Mild Positive Urine Blood Test Results: What to Do Next?

Q: Mild Positive Urine Blood Test Results: What to Do Next?

Hello： If you have a mildly positive urine occult blood test, you should visit the urology department at a hospital (some hospitals may also allow you to see a nephrologist). <br>Many patients are unable to identify a definitive cause and only suspect certain issues (such as ston

Urine occult blood test is mildly positive?

Hello, doctor.
I recently had a health check-up, and the result showed a mildly positive reaction for blood in my urine.
What could be the possible issues? Additionally, can I go to a general urology clinic for a follow-up, or should I go to a hospital? Do I need to fast before the tests? Are there any precautions I should take? Thank you.

Niming, 30~39 year old female. Ask Date: 2016/12/22

Dr. Du Shixi reply Urology

Hello: If you have a mildly positive urine occult blood test, you should visit the urology department at a hospital (some hospitals may also allow you to see a nephrologist).
Many patients are unable to identify a definitive cause and only suspect certain issues (such as stones or kidney inflammation).
In some cases, a follow-up urine test may return to normal.
Most hospitals will request a urine sample and perform kidney examinations (regarding whether fasting is required, different hospitals have different policies).
If you're not too concerned about hunger, fasting may be beneficial to avoid having to repeat certain tests.
Additionally, try not to worry too much.
Thank you for your inquiry (and remember to bring your report with you for the doctor’s reference).

Reply Date: 2016/12/22

More Info

When you receive a mild positive result for blood in your urine (hematuria), it can understandably cause concern. Hematuria can arise from various causes, and understanding the potential implications is crucial for determining the next steps in your healthcare journey.

Possible Causes of Mild Positive Urine Blood Test Results
1. Urinary Tract Infections (UTIs): One of the most common causes of hematuria, especially if accompanied by symptoms like burning during urination, frequent urination, or urgency.

2. Kidney Stones: Even small stones can irritate the urinary tract and cause bleeding.
3. Trauma: Any injury to the kidneys or urinary tract can lead to blood in the urine.

4. Glomerulonephritis: This is inflammation of the kidney's filtering units, which can cause blood and protein to leak into the urine.

5. Benign Prostatic Hyperplasia (BPH): In older men, an enlarged prostate can lead to hematuria.

6. Cancer: Though less common, cancers of the bladder, kidney, or prostate can present with hematuria.

7. Medications: Certain medications, such as blood thinners, can also lead to bleeding in the urine.

Next Steps After a Positive Urine Blood Test
Given the potential causes, it is essential to follow up with further evaluation. Here are the recommended steps:
1. Consult a Urologist: While a general practitioner can provide initial guidance, a urologist specializes in urinary tract issues and can perform more specific tests. You can visit a urology clinic or a hospital's urology department for a more comprehensive evaluation.

2. Further Testing: The urologist may recommend additional tests, such as:
- Urinalysis: A repeat test to confirm the presence of blood and check for other abnormalities.

- Urine Culture: To check for infections.

- Imaging Studies: Such as an ultrasound or CT scan to visualize the kidneys and urinary tract.

- Cystoscopy: A procedure where a small camera is inserted into the bladder to look for abnormalities.

3. Monitoring: If the cause of hematuria is not immediately apparent, your doctor may suggest regular monitoring of your urine for changes over time.

Pre-Testing Considerations
- Fasting: Generally, fasting is not required for urine tests. However, if you are undergoing imaging studies that involve contrast dye, your doctor may provide specific instructions regarding food and fluid intake.

- Hydration: It is advisable to stay well-hydrated before your tests, as this can help dilute the urine and may provide clearer results.

- Medication Review: Inform your doctor about any medications you are taking, as some may influence test results.

Conclusion
A mild positive urine blood test result warrants further investigation to rule out any serious underlying conditions. While it can be caused by benign issues, it is essential to consult a urologist for a thorough evaluation. Regular follow-ups and monitoring are crucial to ensure that any potential problems are identified and managed promptly. Always communicate openly with your healthcare provider about your symptoms and concerns, as this will help guide the diagnostic process effectively.

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