Urine Test Results: What to Do When You See Blood

Q: Urine Test Results: What to Do When You See Blood

Hello： Generally, moderate exercise does not affect urinalysis. <br>Testing is necessary, but a significant proportion of cases do not have a clear cause. <br>1. <br>If subsequent tests show no hematuria, it may be transient hematuria, and regular follow-up after initial evaluati

Hematuria

Hello Dr.
Du, I had a blood test last Saturday and I'm scheduled to review the results this Saturday! However, I saw some test results on the health insurance app.
The urinalysis showed OB+ and RBC 6-10, while the other results were normal.
Do I need to undergo any further tests? I was thinking of consulting a urologist.
Also, I have a regular exercise routine, working out about three times a week for around 30 minutes each session, and I run once a week.
I'm wondering if this could affect the test results? (I worked out the night before the test on Saturday morning, and I usually exercise on Mondays, Wednesdays, and Fridays, and run on Saturdays).
I've been reading online and it's making me quite anxious, but I don't have any discomfort, just occasional mild soreness in both sides of my lower back, which has been happening for over a decade! So I wanted to ask for your advice.
Thank you for your help!

Yun, 40~49 year old female. Ask Date: 2024/06/05

Dr. Du Shixi reply Urology

Hello: Generally, moderate exercise does not affect urinalysis.
Testing is necessary, but a significant proportion of cases do not have a clear cause.
1.
If subsequent tests show no hematuria, it may be transient hematuria, and regular follow-up after initial evaluation is sufficient.
2.
If there is persistent microscopic hematuria, it is important to assess for potential underlying causes.
Additionally, attention should be paid to lifestyle factors such as diet and rest, and any issues with blood pressure or blood sugar should be well managed.
Wishing you good health.

Reply Date: 2024/06/05

More Info

When you see blood in your urine (hematuria), it can understandably cause concern. In your case, the urine test results show a positive occult blood (OB+) and red blood cells (RBC) in the range of 6-10 per high power field (HPF). While some causes of hematuria can be benign, it is essential to investigate further to rule out any serious underlying conditions.

First, it's important to understand that hematuria can result from various factors, including urinary tract infections (UTIs), kidney stones, trauma, or even more serious conditions like tumors in the urinary tract. Given that your urine test results indicate the presence of blood, it is advisable to follow up with a urologist for a comprehensive evaluation. This may include additional urine tests, imaging studies such as an ultrasound or CT scan, and possibly a cystoscopy, which allows direct visualization of the bladder and urethra.

Regarding your fitness routine, it is worth noting that intense physical activity can sometimes lead to transient hematuria. This is often referred to as "exercise-induced hematuria" and can occur due to the impact of vigorous exercise on the kidneys or bladder. However, since you mentioned that you have been experiencing occasional soreness in your lower back, it is prudent to discuss this with your healthcare provider. They can help determine if your exercise regimen is contributing to your symptoms or if there is another underlying issue that needs to be addressed.

In the meantime, it is essential to monitor any additional symptoms you may experience, such as changes in urinary frequency, pain during urination, or any other unusual signs. If you notice any worsening of your symptoms or if you develop new symptoms, seek medical attention promptly.

While waiting for your upcoming blood test results, it is advisable to avoid any strenuous activities that could exacerbate your symptoms. Staying well-hydrated and maintaining a balanced diet can also be beneficial for your overall urinary health.

In summary, given your urine test results showing blood, it is crucial to follow up with a urologist for further evaluation. While exercise may play a role, it is essential to rule out any serious conditions that could be causing the hematuria. Your healthcare provider will guide you through the necessary steps to ensure your health and well-being.

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