If my rbc in urine is high, it can be usually caused by a problem with the urinary tract, although systemic diseases can also manifest with blood in the urine. Hematuria is divided into glomerular and non-glomerular hematuria to help in evaluation and management.
Some common glomerular causes are:
· Alport syndrome
· Thin basement membrane disease
· glomerulonephritis
· nephropathy
· Lupus nephritis
· Goodpasture syndrome
· Nephrotic syndrome
· Polycystic kidney disease
Non-glomerular causes include:
· Febrile illness
· Exercise
· Menstruation
· Nephrolithiasis
· Cystitis, urethritis, prostatitis
· Malignancy: renal cell carcinoma, bladder cancer, prostate cancer
· Genitourinary mucosal injury by instrumentation
· Trauma
· Bleeding tendency: thrombocytopenia, coagulopathy, use of blood thinners, hematological disorders like sickle cell anemia (2)
If your test result shows blood in your urine, you may need further tests to figure out what is causing it. Talk with your doctor and remember the cause is mostly treatable.
* You can enter your urine test results online and get a personalized interpretation, including your condition in each test, definition, reasons for increased or decreased results, dietary and lifestyle recommendations, potential treatments, drug interactions, etc.
Treatment
Treatment depends on the cause of the blood in the urine and includes:
– antibiotics, if an infection is responsible
– extracorporeal shock wave lithotripsy (ESWL), to break up the kidney stones
– using a scope to remove kidney stones
– medication, such as alpha-blockers or 5-alpha reductase inhibitors, if an enlarged prostate is causing your hematuria (4)
Red Blood Cells
Red Blood Cells (RBCs) are the functional component of blood responsible for the transportation of gases and nutrients throughout the human body (1). The presence of red blood cells in the urine, which is medically termed hematuria, is not typical. It’s usually a sign of an underlying health issue.
There are two types of hematuria; gross and microscopic. Gross hematuria occurs when a person can see the blood in their urine. But microscopic one refers to the condition in which a person cannot see the blood in the urine, despite the fact that RBCs are present (2,3).
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