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Posted by Doctor Do Thi Thao - Pediatric Center - Vinmec Times City International General Hospital
Hematuria is the presence of red blood cells in the urine. Hematuria includes macroscopic (visible with the naked eye, red, pink urine) and microscopic hematuria (detected only on urinalysis).
1. What is hematuria?
Normal people in the urine do not have red blood cells or have negligible. Hematuria was defined as > 5 RBCs/microliter of uncentrifuged urine, or > 3 RBCs/microfield/10 mL of centrifuged urine, or > 5000 RBCs/min (or via addis residue).
2. Cases often mistaken for hematuria
Parents can observe that their child's urine is pink or red, but it is not a child with hematuria, usually in the following cases:
Food color: Red dyed foods, radishes Red, red dragon fruit, red candy... When eating these foods, children's urine will be pink or red, but when they stop eating, the urine will return to normal. In this case, no intervention is required.
Some drugs cause red urine such as: Rifampicin, nitrofurantoine...
The presence of Urate will cause dark orange urine, often when children drink less water, urine is concentrated. Give your child plenty of water to drink, the urine color will return to normal. In this case, no intervention is required.
Hình ảnh mẫu nước tiểu màu cam đậm ở trẻ
In addition, there are some cases of red blood cells in the urine, but not from the urinary system, but from nearby organs such as: Menstruation in girls, anal fissures ...
3. Common causes of hematuria in children
Causes of hematuria in children include:
Tumors: Common nephroblastoma, adenoma, bladder tumor... Infection: Cystitis, pyelonephritis. This is the most common group of causes. Congenital abnormalities: Alport syndrome, Goodpasture syndrome, polycystic kidney, renal tubular acidosis, renal vein occlusion... These are rare causes. Immune causes: IgA nephropathy often causes microscopic hematuria discovered incidentally. The disease is usually benign in children, about 5% will progress to severe nephrotic syndrome, kidney failure. Causes of trauma: Renal rupture, ureteral contusion, bladder rupture... Drug causes: Some drugs cause cystitis such as cyclophosphamide. Some drugs cause nephritis: Cephalosporin, sulphonamide, thiazide... Mushroom poisoning, heavy metal can also cause hematuria. Or hematuria after certain procedures like a kidney biopsy...
Một số loại thuốc sau khi uống có thể gây ra tình trạng nước tiểu có máu
When detecting that their child has signs of hematuria, parents should take the child to medical facilities for accurate examination, diagnosis and treatment.
With many years of experience in examining and treating diseases in children, now the Pediatrics Department at Vinmec International General Hospital has become one of the major health care centers, capable of examining , screening and treatment of many specialized diseases in children. Therefore, if the child shows signs of poor absorption of nutrients, slow weight gain, growth retardation, etc., parents can take the child to Vinmec International General Hospital for examination and support. advice from qualified doctors.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
