not all hematuria can be seen with the human eye. In fact, the most coarse type of hematuria-called microscopic hematuria-can only been seen by a health care adept under a microscope. In many cases, microscopic hematuria is spotted when a person has a urine test during a health examination .
When a person can see the rake in his or her urine, the condition is called gross hematuria. People with gross hematuria have urine that is tap, red or brown .
“ There ‘s a common misconception that if you see blood in your urine once and then it goes away that you ‘re in the clear, ” says Angela B. Smith, MD, Assistant Professor of Urology at the University of North Carolina School of Medicine in Chapel Hill. “ But it ‘s crucial to seek concern the very first time you see lineage in the urine, so your doctor can confirm that it ‘s there and refer you to a urologist for an evaluation. ”
In most cases, people with either type of hematuria do not have pain or any early signs or symptoms .
What Causes Hematuria?
Common Causes of Hematuria:
- Urinary tract infection
- Enlarged prostate
- Kidney stones
- Vigorous exercise such as long-distance running
- Certain drugs, such as blood thinners, aspirin and other pain relievers, and antibiotics
More serious causes are swelling of the kidney, urethra, bladder or prostate gland, or cancer of the kidney or bladder. only a modest percentage of people with microscopic hematuria have cancer. A history of fume raises the risk of bladder or kidney cancer .
Risk Factors for Hematuria:
- A family history of kidney disease
- Chronic urinary tract infection
- Exposure to chemicals in the workplace
- Treatment with radiation for pelvic cancer
“ In many cases, kidney cancer and bladder cancer do not cause forcible symptoms, so the tumor may continue to grow without a person being aware of it, ” says Michael J. Kennelly, MD, Professor in the Department of Surgery, Division of Urology at the Carolinas Medical Center – Charlotte in North Carolina. “ By the time the tumor does cause symptoms, it may not be curable. That ‘s why it is indeed authoritative to seek checkup attention if you see rake in your urine. It could be a admonition augury for a potentially dangerous illness. fortunately, the majority of the time, blood in the urine is not a signal of a serious illness. ”
Diagnosing the Cause
If your sophisticate thinks you may have hematuria, you will have a repeat urine test to make sure the first test was right. Your sophisticate will ask you about your health history, including infections, kidney stones, smoking, menstruation and recent injuries. He or she will besides ask about medications you are taking .
Your doctor of the church will perform a physical examination to check for pain or softheartedness in the bladder or kidney area. serviceman may be given a digital rectal examination to look for prostate gland problems. Women may have a pelvic examination to look for the reservoir of red rake cells in the urine.
Read more: Nephrologist vs Urologist
Other Tests May Include:
Cystoscopy. This is a procedure a urologist performs to see inside the bladder and urethra ( the tube that allows urine to pass out of the torso ). The doctor uses a thin tube with a television camera and fall on the end — called a cystoscope — to look for cancer cells or other problems.
Kidney imaging tests. The doctor may regulate an imaging screen such as ultrasound, CT scan or MRI to look for a tumor, a kidney or bladder stone, an enlarged prostate gland or other problem .
Your doctor may ordering one more urine examination to look for signs of infection, kidney disease and cancer. You may have a blood test to check for high levels of the protein creatinine, a gestural of kidney disease .
In many cases, the doctor is not able to find out why there is blood in the urine, Dr. Smith notes. He or she may decide to retest your urine in a year. If blood is found, you may undergo more tests. Or you may be retested several years late .
Hematuria is managed by treating its underlie cause. For exercise, if the condition is caused by a urinary tract infection, it is treated with antibiotics. treatment for kidney stones can include waiting for the pit to pass by itself, medication or surgery.
If you are found to have kidney or bladder cancer, your doctor of the church may refer you to an oncologist or urologic surgeon. If the tumor is found early, the cancer much can be cured. There are a act of options for kidney and bladder cancer treatment, including operating room, chemotherapy and radiation sickness .
If the doctor rules out any checkup problem causing hematuria, you will not need discussion .
“ If you find lineage in your urine, or your repair tells you that you have microscopic hematuria, do n’t panic, ” Dr. Kennelly says. “ The estimable news is that with proper evaluation, your doctor can find out the lawsuit and if needed, make certain you get the discipline treatment right away. ”