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Causes of Hematuria

The causes of hematuria can be categorized as those due to renal (kidney) causes or due to urinary tract abnormalities (urological).

Certain underlying bleeding disorders may be the causative factor in certain instances while microscopic hematuria may be noted after rigorous physical exercise in the absence of any underlying disorders. 

The common renal causes that have been associated with RBCs in the urine include:
  • Active glomerular nephritis

  • Acute interstitial nephritis

  • Nephrotic syndrome

  • Progressive glomerular nephritis
The abnormalities / disorders of the urinary tract that can result in hematuria include:

Various factors have been described to be associated with an increased incidence of hematuria.These include:

  • Smoking
  • Occupational exposure to chemicals (such as benzenes or aromatic amines)
  • Age over 40 years
  • Urological disease
  • Pelvic irradiation
  • Abuse of painkillers

In case of children, the causative factor is usually an infectious condition such as post-streptococcal glomerulonephritis.

It should be noted that the color of the urine might be changed due to consumption of certain foods such as beets or due to red dyes in food and certain medications such as chloroquine, phenazopyridine, rifampicin or pyridium.1,2 

Next page: Signs and Symptoms of Hematuria

Written by: Healthplus24 team
Date last updated: April 06, 2012

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References 
  1. Rodgers M, Nixon J, et al. Diagnostic tests and algorithms used in the investigation of haematuria: systematic reviews and economic evaluation. Health Technol Assess. 2006; 10(18).
  2. Indian Pediatric Nephrology Group, Indian Academy of Pediatrics. Consensus statement on evaluation of hematuria. Ind Ped. 2006; 43: 965–973.
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