What does glomerular hematuria mean?

Nov 20, 2023 Source: Cainiu Health
Dr. Yang Ziqi
Introduction
In general, glomerular hematuria refers to hematuria originating from the glomeruli and may be associated with conditions such as nephrotic syndrome, urinary tract stones or infections, glomerulonephritis, Henoch-Schönlein purpura nephritis, and systemic lupus erythematosus. Patients with glomerular hematuria should seek timely medical evaluation to determine the underlying cause and receive standardized treatment under the guidance of a physician.

Generally, glomerular hematuria refers to hematuria originating from the glomeruli and may be associated with conditions such as nephrotic syndrome, urinary tract stones or infections, glomerulonephritis, Henoch-Schönlein purpura nephritis, and systemic lupus erythematosus. Specific analyses are as follows:

1. Nephrotic Syndrome

Heavy proteinuria damages the glomerular filtration membrane, allowing red blood cells to pass through the damaged membrane into the urine. Patients are advised to take medications such as triamterene hydrochlorothiazide tablets and indomethacin tablets as prescribed by their doctor.

2. Urinary Tract Stones or Infections

Inflammation caused by stones or infection damages the glomerular filtration membrane, enabling red blood cells to enter the urine. Patients are advised to take medications such as cefixime tablets and levofloxacin tablets as directed by their physician.

3. Glomerulonephritis

Inflammation damages the glomerular filtration membrane, allowing red blood cells to pass into the urine through the membrane. Patients are advised to use medications such as cyclophosphamide and piperazine ferulate tablets under medical guidance.

4. Henoch-Schönlein Purpura Nephritis

This condition primarily involves glomerular inflammation caused by allergic purpura, leading to hematuria. Patients are advised to take medications such as loratadine tablets and benazepril hydrochloride tablets as prescribed.

5. Systemic Lupus Erythematosus

As an autoimmune disease, it causes damage to the glomerular filtration membrane, allowing red blood cells to enter the urine. Patients are advised to use medications such as methylprednisolone tablets and meloxicam tablets according to medical instructions.

Patients with glomerular hematuria should seek timely medical evaluation to determine the underlying cause and receive standardized treatment under a physician's guidance to avoid delays in management. During treatment, patients should ensure adequate rest, avoid excessive fatigue, and maintain a regular lifestyle.

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