Help = Cho Jeong-ho, director of Goldman Urology Gangnam Branch
[바이오타임즈] There are several cases of men who are surprised to find red urine while doing errands in the bathroom. Usually, it is known that normal urine color is clear or yellow or brown. Contrary to these standards, if you suddenly see red urine, you have no choice but to panic.
If red urine is constantly observed, it is likely to be a symptom of hematuria. Hematuria is the abnormal excretion of red blood cells in the urine. In other words, it means that bleeding has occurred in the urinary tract leading from the kidney to the external urinary tract.
There are many causes of hematuria, but among them, kidney diseases such as pyelonephritis and glomerulonephritis should be vigilant. In addition, when blood vessels in the kidney and glomerulus become thin, they can burst easily and cause hematuria. Even if kidney stones occur, there is a high possibility of hematuria due to injury to the mucous membrane.
In addition to the kidneys, there is a possibility that the ureters are the problem. In the worst case, ureteral cancer or ureteral stones can be pointed out as the cause of hematuria. In addition, hematuria may occur due to bladder cancer, bladder stones, prostatitis, benign prostatic hyperplasia, or prostate cancer. Even though the upper part of the urinary tract is normal, hematuria is observed even if the urethra is inflamed.
As the cause of hematuria is very diverse, it is necessary to make an effort to clearly identify the cause through detailed examination. The problem is when hematuria is not visible to the naked eye. In fact, hematuria symptoms are divided into macroscopic hematuria, which can be directly confirmed with the naked eye, and microscopic hematuria, which can be confirmed through examination. In other words, despite the onset of pyelonephritis, ureteral cancer, and prostate cancer, hematuria symptoms may not be observed with the naked eye.
Therefore, it is desirable to check the presence of hematuria through regular urine tests and to diagnose urinary diseases early. If red blood cells of 3/HPF or higher appear more than twice among three urine tests, if red blood cells of 100/HPF or higher appear even once, or if hematuria is visible to the naked eye, the cause of hematuria should be determined through additional tests. You have to figure it out.
Cho Jeong-ho, director of Goldman Urology Department Gangnam Branch, said, “In order to identify the cause of hematuria, not only urinalysis, but also ultrasound, transvenous pyelography, cystoscopy, and cell biopsy can be performed.” It is difficult and there are no subjective symptoms, so it is recommended to perform a urine test about once a year.”
[바이오타임즈=최진주 기자] news@biotimes.co.kr
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2023-08-14 05:00:00
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