urinalysis is a necessary test prior to any reference to any doctor, the erythrocyturia shall be detected in the lab, even in the absence of a visible pattern.

The main treatment should be aimed at eliminating of the causes of internal bleeding. It can be antibiotics, surgical treatment, therapeutic blood clotting ability increasing, preventive measures for floating kidney and other treatment methods depending on the diagnosis results.

Published at 09/17/2018

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