Hematuria is the presence of red blood cells (RBCs) in the urine. Often, the urine appears normal to the naked eye, but examination under a microscope shows a high number of RBCs. In gross hematuria, the urine is red or the color of cola, which can be seen with the naked eye.
Signs and symptoms
Additional symptoms in athletes that indicate the need for laboratory studies of the kidneys:
There are a number of tests that, when combined with a physical examination and medical history, will help your doctor make an accurate diagnosis. These can include a simple urine dipstick test that detects the presence of blood, a urine culture that shows up any infection, blood chemistry tests that will demonstrate, amongst other things, kidney function. Microscopic examination may detect cancer cells.
IVP: an intravenous pyelogram, is an X-ray test where a dye containing iodine is tracked on its journey through the genito-urinary system showing up any abnormalities.
Treatment is dictated by cause, so may comprise, for example, antibiotics, surgery or medication review. Treatment ranges from antibiotic therapy to surgery, depending on the underlying cause.
Many causes of hematuria are not serious and, in some cases, exercise can cause hematuria to go away within a day. It is important to consult your physician since hematuria may result from a tumor or other serious problem.
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