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What Causes Blood In Urine?

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Posted on Mon, 21 Aug 2017
Question: Hi,and thank you for your time.
6/8/16 I had a UA which showed 7 HPF for blood in urine.
6/28/16 I had a pelvic ultrasound which was negative.
Two days ago I was in the ER for something different (anxiety,etc)
UA was done as well that day which showed 9 HPF for blood in urine. There is no visible blood. I still have all my female parts.
A kidney function was also done at ER which was fine. Should I be concerned? What do you think it could be?
doctor
Answered by Dr. Klarida Papaqako (1 hour later)
Brief Answer:
Some possible causes of microscopic urinary bleeding.

Detailed Answer:
Hello,

Thank you for using HealthcareMagic,
I read your question carefully and I understand your concern.

That amount of blood in the urine is more then it should be, but it is microscopic, which means not visible by eye.

The cause of it should be investigated though.

One of the most common cause is kidney stones. While moving they hit the walls of the kidney canals and cause a minor bleeding. But, those are ruled out by the ultrasound.

Another possible cause would be taking the urine sample not clean, which might have been contaminated by the external urinary tract. In a woman post menopausal that is very common, because there are not lubricating secretions.
I would not be concerned about something serious though at this point.

So, my suggestion is to do another urine analysis, when you don't have other problems, make sure to clean the parts well before taking the sample, and putting in the container the middle part of the urine (not the first part of the urine because generally it is contaminated).

If not normal, then you need to investigate this by doing further testing which would check for the cause of that microscopic bleeding.

Hope this is helpful.
Let me know if you need more clarifications.

Regards,
Dr. Papaqako



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Klarida Papaqako (2 days later)
Thank you so much for your insight/advice :)
Your answer is very helpful
doctor
Answered by Dr. Klarida Papaqako (11 hours later)
Brief Answer:
Glad to have been of help

Detailed Answer:
Hello,

I am glad to have been of help.

If you don't have other questions about this issue, please kindly close and rate the answer.

Feel free to follow up with me anytime.

Regards,
Dr. Papaqako
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1804 Questions

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What Causes Blood In Urine?

Brief Answer: Some possible causes of microscopic urinary bleeding. Detailed Answer: Hello, Thank you for using HealthcareMagic, I read your question carefully and I understand your concern. That amount of blood in the urine is more then it should be, but it is microscopic, which means not visible by eye. The cause of it should be investigated though. One of the most common cause is kidney stones. While moving they hit the walls of the kidney canals and cause a minor bleeding. But, those are ruled out by the ultrasound. Another possible cause would be taking the urine sample not clean, which might have been contaminated by the external urinary tract. In a woman post menopausal that is very common, because there are not lubricating secretions. I would not be concerned about something serious though at this point. So, my suggestion is to do another urine analysis, when you don't have other problems, make sure to clean the parts well before taking the sample, and putting in the container the middle part of the urine (not the first part of the urine because generally it is contaminated). If not normal, then you need to investigate this by doing further testing which would check for the cause of that microscopic bleeding. Hope this is helpful. Let me know if you need more clarifications. Regards, Dr. Papaqako