What are the ways to detect blood in the urine?

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern. Is the blood in urine gross hematuria or microscopic hematuria? Gross hematuria means the visible red color in the urine. Also, are there any other symptoms while urination? Since how many days are you having symptoms? Can you attach a report of the tests done?

Kindly revert with the answers to the above questions.

Thank you.

Hello,

Welcome back to icliniq.com.

Cystoscopy is normal, which means the outer urine flow tract, including the bladder and urethra, are normal and are not the source of bleeding. How did you come to know that there is microscopic hematuria? Also, is there any associated protein loss in the urine? Any dysmorphic RBCs (red blood cells) or RBC casts? Can you attach the laboratory report showing microscopic hematuria? Also, I would like to see the other urine findings in the report.

Kindly get back with the answers to the above questions.

Thank you.

Hello,

Welcome back to icliniq.com.

Thank you for the history. I have seen the reports (attachments removed to protect the patient's identity). The reports show that the blood trace is two+, which means it is a urine dipstick report. This has to be confirmed with a microscopic examination of the urine for the presence of RBCs. Hematuria is common and can result from menstruation, viral illness, allergy, exercise, or mild trauma. Persistent or significant hematuria means greater than three RBCs per HPF (red blood cells per high-power field) on three urine analysis tests or a single urinalysis with greater than 100 RBCs. After confirming the cause of hematuria, a detailed medical history and tests are to be done to find the cause of the microscopic hematuria, whether it is of glomerular or non-glomerular origin.

Also, no bacterial growth rule out UTIs (urinary tract infections), and no protein loss indicates a less likely chance of glomerular origin. Also, your present problem is unrelated to the past surgery as your imaging modality tests are normal. I suggest you to see a nephrologist to diagnose the possible cause of microscopic hematuria. Also, you can repeat the microscopic examination of urine.

I hope this helps.

Thank you.

Hello,

Welcome back to icliniq.com.

Since you already consulted a urologist, I suggest you to consult a nephrologist as a nephrologist can also interpret test results. Can you attach the urinalysis test report done earlier? Also, what is the duration of the symptoms? And are there any other symptoms?

Kindly get back with the answers to the above questions.

Thank you.

Hello,

Welcome back to icliniq.com.

Thank you for the reply. Tablet Amlodipine (Amlodipine Besylate) and tablet Nifedipine belong to dihydropyridines which are calcium channel blockers. Tablet Amlodipine can provide relief in episodes of Raynaud's phenomenon; however, it causes ankle edema as a side effect. As you have noticed a change in blood urine after stopping the medicine, I suggest you to stop and see for a few more days. A white urethral discharge means an infection of the urethra. An infection can also be the reason for blood in the urine.

Is there any burning micturition or increase in the frequency of micturition? Also, how did you notice a change in blood in urine, as it can be detected only in a laboratory test?

Kindly follow up with laboratory test reports to guide you better.

Thank you.