Is blood in urine serious?

The problem of hematuria requires caution and understanding of the cause. Common urinary tract infections, nephritis, kidney stones, etc. may all cause hematuria symptoms, and hematuria caused by these diseases must of course be treated seriously.

1. Hematuria was also called hematuria in ancient times. It refers to the presence of blood in the urine, or blood clots mixed in, usually without pain. The so-called "pain is hematuria, no pain is hematuria". Blood in urine

First, Western medicine believes that when a normal person's centrifuged urine sediment shows ≥ 3 red blood cells per high-power field of view under a microscopic examination, it is called hematuria. Any urinary system disease, disease of organs adjacent to the urinary tract, systemic or other organ diseases can cause hematuria.

2. Traditional Chinese medicine believes that no matter what disease causes hematuria, it is due to heat disturbing the blood. Heat accumulation in the kidneys and bladder is the cause of hematuria.

The main pathological mechanism of the disease is that it is caused by the heart fire, small intestine fire, liver fire, and internal heat caused by yin deficiency, which damages the blood vessels, causing the blood to flow wildly due to heat, and blood to be discharged from the urine.

Hematuria: More than 95% of hematuria is caused by diseases of the urinary system itself, among which glomerular diseases (acute nephritis, rapidly progressive nephritis, membranoproliferative nephritis, mesangial proliferative nephritis, focal glomerulosclerosis, etc.), renal cysts, stones (kidney, ureter, bladder, urethral stones), prostatic hyperplasia, urinary tract infections (tuberculosis, pyelonephritis, cystourethritis, prostatitis) and tumors (kidney, ureter, bladder, prostate tumors) are the most common.

3. Other diseases such as abnormal coagulation (idiopathic or drug-induced thrombocytopenia, hemophilia, scurvy, etc.) and systemic diseases (aplastic anemia, leukemia, systemic lupus erythematosus, dermatomyositis, leptospirosis, epidemic hemorrhagic fever, etc.) can also cause hematuria.

Check diagnosis

In the early stages of renal tumors, there will be painless macroscopic hematuria throughout the entire process, which may be intermittent or continuous. Painless hematuria in women often occurs suddenly without obvious external factors. Lower back pain is felt when the tumor invades the nerves in the tissues surrounding the kidney. The most basic method for diagnosing renal tumors is X-ray examination, such as abdominal plain film, retroperitoneal pneumatic angiography, urinary tract intravenous or retrograde angiography, and CT examination. In addition, when suffering from renal tumors, the affected side can be seen to be enlarged and accompanied by tenderness.