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What Does Presence Of Occult Blood In Urine Suggest?

Posted on Thu, 27 Aug 2015

Question: This case of XXXXXXX age 58 - had urine positive for occult blood , consequently ,urine test was repeated but still shows presence of occult blood . USG was also done but NAD , Urologist is of Opinion however there is no underlying pathology. Kindly let me know what is the probable cause , what further test can be done to arrive at final conclusion and what could be the further prognosis, complications and consequences in this case.

Answered by Dr. Rakesh Madhyastha (4 hours later)

Brief Answer:
Needs further work up

Detailed Answer:
Hello

Thanks for the query

It is true that RBC in urine is not of significance to a urologist as on the USG there is nothing structurally wrong. However presence of RBC in urine could be associated with various diseases like vasculitis, glmorulonephritis, IgA nephropathy, etc. Here is how you should go about it

1. Get your C3 and C4 lrvels checked first
2. I would also like you to get XXXXXXX and ANA levels checked

The above two tests will rule out various causes that might be causing this. Please get it done and get back to me for further review

I hope I was of help, if you have any further queries please get back to me

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar