Hematuria is a common symptom of urological diseases, whether it is gross hematuria or microscopic hematuria, it can be caused by urinary tract infections, stones, tumors and other diseases. However, sometimes hematuria can also be pseudo, that is, it is not caused by a real disorder, but due to something else. Therefore, learning to distinguish between true and false hematuria is of great significance for timely detection and development of urological diseases.
1. True hematuria.
True hematuria is caused by a urinary disorder and usually appears as bright red or dark brown urine and sometimes with blood clots or streaks. Here are some of the common conditions that cause true hematuria:
1.Urinary tract infections: Urinary tract infections are one of the most common causes of hematuria, such as cystitis, urethritis, etc. In addition to hematuria, patients may also experience symptoms such as urinary frequency, urgency, and painful urination.
2.Urinary stones: Urinary stones can also cause hematuria, such as kidney stones, ureteral stones, etc. Patients usually experience pain in the lower back or abdomen, sometimes accompanied by symptoms such as nausea and vomiting.
3.Urinary system tumors: Urinary system tumors are also one of the causes of hematuria, such as kidney cancer, bladder cancer, etc. Hematuria is usually **, course-based, and recurrent.
4.Other diseases: In addition to the above common causes, there are some less common diseases that can also cause hematuria, such as glomerulonephritis, pyelonephritis, etc.
2. Pseudohematuria.
I'm here to send health Pseudohematuria is usually caused by other substances being mixed in the urine, resulting in red urine. Here are some common causes of pseudohematuria:1Food or drug effects: Certain foods or medications can cause urine to appear red, such as foods like beetroot, blackberries, and medications like rifampicin, metronidazole, etc. 2.*Disease: In women, menstrual blood mixed with urine during menstruation can also lead to the appearance of pseudohematuria. In addition, diseases such as inflammation and uterine fibroids may also cause pseudohematuria. 3.Other causes: strenuous exercise, inflammatory bowel disease, etc. may also contribute to the appearance of pseudohematuria. 3. Methods for identifying true and false hematuria 1Observe urine color: the urine of true hematuria is usually dark, bright red or dark brown; Pseudohematuria, on the other hand, is usually light-colored and reddish or pink. 2.Medical history: Knowing whether the patient has a history of urological diseases, medication history, dietary habits, etc., can help distinguish between true and false hematuria. 3.Laboratory tests: Laboratory tests such as urine routine tests and renal function tests can more accurately distinguish between true and false hematuria. If the number of red blood cells in the urine is elevated, the morphology is abnormal, and other abnormal indicators are present, suggesting true hematuria; If there are no or only a few red blood cells in the urine and other indicators are normal, pseudohematuria is suggested. 4.Imaging examination: For some hematuria that is difficult to identify, imaging tests such as B-ultrasound, CT, etc. can be used to further confirm the diagnosis. These tests can help distinguish between true and false hematuria by finding the presence of stones and tumors in the urinary system. 5.Observation symptoms: true hematuria is usually accompanied by other urinary symptoms, such as urinary frequency, urgency, dysuria, etc.; Pseudohematuria, on the other hand, usually has no other symptoms. In conclusion, learning to distinguish between true and false hematuria is of great significance for the timely detection and development of urological diseases. If symptoms of hematuria occur, medical attention should be sought and relevant tests should be performed in time to confirm the diagnosis and**. At the same time, maintaining good living habits and diet, strengthening exercise and preventive measures can help prevent the occurrence of urological diseases.