HEMATURIA (BLOOD IN URINE)
Last Updated : 1/14/2011
Kumud P Mehta
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Hematuria means blood in urine

. Significant hematuria is defined as more than 5 red blood cells/HPF of a standard urinary sediment. The site of bleeding can be from kidneys / pelvicalyceal system / ureters / urinary bladder or urethra. Rarely hematuria is due to

coagulation disorder

.

The colour of the urine can give clue to the site of hematuria eg. Cola coloured urine - glomerular bleeding especially with proteinuria > 2+ and puffiness of eyes. Bright red colour especially if at the end of urination is due to bleeding from urinary bladder or urethra. Every pink / red / brown coloured urine need not be due to blood in urine. Ingestion of coloured sweets, beet root, drugs, hemoglobin or myoglobin can cause red urine and history is very important before investigating further.

Intermittent hematuria in an active child
Always rule out exercise induced hematuria (after active sports or school activity, RBC's appear in urine and disappear if child is rested. IVP / Cystoscopy -are rarely required for

diagnosis of hematuria

Microscopic hematuria of long standing usually does not cause anemia, hence does not need hematinics.



Contributor Information and Disclosures

Kumud P Mehta
Consultant Pediatrician & Pediatric Nephrologist, Jaslok Hospital & Research Centre, Bai Jerbai Wadia Hospital for children, Mumbai, India


First Created : 1/3/2001

References

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