What diseases are common in hematuria and what are the diseases in the urine

Kidney disease, you should go to the hospital for examination and treatment in time.

First of all, it is necessary to determine whether it is blood in the urine, and it is recommended to go to the hospital for a urine routine examination. If a test in the urine confirms the presence of red blood cells, it is "hematuria."

Hematuria is an abnormally increased excretion of red blood cells in the urine, which is a sign that there may be a serious condition in the urinary system. Centrifugal precipitation of urine with 3 red blood cells per high magnification field, or more than 1 or 100,000 urine red blood cell count in 1 hour or urine sediment count more than 500,000 in 12 hours, all indicate an abnormal increase in red blood cells in the urine, which is called hematuria. In mild cases, erythrocytosis is only found under the microscope, which is called microscopic hematuria; In severe cases, the appearance is washed or contains blood clots, which is called gross hematuria.

Usually 1ml of blood per litre of urine is visible to the naked eye, and the urine is red or like a wash of flesh.

Causes of hematuria].

More than 95% of hematuria is caused by diseases of the urinary system itself, among which glomerular diseases (acute nephritis, rapidly progressive nephritis, membranoproliferative nephritis, mesangial proliferative nephritis, focal glomerulosclerosis, etc.), kidney cysts, stones (kidney, ureter, bladder, urethral stones), prostatic hyperplasia, urinary tract infectious diseases (tuberculosis, pyelonephritis, cystourethritis, prostatitis) and tumors (kidney, ureter, bladder, prostate tumors) are the most common. Other diseases such as coagulation abnormalities (idiopathic or drug-induced thrombocytopenia, hemophilia, scurvy, etc.) and systemic diseases (aplastic disease, leukemia, systemic lupus erythematosus, dermatomyositis, leptospirosis, epidemic hemorrhagic fever, etc.) can also cause hematuria.

Blood in the urine is called hematuria, also known as blood in the urine.

Normally, there are no red blood cells in the urine. In medicine, the patient's urine is centrifuged and precipitated, and then examined with a microscope, if there are more than 5 red blood cells in each high-power field of view, it is called hematuria. If only red blood cells are detected under the microscope, but the eyes cannot see the blood in the urine, it is called microscopic hematuria; If the eye can see that the urine is "washed water" or bloody, or even that there are blood streaks or blood clots in the urine, it is called gross hematuria.

Therefore, hematuria is not always detected by the eyes. You can see that there is blood in the urine with your eyes, and at least 1 ml of blood is mixed with about 1000 ml of urine, which indicates that the hematuria is more serious, and the cause should be found out as soon as possible.

a) Hematuria**.

Hematuria is often caused by diseases of the urinary organs. Human urine is produced in the kidneys and excreted through the renal pelvis, ureters, bladder, and urethra.

Common diseases that cause hematuria include various nephritis, urinary tract infections, hemorrhagic cystitis, urinary stones, renal tuberculosis, kidney tumors, kidney and urethral injuries, etc. Hematuria is one of the main symptoms of these disorders.

2) Differential diagnosis of hematuria.

When urination begins with hematuria and the urine is normal in the later segment, it is usually a urethral disease; If urination begins normally and hematuria occurs near the end, cystitis and prostate disease are common; If it is "full hematuria", the blood is dark red, and it is usually caused by kidney disease. Blood in the urine rarely presents with signs of shock.

Hematuria is common in the following conditions:

Hello, hematuria is divided into three types, primary hematuria, hematuria is only seen at the beginning of urination, and the lesions are mostly in the urethra; terminal hematuria, which occurs near the end of the void line, mostly in the bladder triangle, bladder neck, or posterior urethra; Hematuria, which occurs during urination, and the bleeding site is usually in the bladder, ureters, or kidneys. Causes of blood in the urine:

Blood in the urine caused by inflammation of the urinary system. If blood in the urine is accompanied by facial and general edema and increased blood pressure, it may be acute nephritis; If blood in the urine is manifested as poor urination and pain at the urethral opening, it is usually prostate inflammation.

Blood in the urine caused by cystitis. If blood in the urine is accompanied by severe urinary frequency, urgency, and painful urination, most of them are acute cystitis. The most common symptom of cystitis is hematuria, which is not felt and can be seen with the naked eye.

Blood in the urine caused by kidney or ureteral stones. Patients with blood in the urine accompanied by low back pain, sometimes severe paroxysmal low back pain, renal colic, and kidney and ureteral stones are likely to occur.

Blood in the urine caused by urinary tract tumors. Patients with blood in the urine accompanied by frequent urination, urgency, and painful urination for a long time are more likely to have renal tuberculosis. Pain and blood in the urine without obvious symptoms in people over the age of 40 may be infected with a urinary tract tumor. Best wishes!

Hematuria in men is common for the following reasons: 1. Urinary tract infection or prostatitis, at this time, most of them will be accompanied by symptoms such as frequent urination, urgency, painful urination, perineal discomfort, etc., and anti-inflammatory drugs are required**. 2. Urinary stones, at this time, there will be severe colic, and extracorporeal lithotripsy or ureteroscopic stone removal surgery is required**.

3. Urinary tract tumors, most of which are ** gross hematuria, are more common in middle-aged and elderly people, and it is necessary to choose surgery, radiotherapy, chemotherapy and other methods according to the nature of the tumor and whether there is distant metastasis. 4. Coagulation dysfunction caused by the use of certain drugs, such as aspirin, warfarin, heparin, etc. 5. All kinds of nephritis, most of them are microscopic hematuria at this time, and some patients can have macroscopic hematuria, which needs to be selected according to the pathological type of nephritis** or the use of hormones and immunosuppressants**.

The disease of blood in the urine is mostly due to heat disturbing the blood, heat storage of the kidney and bladder, damage to the veins, causing blood to go in vain, blood from the urine and causing blood in the urine, the disease site is in the kidney and bladder, but it is closely related to the heart, small intestine, liver and spleen, and there is a difference between virtual and real. Common symptoms include heart fire, bladder dampness, liver and gallbladder dampness, kidney deficiency and fire, spleen and kidney deficiency and other symptoms.

Blood in the urine is a symptom that can be caused by diseases such as urinary tract infections, urolithiasis, kidney tuberculosis, prostate disease, cancer, etc.

Two possibilities:1Your symptoms are urinary frequency, urgency, dysuria, and hematuria, which are very consistent with the presentation of an acute lower urinary tract infection; 2.

If you have low back pain, you should consider urinary stones. Therefore, it is recommended to go to the hospital for urinalysis and ultrasound examination. Formal diagnosis is followed by a clear diagnosis**.

Prostate disease or urethritis, it is recommended to go to the hospital for a check-up.

If it is a urinary tract infection, taking levofloxacin is fine, but urinary tract stones cannot be ruled out, and it is best to go to the hospital for a look.

This is a problem of hematuria, it is recommended to go to a regular hospital to see a urology or **, do a urinary system B ultrasound, etc., but do not go to a private hospital to avoid being deceived.

Peking University Third Hospital-Male Diseases-Attending Physician Tang Wenhao.

I was like this the other day.,Urethritis.。。 Just take some anti-inflammatory pills. As mentioned above, don't eat spicy fried food.

Drink plenty of water. Yellow urine is the cause of the fire. You probably have painful urination, too.

Eat colder. Just drink plenty of water and eat fruits. Do not worry.

Laboratory testing of urine erythrocyte phase is recommended.

To see whether the hematuria comes from the urinary tract or the kidneys, ultrasound is also required. In older patients, urinary tract tumors need to be excluded. The left side of the abdomen may be a bladder or ureter.

Urinary tract infections are not a big deal... It's good to be early, don't worry...

(1) Glomerular diseases: primary or secondary glomerulonephritis, hereditary nephritis, thin glomerular basement membrane disease, etc.

3) Renal tubular diseases: renal artery embolism, renal vein thrombosis, left renal vein compression syndrome (nutcracker phenomenon), etc.

4) Trauma: kidney injury, urethral injury.

6) Urotract diseases: urinary stones, urinary tract infection (a few patients have obvious hematuria), prostatic hyperplasia, etc.

7) Congenital renal or urinary tract malformations.

8) Others: low back pain, hematuria syndrome, renal prolapse, etc.

Through Director Ji's answer for you, you already have an understanding of the ** that causes hematuria. If you are such a patient, please choose the best nephrologist - the Third Hospital of the Beijing Armed Police Corps. There are the most professional nephrologists and advanced medical equipment, especially the original "biological cell transplantation" is to identify, isolate, purify, expand and culture high-quality biological cells in vitro through puncture, minimally invasive intervention or intravenous injection and other ways to implant biological cells into the patient's body, the use of biological cells themselves with targeted characteristics, so that they can be planted to the lesion site to repair the lost tissue function, so as to achieve the purpose of the first.

Hope you can do it soon**.

There are many causes of hematuria, which generally include the following; 1. Urinary system diseases such as various nephritis (acute glomerulonephritis, viral nephritis, hereditary nephritis, purpuric nephritis), stones (kidney, bladder, urethra), heart and kidney tuberculosis, various congenital malformations, trauma, tumors, etc. 2. Systemic diseases such as bleeding disorders, leukemia, heart failure, sepsis, vitamin C and K deficiency, hypercalciuria, neonatal symptoms, etc. 3. Physical and chemical factors such as food allergies, radiation exposure, drugs, poisons, post-exercise, etc.

In order to clarify, it is very important to determine the location of hematuria, and the urine three-cup test can understand the hematuria, and the method is very simple. Take 3 cups, in one urine, take the anterior urine from the first cup, the middle urine from the second cup, and the posterior urine from the third cup. If the first cup is hematuria, it means that the blood is coming from the urethra; The third cup of hematuria is terminal hematuria, and the lesions are mostly in the bladder or posterior urethra; The first, second, and third cups are all blood-colored, i.e., hematuria throughout, suggesting that the lesion is in the kidneys or in the urinary tract above the bladder.

It is necessary to determine which disease is causing the hematuria, or whether it is necessary to confirm the diagnosis based on symptoms and physical signs, various experiences, x-rays, CT tests, and even biopsy of the kidneys. Normal urine contains very small amounts of red blood cells. Uncentrifuged urine may have 0 2 red blood cells per high-power field under the microscope, and if this number is exceeded, it is hematuria.

Hematuria is often caused by diseases of the urinary organs. Human urine is produced in the early days of the kidneys, and is excreted through the renal pelvis, urethral tube, bladder, and urethra.

Prostatitis or vesiculitis, stones.

Hematuria is blood in the urine that is brownish-red. Homogeneous hematuria is mostly renal hemorrhage; Long blood clots in the urine, usually formed in the ureters; If hematuria is terminally present, it is usually bladder bleeding; At first, hematuria is usually urethral bleeding.

1.Patients with hematuria accompanied by eyelid and general edema, hypertension, and a history of infection are mostly acute nephritis.

2.Patients with panhematuria and a history of dysuria and trauma are traumatic.

3.Hematuria accompanied by urinary frequency, urgency, and painful urination, and a history of previous tuberculosis is urinary tuberculosis.

4.Hematuria with colic, and a history of urinary stones in the past are urinary stones.

5.Hematuria accompanied by anemia, purpura, and hepatosplenomegaly is mostly a blood disease.

6.Hematuria is present and there is a history of taking sulfonamides, which is drug-induced hematuria.

Hematuria is caused by an abnormal increase in red blood cells in human urine, and the mild case is only found to have red blood cells under the microscope, which is called microscopic hematuria; In severe cases, the appearance is washed or contains blood clots, which is called gross hematuria.

There are many causes of hematuria, among which urinary system inflammation accounts for a relatively large proportion, and the causes of hematuria can be divided into the following types:

1. Inflammation: acute and chronic glomerulonephritis, acute and chronic pyelonephritis, acute cystitis, urethritis, urinary tuberculosis, urinary system mold infection, etc.

2. Stones: Stones in the renal pelvis, ureter, bladder, urethra, any part of the body, when the stones move, they break the urothelium, which is easy to cause hematuria and secondary infection. Large stones can cause urinary tract obstruction and even kidney damage.

3. Trauma refers to violent injuries to the urinary system.

4. If the red medicine caused by the drug can be determined to be caused by taking the drug, then there is no need to worry.

5. Tumor This is the most terrible, and malignant tumors in any part of the urinary system or malignant tumors of adjacent organs can cause hematuria when they invade the urinary tract.

Urine that is mixed with red blood cells or blood is called hematuria. The common causes are:

Diseases of the urinary system itself such as tumors, stones, tuberculosis, injuries, inflammation, congenital malformations, etc. Lesions of the adjacent organs of the urinary system such as the uterus, rectum, etc., inflammation, tumors invade the urinary system. Systemic diseases of the main blood systems such as leukemia, hemophilia, thrombocytopenic purpura, etc.

Hematuria is mainly caused by urinary diseases, such as nephritis, hydronephrosis, cystitis, bladder stones, urethritis, urethral stones, bladder cancer, etc., and some people are caused by systemic diseases, such as thrombocytopenic purpura, hemophilia, aplastic anemia, systemic lupus erythematosus, congestive heart failure, dermatomyositis, etc.

3 red blood cells per high magnification field is called microscopic hematuria. When 1 ml of blood is mixed with each liter of urine, gross hematuria can be presented. 1.5 million.

When the urine sample is 10ml, centrifuged for 5 minutes, and observed under the microscope, hematuria per high-power field is an abnormal increase in the number of red blood cells in the urine. Depending on the amount of blood and the appearance and color of hematuria, it can be divided into gross hematuria and microscopic hematuria. The total number of red blood cells excreted in the urine of a normal person per day.

Hematuria is common in:

1) Diseases of the urinary system itself: primary or secondary glomerulonephritis; tubulointerstitial nephritis of all causes; urinary tract infections; Stone; Tumor; Hereditary kidney diseases, such as polycystic kidney disease, thin basement membrane nephropathy, etc.

2) Inflammation or tumor of organs adjacent to the urinary tract;

3) coagulation or bleeding disorders;

4) exercise-induced hematuria; Urinary trauma.