2015年1月25日星期日

Red urine is not necessarily hematuria

Red urine, microscopic examination was normal. This is not true of hematuria.
Beets, red peppers and other certain foods, red food dye can also cause urine red; some drugs and their metabolites such as senna, rifampicin, Dilantin can also cause urine was red. In addition, intravascular hemolysis hemoglobinuria, muscle cell damage and other is red, these are not real hematuria, urine examination can identify the presence of red blood cells.
So, if there is red blood cells in urine hematuria really is it?
No. Women's menstrual period may cause pollution hematuria, urethral catheterization injury, can cause damage hematuria, in addition, some counterfeiters deliberately mixed blood in the urine can cause hematuria forgery, these cases can not be regarded as a true hematuria, urine specimen collection time, keep an eye can be excluded.
The exclusion of the above situation, urinalysis erythrocytes ≥3 / high power field or ≥8000 cells / ml, or 12 hours Urine red blood cell count more than 500,000, can be diagnosed as true hematuria. Generally believed that the emergence of true hematuria means kidney, ureter, bladder, prostate and urinary tract lesions or systemic diseases involving the urinary system to other systems due attention should be paid.
Whether it makes sense to do a true hematuria?

No. A transient hematuria, by pollen, chemicals or drugs allergy. After strenuous exercise, can occur a transient hematuria, or even gross hematuria, viral infections (such as colds) can also occur occasionally, usually without significance. Only repeatedly checked for authenticity before hematuria should pay attention to, should be further examination.

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