- Blood in the urine - a reason for serious concern
Blood in the urine (hematuria) may be contained in a large amount by changing the color of urine, it is called gross hematuria. If blood in the urine, ie, red blood cells or red blood cells can be seen only under a microscope, then talking about microhematuria.
Hematuria is one of the signs at malformations, injuries and diseases of the genitourinary system. Distinguish true hematuria with the presence in urine of blood cells, and false - staining of urine red due to impurities in the blood pigment hemoglobinuria (urinary excretion of hemoglobin), side effects of certain medications, and so on. If transparency is saved false hematuria urine sediment in red blood cells are absent.
Hematuria may occur after taking certain medications, such as drugs that prevent clotting (heparin, bishydroxycoumarin), sulfa drugs, and so on.
Types of hematuria
Depending on the location of the source of bleeding distinguish initial, final and total (total) hematuria. Initial hematuria, in which only the initial urine sample contains an admixture of blood, evidence of the defeat of the lower part of the urethra. Often this type of hematuria combined with an independent (outside of urination) the release of blood from the urethra. It can occur after trauma, tumors of the urinary tract, inflammation of the urethra.
End hematuria is characterized by the appearance of blood in the last portion of the urine, it occurs when the inflammation of the bladder, prostate, stones and tumors of the bladder and upper urethra; at least - at an adenoma and prostate cancer
Prostate cancer - the sad consequences of carelessness
, Varicose veins
Varicose veins - the operation is inevitable?
in the bladder.
Total hematuria occurs when processes which are located in the kidneys, ureters and bladder
Urinary bladder - structure and function
- Blood in such cases is in all urine samples. Of particular importance is painless hematuria total, which is often the only sign of cancer of the urinary system.
Symptoms of blood in the urine
Urine in the presence of blood in it can have various hues from red (if the source of the bleeding at the end of the urinary system), meat slops color to brown, dark-colored coffee or tea. Often the selection of blood in the urine accompanied by pain during urination - this is usually a sign of inflammation of the bladder and the stones in it. If there is no pain, and the urine changed its color, this may be a sign of tumors of the bladder and kidneys. Blood clots in the urine suggests bleeding from the kidney or renal pelvis.
Bleeding from both ureters (they connect the kidneys to the bladder) can be seen during the diagnostic study - cystoscopy when kidney disease, such as glomerulonephritis
Glomerulonephritis - a severe infection of the kidneys
(infectious and allergic diseases of the kidneys are allergic to its own tissues). Bleeding from a ureter can be seen during cystoscopy in the tumor or kidney injury, kidney stones, some forms of renal tuberculosis, and so on. Blood in the urine may be due to compression of the renal vein, the destruction of kidney tissue in inflammation of the kidneys (particularly in patients with diabetes).
Hematuria may be a random finding, and the only complaint of the patient. In any case, such a person must be carefully examined. In the early conducted urinalysis, which confirms or refutes the presence of blood in urine. Then assayed the number of red blood cells contained in 1 ml of urine or in the daily amount of urine (urine on Nechiporenko and Addis Kakovskomu). On examination of urine sediment under the microscope determine the nature of red blood cells (modified or not). Urine culture is also carried out for special protection in order to prevent infection.
General blood test will reveal what kind of changes are available in the urinary system (inflammatory, suspected tumor process, and so on). Be sure to also performed biochemical blood tests that detect violations of metabolic processes in the body and impaired function of internal organs.
Held instrumental examination of the urinary tract, which allows you to specify the root cause of blood in the urine. This X-ray and ultrasound studies, if necessary - a biopsy (taking a piece of tissue for analysis).
If the loss of blood in the urine are significant, in parallel with the examination of the patient is administered hemostatics and increase blood clotting drugs. The rest of the treatment is carried out after a complete examination and depends on the disease causing the hematuria.
If the survey you accidentally found in the urine of blood, you should not be afraid, because it's not talking about the severity of the disease. But blood in the urine - is a signal that you need to conduct a comprehensive examination