What signals the appearance of red blood cells in the urine? Elevated level of erythrocytes in urine analysis increased red blood cells during the dehydration of the body.

In order to remove exhaust unnecessary cells and substances from the body, there is an excretory system. Erythrocytes in the urine are also present, since these blood cells have a brief life and are updated from time to time. However, there is a certain value of the content of red blood cells in Urin. If their number suddenly increased, it signals a violation of metabolic processes in the body, and can serve as a symptom of a serious disease.

Rate of indicator

Erythrocytes are red blood cells that transfer hemoglobin. For 1 day, the body of an adult through urine is disposed of approximately 2 million red blood cells. It seems a huge amount, but in fact, through a microscope lens for 1 time you can count just a couple of red blood cells. The norm of erythrocytes in the urine in women is 1-3 cells in the field of view, men are 1-2 units.

If their number is higher, it can talk about hematuria - a symptom, which is expressed by the high content of red blood cells in Urin.

The state of hematuria is conditionally classified by 2 types:

1. 1. Microhematuria, when the increased content of erythrocytes in the urine can only be seen under the microscope.
2. 2. Macro Hematuria, when the presence of blood (the number of red blood cells) in Urin is so large that it is visible to the naked eye her pinkish shade.

Women during pregnancy regularly hand over to the urine laboratory for analysis. This is very important, because any pathological process in the body of a future mother can directly affect the development and health of the fetus. One of the reasons for the regular delivery of urins to the analysis during pregnancy is the pressure of the growing uterus on the organs of the abdominal cavity and the small pelvis. This creates an additional load for them when performing familiar functions. If a woman before conception has no diseases of these organs, the development of pathology in the process of pregnancy is unlikely. But future mothers who have chronic form of any disease of the excretory system can be exacerbated due to increased load. Therefore, there is a need for systematic urine tests to check whether red blood cells are increased. In pregnant women, the erythrocyte rate in the blade is from 0 to 3 in the field of view.

In this regard, the children's organism is somewhat different from the adult. For him, the normal indicator of erythrocytes is considered to be in the urine to 4 units during microscopy. However, the excess of this provision may also indicate the development of the pathological process in the body.

Types of red blood cells in Urin

Urine analysis can reveal 2 types of red blood cells:

1. 1. Unchanging (fresh) red blood cells in which hemoglobin is. They have a standard form concave with 2 sides of a yellow-green color for such cells. At the same time pH urin from a weakness to alkaline.
2. 2. Changed (leached) erythrocytes for which the form of a colorless ring, sometimes wrinkled or magnified in size. They do not have hemoglobin in their composition. Urine with changed blood cells has a pronounced acid reaction.

The peculiarities of the morphology of red blood cells are almost independent of one or another pathology, however, the detection in the fresh urine of the modified cells can signal the problems with the kidneys. In a similar case, when analyzing urin, protein will be detected. Watering is formed in renal gloms, where blood is filtered. During the normal operation of the separation system of the glomerulo membrane, erythrocytes, leukocytes and proteins (at least in large quantities). Increased blood cell content in Urin is a violation of the operational system.

Causes of elevated content

Select 3 types of reasons that can provoke an increased content of erythrocytes in the urine:

• somatic reasons;
• renal reasons;
• maternal reasons.

The reasons for somatic origin are the inadequate reaction of the kidneys on pathological processes. The body ceases to normally perceive the violation of processes in other body systems. This group of reasons include the following diseases:

1. 1. Thrombocytopenia is a pathology that leads to a decrease in the number of blood platelets. It provokes a violation of blood coagulation, as a result of which it penetrates Urin.
2. 2. Hemophilia - a disease of a hereditary nature, which is characterized by a violation of blood coagulation process (coagulation).
3. 3. Poisoning toxins of chemical or biological nature due to infectious diseases. At intoxication, the operation of the membrane of kidney glomers is disturbed, it becomes more permeable for red blood cells.
4. 4. In men, prostate and oncological processes in the prostate gland can provoke an increased blood content in the urine.
5. 5. Erosion of the cervix, which causes damage to blood vessels and, as a result, blood entering the urine.
6. 6. Damage and malignant formations in the bladder and urethra.

The renal causes of the appearance of erythrocytes are directly related to the violated kidney activities. This condition is provoked by the following diseases:

1. 1. Glomerulonephritis with acute or chronic flow. This is an autoimmune pathological process, striking kidney balls and tubules. Therefore, their activity is broken, and a large number of blood cells fall into the urine.
2. 2. Malignant education in the kidney. The tumor, raging, destroys the vascular walls, which leads to an increased content of erythrocytes in the urine.
3. 3. Urolithiasis characterized by the formation of concrections (stones) in the organs of the excretory system, in particular, in the kidneys. The councils are injured by the mucous membrane of organs, destroying blood vessels, of which the blood gets into the urine.
4. 4. Pyelonephritis is an inflammatory process in kidneys leading to an increase in the permeability of blood vessels. In most cases, 1 kidney is amazed, but even this leads to an increase in the number of red blood cells in Urin.
5. 5. hydronephrosis is a disease that blocks normal urine outflows, which leads to the stretching of the kidney and injury to blood vessels.
6. 6. Mechanical injuries that lead to the kidney break: a knife wound, strong injury. For this reason, macrohematuria is observed.

To the most reasons for increasing the number of blood cells in the urine include the effects of the urinary bubble and urinary tract:

• cystitis is an inflammatory process in the shell of a bladder, which leads to an increase in the permeability of the walls of blood vessels;
• finding a concrement in the urethra or urinary bubble cavity, which traums the walls of the organs;
• mechanical injuries of the bladder or urinary channel.

In addition to developed pathological processes, the presence of blood in Urin may be due to such adverse factors:

• emotional stress;
• alcohol abuse;
• very high ambient temperature, for example, after visiting the sauna;
• excessive physical exertion;
• frequent use of a large number of spices.

Etiology hematuria

The overall analysis of urins allows to identify the presence or absence of blood cells in it, but nothing will say about the cause of hematuria. To find out what led to an increased blood content in the urine, it is necessary to use the method of three-fold sample.

To carry out this analysis, it is necessary to prepare 3 containers. The patient must collect Uriman for 1 act of urination, filling each tank alternately. It is very important that it is consistently urinated into each of the 3 glasses, and not to collect urine and pour it into 3 tanks.

After collecting urine, the number of erythrocytes in each glass is analyzed:

1. 1. If the most blood cells are marked in 1 tank, this means that the cause of hematuria lies in the urethra. It is easily finding out, since from the very beginning, the urometry act of urethra is washed from red blood cells, so there will be much less in the next vessels.
2. 2. When most of the blood cells are in 3 cups, this indicates a disease or injury in the bladder, because when urinating it is released by the latter.
3. 3. If there are many erythrocytes in all 3 glasses in the urine, approximately the same number, then the problem should be sought in ureters or kidneys, eliminating the pathology of the bladder.

You always need to carefully treat the alarming signals submitted by our organism. At the first symptoms of the disease, you should contact a specialist as soon as possible to pass the survey and identify the problem.

Erythrocytes are the main parameters of urine analysis along with leukocytes, which show the overall state of the urogenital tract. Any doctor pays special attention to them, since the increased values \u200b\u200bof this indicator have a diagnostic value.

The increase in erythrocytes (red blood cell) in women is a pathological and anxiety, which requires further examination and observation, as it is undesirable to launch such a process.

We will analyze more, what is the erythrocyte rate in urine analysis in women, what are the reasons for increasing their level?

What is the blood cells and how to find out their level

Erythrocytes are specific blood cells.who react to foci of inflammation and infection. From a biological point of view, their role in the body is invaluable.

They provide the delivery of oxygen into organs, fabrics, muscles, as a reverse function transport carbon dioxide into the lungs. This is how breathing and nutrition of the body is carried out.

Erythrocytes, like other blood cells, food in the bone marrowAnd then they begin to actively participate in the bleale system. Their average activity is 4 months, and then there is a decay of cells in the liver and spleen.

Erythrocytes purify the body from toxins and other harmful substances that cause intoxication therefore, they specifically purify blood.

With inflammation and diseases, the cell concentration begins to increase dramatically. It may be observed in urine tests, blood, a smear of grass, nose, urogenital tract, etc.

Erythrocyturia is detected therewhere the inflammation or infection is localized.

Increased level of erythrocytes in the urine in a woman indicates the pathology of the urogenital tract, which requires treatment.

Check availability and number of red blood cells in the urinethe woman is easy.

For this you need to do the following laboratory studies:

• analysis of Nechiporenko.

If the patient needs to learn the overall level of data, then a clinical analysis of blood is best suited for this, which accurately calculates their concentration together with erythrocyte indexes.

But, the direct link between the level of red blood cells in the blood and the urine is notTherefore, it is necessary to carry out a complete examination of the urogenital tract.

According to the reference values \u200b\u200bof many laboratories, the red blood cells must be absent in the urine in a woman or their level should be no more than 3rd in the field of view (P / S.), everything else is not the norm.

Risk factors why disease occurs

Not always erythrocyturia means pathologywhich must be treated immediately. Often the reason in the usual physiological process, but with pronounced symptoms it will not be the norm.

The doctor first needs to listen to the patient and ask questions to delimitize physiology and pathology.

Why are the erythrocytes in the urine in a woman, what is the reason? Physiological increase in indicators possible With the following states:

• menstruation;
• alcoholic intoxication;
• strong stress;
• uncontrolled reception of anticoagulant drugs;
• reinforced physical exertion;
• abuse acute and spicy food.

Significant increase in cell data is possible if a woman Damages biomaterial during menstruation.

Despite the dysfunction and observance of the rules for collecting analysis, cells still fall into the urine and can be detected in large quantities.

This is a physiological norm, but in the interpretation of the results, the doctor may not know about it.

In this case, the most informative to carry out laboratory studies after the end of menstruation.

In other cases, physiological red blood cells can be completely insignificant.

More often the cause of increased erythrocytes in the urine in a woman becomes various pathologies. The doctor evaluates all analyzes indicators, and only then makes diagnostic conclusions.

These cells rarely increase apart from other parameters, but still they allow you to identify urological deviations.

Pathological erythrocyturia is possible For the following diseases:

• infection of the urogenital system ();
• injury damage to the bladder or kidney;
• neoplasms of the urogenital tract;
• kidney disease (, glomerulonephritis, jade, nephrotic syndrome);
• arterial increase in pressure of renal origin;
• pathological bleeding from the uterus;
• gynecological diseases (erosion of the cervix);
• reduction of platelets in the bloodstream (thrombocytopenia);
• blood coagulation diseases (hemophilia).

The final reason for the increased content of erythrocytes in the urine in a woman should find out the doctor, and for this it is often prescribed additional surveys.

Complaints and symptoms will be able to help in diagnosing the diseaseand speed up the process of describing the clinical picture.

SOS signals of our body:

Erythrocyturia in pregnant women and after childbirth

Increased erythrocytes in the urine in pregnant women too not the norm.

The reasons for such a state lies in the above pathologies, but do not forget that during the tooling of the child, the body begins to function differently.

What do erythrocytes in the urine in pregnant women mean? The growing fruit squeezes the bladder, the ureter, ureterals therefore starts stagnation and vascular disorders in the urinary.

This is a favorable environment for the development of bacteria, but for a healthy organism without chronic pathologies it will not be a problem.

Perhaps a minor increase in the indicators (microhematuria)that does not cause discomfort. However, expressed erythrocyturia requires treatment and emergency medical events.

Chronic diseases of the urinary sphere during pregnancy in a woman can exacerbate, on which high indicators indicate. It is more often renal diseases (pyelonephritis) that require treatment.

A pregnant woman is sent to the hospital, where it is possible to carry out the following procedures:

• "Positional treatment" to restore urine outflow;
• the catheterization of the ureter;
• penal nephrostomy in severe cases (urine drainage with a catheter);
• decapsulation of the kidney (removal of the affected portion of the kidney);
• removing the kidney in the most difficult cases.

With launched renal pathologies, pregnancy has to be interrupted, so you need to immediately contact the doctor and do not run the inflammatory process.

During the nursing of the fetus, the urolithiasis (sand, concreshments) occurs, but in this case the treatment will be simply a therapeutic, which includes enhanced water consumption.

After childbirth, high rates of red blood cells in the urine in women are pathology, as this indicates inflammatory changes in the urogenital tract.

Changing hormonal background does not have any effect on red blood cells, so ideally they should not be improved under any circumstances.

Symptomatics

Usually red blood cells rarely when the asymptomaticAnd women immediately notice pathological changes. Symptomatomy is different depending on where the inflammatory process is localized and in which organ.

The urine color begins to change. If with a slight red blood cell (microhematuria) this can not be noticed, then the blood appears with a pronounced increase.

In some cases urine acquires a very dark shadewho should alert.

All this requires clarification of the reasons, but usually everything is accompanied by the following symptoms:

• pain during or after urination;
• increasing temperature, general malaise;
• weakness;
• back pain or sides;
• renal colic;
• lack of appetite or nausea;
• an increase in blood pressure;
• blood in the urine (macrohematuria);
• blood selection from the vagina.

Minor erythrocyturia can pass asymptomatic. But this is usually due to improper biomaterial collection Therefore, this issue needs to be paid special attention.

Such nuances can greatly distort the results of the study, since the tests must be handed over in a sterile container and only after a thorough toilet of the genital organs. The final cause of the disease is only a doctor, assigning additional surveys.

These indicators are rising in conjunction with protein and leukocytesWhat exactly indicates the infectious nature of the disease. Therefore, in no case cannot ignore the symptoms that appeared.

Than dangerous this condition

Danger represents not increased indicators, but pathology that caused them to increase. It is necessary to find out what provoked red blood cell. In the absence of treatment, various complications and more serious pathologies are possible.

For example, renal diseases (pyelonephritis, glomerulonephritis, jade) can be transformed into chronic diseases or renal failure.

Urolithiasis has a tendency to relapses and further development, since sand without proper excretion begins to transform into large stones, causing consequences.

Unbearable cystitis in turn can constantly recur, reducing the quality of life. Therefore, you need to start medical events faster.

The worst complication is a malignant tumor in the urinary organs, which begins to progress.

Blood in the urine already appears constantly, as well as other symptoms, from which various antibiotics do not help, painkillers. In this case, surgical intervention and chemotherapy is required.

ABOUTerythrocyticism in the development of the following diseases:

• chronic pathologies of urinary tract (cystitis, pyelonephritis, glomerulonephritis, etc.);
• renal failure;
• an increase in the accretions in the urinary tract;
• malignant / benign tumor, urinary tract cyst or small pelvic organs;
• persistent arterial hypertension;
• nephrotic syndrome;
• functional pathology of the bladder, kidneys.

It is necessary for a complete examination and consultation of the doctor who will prescribe treatment and prevent the development of complications. therefore tighten the campaign to the doctor can not.

To which doctor to contact, diagnostic methods

The cause of red blood cell is eliminated by the methods of modern medicine, but you need to notice clinical manifestations in time.

Diseases of urinary tract The following specialists are engaged:

• urologist;
• nephrologist;
• gynecologist.

These doctors can be contacted both in the state and in a private medical organization.

The urologist is engaged in urinary pathologies, and the nephrologist specializes only on renal diseases and dysfunctions.

The gynecologist treats the diseases of the organs of a small pelvic and the urinary sphere, as women are all interconnected.

Often, gynecological diseases and sex infections cause inflammation of urinary tract, but then the treatment becomes more complex. The patient has to be observed in several specialists who use different approaches to treatment.

In private clinics there is a urbitologistwhich is engaged in such problems. Therefore, it is best to find such a specialist in order to avoid progression of the disease and incorrect therapy.

When erythrocyturia detected, the doctor draws attention to other indicators and symptoms. Raising protein and red blood cells It often indicates the renal origin of pathology, and the usual increase in cells and the presence of salts means a urolithiasis.

In most cases, further examination that includes diagnostic measures:

• The urine analysis is notchiporenko, where leukocytes, erythrocytes and cylinders are as accurately calculated.
• Sowing urine on microflora with sensitivity to antibiotics.
• Ultrasound of the bladder, ureters and kidneys, where you can visually see the concrections, tumors and foci of inflammation.
• Repeated OAM.
• (urea, creatinine, free nitrogen, urinary acid) for the diagnosis of renal failure.
• Cistoscopy and biopsy in severe cases (instrumental study of the urethra and the walls of the bladder).
• Ultrasound of the bodies of small pelvis and colposcopy.
• X-ray kidney.
• MRI or CT urinary tract.

These are studies that are necessary To establish the cause of red blood cell. Initially, it all depends on the state of the patient and the symptoms. Therefore, the doctor will not always assign a long list of diagnostic procedures.

Features of therapy

Treatment depends on the main diseasewhich caused an increase. It is necessary to determine the diagnosis, and then assign treatment, which includes the following methods:

• combined medication therapy;
• diet;
• local procedures (installation of bladder with medicinal solutions, catheterization, etc.);
• physiotherapy (laser, ultrasound therapy);
• immunomodulation;
• surgical intervention.

With infectious red blood cells of any originpreferably, antibacterial therapy is used in conjunction with urological antimicrobial drugs (Palin, 5-Nok, Neversman, Urodraktin, Kanefron, Negro, Wrooflux, Fitosylin, etc.).

These are vegetable and synthetic drugs, which, together with antibiotics, eliminate foci of infection.

The type of antibiotic is selected according to laboratory analyzes.: Sowing urine microflora, urethra, vagina, PCR scraping from the urogenital tract, etc.

Herbs are used as an additional treatment: Toloknyanka, calendula, ledge herbs, MARENES, MAREN, etc.

Infectious diseases can often relapse therefore immunomodulatory therapy is usedwhich restores the mucous knife of the walls of the bladder, urethra. It can be both special drugs and ordinary installations.

With urolithiasis, antibiotics are ineffective, therefore, as treatment doctors prescribe a strict diet.

As well as medicines, withdrawing stones and sand (cyston, phytosylin, Kanefron, Uricesan), antispasmodics (but-shpa, Baratgin, Arpenal).

If a significant erythrocyturia appears in the analysis, then the concrections injured the walls of the bladder, the urethra. In this case assign antimicrobial drugsTo restore the mucosa layer.

Large stones are removed With the help of the procedure - lithotripsy, which is carried out toolfully through the bladder.

Sometimes this is done using a conventional ultrasound that destroys medium-sized concrections.

If the cause of red blood cells lies in gynecological diseases(Colpit, cervical erosion), then local treatment (vaginal candles, douching, ointment) and instrumental technique (laser therapy, cryotherapy, radio wave surgery).

With malignant urinary tract tumors, a very significant increase is observed. Such pathology is best treated in the initial stages. The neoplasm is removed surgically.

If the tumor is concentrated in the bladder, It is carried out a transurethral electride of the bladder, where malignant or benign tumor cells are removed.

In the later stages of the disease, a complete removal of the bladder is carried out along with the tumor (cystectomy).

Renal neoplasms are operated by a laparoscopic method And more often cut together with the kidney (nephrectomy).

With minor neoplasms, partial conservation of the kidney (resection) is possible.

Diet

Diet plays an important role In the treatment of urological and nephrotic diseases. The patient is not recommended to abuse spicy, spicy, fried food, drink alcoholic beverages.

Abundant Drink (at least 2-2.5 liters per day) It is necessary at any inflammatory process of urinary tract.

From smoking will also have to refuseSince it increases the risk of developing cancer and other urological pathologies.

A special diet is necessary when urolithiasis. The correct diet is selected, based on what types of salt crystals are detected in the OAM. These can be phosphates, oxalates and urates.

If there are phosphate (phosphaturia), it is necessary to abandon fried products (fish), dairy products, eggs, liver.

Detection of salt-oxalate salts (oxalateuria, ammonium salts) implies a refusal of products rich in vitamin C.

You can not use the following products:

• citrus fruits, apples;
• broths;
• cocoa, chocolate;
• greens, salads, sorrel;
• ascorbic acid;
• tomatoes;
• beet;
• nuts;
• berries;
• beans and beans.

Detection of waste salts (Ulaturia) requires complete limitation of meat delicacies, broths, coffee, chocolate, sharp and spicy dishes.

With any urolithiasis, it is necessary to drink fluid hardly, as it helps to remove crystals and stones.

In this case herbal fees are also useful. (Rosehip, Moraine Drying, Birch Kidney, Calendula), which dissolve sand and urinary tract concrections.

With a proper and balanced diet, the erythrocyturia should disappear as concomitant symptoms, disease.

What you can not do

First of all it is necessary to understand that self-treatment is unacceptable, And to the doctor you need to contact at the first symptoms of pathology.

During pregnancy, it is impossible to slow and launch the disease, as this can lead to the death of the fetus and even the loss of the organ.

1. Alone to take antibiotics and other medicines, and especially during pregnancy.
2. Consciously run the disease and do not contact the doctor.
3. Abuse alcohol, smoking, acute and fatty food.
4. Give biomaterial for research during menstruation.
5. Do not adhere to the appointed diet.
6. Limit liquid consumption.
7. For a long time to restrain the urge on urination.

Any patient need to follow the instructions of the doctorSince this will quickly restore the health of the urinary sphere.

In many cases, it is necessary to recall the analysis in compliance with the rules for collecting the biomaterial. Because in other cases it significantly distorts the results and misleads the doctor.

Herbal fees and vegetable preparations can be taken independently. But they also have contraindications and side effects therefore a visit to the doctor will be acute necessity.

It must be said that a significant erythrocyturia is a very dangerous state that requires careful diagnosis.

The cause of its appearance may be a spectrum of diseases. Therefore, you need to properly diagnose and assign treatment.

Erythrocytes are immediately activated in pathology in the urinary sphere. Most often this is an alarming diagnostic feature that cannot be ignored.

Normally, urine contains 97% water, potassium salts, sodium, ammonium, magnesium (mainly chlorides, sulfates and phosphates). From organic substances - nitrogen exchange products (urea, urinary and hypospuric acid), creatinine, xanthin, yellow pigment urobilin. Neither sugar nor a protein in a healthy person in the urine is not! The same for cells - single leukocytes and flat epithelium epithelium cells are allowed in the analysis, one or two erythrocytes, in women norm - up to three cells in the field of view of the microscope.

The kidney is arranged in such a way that it filters through the membrane of the kidney glider only by plasma and substances dissolved in it, but not uniform elements - cells. They may appear in the analysis in two cases: either the membrane of the kidney flopper "was proceeded" and skips cells (glomerulonephritis), or blood enters the urine after filtration. That is, from the urinary tract (kidney pelvis, ureters, urinary bubble, urethra), even less often - for out-of-current reasons.

If the urine is vocationally from blood visually, this is a macrohematuria, if the red blood cells are visible in the urine only under the microscope, then this is microhematuria, but not the norm. Red, in addition to red blood cells, drugs (antipsychotics, laxatives, antibiotics, anticoagulants, sulfonamides), foods (beets, dyes, food, blackberry, rhubarb) can also determine pigments. Fresh hemoglobin and myoglobin during hemolysis and muscle destruction clogs the renal membrane, completely not filtered and leads to acute renal failure.

Erythrocytes can be unchanged - contain hemoglobin, or leached - without hemoglobin, in the form of transparent rings, enlarged or wrinkled. In the acidic urine, hemoglobin remains red, in an alkaline or neutral booet, so that blood in the urine may look different, it all depends on the degree of leaching.

Causes of hematuria

Somatic (mutual) - the general reasons why hemoglobin and red blood cells in the urine are elevated:

• thrombocytopenia and hemophilia - due to impaired blood coagulation and changes in the properties of red blood cells they are found in the urine;
• heart failure - leads to a change in the walls of vessels and the "rugbery" of erythrocytes through them;
• inxication - poisons and toxins increase the permeability of the renal membrane (lead, mercury), red blood cells.

Erythrocytes in the urine may appear at renal reasons, that is, associated with the pathology of the kidneys:

• glomerulonephritis - "Drying" renal membrane passes through itself large molecules (protein) and cells. With acute glomerulonephritis from protein and blood, urine resembles "meat salts", red blood cells are mainly leached;
• pyelonephritis and hydronephrosis - due to the redistribution of a cup-making system and the pathology of the vessels of leukocytes and altered erythrocytes "prohibitive" in the urine, usually in small quantities;
• tumors - destroy the vessels, fresh red blood cells come in urine. The intensity of hematuria depends on the caliber of the damaged vessel;
• injury (operation, stone) - directly damages vessels, as a result, macrohematuria occurs.

In women, unchanged red blood cells appear in the urine often due to vaginal bleeding (menstruation, the pathology of the uterus) in the non-compliance with the rules of urine collection.

The pathology of the urinary tract (inflammation, injury, tumor) can also contribute to the appearance of blood in the urine. In men, red blood cells fall into the urine including because of the prostate cancer, although directly to the urinary tracts of iron and does not apply.

The combination of erythrocytes in the urine and leukocytes more often about inflammation, although it does not exclude tumors and stones against the background of the inflammatory process.

Physiological reasons

Overheating, spicy food, stress, excessive physical activity, alcohol increase the permeability of the renal membrane and give microhematuria and normally.

What if in the urine blood?

First of all, if the analysis showed leached or fresh red blood cells in the urine, it is repeated in all the rules. For a few days you need to abandon the coloring products and drugs, before collecting urine to spend a thorough toilet of the genital organs, collect the average portion of the morning urine. In women, if possible, urine is taken by catheter.

In the hospital for determining the source of bleeding, the method of a three-fold sample is used: the urine of one urination is distributed evenly into three containers. The maximum of blood in the first container is the pathology of the urethra, in the third - bladder, evenly painted urine in all tanks - the pathology of the kidneys.

To clarify the diagnosis, an extended blood test with biochemistry is also taken, an ultrasound of the kidneys, a bladder, prostate in men, uterus and ovaries in women is carried out. If everything is normal, cysto and urethroscopy are carried out, X-ray techniques with contrast.

Dear Julia!

Glomerulonephritis (namely, this is the pivalent name of the disease) is one of the most common kidney disease. The most frequent sign is the presence in the urine of red blood cells. However, there are a number of other indicators, the difference between the norm allows to establish the type and shape of the disease. So, when glomerulonephritis, in addition to the presence of red blood cells, the urine will be changed, weight, leukocyte levels, and protein, bacteria and salts will be found in it.

Erythrocytes in urine analysis

In the acute course of the disease in the urine analysis, a large number of red blood cells are detected. Normally, urine analysis of non-bias should be shown within 1000 erythrocytes per 1 ml of fluid, and urine microscopy is not more than 3 red blood cells in sight. The increase in erythrocytes above these norms suggests that the filtration function of the kidneys is broken. Watering in this case acquires brown, brown. This state of doctors is called macrohematuria. When glomerulonephritis, a smaller number of red blood cells are sometimes detected. In this case, the urine color does not differ from the norm, but under the microscope in the laboratory there is an increased amount of red blood cells. This condition is called microhematuria.

If, in the analysis of urine, all indicators are normal and only the number of erythrocytes is exceeded, this may be a symptom of jade syndrome, in which a person suffers from edema (mainly). But at the same time, acute glomerulonephritis or his chronic form can also manifest itself only in the form of hematuria in urine. There is even a special name - the hematuric form of the disease. However, one should not be excluded from other diseases and conditions that can lead to the breaking of vessels, and from here, and to the appearance of blood in the urine. It can be about recent injuries and falls, tumors in the decay stage, kidney infarction or urolithiasis. With a general analysis of urine, it is important to assess the state of the erythrocytes found, because if they are deformed, this may testify in favor of glomerulonephritis. At the same time, if the cell shape is not broken, then this disease should be excluded.

Latent glomerulonephritis

You mentioned the lack of any other signs of kidney disease, except for poor urine analysis. In this case, you can suspect the glomerulonephritis with insulated urinary syndrome. This is one of the varieties of acute type of disease when disappointing any manifestations, i.e. Typical complaints of fatigue, headache, nausea, swelling, lower back pain, increase pressure, etc. Deviations from the norm can only be detected by urine analysis. As a rule, a laboratory manifests the presence in the urine of blood, protein, elevated level of leukocytes, the presence of cylinders.

Other diseases

In women, the blood is most often found in the urine in inflammatory processes in the urinary tract, for example, in the presence of infections of the genitourinary system. In this case, cystitis is often developing when a woman suffers from acute pain, cutting or burning disease during urination. The physiology of women is such that the causative agents of infections are easy to drink in the bladder on a short urethra.

The presence of blood in the urine can also indicate the bladder endometriosis, when the cells of the endometrial - the inner layer of the uterus - are found in the atypical places for them, for example, on the walls of the bladder. With the beginning of menstruation, blood is distinguished from them and it falls into the urine.

Also, blood in the urine may be present in the urolithiasis, the presence of a cyst on the kidneys, pyelonephritis, with small-cell anemia, kidney cancer. If you take hormonal contraceptive pills, hormones contained in them can increase the permeability of the vessels walls in the urinary system organs, and under the microscope in the urine analysis, an increased level of erythrocytes can be detected.

Sincerely, Ksenia

The kidney cyst is characterized by a slow progressive course. In 70% of the kidney cyst, the kidney proceeds asymptomaticly, as a rule, discovered by chance when conducting an ultrasound or x-ray examination of the patient about another disease. Symptoms of kidney cysts appear with its significant sizes. The kidney cyst does not have specific symptoms, they may be different, but most often there are stupid pain in the lumbar region, hypochondrium or abdominal areas, micro or macrohematuria, palpable tumor, arterial hypertension. These symptoms of kidney cysts can occur individually or combined with each other. Urodynamics of the kidney (urine movement on the upper blades) with small cysts is impaired extremely rarely. Cysts of large-sized kidney can compress the renal cups and a loyalty, causing a violation of the passage of urine.

Often the kidney cyst is accompanied by the presence of another disease of the genitourinary system. At the same time, it is often difficult to determine whether the symptoms of the kidney or a concomitant disease are caused.

Therefore, due to the presence of a disease of the genitourinary system (pyelonephritis, urolithiasis, prostate adenoma, etc.), the kidney cyst may be accompanied by the following symptoms: bacteriuria and pyuria, increasing body temperature, changes in general blood tests.

Night stupid pain - the most frequent symptom of kidney cysts. In this case, the larger the size of the cyst, the more pronounced pain. The pain can be localized in the area of \u200b\u200bthe belt, the abdomen region or in the hypochondrium on the side of the lesion and intensify during exercise. The cause of the occurrence of pain is the compression of a plating near the fabrics. Rarely, the patient may have an acute pain due to a sharp increase in pressure in the cavity of cysts and relent of its capsule.

The second prevalence of the symptom of the kidney cyst is hematuria. Hematuria - the presence of red blood cells (erythrocytes) in the urine. Most often, hematuria is found in patients with parapelvic kidney cysts (located at the kidney gates).

Hematuria arises due to the compression of the kidney venous vessels, as a result of which the blood outflow is disturbed and the pressure in the vessels increases. The severity of hematuria may be different: from microhematuria, detected during the general analysis of urine, to macrohematuria, visible to the eye. The higher the renal venous hypertension, the more expressed hematuria. When the venous vessel breaks, macrohematuria may develop.

Palpirated tumor - the third prevalence of the symptom of the kidney cyst, occurring in 20% of cases. However, the cyst of the kidneys, as a rule, can be placed in thin patients with a significant sizes with a kidney.

Arterial hypertension is detected in 16% of people with simple kidney. The main reason for the development of arterial hypertension is the compression of the Chinese kidney of the main vessels. When squeezing the renal artery, a pressure reduction in the vessel and urine filtration rate, which launches the activation of the renin angiotensin-aldosterone kidney system. The result of a stepped chain of reactions is an increase in blood pressure. Since most often the kidney cyst is found in people over 50-60 years old, and the arterial hypertension at this age also is also a frequent phenomenon, sometimes it is difficult to determine whether arterial hypertension is a symptom of kidney cysts or it is associated with non-spectacular reasons. Sometimes a number of laboratory studies (for example, determining the level of renin in the blood) makes it possible to determine the cause of arterial hypertension.

In addition, in compressing the renal artery, a renin-angiotensin-aldosterone system is activated, it also occurs to stimulate the production of erythropoietin - a special substance that promotes the formation of erythrocytes. Therefore, some patients with a kidney can develop eritrees - an increased content of blood erythrocytes. This symptom of kidney cysts is rare, and sometimes it may indicate the presence of kidney cancer.

Symptoms of kidney cysts associated with concomitant diseases of the genitourinary system:

Piura - the presence of inflammatory cells (leukocytes in the urine). In most cases, Piuria is a symptom of a concomitant kidney cyst of the disease (cystitis, pyelonephritis, etc.).

However, in rare cases, the kidney kidney kidney can break the drainage of urine due to the compression of the renal cups and pyrexes, which leads to stagnant phenomena and the development of pyuria. In addition to the pyuria, the kidney cyst with a concomitant inflammatory disease of the genitourinary system may be accompanied by a subfebrile temperature characteristic of the inflammatory process by changes in the general blood test (increase in leukocyte levels, the leukocyte reduction formula, an increase in erythrocyte sedimentation).

It is also worth noting that the symptoms typical symptoms characteristic of the kidney symptoms (minor pain, hematuria, palpable tumor) may also be observed with kidney cancer, which requires a careful examination of the patient.