Health check-up
At 56 years old, you recently underwent a health checkup at a nearby clinic as part of the three-year health insurance screening.
The test results showed positive occult blood in the urine, and the urine red blood cell count was 7-9.
What does this mean, and which specialty should I consult?
Muqin, 50~59 year old female. Ask Date: 2005/06/28
Dr. Cai Jueren reply Family Medicine
An abnormal increase of red blood cells in urine is referred to as "hematuria." In mild cases, an increased number of red blood cells can be observed under a light microscope; in more severe cases, blood can be seen with the naked eye.
Hematuria is commonly associated with urinary system diseases, acute glomerulonephritis, chronic nephritis, rapidly progressive glomerulonephritis, urinary tract infections, and kidney stones.
It is recommended to consult a nephrologist, family medicine physician, or urologist for further evaluation.
Reply Date: 2005/06/28
More Info
When you receive a positive urine blood test result, it indicates the presence of blood in your urine, a condition known as hematuria. In your case, the report shows a positive occult blood test and a urine red blood cell count of 7-9, which suggests that there is a significant amount of blood present in your urine. This finding can be concerning and warrants further investigation to determine the underlying cause.
Hematuria can arise from various sources, including urinary tract infections (UTIs), kidney stones, trauma, or more serious conditions such as tumors in the urinary tract or kidneys. In some cases, it can also be associated with systemic diseases like glomerulonephritis or bleeding disorders. Given the range of potential causes, it is crucial to follow up with a healthcare provider for a comprehensive evaluation.
The first step after receiving a positive urine blood test result is to consult a healthcare professional, typically a urologist or a nephrologist. A urologist specializes in the urinary tract and male reproductive system, while a nephrologist focuses on kidney health. Depending on your symptoms and medical history, your primary care physician may also be able to guide you to the appropriate specialist.
During your consultation, the doctor will likely perform a detailed medical history and physical examination. They may ask about any accompanying symptoms, such as pain during urination, frequency of urination, or any history of kidney stones or urinary tract infections. Following this, the doctor may recommend additional tests, which could include:
1. Urinalysis: A more detailed analysis of your urine to check for signs of infection, crystals, or other abnormalities.
2. Urine Culture: To identify any bacterial infections that may be causing hematuria.
3. Imaging Studies: Such as an ultrasound, CT scan, or MRI to visualize the kidneys and urinary tract for any structural abnormalities, stones, or tumors.
4. Cystoscopy: A procedure that allows the doctor to look inside the bladder and urethra using a thin tube with a camera.
It is important not to ignore a positive urine blood test result. If left unaddressed, the underlying cause of hematuria could lead to complications, especially if it is due to a more serious condition like a tumor or significant kidney disease. Early diagnosis and treatment are crucial for the best outcomes.
In summary, a positive urine blood test indicates that further evaluation is necessary to determine the cause of the hematuria. Consulting with a urologist or nephrologist is the recommended next step, as they can provide the appropriate diagnostic tests and treatment options based on your specific situation. Remember, timely medical intervention can make a significant difference in managing any underlying health issues effectively.
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