What Should I do If I Have Hematuria

Many patients feel extremely nervous when they see they have blood in urine or when they are tested to have blood cells in urine. So, what is hematuria? What are the causes for hematuria? How to deal with it? First, what is hematuria? Generally speaking, normal people also have certain quantity of red blood cells in urine, however, the quantity is slight which is less than 3/HP, and if count of red blood cells exceeds 3/HP, we call it hematuria clinically. And clinically, slight bleeding in urinary system, we call it microscopic hematuria, and if bleeding reaches 1ml/L, then it is gross hematuria. And blood in urine is the common clinical manifestations of IgA nephropathy, and many patients start from this symptom, and almost all IgA kidney patients have hematuria. Besides, many other glomerular disease, UTI, kidney stone, tumour, deformity, trauma, etc. also can have hematuria. Then it comes to the second question, what are the causes for hematuria? In summary, we can divide the causes to the following types: renal parenchymal disease, urinary tract disease as well as systemic disease. And referring to renal parenchymal disease, it mainly includes, glomerular disease, tubular as well as interstitial disease as well as parenchymal tumor, etc. (1) Glomerular disease: primary disease: IgA or non-IgA associated mesangial proliferative disease, focal segmental glomerulosclerosis, mesangial vascular nephritis, crescent nephritis. 2. Secondary disease: SLE, vasculitis, purpura nephritis, etc. 3. Infectious disease: infectious endocarditis; 4. Hereditary disease: basilar membrane nephropathy, Alport syndrome, Fabry syndrome, etc. (2) Tubular and interstitial disease: allergic interstitial nephritis, acute pyelonephritis. (3) Renal parenchymal tumor: renal cell carcinoma and Wilms tumor, etc. (4) Urinary tract disease: pelvis, ureter, bladder, prostate, urinary tract (stone, tumor, inflammation, trauma). (5) Systemic disease: 1. Hemotopathy, 2. Infection, 3. hereditary disease 4. Urinary tract-induced disease: appendicitis. Upon the above explanation, I think you have an general idea about the causes of blood in urine. Then, now, we talk about the last question, how to deal with it? If I say, it all depends, I think you should be able to understand. Because patients will be given different treatment according to different causes in different cases. Well, what’s your condition? Can you tell us more details so that we can give you specific treatment plan accordingly.