Is occult blood 2+ in urine normal?

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    Blood in the urine (called hematuria) is abnormal. There are various etiologies of microscopic (seen only under the microscope) and/or gross hematuria (seen with the nake eye) including benign essential hematuria , urinary tract infection, stone, or possible malignancy. The most common cause identified for asymptomatic microscopic hematuria is “benign essential hematuria”. This means that the kidneys are simply losing some red blood cells into the urinary tract. Urinary tract infection can cause irritation in the bladder causing microscopic hematuria . Kidney cancer and/or bladder cancer can also present as microscopic blood or gross blood. Smoking dramatically increases the risk of developing a tumor in the urinary tract. A stone in the urinary tract can rub the inside of the urinary tract resulting in microscopic or gross hematuria. Evaluation for the possibility of all of these etiologies should be done. However, the only way to diagnose benign essential hematuria is to prove there is no significant stone, tumor, or urinary tract infection. Urine cytology, CT of the abdomen and pelvis or intravenous pyelogram or renal ultrasound, and cystoscopy are the tests to determine the diagnosis.

    *EDIT: This question said it needed “attribution” – this is the standard information given to patients in our practice.

    There is a single instance in which occult blood in urine can be normal. This instance is when you are a woman who is menstruating. Always make sure you are not on your period when collecting urine samples for an occult blood test. If you were or if you are unsure, you need to do the test again. Discuss this with your physician.

    If you are not a woman or if you are sure you were not menstruating at the time you collected the urine sample, then this is not normal. Discuss these results and the next step that needs to be taken with your physician. Do not delay this.

    If you are in need of medical assistance, contact your physician.…

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    There should be no blood in the urine.It”s presence is indicative of pathology though 2+ is not severe.Further assessment should be conducted by your healthcare providers. This may include additional labs and urine and bloodwork ,as well as possibly X-rays and CT scans.Hope that Helps,Best of Luck.(I would recommend seeking medical consultation sooner if you have abdominal pain,and/or fevers as this may indicate and infection,or possibly a tumor)

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    Two plus protein means that you have protein in your urine. This can be a sign of kidney disease. The 2 plus means that this was not quantitative. It means that there is “some” protein in your urine but does not tell us how much. Hematuria Causes and Risk Factors You might have blood in your urine because of: Urinary tract or kidney infections. Bladder or kidney stones. Certain kidney diseases, such as inflammation in the filtering system (glomerulonephritis) An enlarged prostate (benign prostatic hyperplasia) or prostate cancer.

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    Not exactly.

    In urine, you normally expect little to no red blood cells. In this context, it would mean 0–2 red blood cells per high powered field. When you start seeing amounts like this you start to question whether the person was doing strenuous exercise (if they’re there for routine or pre-op lab work), or if it could mean something more serious, like a bleed or kidney disorders.

    However, leave the interpretation of your results to your doctor, since they’ll have a more complete picture about your medical history.

    Hope this helps.

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    Many things can cause hematuria (blood in urine) and we typically classify hematuria as being painful or painless. Here’s a list of some reasons but not all reasons :

    1. strenous exercise- if you have little (perinephric) fat and go run a marathon your kidneys are bouncing around in your retroperitoneum and this can cause trace blood in urine.
    2. Kidney stone – stones irritate the ureters and cause blood in urine. This is a painful cause of hematuria
    3. bladder cancer – painless hematuria, usually men 60s or older with a history of tobacco smoke
    4. urinary tract infection – when lining or your urinary system is inflamed from infection (or non infectious causes) you can have blood in your urine
    5. anticoagulation- many many people take drugs that thin their blood and or block production of platelets (ie- aspirin, plavix, Coumadin, xaralto, lovinox, etc) and all these meds can cause you to bleed in your urine
    6. trauma – sex can injure the urethra and lead to hematuria , more severe trauma like pelvic fracture leading bladder rupture or urinary tract injury
    7. foley insertion – like sex this can also be traumatic to urethra if not done correctly
    8. Medications – meds like ibuprofen , Motrin , naproxsyn and other NSAIDs are all nephrotoxic if used for prolonged periods and can cause parenchymal damage leading to hematuria
    9. rhabdomyelisis- muscle breakdown caused by severe over use , dehydration, cocaine use, meds can cause hematuria or mimic it because of the myoglobin released by crushed/injured myocytes
    10. polycystic kidney disease- genetic disorder that causes people to have many cysts on their kidneys (and liver) cysts can be hemorrhagic and lead to hematuria

    Occult (not visible to the eye) blood is generally a symptom that only indicates there may be a problem elsewhere – it doesn’t, unfortunately, usually tell you WHAT that problem is. Your doctor will need to follow up with you to find out if something’s going on that needs treatment.

    But don’t panic – occult blood DOESN’T mean you’re bleeding to death or on the verge of having to turn in your 401k, lol. It is quite common and is NOT a cause for terror. Relax, drink lots of tea, and cuddle something warm and fuzzy. The doc will be able to help figure out why it’s there.

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    Both or these are findings in a urinalysis. Occult means hidden. This is blood that isn’t visible to the eye but that is detectable by testing for it and is visible under a microscope. In urine dipstick testing, 1+ and above indicates significant hematuria, blood in the urine. A trace amount is a negative result. RBCs, or red blood cells, are seen in a microscopic urinalysis, when the specimen is examined under a microscope. Generally speaking, more than 3–5 RBCs per HPF is concerning. And, no, these results aren’t normal but I don’t believe the results given should be alarming but they do merit attention. Lots of things cause hematuria, I can’t emphasize that enough, including strenuous exercise and minor trauma, even trauma from masturbation. I’m not going to get into explanations of power fields and microscopes — you can look into that on your own time, if you care to.

    In the future, please review test results with the ordering physician instead of posting them online and asking the general public. It’s a distinct mistake to post test results online and ask for interpretation. I strongly suggest you refrain from doing this again.

    If you aren’t close to your period, then we can assume the red cells came from your urinary system. That can be from inflammation of the bladder, parasites exiting through the bladder wall (Schistosoma), free hemoglobin from a hemolytic anemia, bladder cancer, kidney stones, prostate cancer, urethritis from STD’s. Why don’t you see a doctor and let him help you sort it all out.

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    Occult means hidden in medical terminology, so occult blood in urine or faeces can indicate bleeding in the bowel or bladder. There can be a few reasons for the presence of the blood. In urine it can indicate an infection in the bladder,usually confirmed by a laboratory analysis and Appropriate treatment as indicated by the sensitivity test conducted by the lab. A 2+ result could also indicate a tumour in the bladder, so it’s important to follow your doctor’s advice re any diagnosis.

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    If you are a girl, then you rejoice … your period is coming and you are not pregnant.

    If you are 38 to 48, and not beginning or ending your period … then we have to take a more serious look at bladder or cervical cancer oozing blood. Maybe even kidney cancer

    If you smoke, then we would have to look at bladder cancer.

    If you are male with some protein and blood cells then Prostatic, Bladder or kidney problems are factored in. … or you traumatized your dick in the vacuum hose again. BUY A DOLL, for Christ’s sake.

    This is an important question , if some pne’s urine dhows 5 RBC per microscopic field examination with out any other abnormality in his urine , it should be consider abnormal and needs further looking in to the cause of and must not be ignored .

    Finding the cause will need detail history of the person.

    KMMishra

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