What medication is best for glomerular hematuria?
Sep 13, 2022
Source: Cainiu Health
Dr. Li Mingchuan
Introduction
1. Hematuria caused by concurrent urinary tract infection must be treated with anti-infective therapy.
2. If hematuria is associated with urinary system stones, the stones must be removed first before the hematuria resolves.
3. Hematuria may occur in glomerulonephritis complicated by urinary tract tumors, and treatment primarily involves radical tumor surgery or symptomatic management.
4. For glomerular hematuria and acute glomerulonephritis, rest is the primary treatment.
Glomerular hematuria is a condition caused by inflammation of the glomeruli, which significantly affects people's daily lives. So, what medications are recommended for glomerular hematuria?
What Medications Are Recommended for Glomerular Hematuria?
1. If hematuria results from a concurrent urinary tract infection, anti-infective treatment is required. 2. If hematuria is associated with urinary stones, the stones must be removed first before the hematuria resolves. 3. Hematuria may occur in patients with glomerulonephritis combined with urinary tract tumors; treatment primarily involves tumor resection surgery or symptomatic management. 4. For hematuria due to acute glomerulonephritis, rest and symptomatic treatment are the main approaches. Kidney-protective medications such as Jinshuibao or Huangkui can be taken. 5. There is no specific treatment for IgA nephropathy-related hematuria. However, if proteinuria is present, ACE inhibitors or ARB-class drugs may be used, along with corticosteroids and immunosuppressants when necessary. Hereditary Alport syndrome does not require special intervention and only needs symptomatic treatment.
Hematuria caused by glomerulonephritis has the following main characteristics: 1. Persistent全程 hematuria: Glomerular hematuria always presents as全程 hematuria, whereas non-glomerular hematuria may appear as initial or terminal hematuria. 2. Non-clotting blood: Most cases of glomerular hematuria do not contain blood threads or clots in the urine. 3. Painless: Most patients with glomerular hematuria do not experience pain during urination, although a minority may have mild dysuria due to irritation of the bladder by blood. 4. Presence of casts: Detection of red blood cell casts in sediment microscopy confirms glomerular hematuria. 5. Dysmorphic red blood cells: Examination using phase-contrast microscopy reveals that most red blood cells in glomerular hematuria are dysmorphic. Dysmorphic red blood cells, especially acanthocytes, have the highest diagnostic specificity. 6. May be accompanied by other symptoms of kidney disease, such as significant proteinuria and edema.
In daily life, it's important to prevent inflammation to avoid developing more serious conditions that could significantly impact health. We hope this information is helpful. Wishing you good health and a happy life!
