Hematuria (Blood in Urine)
HEMATURIA is defined as the loss of blood In urine.
Hemolytic uremic syndrome, its most common cause of acute renal failure in young children. Most common in children under 3; it follows an acute episode of gastroenteritis (bloody diarrhea) or upper respiratory tract infection. The clinical manifestations include microangiopathic hemolytic anemia, thrombocytopenia and acute renal failure.
Several conditions can cause hematuria, most of them not serious. For example, exercise may cause hematuria that goes away in 24 hours. Many people have hematuria without any other related problems. Often no specific cause can be found. But because hematuria may be the result of a tumor or other serious problem, a doctor should be consulted.
Idiopathic hematuria, its the diagnosis is established by normal findings on biopsy. Long term follow up is necessary to exclude Alport syndrome. The development of diminished renal function, proteinuria or hypertension demands a second biopsy.
Causes
1. Kidney: Acute infections, destruction of the kidney, nephrons, infarction of kidney due to loss of blood supply, tuberculosis, stones, cancer, injury, drugs.
2. Ureter: Stone, tumor, stricture.
3. Bladder: Cancer, stone, injury, foreign body.
4. Prostate: Prostate enlargement, cancer Infections.
5. Urethra: Injury, foreign body, stone, and stricture.
Relation of Hematuria to act of urination
Presence of bright red colour is consistent with hemorrhage in the bladder or lower part of ureter. If the urine is blood stained only in the beginning of urination, it probably means that the blood comes from the urethra or prostate. Dark even stained urine means bleeding is from the kidney and upper part of ureter. Hematuria refers to blood in the urine. Often, if a child complains of painful urination or abdominal pain, his doctor may want to test the child's urine using a paper test strip. This is known as a dipstick urinalysis.
Consult a doctor immediately.
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