Positive Urine Protein and Hematuria: Should You Be Concerned?

Q: Positive Urine Protein and Hematuria: Should You Be Concerned?

Hello： It is recommended to follow up with another urine test and discuss the results with your physician.

Urinary occult blood and urinary protein?

Doctor, I had a health check-up two years ago, and at that time, the tests showed positive results for urine protein and urine occult blood.
However, I didn't notice it then.
Now that I've found the previous report, I see that the other results were normal, and only these two were positive.
Over the past two years, I haven't experienced any unusual changes in my health, and my urination has been normal without any issues.
I also drink plenty of water regularly.
Should I see a doctor for further examination? Is there a serious illness I should be concerned about?

A-He, 20~29 year old female. Ask Date: 2017/07/25

Dr. Zhou Ziguang reply Pulmonology

Hello: It is recommended to follow up with another urine test and discuss the results with your physician.

Reply Date: 2017/07/25

More Info

When it comes to understanding the implications of positive urine protein and hematuria (the presence of blood in urine), it's essential to consider several factors, including the context of your health history, the specific values of your tests, and any symptoms you may be experiencing.

First, let's break down what positive urine protein and hematuria mean. Protein in the urine (proteinuria) can indicate a variety of conditions, ranging from benign to serious. In healthy individuals, urine typically contains very little protein. When protein levels are elevated, it can suggest kidney issues, such as glomerulonephritis, diabetic nephropathy, or hypertension-related kidney damage. Hematuria, or blood in the urine, can also arise from various causes, including urinary tract infections (UTIs), kidney stones, trauma, or more serious conditions like tumors or kidney disease.

In your case, you mentioned that two years ago, your health check revealed positive results for both urine protein and hematuria, but you have not experienced any significant changes in your health since then. This is a crucial point. If you have been asymptomatic and have not noticed any changes in your urinary habits, such as increased frequency, pain, or changes in color, it may suggest that the findings were transient or not indicative of a chronic condition.

However, it is important to note that the presence of protein and blood in the urine should not be ignored, even if you feel well. These findings can sometimes be the first indicators of underlying kidney issues or other health problems that may not present with obvious symptoms initially. For instance, conditions like hypertension and diabetes can lead to kidney damage over time, and early detection is key to preventing further complications.

Given that you have had these results for two years without follow-up, it would be prudent to consult a healthcare professional. They may recommend further testing, such as a repeat urinalysis, urine protein-to-creatinine ratio, or even imaging studies to assess your kidneys and urinary tract. These tests can help determine whether the initial findings were isolated incidents or part of a more significant health issue.

In summary, while you may not currently feel any symptoms, the presence of protein and blood in your urine warrants further investigation. It is better to err on the side of caution and seek medical advice to rule out any serious conditions. Regular monitoring and early intervention can make a significant difference in managing potential kidney issues and maintaining overall health.

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