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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes The Presence Of RBC In Urine Despite Any Visual Evidence Of Blood?

I m concerned about a recent Urine test I had. I ve had blood in the urine in the past and it s typically gone away within a few months and I ve only had to have a follow-up urine test. Can you provide some insight as to why I might have Occult Blood 1+ with RBC 11-30. I m scared. Thank you! F Specific Gravity 1.018 1.005-1.030 PDLCA F pH 7.0 5.0-7.5 PDLCA F Urine-Color Yellow Yellow PDLCA F Appearance Clear Clear PDLCA F WBC Esterase Negative Negative PDLCA F Protein Negative Negative/Trace PDLCA F Glucose Negative Negative PDLCA F Ketones Negative Negative PDLCA F Occult Blood 1+ A Negative PDLCA F Bilirubin Negative Negative PDLCA F Urobilinogen,Semi-Qn 0.2 0.2-1.0 (mg/dL) PDLCA F Nitrite, Urine Negative Negative PDLCA F Microscopic Examination See below: PDLCA - Microscopic was indicated and was performed. Microscopic Examination PDLCA F Urinalysis Reflex PDLCA - This specimen will not reflex to a Urine Culture. F WBC 0-5 0 - 5 (/hpf) PDLCA F RBC 11-30 A 0 - 2 (/hpf) PDLCA F Epithelial Cells (non renal) None seen 0 - 10 (/hpf) PDLCA Epithelial Cells (renal) PDLCA Casts PDLCA Cast Type PDLCA Crystals PDLCA Crystal Type PDLCA F Mucus Threads Present Not Estab. PDLCA F Bacteria Few None seen/Few PDLCA Yeast PDLCA Trichomonas PDLCA
Tue, 4 Dec 2018
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Pathologist and Microbiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

First of all, I want to know whether you are a male or female. During the time of menstruation, urine examination may show red blood cells because of urine contamination.

In both genders, presence of renal stones (either in kidney or ureters) leads to red blood cells in the urine. Renal stones of small size can be dissolved by taking plenty of fluids.

Less commonly, kidney injury is also followed by RBC in urine. My suggestion is please consult general physician for more suggestions.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Siddartha
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What Causes The Presence Of RBC In Urine Despite Any Visual Evidence Of Blood?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. First of all, I want to know whether you are a male or female. During the time of menstruation, urine examination may show red blood cells because of urine contamination. In both genders, presence of renal stones (either in kidney or ureters) leads to red blood cells in the urine. Renal stones of small size can be dissolved by taking plenty of fluids. Less commonly, kidney injury is also followed by RBC in urine. My suggestion is please consult general physician for more suggestions. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siddartha