What does it mean to have 3+ occult blood in urine?

Urinary occult blood 3+ may be caused by conditions such as cystitis, urinary tract stones, leukemia, and others. A detailed analysis is as follows:

1. Cystitis

When inflammation is present in the bladder, inflammatory substances can irritate the bladder mucosa, leading to hematuria. Treatment may include oral administration of amoxicillin capsules or levofloxacin capsules as directed by a physician.

2. Urinary Tract Stones

If a patient has relatively large urinary stones, these stones may scratch the urethra during urination, causing local bleeding. This results in a urinary occult blood result of 3+ during routine urinalysis. Large urinary stones cannot be treated with medication alone. However, if localized pain occurs, analgesics such as ibuprofen sustained-release capsules or acetaminophen tablets may be taken. Additionally, treatments such as extracorporeal shock wave lithotripsy or ureteroscopic lithotripsy and stone removal may be required.

3. Leukemia

Leukemia leads to a deficiency in clotting factors or reduced platelet levels, resulting in coagulation disorders within the body. This can manifest in various bleeding symptoms, including subcutaneous hemorrhage and hematuria. Routine urinalysis may therefore show urinary occult blood 3+. Patients with leukemia may take medications such as imatinib mesylate capsules or nilotinib capsules under medical supervision. In severe cases, hematopoietic stem cell transplantation may be necessary.

In addition to the above causes, pyelonephritis, renal failure, or kidney tumors cannot be ruled out. For an accurate diagnosis, it is recommended to seek medical evaluation at a hospital and initiate appropriate treatment promptly.