Is 33 red blood cells per HPF in a routine urine test severe?
Oct 09, 2023
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
In general, the presence of 33 red blood cells per high-power field (HP) in a routine urine test may or may not be serious, depending on the patient's clinical condition. Normally, the red blood cell count in a routine urinalysis ranges from 0 to 3/HP. A result of 33 red blood cells/HP may be due to menstruation in women.
Generally, the presence of 33 red blood cells per HP in a routine urine test may or may not be serious, depending on the patient's specific condition. Details are as follows:
1. Not serious
Under normal circumstances, the reference range for red blood cells in a routine urine test is 0–3/HP. If the result shows 33 red blood cells/HP, it could be due to menstruation in women. In such cases, patients need not worry excessively; they should wait until the menstrual period ends and then return for re-evaluation. Additionally, medications such as acetazolamide tablets or methazolamide acetate tablets may be taken orally as directed by a physician.
2. Serious
If a routine urine test reveals 33 red blood cells/HP, this may indicate hematuria (blood in the urine). If caused by conditions such as urinary tract infection, urinary stones, urinary system tumors, or glomerulonephritis, failure to treat promptly may lead to complications including ureteral stricture, hydronephrosis, or renal failure, which would constitute a more serious situation. Patients can take medications such as levofloxacin hydrochloride capsules, cefixime tablets, or valsartan-hydrochlorothiazide tablets under medical supervision. For severe cases, surgical removal of the lesion may be required, along with adjuvant therapies such as radiotherapy or chemotherapy.
In daily life, patients should maintain a light diet, drink plenty of water, urinate frequently, consume more fresh vegetables and fruits, and avoid spicy or irritating foods.
