Analysis of urine for erythrocytes

erythrocytes2 - 9Detected red blood cells in urine can be a serious signal of health problems. But before you panic, you need to know the norms of their content and the reasons for deviations from the standard values, when there is a decreased or increased content of red blood cells in the urine.

Should these cells be present in the urinary fluid?

Erythrocytes are blood cells that contribute to the supply of oxygen to tissues. Large cells cannot penetrate the renal membranes, but some of them have the ability to enter the urinary fluid even in healthy people. Therefore, sometimes red blood cells detected in urine analysis are the norm. An excess of the indicator indicates hematuria. This pathology is caused by weak renal capillaries and impaired filtering function of organs.

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Types of cells

The fact that urine contains an increased number of cells can be determined by two factors.

  • Studying the color (a test strip can help with this): in the presence of reddish or brownish inclusions in the urine sediment, the number is high (when erythrocytes in the urine show 25-30 and above).
  • Microscopic examination: if there are more than three cells in the area, we can talk about the excess of the standard value. If there are 1-3 cells in the field of view, the analysis is normal. That is, red blood cells found in urine in an amount of 2 is a classic indicator.
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If red blood cells are found in the urine, what does this mean – only the definition of their type and consultation with a doctor will help to understand.

  • Unchanged blood cells with hemoglobin content, colored red.
  • Altered red blood cells (alkaline) with the absence of hemoglobin, ring-shaped. The altered erythrocytes are colorless.

It is believed that a certain amount of red blood cells in the urine is the norm, but in order to avoid dangerous consequences, you should consult your doctor about any test results.

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What does an increase in the norm mean

If the general analysis of urine showed an excess of the content of erythrocytes and errors in the ESR indicator (the rate characterizing the sedimentation of these cells), it is necessary to direct efforts to determine the source of bleeding. By localization, three groups of factors can be distinguished.

  • Somatic phenomena.
  • Renal factors.
  • Post-renal factors.

The same symptoms in a man and a woman may indicate different causes of the phenomenon. To understand what happened, and what such tests say, you need to consult a doctor who will prescribe additional research and will be able to answer the question of why this is happening.

Reasons for increased rates

If blood cells are found in the urine, and the BLD decoding confirms this fact, and the ESR is also increased, there are several reasons.

Somatic factors

  • Thrombocytopenia involves a decrease in the number of blood cells due to the difficulty of clotting fluid in the vessels.
  • Hemophilia.
  • General intoxication of the body.

Renal factors

If red blood cells are found in the urine, this may be preceded by renal causes.

  • Kidney cancer is a tumor that attacks the vascular walls and forms minor bleeding that penetrates the urine.
  • Disease of urolithiasis.
  • Hydronephrosis – problems with the outflow of urine, resulting in stretching of organs and damage to blood vessels.

All these phenomena can only mean the need for an urgent visit to the doctor.

Post-renal factors

Erythrocytes in the urine of women or men can be caused by post-renal factors, suggesting diseases of the urinary function or canal.

  • Cystitis.
  • A stone or injury in the bladder.
  • Cancers cause erythrocyte leakage, while the analyzer records changes in ESR and other indicators.
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Erythrocytes that appear in the urine and have an increased value may indicate other factors.

Main factors depending on gender

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In representatives of the stronger sex, urine analysis for erythrocytes may show increased values ​​(including ESR) in diseases of the reproductive system.

  • Prostatitis is an inflammation that causes damage to the prostate gland.
  • Cancer of the gland.

In women, the analysis of donated urine for BLD and erythrocytes may show altered values ​​due to genital diseases.

  • Erosion of the cervix, represented by a wound on the mucous membrane.
  • Bleeding from the uterus.

Sexual and infectious diseases sometimes change not only the indicators of the number of erythrocytes, but also ESR, BLD in the donated urine and others.

Physiological factors

ESR, the number of erythrocytes and other blood cells in the urine may be increased for reasons unrelated to the disease.

  • The air temperature rises outside or after using the sauna.
  • Constant stay in a state of stress, which creates greater permeability to the walls of blood vessels.
  • Smoking and drinking alcohol.
  • Increased physical activity contributes to an increase in the rate when the red blood cell is determined.
  • Improper nutrition and passion for spices, during which the disease makes itself felt.

If you eat fresh food, take other preventive measures, and if symptoms form, promptly start treatment, you can avoid bad consequences.

Therapeutic complex

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There are no specific treatment measures as they are all individual. If the urine turns reddish and contains an increased number of blood cells for physiological reasons, treatment is reduced to eliminating the influencing factors, the normal indicator will be reached after a certain time. If the cause is serious illness, therapy is prescribed by a doctor, because this is the first person who can help. In practice, general drug treatment, surgery, and physiotherapy are used. Consultations can be carried out not by one doctor, but by several doctors to clarify the picture. Therapy lasts until symptoms are completely absent.

Thus, when receiving any tests, regardless of the number of erythrocytes contained, it is necessary to show them to a doctor who can prescribe a competent treatment.

Tatyana Jakowenko

Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.