Is 1+ hyaline cast in urine routine test severe?

May 16, 2023 Source: Cainiu Health
Dr. Zhao Xinju
Introduction
Transparent casts in urine mainly refer to the presence of proteins, other cellular components, or their decomposition products found during routine urinalysis. If caused by excessive crying or anesthetics, symptoms typically resolve once crying stops or the anesthetic effect wears off. However, if caused by bacterial infection leading to glomerulonephritis, the condition may be more serious and require prompt treatment.

Generally speaking, "hyaline casts 1+" in routine urine test is not usually serious, but the severity depends on the underlying cause. The specific analysis is as follows:

Hyaline casts 1+ in a routine urinalysis mainly refers to the presence of proteins, other cellular components, or their breakdown products found in the urine during testing. This may be related to excessive physical activity, anesthesia, or kidney diseases. For example, if an infant cries excessively during urine testing, the increased physical activity might lead to hyaline casts 1+, which is considered a normal phenomenon and does not require special treatment. Similarly, administration of anesthetic drugs may temporarily alter urine composition, causing hyaline casts 1+. Once the effects of anesthesia wear off, the condition typically resolves spontaneously, so it is generally not considered serious.

However, if glomerulonephritis caused by bacterial infection leads to abnormal urine formation, hyaline casts 1+ may also appear. In such cases, medical treatment under a doctor's guidance is necessary. Anti-inflammatory treatments may include medications such as amoxicillin sodium for injection or ceftriaxone sodium for injection. In severe cases, hemodialysis might be required. Without prompt treatment, the condition could worsen and lead to complications. Alcohol should be avoided during treatment, as it may interfere with therapeutic effectiveness.