Hematuria: What Your Urine Test Results Mean

Q: Hematuria: What Your Urine Test Results Mean

Hello： It is recommended to at least go to the clinic to review the report, and then return to your original physician for follow-up. <br>As for the testing facilities, there are many hospitals available now, so it is advisable to seek examination at a hospital, as testing facili

Presence of red blood cells in urine?

Hello, Dr.
Du.
First of all, I admit that I am someone who easily gets anxious and panicked.
Please forgive me for continuously asking questions.
In my previous message, I mentioned some abnormal findings from the laboratory tests: urine occult blood (+/-), leukocyte esterase (=/-), and a urine protein-to-creatinine ratio of 30-300.
Subsequently, the blood test results showed an abnormal ANA titer of 1:80, and another urine test indicated the presence of a group of non-A, non-B bacteria.
The technician advised me to see a nephrologist or urologist.
I went to Shutian, where I provided the test results to the doctor.
The doctor mentioned that the bacteria indicated an external infection and requested another urine test.
The results showed no leukocytes or bacteria, but there were red blood cells, and there was one item that I couldn't clearly see if it started with a U or K.
He said that item was slightly elevated and asked me to undergo additional testing for urine cytology (the report has not yet come out), which can be used to check for cancer.
He also inquired if I had any liver issues (I do have mild fatty liver and cysts).
Isn't this kind of questioning alarming? He has already scheduled me for a kidney ultrasound.
Should I have gone directly to my original urologist instead of the laboratory? I am now confused and anxious.
My family suggests that I go back to my original doctor since he has my medical history, but I have already been to Shutian.
Should I just leave? ^^///

Er Mao, 50~59 year old female. Ask Date: 2017/10/31

Dr. Du Shixi reply Urology

Hello: It is recommended to at least go to the clinic to review the report, and then return to your original physician for follow-up.
As for the testing facilities, there are many hospitals available now, so it is advisable to seek examination at a hospital, as testing facilities cannot provide you with a diagnosis.
Wishing you good health.

Reply Date: 2017/10/31

More Info

Understanding hematuria, or the presence of blood in urine, can be a source of anxiety for many patients, especially when accompanied by abnormal urine test results. Your situation involves several components that warrant careful consideration and understanding.

Firstly, the presence of hematuria, indicated by a positive or borderline result in your urine test, can arise from various causes. It is essential to differentiate between transient and persistent hematuria. Transient hematuria may occur due to benign factors such as vigorous exercise, dehydration, or minor infections, while persistent hematuria could indicate underlying conditions such as urinary tract infections (UTIs), kidney stones, or more serious issues like tumors or glomerular diseases.

In your case, the urine test results show a positive (+/-) for occult blood, which suggests that there may be some blood present, but the quantity is not definitive. The presence of white blood cell esterase (+/-) could indicate a possible infection or inflammation, but again, the result is not conclusive. The protein-to-creatinine ratio of 30-300 mg/g suggests that there may be some proteinuria, which can be a sign of kidney damage or disease.

The follow-up with your healthcare provider is crucial. The fact that your doctor has recommended further testing, including a urine cytology test and possibly imaging studies like a renal ultrasound, is a standard approach to rule out serious conditions. Urine cytology can help identify abnormal cells that may indicate cancer, while imaging studies can provide a visual assessment of the kidneys and urinary tract.

Regarding your concern about the abnormal ANA (antinuclear antibody) result, a titer of 1:80 can be indicative of an autoimmune process, but it is not specific. Many healthy individuals can have low positive ANA results without any underlying disease. Your healthcare provider will consider this result in the context of your overall health and symptoms.

It is understandable to feel overwhelmed and anxious about these findings, especially when they may suggest serious conditions. However, it is essential to approach this situation with a clear mind. Your family’s suggestion to return to your original urologist is valid, especially if they are familiar with your medical history. Continuity of care is important, and having a physician who understands your background can provide reassurance and a more tailored approach to your diagnosis and treatment.

In conclusion, while your urine test results indicate some abnormalities that require further investigation, it is essential to remain calm and follow through with the recommended tests. Early detection and diagnosis are critical in managing any potential health issues effectively. Communicate openly with your healthcare providers, ask questions, and express your concerns. They are there to help you navigate this process and ensure you receive the appropriate care. Remember, many conditions that cause hematuria are treatable, and understanding your health is the first step toward managing it effectively.

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