Does a urine occult blood 1+ result require treatment?

Sep 20, 2024 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
In general, a urine occult blood result of 1+ requires treatment. Urine occult blood 1+ is an indicator in routine urinalysis, indicating the presence of a small number of red blood cells in the urine, also known as microscopic hematuria. This usually suggests a slight increase in the number of red blood cells in the urine, which warrants attention and further examination to determine the underlying cause. Urine occult blood 1+ is caused by pathological conditions.

Generally speaking, whether treatment is needed for a urine occult blood result of 1+ depends on the underlying cause. If the urine occult blood 1+ is caused by pathological factors, appropriate treatment is required. However, if it results from physiological reasons, special treatment is usually unnecessary.

Urine occult blood 1+ is an indicator in routine urinalysis, indicating a small number of red blood cells present in the urine, also known as microscopic hematuria. This typically suggests a slight increase in the number of red blood cells in the urine, warranting attention and further evaluation to determine the exact cause. When urine occult blood 1+ is due to pathological conditions—such as urinary tract infections, kidney stones, or tumors—treatment should be directed at the specific underlying condition. For example, urinary tract infections require anti-infective therapy; urinary stones may need medical expulsion, extracorporeal shock wave lithotripsy, or surgical intervention; and urinary system tumors might require surgical removal.

If urine occult blood 1+ is caused by physiological factors and the patient has no other discomfort symptoms, special treatment is generally not required. Once the triggering factors are removed, the occult blood in urine usually resolves spontaneously.

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