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Hematuria 

Introduction to Hematuria
Hematuria refers to appearance of red blood cells (RBCs) in the urine, which may either be visible to the naked eye (termed as gross/macroscopic hematuria) or detected with a microscope (referred to as microscopic hematuria).

This condition may result from abnormalities within the kidneys or within the ureters and is noted commonly in children. In some cases, underlying blood disorders may be the causative factor.

Gross hematuria may also be noted in adults wherein it may often symbolise cancerous involvement (in case of adults over 40 years of age).1 

Causes of Hematuria

Causes of Hematuria

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

Signs and Symptoms of Hematuria

Signs and Symptoms of Hematuria

Blood in the urine, which may be grossly observed or is discovered in routine microscopic examination of urine, is the classical feature of numerous disorders of the kidney and the ureters/bladder. 

Diagnosis of Hematuria

Diagnosis of Hematuria

The diagnosis of hematuria is confirmed by simple examinations. However, further analytic tests are advised to identify the probable cause of hematuria. The doctor confirms the presence of blood in the urine based on the history of the condition and a simple test known as ‘dipstick test’.   


Treatment of Hematuria

Treatment of Hematuria

The treatment of hematuria is based on the severity of the condition and the underlying pathology that would have resulted in hematuria.  

Complications of Hematuria
The complications of hematuria vary based on the underlying pathological conditions. Formation of kidney stones and kidney failure are some of the general complications.

Prevention of Hematuria
Early and prompt identification and treatment of the disorders affecting the urinary system helps in the prevention of complications such as hematuria.

Written by: Healthplus24 team
Date last updated: July 07, 2011

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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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