Urine Test Results: What Does 2+ Hematuria Mean?

Q: Urine Test Results: What Does 2+ Hematuria Mean?

Hello： It is possible, but it needs to be monitored. <br>The presence of hematuria combined with proteinuria, if it persists, could be an early sign of worsening kidney function. <br>When re-evaluating, it is advisable to avoid vigorous exercise and excessive protein intake the d

Urinary occult blood 2+

Hello doctor, I received my health check report today, which shows urine occult blood 2+ and proteinuria +.
I would like to know what possible issues this might indicate.
Currently, I do not have hematuria.
The day before the test, I played basketball from morning until noon.
Could this be the reason for the abnormal urine results?

A Zhe, 20~29 year old female. Ask Date: 2023/01/17

Dr. Du Shixi reply Urology

Hello: It is possible, but it needs to be monitored.
The presence of hematuria combined with proteinuria, if it persists, could be an early sign of worsening kidney function.
When re-evaluating, it is advisable to avoid vigorous exercise and excessive protein intake the day before.
Wishing you good health.

Reply Date: 2023/01/17

More Info

When you receive a urine test result indicating "2+ hematuria" and "proteinuria +," it signifies that there are moderate levels of blood and protein present in your urine. Hematuria refers to the presence of blood in the urine, while proteinuria indicates an abnormal amount of protein. Both findings can be indicative of various underlying conditions, and it's essential to interpret these results in the context of your overall health and any symptoms you may be experiencing.

Potential Causes of Hematuria and Proteinuria:
1. Exercise-Induced Hematuria: Engaging in vigorous physical activity, such as playing sports, can sometimes lead to temporary hematuria. This is often benign and resolves on its own. The trauma to the kidneys or bladder during intense exercise can cause blood to leak into the urine.

2. Urinary Tract Infections (UTIs): UTIs can cause both hematuria and proteinuria. Symptoms may include a burning sensation during urination, frequent urination, and lower abdominal pain.

3. Kidney Stones: The presence of kidney stones can lead to bleeding in the urinary tract, resulting in hematuria. Proteinuria may also occur if the stones cause damage to the kidney tissue.

4. Glomerular Disease: Conditions affecting the glomeruli (the filtering units of the kidneys) can lead to both hematuria and proteinuria. Examples include glomerulonephritis and nephrotic syndrome.

5. Trauma: Any recent injury to the kidneys or urinary tract can result in blood in the urine. If you have experienced any trauma, it is crucial to inform your healthcare provider.

6. Systemic Conditions: Certain systemic diseases, such as diabetes or hypertension, can affect kidney function and lead to proteinuria and hematuria.

7. Malignancies: In some cases, the presence of blood in the urine can be a sign of more serious conditions, such as bladder or kidney cancer, especially if accompanied by other symptoms like weight loss or persistent pain.

Next Steps:
Given that you have no visible blood in your urine and considering your recent physical activity, it is possible that the exercise contributed to the abnormal results. However, it is essential to follow up with your healthcare provider for further evaluation. They may recommend additional tests, such as:
- Urine Culture: To check for infections.

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

- Blood Tests: To assess kidney function and check for other underlying conditions.

Monitoring and Management:
If your healthcare provider determines that the hematuria and proteinuria are exercise-induced, they may advise you to monitor your symptoms and possibly limit strenuous activities for a short period. If there are underlying conditions identified, appropriate treatment will be initiated based on the diagnosis.

In summary, while exercise can lead to temporary changes in urine composition, it is crucial to consult with your healthcare provider to rule out any serious conditions and ensure proper management. Regular follow-up and monitoring of your symptoms and urine tests will help in understanding the underlying cause of your results.

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