Is painless hematuria serious in men?

Hematuria is a pathological phenomenon, but when it occurs, we must first know whether the hematuria is caused by pathology, because if we eat red dragon fruit, a large amount of red pigment in it cannot be consumed by the body, so it will be excreted through urine. Even some drugs can cause red urine. Therefore, if a man has painless hematuria, this situation must be ruled out first.

Hematuria refers to ≥3 red blood cells per high-power microscopic field of view in centrifuged urine, or more than 1 in non-centrifuged urine, or more than 1 red blood cell count in 1-hour urine, or more than 500,000 in 12-hour urine sediment count, all of which indicate an abnormal increase in red blood cells in urine, which is a common urinary tract symptom. Causes include urinary tract inflammation, tuberculosis, stones or tumors, trauma, drugs, etc., which have very different effects on the body. In mild cases, only erythrocytes are found under the microscope, which is called submicroscopic hematuria; in severe cases, the appearance is like meat-washing water or contains blood clots, which is called gross hematuria. Usually, when there is 1mL of blood in each liter of urine, it is visible to the naked eye, and the urine is red or meat-washing water-like.

When red urine is found, the first thing to do is to distinguish whether it is true hematuria or false hematuria. Some drugs can cause red urine, such as aminopyrine, phenytoin sodium, rifampicin, phenol red, etc.; they need to be distinguished from true hematuria. In recent years, there has been an increasing trend of hematuria without obvious accompanying symptoms, most of which are glomerular hematuria, which has attracted widespread attention and research.

Patients with hematuria need to rest in bed and minimize strenuous activities. Drink plenty of water to speed up the excretion of drugs and stones. Those with edema due to nephritis should drink less water. Use hemostatic drugs and vitamin C. Use drugs that cause hematuria with caution, especially in patients with kidney disease. Hematuria is caused by urinary tract infection, and can be treated with oral and injectable antibiotics and urinary tract cleansers. The causes of hematuria are complex, and some conditions are very serious. You should go to a specialist hospital for examination and diagnosis as soon as possible and receive early treatment.

1. Actively treat urinary system inflammation, stones and other diseases.

2. In daily life, do not keep your bladder full all the time. Urinate when you feel the urge to urinate to reduce the amount of time urine stays in the bladder.

3. Pay attention to the combination of work and rest, and avoid strenuous exercise.

In short, if hematuria is found, it is necessary to check, diagnose and treat it as soon as possible; if it is difficult to diagnose at the moment, regular follow-up examinations are required.