What to Do If You Test Positive for Hemoglobin in Urine? - Family Medicine

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What to do if hemoglobin is positive in urine?


I previously had a health check at school, and my test report showed that I have hematuria, which was positive.
What should I do? However, I also have antibodies for hepatitis B in my body, so could this be a bile issue? Should I seek medical attention, or can I improve this problem through diet? Currently, I live away from home and am a freshman, so my diet and routine are irregular.
The test report also indicated that my MCV and MCH levels are slightly elevated.
What should I do? How can I improve the issues mentioned above?

Wu, 10~19 year old female. Ask Date: 2012/11/25

Dr. Chen Zonglin reply Family Medicine


Hello: The cause of positive hemoglobin in urine is often related to the kidneys and urinary tract system, and is not associated with the bile.
It is recommended that you seek medical attention for further evaluation.
As for the elevated MCV and MCH, they are often related to nutritional intake.
Considering your irregular diet and lifestyle, it is necessary to consult with a physician to discuss whether further evaluation is needed.
Wishing you health and happiness.

Reply Date: 2012/11/25

More Info


If you have tested positive for hemoglobin in your urine, it is essential to take this finding seriously, as it can indicate underlying health issues. Hemoglobinuria, the presence of hemoglobin in the urine, can result from various conditions, including hemolysis (the breakdown of red blood cells), urinary tract infections, kidney stones, or more severe conditions like glomerulonephritis or other kidney diseases. Here’s a step-by-step guide on what you should do next:
1. Consult a Healthcare Professional: The first and most crucial step is to consult a healthcare provider. Given that you are experiencing hemoglobinuria, it is vital to undergo further evaluation to determine the underlying cause. A healthcare professional will likely recommend additional tests, such as a urinalysis, blood tests, and possibly imaging studies, to assess your kidney function and rule out other conditions.

2. Discuss Your Medical History: When you meet with your healthcare provider, be sure to discuss your complete medical history, including any symptoms you may have experienced (such as pain, changes in urination, or fatigue), and any medications or supplements you are taking. Mentioning your hepatitis B antibody status is also important, as it may provide context for your overall health.

3. Diet and Lifestyle Adjustments: While dietary changes alone may not resolve the issue of hemoglobin in your urine, maintaining a balanced diet can support your overall health. Focus on a diet rich in fruits, vegetables, whole grains, and lean proteins. Staying hydrated is also crucial, as it helps maintain kidney function. Avoid excessive alcohol consumption and limit processed foods high in sodium and unhealthy fats.

4. Monitor Your Symptoms: Keep track of any symptoms you may experience, such as changes in urine color, frequency of urination, or any discomfort. If you notice worsening symptoms, such as increased pain, fever, or significant changes in urination, seek medical attention promptly.

5. Consider Stress and Lifestyle Factors: As a college student, it’s common to experience stress and irregular eating patterns. Try to establish a routine that includes regular meals, adequate sleep, and stress management techniques, such as exercise, meditation, or hobbies that help you relax.

6. Follow-Up Testing: Depending on the initial evaluation, your healthcare provider may recommend follow-up tests to monitor your condition. It’s essential to adhere to any follow-up appointments and tests to ensure that any potential issues are addressed promptly.

7. Educate Yourself: Understanding the potential causes of hemoglobinuria can empower you to make informed decisions about your health. Research reputable sources or ask your healthcare provider for educational materials that can help you understand your condition better.

In summary, while dietary changes and lifestyle adjustments can support your overall health, they are not a substitute for medical evaluation and treatment. Given the complexity of your symptoms and the potential implications of hemoglobin in your urine, it is crucial to seek medical advice to determine the appropriate course of action. Your health is paramount, and addressing these concerns early can lead to better outcomes.

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